RN 4 MHC Stepdown

Cone Health Greensboro, NC

About the Job

## Opportunity Our Purpose Together, we create unsurpassed health care experiences. Our Intent We are the leader in delivering integrated, innovative health care. Our Values At Cone Health, we value and are accountable for: * Caring for Our Patients We provide exceptional quality, compassionate care and service in a safe, respectful environment. * Caring for Each Other We appreciate each other through honest communication and respect. We inspire ongoing learning, pride, passion and fun. * Caring for Our Communities We engage our communities with integrity and transparency. We embrace our responsibility to promote health and well-being. ## Education / Licensure / Certification EDUCATION: Required: BSN with a Master's degree in health related field or RN to MSN degree from an approved program LICENSURE/CERTIFICATION/REGISTRY/LISTING: Required: RN - Registered Nurse licensed in North Carolina or a Compact state. BLS (CPR) - AHA Health Care Provider BLS Certification is required in a clinical specialty as defined by National Certification requirements. Preferred: Advanced Cardiovascular Life Support Pediatric Advanced Life Support ## Qualifications EXPERIENCE: 2 years as a Registered Nurse. KNOWLEDGE, SKILLS AND ABILITIES: Ability to delegate Personal Safety Responds appropriately to emergency situations (Cone Health Codes) and demonstrates knowledge of how to respond. Always uses appropriate safety devices and techniques (examples: using safe lift equipment and needle safe devices; pushing carts; correctly lifting copy paper). Ability to present information to a group Oral and Written Communication Skills Ability to communicate effectively through both oral and written formats. Leadership Skills Medical Terminology Ability to work independently Accountability Takes responsibility for own actions, including the impact of own decisions on patients and others. Also takes responsibility for actions of any direct reports, avoiding blame or excuses. Takes appropriate action when anyone in the organization violates standards or regulations, viewing it as unacceptable to "look the other way". Adaptability Effectively assesses and adjusts to changes in circumstances, resources, or environment, using the creativity and flexibility required to remain effective. Views change as a constant, accepting and adjusting to twists and turns. Adjusts to the especially unpredictable nature of a healthcare environment, shifting focus as necessary, and taking reasonable action, even when faced with various levels of uncertainty. Communication Accepts responsibility for effective two-way communication using clear and well-organized oral and written techniques. Demonstrates self- awareness of non-verbal messages, keeping verbal and non-verbal messages consistent. Incorporates recognition of cultural impact on understanding and effectively uses interpreters and language translation devices. Computer Literacy - Working knowledge of personal computer and communications technology. Knowledge of Concepts, Procedures and Techniques - Possess knowledge of concepts, procedures and troubleshooting techniques. Problem Solving - Identifies practices or procedures that are not working effectively and challenges underlying assumptions. Includes a representative number of persons when addressing issues (including patients and their families), resulting in the best resolution from various perspectives. Looks for the root cause of any problem, resulting in solutions that are enduring and sustainable. Proficiency in Tools and Equipment - Ability to demonstrate proficiency in the application of tools, test equipment and meters to effectively diagnose equipment problems and/or failures consistently. Responsiveness - Reacts promptly when requests are made or situations clearly call for it. Shifts priorities when a timely response is essential. Actions reflect sensitivity to patient/customer needs and sense of urgency. Balances speed of response with safety concerns. Time Management - Establishes priorities during routine daily operations, addressing time-sensitive matters first, while also accomplishing day-to-day tasks and duties. Effectively triages tasks and events according to urgency level, impact on patients and outcomes desired under special conditions (e.g., during crises and emergencies). Makes choices that result in maximum completion of essential duties and minimum personal stress. Ability to work in stressful situations - Ability to remain calm and composed in stressful situations (ie: fast paced environment, meeting deadlines/work quotas, etc.) Integrity - Demonstrates an unwavering commitment to do what is ethically "right". Consistently tells the truth unless doing so would violate confidentiality or compromise the safety or privacy rights of patients or others. Behaves in a manner fully consistent with stated intentions and commitments, even when there is no one to witness activities. Stands up for what is right even when there are personal risks or when there are clear rewards for doing otherwise. Interpersonal skills - Demonstrates an ability to interact with others in a courteous and professional manner and establish good working relationships. Ability to influence others not under direct control Project Management Skills PHYSICAL REQUIREMENTS: Medium Work: * Exerting 20 to 50 pounds of force occasionally (up to 1/3 of the time), and/or; 10 to 25 pounds of force frequently (1/3 to 2/3 of the time), and/or; greater than negligible up to 10 pounds of force constantly (2/3 or more of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. * Respirator Fit Testing HEARING/VISION: * Hear and differentiate low volume sounds in order to make judgments regarding actions needed * Hear alarm bells, verbal conversations, telephone voices and normal volume sounds * Close vision (clear vision at 20 inches or less) * Distance vision (clear vision at 20 feet or more) * Depth perception (three-dimensional vision, ability to judge distances and spatial relationships) * Color vision (ability to identify and distinguish colors) CONDITIONS OF EMPLOYMENT: * Annual flu shot * Annual TB test (if applicable to your job location) * Annual CBLs (Safety at Work and Corporate Compliance) * Maintain licensure/certification/registry/listing (if applicable to your job) ## Job Description Stepdown is a 18-bed private patient care area with hard wire and telemetry monitoring capability that provides care primarily to med/surg. patients who are improving with respiratory failure but still require active titration of therapy, mildly ill hemodynamically unstable patients requiring limited vasoactive infusions and care of the limited code status patient who may benefit from limited NPPV or vasoactive medications. The department functions 7 days a week, 24 hours a day. 2600 contains a central cardiac monitoring station, ventilator capability, eLink eICU monitoring, in room patient dialysis and patient call system. JOB SUMMARY Serves as a department leader, clinical expert for the patient population served, and as an educator and resource for staff. Assesses, plans, implements, documents, organizes, prioritizes, delegates, supervises and coordinates the care of neonates, pediatric, adolescent, adult, geriatric patients as prescribed within the parameters of the NC Nurse Practice Act and hospital complex. MAJOR WORK ACTIVITIES: Provides nursing care via the nursing process for data analysis, development, implementation & evaluation of nursing care. Interviews patient to obtain pertinent medical & surgical history, current medications, treatment plan & preparation for examination. Performs age specific assessments to collect pertinent data. Consistently recognizes & acts upon subtle changes in patient status, anticipating their needs while collaborating with the health care team. Develops & documents plan of care from assessment data including discharge planning in collaboration with patient, significant others, & health care providers. Implements interventions in a manner to maintain patient dignity, privacy, confidentiality & safety. Defines measurable outcomes based on database & ongoing evaluations of patient response to interventions. Identifies variances to expected outcomes & intervenes to optimize outcomes. Involves patient, significant others, & health care providers in evaluation process (i.e. Patient satisfaction surveys, follow-up calls & CQI). Assists patient & significant others in identifying & securing appropriate services & educational opportunities available to address health-related needs while providing emotional & psychological support to patients & family (i.e.: Referrals, Consults, Lab & Radiology Services, Support Groups & teaching materials). Demonstrates advanced competencies & critical thinking skills in daily practice. Identifies & implements educational needs for patients/significant others. Educates staff regarding the nursing process, & the use of clinical pathways as collaborative practice & interdisciplinary care tool. Intervenes & implements system changes to optimize department & patient outcomes. Performs needs assessments (formally & informally) to identify opportunities to improve staff education, clinical competence, quality of care, or research opportunities & leads or participates in initiatives to address those needs. (30%) Supports an environment of evidence based practice/research/quality improvement. Demonstrates knowledge of Shared Governance accountabilities and principles, supports DSGC directly as a council member or indirectly by keeping informed of council activities/supporting council decisions, brings forth issues to council. Demonstrates knowledge of how to access reference documents containing policies, procedures, standards, and additional resources. Participates in QI/ Research activities based on role and major work activities as outlined in the research point system guidelines, updating policies as needed. Demonstrates knowledge of department QI plan. Demonstrates understanding of resource management and implements opportunities to increase efficiency. Collects QI data and participates in analysis and action plan development, incorporates changes into practice. Facilitates ongoing activities to meet and adhere to regulatory standards (HIPAA, TJC, DFS, OSHA). Recognizes opportunities for QI processes, participates in design and implementation of QI processes. Demonstrates knowledge of evidence based practice standards and collaborates with Clinical Nurse Specialist to incorporate these changes into practice, coaching and mentoring other staff to do the same. (25%) Establishes a caring and therapeutic nurse/healthcare team/patient/significant other relationships. Recognizes communication barriers, identifies resources and establishes plans to resolve barriers to communication. Demonstrates respect for diversity and cultural differences in patient/significant others related to age, ethnicity, gender, religion, socioeconomics, education, personality, or other unique variable. Formulate individualized plans to address individual needs related to diversity, cultural difference or other unique variables. Advocates for the patient/significant other. Demonstrates skillful responses to customer needs based on particular context of the situation. Provides education to staff related to the patient/nurse relationship. (20%) Supervises other members of the team. Contributes to a supportive and healthy work environment. Holds self and others accountable for complying with policies, procedures and standards including dress code and attendance. Participates in learning needs assessments. Provides input into and supports the precepting and mentoring process. Delegates appropriate tasks to support staff, ensures completion of delegated tasks and provides feedback as needed. Demonstrates team spirit and collegiality. Supervises select personnel in performance/patient care. Collaborates with other RN3s and RN4s to identify, initiate, and evaluate teambuilding strategies. Recognized as a resource/facilitator for precepting, mentoring, delegating, team building. Independently performs charge duties. Participates in the evaluation of department based preceptor development plan. (15%) Demonstrates personal accountability and effective conflict resolution/negotiation skills. Demonstrates appropriate use of universal precautions and use of personal protective equipment. Maintains safe environment and responds appropriately to emergencies and safety hazards. Promotes a positive, supportive, and professional work environment free of disruptive behavior. Practices, in all professional relationships, with compassion and respect for the inherent dignity, worth and uniqueness of every individual. Follows Chain of Command for assistance with issues related to unresolved/problem-solving and/or conflict resolution. Provides, seeks and receives constructive feedback. Provides peer to peer feedback and seeks mediation as necessary. Facilitates building and preserving collaborative and respectful relationships. Demonstrates expertise in collaboration, negotiation, and conflict management. Adheres to maintenance requirements for the Professional Nurse Advancement Program. (10%) WORKING CONDITIONS: Occurs over two-thirds of the time: Exposure to bloodborne pathogens Hazardous waste and/or toxic/caustic chemicals Fumes or airborne particles iCARE - COMMITMENTS TO CARE: Communication I will create and engage in conversations of possibility. * I will be open to innovation and creativity. * I will listen to understand. * I will bring ideas for solutions and be open to alternative ideas. * I will be open to constructive feedback. * I will not engage or listen to negativity or gossip. * I will be positive when speaking about Cone Health, my department, and my coworkers. * I will be approachable. * I will focus on behaviors, not the person, during conflict. Accountability I will honor my word. * I will do what I say when I say I will. o I will “clean it up” when I can’t keep my word. * I will honor my work agreement. * I will be “on the court” instead of “in the stands.” * I will follow up in a timely manner on commitments and requests. * I will apologize when someone experiences less than excellent service. o I will take responsibility for my actions, decisions and performance. * I will protect patient safety (best practices: ex – hand hygiene). Respect I will assume the best of intentions and embrace differences. * I will collaborate and seek other people’s input. * I will demonstrate courtesy, compassion, and respect with my tone of voice and body language. * I will speak positively about Cone Health – managing up coworkers, physicians, departments, patients and visitors. * I will ask the person directly involved when I don’t know. * I will include diverse skills, abilities, strengths, and backgrounds to create better outcomes. * I will care for myself while also respecting others. Empowerment I will own it, solve it, and celebrate it! * I will offer solutions when problems are identified. * I will share my input for decisions by participating in forums such as shared governance, town halls, employee engagement survey, brown bag discussions, employee councils, staff meetings, or directly with my manager. * I will take charge and do the right thing at the right time. * I will make decisions keeping a balance of service, quality, and cost in mind. * I will demonstrate Cone Health values. * I will seek opportunities to celebrate and have fun. * I will recognize good work. I have seen and reviewed the job description in its completed form and understand that I will be required to perform all functions listed if hired for this position. I recognize that, if hired, it is my responsibility to notify my manager as soon as possible if I am unable to perform any of the functions of my position for any reason. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job. * Exceptional People Providing Exceptional Care! Cone Health is a state of the art network of facilities providing patients access to the latest developments in medical care from their first moments of life through later years. Our network offers the most breakthrough treatments and technology available in healthcare today. As a teaching hospital, we offer employees the opportunity to become leaders in the industry and continued growth from their first day on. Extraordinary patient care is about being “high-touch” as well as “high-tech”. Community service and superior patient care are the cornerstones of our organization, a philosophy that is demonstrated by each and every one of our valued team members. We are proud to be the largest private, not-for-profit employer of choice in the Piedmont, NC area community! Cone Health is an equal opportunity employer. If you require assistance with our online job submission process, please contact our Talent Acquisition team at 866-266-3767 to request an accommodation. Additionally, Cone Health invites interested deaf and hard of hearing applicants to use Video Relay Service (VRS). *Requisition Number:* c11395 *Position Title:* RN 4 MHC Stepdown *Department:* 10108-MHC-Div 2600-Stepdown Unit *Job Interest Category:* Nursing *Job Interest (specific):* RN - Stepdown *Campus/Location:* Moses H Cone *City:* Greensboro *Work Schedule:* 12 hour days 7 AM - 7 PM *Specific Work Schedule Detail:* 7 AM - 7 PM *Hours per week:* 36