Graduate Nurse - Emergency Room
Graduate Nurse - Emergency Room
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1 Vacancy
Job Description
Overview
Summary:
Under the supervision of a licensed RN the graduate nurse is responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift and periodizing the delivery of care using time and resources efficiently integrating an evidence and standards based framework model.
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: No
Work Schedule: Varied Days and Hours
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Qualifications
Other information:
*Associates in Nursing or Bachelors of Science in Nursing
*Graduate of an academic School of Nursing required;
*Minimum ADN or BSN Preparation;
*State permit to practice as a Graduate Nurse required;
*degree from an accredited academic school of nursing preferred
*Permit to practice at the specific PHS facility is completed and approved by the NMBON
*Permits to practice are valid until the NCLEX examination are disseminated but not to exceed the expiration date on the permit
*Under the direct supervision of a licensed RN who is physically in the same facility and/or on the same unit who can observe direct and evaluate the performance of the GN
*The Graduate Nurse must be scheduled to take the NCLEX exam.
*Graduate RNs educated in the United States may take the exam a maximum of three times within three years of first being eligible for to sit for the exam.
*The applicant must wait 45 days to retest after failing the exam and meet all the NCLEX requirements for retaking the exam. (Nurse Practice Act NM Code R. 16.12.2.10 NMAC)
*BLS Required
Education:
Essential:
* Associate Degree
Education specialization:
Essential:
* Nursing
Credentials:
Essential:
* Graduate Permit (Nurse)
Responsibilities
Responsibilities:
*Graduate Nurse Under the direct supervision of a Registered Nurse assumes these responsibilities
*Per unit and practice standards provides direct patient care by assessing planning implementing
evaluating and documenting individual patient needs actions taken and patient responses.
*Coordinates patient care through collaboration with patient/family and healthcare team
*Performs assessment per evidencebased standards and documents in EMR and any designed
documentation platforms
*Initiates utilizes and documents appropriate protocols and standards of care
*Administers medication and treatment as prescribed by physician provider or standard protocols and
documents according to policy
*Identifies and meets patient and family learning and discharge needs on admission and throughout episode
of care
*Evaluates patient progression towards outcomes per unit standards and documents
*Performs at basic competency levels in emergency situations
*Delegates or assigns aspects of patient care to healthcare team members commensurate with their
validated competency to perform task
*Assumes responsibility for clinical supervision of LPNs and nonlicensed assistive personnel
*Provides leadership through communication about and validation of patient care
*Assists with various procedures treatment surgical techniques or assigns to other healthcare team
members as appropriate
*Completes yearly education per PARTE and PACCER modules and any unit specific requirements on time.
*Demonstrates competencies in required psychomotor skills
*Assumes professional responsibility for current nursing structure and clinical standards of care
*Incorporates PHS MVV and CARES in caregiving
*Supports DON philosophies of shared governance and models of care deliveries
*Mandatory yearly inservice to include BLS safety training bloodborne pathogen/infection/TB training.
*Participates in unit/department governance.
*Documents own continuing education.
*Participates in quality improvement activities.
*Completes mandatory inservices competencies and Graduate Nurse requirements on time.
Caring Practices
Incorporates nursing activities that create a compassionate supportive and therapeutic
environment for patients and staff with the aim of promoting comfort and healing and preventing
unnecessary suffering. Critical Elements of Caring Practices Performance *Applies The Promise and
incorporates into care interactions. *Applies Exceptional Patient Experience principles and incorporates into care interactions *Applies respect and timely response in interactions with patient family health care team members *Interacts with patient and family providing compassionate nonjudging empathetic care Clinical Judgment and Action Uses clinical reasoning which includes clinical decisionmaking critical thinking and a global grasp of the patient care situation coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidencebased guidelines to manage patient care. Critical Elements of Clinical Judgment and Action Performance *Consistently uses the nursing process to structure and revise care *Anticipates recognizes and responds to changes in condition *Accurately communicates with healthcare team members to relay changes in patient status *Consistently provides care based upon need and urgency *Consistently applies patient safety principles *Develops plans and evaluate patient short and long term care goals. Charts problems plans and goals appropriately in NICP *Consistently follows policies procedures standing order sets care bundles core measure practices *Consistently follows red rules: Patient identification and handwashing *Seeks consultation if uncertain on how to respond to patient needs *Adjusts care to establish and support care goals *Integrates technology into daily care of patient by appropriate initiation of technology maintenance troubleshooting and discontinuation *Consistently and accurately documents care per policies & standards
Patient Advocacy
Works on behalf of the patient/family representing their concerns and helps resolve ethical and clinical issues that impact the patient situation. Critical Elements of Patient Advocacy Performance *Maintains patient confidentiality/personal/medical information *Identifies ethical and clinical issues *Acts with integrated healthcare team using appropriate resources to resolve ethical/clinical issues *Advocates for patient needs values and goals *Compliance with JC Rights and responsibilities of the Individual elements
Clinical Inquiry
Uses high standards and evidencebased practices along with questioning research and evaluation skills to provide informed and/or change practice Critical Elements of Clinical Inquiry Performance *Supports process/quality improvement initiatives and incorporation into practice *Follows and is informed on Department outcome measures *Actively participates in changes in practice/roll outs *Seeks advice and consultation on care from colleagues and interdisciplinary team
Collaboration
Involves multidisciplinary team as well as patient/family to promote optimal and realistic goals and outcomes Critical Elements of Collaboration Performance *Provides and coordinates independent interdependent and dependent care interventions with interdisciplinary care team *Selects appropriate Screenings from HED to facilitate interdisciplinary care when needed *Appropriately delegates care monitoring delegated team members care and responds as appropriate with the goal of optimizing care *Interactions with care team in respectful professional manner
Facilitation of Learning
Fosters patient/family learning to promote selfcare using both formal and informal processes as applicable and at an appropriate level of understanding. Critical Elements of Facilitation of Learning Performance *Self: Completes all required learning modules programs in specified time *Self: Uses available resources within system to enhance own continuous learning *Self: sets and achieves learning and performance goals yearly *Self: Consults teaches supports continuous learning with colleagues *Self: Actively seeks learning/mentorship *Patient: Assess patients learning style readiness to learn challenges to learning and adapts patient education to meet needs *Patient: Incorporates patient in learning about diagnosis(es) care management medications using appropriate verbal and written communication tools/resources
Response to Diversity
Uses holistic body mind spirit approach in provision of care by recognizing appreciating and incorporating cultural spiritual gender race ethnicity lifestyle socioeconomic age and value differences in practice. Critical Elements of Response to Diversity Performance *Provides communication/ medical interpretation services for population served based upon language preference *Consistently provides care to population served with appreciation to diversity elements as designated above *Consistently communicates and documents patient diversity needs *Uses PHS established internal
resources and vendors
System Thinking
Manages environmental and system resources across the healthcare system and community to meet patient/family needs or provision of quality care. Critical Elements of Systems Thinking Performance *Utilizes internal and PHS resources to provide evidence based care including policy protocols procedures approved specialty resources *Incorporates all patient safety technology tools protocols communications and initiatives to optimize a safe patient environment *Deploy in the clinical environment processes to enhance care efficiency cost containment *Plan maneuver and deliver services/technology that are available within the system to meet the care needs of the patient *Negotiates within the system to achieve the care needs of the patient
Meets professional requirements as follows:
*A. Inservice requirements:
*1. Agespecific training (caregiving treatment assessment specific to the age of populations served)
*2. Mandatory yearly inservice education including requirements called out by regulatory content included
in PARTE PACCER completed on time
*B. Performance Standards
*1. Adheres to PHS HR policies including Dress Codes Time and Attendance Mandatory Requirements for
job; Safety
*2. Adheres to all PHS clinical policies as applicable for area of practice
*3. Follows the CARES Commitments
*4. Follows the Clinical Practice Standards
Benefits
Maximum Offer for this position is up to
Compensation Disclaimer
Employment Type
Full-Time
