To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
As a core member of the Care delivery team, the Clinical Nurse practices as the patients nurse and collaborates with the team to facilitate the coordination of patient care at the unit level. Through utilization of the nursing process, the clinical nurse diagnoses and treats patient and family responses to actual or potential health problems. The Clinical Nurse is accountable to the patient, family, peers, and Manager.
Patient and family centered care (PFCC) at YNHH is demonstrated by working with patients and their families based on the 4 principles of PFCC: participation, dignity and respect, information sharing, and collaboration. This includes providing service excellence by creating a great "First Impression" by demonstrating exemplary customer service skills for all customer groups including patients, families/friends, physicians, staff and support department personnel.
Adheres to the "I Am YNHH" service excellence pledge and promotes a positive work environment.
Responsibilities: 1. Nursing Process 1.1. The Clinical Nurse I (CN I) utilizes the nursing process of assessment, planning, intervention and evaluation while caring for our patients maintaining confidentiality and dignity. The Clinical Nurse provides safe, effective evidenced based care tailored to the individual needs of the patient and family. As a core member of the care delivery team, the Clinical Nurse partners with the team to facilitate the coordination of patient care at the unit level utilizing the principles of patient/family centered care. 1.2. The clinical nurse uses a 5 step process to deliver high quality comprehensive and individualized care incorporating:
1. Patient assessment
2. Problem identification
3. Establishment of desired outcomes
4. Implementation of interventions
5. Evaluation of care with necessary revisions. 2. Clinician Patient Relationship 2.1. Demonstrates a holistic and caring approach throughout the nurse patient relationship. 3. Clinical Expertise / Problem Solving 3.1. Collaborates with members of the multidisciplinary team to support the work of the team, unit activities, and the accomplishment of positive patient outcomes. 4. Collaboration/Teamwork 4.1. Delegates responsibilities to appropriate members of the care delivery team based upon an understanding of others' roles, scope of practice, knowledge, and capabilities to ensure optimal utilization of personnel. 4.2. Contributes to a positive work environment by being responsive to the need for change. 4.3. Maintains a collaborative work relationship with staff members through respect and recognition of cultural and human diversity. 5. Practice Development / Positive Impact (improvement of the self and improvement of the practice of nursing} 5.1. Successfully completes the competency based orientation within designated time frame. 5.2. Participates with team members in activities to improve care environment. 5.3. Responsible for being current with staff meeting minutes. 5.4. Actively supports student learning. 5.5. Assumes responsibility for continued learning and integration of evidence based practice. 5.6. Identifies self learning needs and actively participates in meeting them in collaboration with the leadership team. Sets and achieves professional goals. 5.7. Delivers excellence in patient care through compliance with all patient safety and regulatory initiatives. 6. Leadership 6.1. Communicates in a calm professional manner with patients, families, colleagues, members of the care team, and other hospital personnel, accepts and elicits feedback, and works toward resolving problems and clarifying issues and concerns. 6.2. Uses resources in a fiscally sound manner. 1. Nursing Practice/Nursing Process 1.1. Delivers and coordinates safe, competent, and effective patient focused care demonstrating knowledge and clinical proficiency within their practicing specialty area. 1.2. Performs individualized, age specific, population specific and culturally sensitive patient focused care through the use of the nursing process. 1.3. Communicates patient's condition and the initial and revised plan of care with nurses and other members of the multidisciplinary team using SBAR techniques and bedside shift reporting assuring continuity of care. 1.4. Develops plan of care upon admission and reviews/updates daily based on multidisciplinary findings and physician orders. 1.5. Manages decision making situations by recognizing the acuity and complexity of patient condition and their environment. 1.6. Evaluates and directs care during hospitalization, and assists in designing a comprehensive discharge plan for patients with the multidisciplinary team. 1.7. Documents nursing care in the electronic medical record according to professional standards of documentation and Greenwich Hospital policy. 1.8. Respects and preserves patient/designated surrogate rights based on a code of ethics or ethical framework (e.g., safe, compassionate, competent care; informed decision making regarding daily/end-of-life care; dignity; privacy, confidentiality; and accountability). 1.9. Identifies needs of patient/family for support systems/resources and make appropriate referrals. 1.10. Demonstrates responsibility and accountability for ensuring best practices and delivery of nursing care according to ANA standards. 1.11. Administer medications, calculate doses when appropriate and maintain current knowledge of medications and IV therapy. 1.12. Assess and reassess pain, intervening with appropriate pain management therapies. 1.13. Initiate and maintain oxygen therapy per physician orders, non-invasive blood pressure and oximetry. 1.14. Provides patient and family education specific to their needs and appropriate to the care, treatment, and services provided. 1.15. Assess and reassess patient's risk for falls, initiating approprate fall prevention monitoring. 1.16. Performs staging of wounds and treatments for patients with acute and chronic wounds. 1.17. Completes annual skills competency validation. 1.18. Completes mandatory hospital education and training. 2. Professional Integration 2.1. Serves as a positive professional role model demonstrating accountability and responsibility through professional behavior. 2.2. Demonstrates respect of others beliefs and values in a diverse workplace. 2.3. Acknowledges each individual's dignity and value to the unit/organization. 2.4. Demonstrates commitment to offering nursing services of superior quality and value. 2.5. Continues to update knowledge on current national trends and evidenced-based practice. 2.6. Effectively and efficiently allocate resources, including cost management activities. 2.7. Understands the role of nursing within Greenwich Hospital 2.8. Provides mentoring of new staff member to promote effective team relationships. 2.9. Projects a professional demeanor. 2.10. Maintains 8 hours of continuing education each year (not including mandatory education). 2.11. Maintains a consistent record of punctuality. 2.12. Maintains an acceptable record of attendance for a professional nurse. 3. Leadership 3.1. Uses effective communication, time management and prioritization skills. 3.2. Accountable for decision making related to patient and staff safety. 3.3. Acts as a charge nurse in the absence of nurse manager/clinical coordinator. 3.4. Delegates work assignments to nursing staff and allied healthcare workers appropriately. 3.5. Provides feedback to nursing staff and allied healthcare workers when appropriate. 3.6. Uses problem-solving skills within the work environment. 3.7. Supports nurse manager's leadership and management style. 4. Communication/Collaboration 4.1. Demonstrates a commitment to honor and respect the dignity of each person within their department/unit 4.2. Uses effective communication skills when working with others to create an atmosphere of collaboration. 4.3. Promotes teamwork and cooperation through open communication skills and problem-solving techniques. 4.4. Expresses self clearly, courteously, concisely and intelligently. 4.5. Accepts suggestions and feedback from others. 4.6. Seeks opportunities for continuous professional development. 4.7. Attends 75% of staff/department meetings per year. 4.8. Remains informed about Staff/department communication and events through meeting minutes and posted communications. 5. Quality/Performance Management 5.1. Contributes to department effectiveness by offering suggestions and ideas that improve performance. 5.2. Collaborates with co-workers to improve department efficiency. 5.3. Uses creativity and originality to create an environment of service excellence. 5.4. Recognized as a model of excellence as described in the Seven Standards of Exceptional Service. 6. Support of Unit Goals 6.1. Dedicates work time in the areas of leadership, education, nursing practice or performance management to support advancement of unit goals in agreement with the Nurse Manger. 7. Teamwork 7.1. Embraces shared goals versus narrower interests: actively cooperative vs. competitive or non-committal. 7.2. Seeks to understand other's priorities and processes, and openly shares potentially useful information. 7.3. Understands the importance to the team/group of consistently dependable work. 7.4. Recognizes and takes opportunities to help others through handling an already full workload. 8. Knowledgeable/Accountable/Fiscally Responsible 8.1. Continually seeks ways to sustain and improve one's skills. 8.2. Grasps opportunities for feedback and coaching, as the means to contributing one's best. 8.3. Focuses on performance improvement as an opportunity for learning and an obligation for excellence. 9. Flexible/Open-Minded 9.1. Listens with an open mind to other's opinions in the spirit of finding and following the best ideas. 9.2. Willingly sets aside familiar techniques and procedures to learn a new, more effective approach. 9.3. Responds to sudden or frequent changes in assignments and priorities by seeking ways to adjust most effectively. 9.4. Suspends judgement on policies and decisions, which present difficulties, allowing time to earnestly assess their pros and cons. 10. Treats the people we serve as guests. 10.1. Welcomes patient, visitors and staff in a warm, friendly manner; is courteous; makes eye contact and smiles; introduces self by name and, when appropriate, by position; addresses people by name whenever possible. 11. Listens to patients, visitors and staff and acts promptly to address concerns. 11.1. Uses active listening techniques to understand other's needs and acts decisively to resolve problems. 11.2. Promotes teamwork between people and services. 12. Respects the privacy and confidentiality of patients, visitors and staff. 12.1. Treats all patient related and other discussions with discretion; eliminates gossip; does not discuss patient or hospital business in elevators or other public areas. 12.2. Is sensitive to issues of private space and personal dignity; always knocks before entering a room and introduces self when meeting someone for the first time; closes curtains and doors; provides robes and blankets as appropriate. 12.3. Uses the staff elevators to transport patients. 13. Presents a professional image. 13.1. Wears name-badge in a highly visible location; adheres to department dress code; makes sure that appearance is appropriate for professional role. 13.2. Practices good personal hygiene and grooming. Is neat and clean. Avoids colognes, perfumes and after-shave lotions. 13.3. Communicates clearly and positively with coworkers and positively represents Greenwich Hospital in the workplace and our community. 14. Answers the telephone professionally. 14.1. Answers the phone promptly following department guidelines; introduces self and department, and as appropriate, offers assistance. Uses a pleasant tone of voice. 14.2. Is a good listener; focuses on caller's needs, clarifies as necessary; follows through on the caller's requests. 14.3. Uses the conference key to transfer calls; explains where the call is being transferred to and the extension for future use; gives information to the receiving department about the caller's needs; brings caller on-line and introduces them. 14.4. Uses communication technology appropriately, (beepers, voice and email, intercoms, overhead pages, etc.). 15. Maintains a clean and safe environment. 15.1. Keeps work area safe and clean; keeps hallways clear. 15.2. Corrects unsafe conditions if possible, or, reports them if assistance is required. 15.3. Understands the safety codes and knows how to respond effectively. Knows the location of the Department Safety Manual and is familiar with its contents. 15.4. Uses equipment correctly and reports problems promptly. 16. Anticipates what services and information people need and takes action to provide it. 16.1. Watches for clues that patients or visitors require assistance. Asks, 'May I help you?' Escorts them to their destination, if necessary. Encourages people to ask questions. 16.2. Minimizes the anxiety caused by waiting by explaining the reason for the delay to the patient. Communicates with the patient frequently. 16.3. Is sensitive to different cultural, emotional and spiritual needs of people. 17. Demonstrates knowledge of the principles of growth and development over the life span, assess data reflective of the patient's status, and interprets the appropriate information to provide the age appropriate care to patients. 1. Demonstrates basic skill in assessment of health care needs. 1.1. Demonstrates basic skill in interviewing, observing and collecting health care data, performing systems assessment, identifying patient support system on admission according to hospital policy. 1.2. Identifies appropriate nursing diagnoses and expected outcomes based on ongoing assessment of patient health care needs. 1.3. Assesses patient health care needs, reflecting changes in patient health status in an ongoing manner. 1.4. Demonstrates assessment of patient health care needs on discharge. 1.5. Demonstrates assessment of patient health care needs on transfer/discharge to from unit. 2. Demonstrates basic skill in planning for patient health care needs. 2.1. Initiates clinical pathway utilizing admission assessment and guidelines for nursing care according to hospital policies. 2.2. Involves patient, family and/or significant others and members of the health care team in planning of nursing care and setting realistic outcomes. 2.3. Revises and individualizes clinical pathway to reflect change in patient condition. 2.4. Involves patient, family and/or significant others and members of the health care team in planning the discharge. 2.5. Develops and implements a teaching plan based on patient's /family's educational needs. 2.6. Involves peers and other health care team members in planning and revising the clinical pathway. 2.7. Effectively communicates with Case Manager regarding discharge planning activities for assigned patients. 2.8. Acts as patient advocate. 3. Demonstrates basic skills in implementing care to meet patient care needs. 3.1. Prioritizes patient care based on assessment. 3.2. Appropriately delegates tasks to team members of the patient care team. 3.3. Provides patient care based on nursing diagnosis and orders. 3.4. Demonstrates basic nursing skills appropriate to clinical area. 3.5. Demonstrates knowledge of test procedures and participates in patient education. 3.6. Provides health education to patient, families and/or significant others. 4. Demonstrates basic skill in evaluating care delivered. 4.1. Assesses patient responses to medical and nursing interventions based on expected outcomes. 4.2. Reviews and evaluates patient condition with physician and other health professionals against expected outcomes. 4.3. Evaluates results of health care counseling and teaching as evidenced by feedback from patient, family and/or significant other. 4.4. Reports pertinent and concise information to members of health care team. 4.5. Participates in Quality Management activities. 5. Documents outcomes appropriately, accurately and consistently. 5.1. Completes Admission Assessment Forms. 5.2. Maintains patient records, ie: transcription, CDS, pathways. 5.3. Accurately records patient data on flowsheets and MAR. 5.4. Performs discharge and transfer documentation completely. 5.5. Maintains unit-based statistical logs and information. 6. Demonstrates basic leadership skills and professional growth. 6.1. Identifies areas in performance needing improvement as evidenced by completion of self assessment skills checklist and ongoing communication with supervisor. 6.2. Sets specific realistic goals and target dates for completion. 6.3. Reviews and evaluates goals, as appropriate as discussed with supervisor. 6.4. Accepts constructive criticism and responds by implementing corrective action. 6.5. Communicates information through proper channels. 6.6. Utilizes correct resources for clarification of policy and procedure. 6.7. Demonstrates basic skills in acting as a resource person for members of the health care team. 6.8. Demonstrates appropriate knowledge and skill for the resource nurse role. 6.9. Attends and participates in a minimum of 8 staff meetings a year. 6.10. Understands and supports unit philosophy, goals, and objectives. 6.11. Fosters personal leadership development through participation in unit activities. 6.12. Acts as role model for PCTs and other members of the health care team. 6.13. Demonstrates sensitivity to diverse cultural needs. 7. Performs decentralized laboratory testing as credentialed and following established policies and procedures. 7.1. Appropriately collects specimens, performs test and interprets results. 7.2. Documents results and reports to physician as appropriate for patient care.
Graduation from an accredited School of Nursing., Licensed and a currently registered nurse in the State of Connecticut., All newly hired Registered Nurses must
have current BCLS certification or must obtain within one month of hire.
Clinical Nurse is the basic level for new graduates and all registered nurses., All RNs are expected to advance to their optimal level of functioning through promotion.
Excellent communications, interpersonal, coordinative, and organizational skills.
Provides nursing care to an individual or group of patients; recognizes changes in patients condition and reports such changes to Physician and/or Patient Services Manager., Utilizes and manages material resources in a costeeffective manner.
Plans, develops and implements patient care plans; evaluates the effectiveness of existing patient care; evaluates the effectiveness of existing patient care plan and modifies plan of care to meet patient needs, Please see RCAP CMP for further details.
Requires prolonged standing; walking; use of sight, hearing, and touch; moving/lifting patients of varying weights.