Bozeman Health Services
Must possess the skills and abilities to engage in the nursing process including but not limited to the assessment, nursing analysis, planning, nursing intervention and evaluation in the promotion and maintenance of the patient's health across the continuum of life. Must have the skills needed to supervise and delegate appropriate functions to subordinate personnel. Must have the skills/abilities to evaluate and ensure that the medical plan of care is carried out. Must have the educational, physical and mental capabilities to perform procedures common to their nursing unit.
Must complete department specific competency validation checklists within four (4) month probationary period or as designated per topic.
Current Montana Registered Nurse License
LICENSURE and CERTIFICATION
NIHSS Certification or within 6 months of hire
ACLS within 8 months of hire
PALS within 8 months of hire
Demonstrates competence in and a willingness and ability to practice modified primary nursing.
Collects Comprehensive data pertinent to the patient's health or the situation (Assessment)
Collects data in a systematic and ongoing process.
Involves the patient, family and other healthcare providers in data collection
Prioritizes data collection activities based on the patient's immediate condition, or anticipated needs of the patient or situation
Uses evidence-based assessment techniques in collecting pertinent data
Uses problem solving thinking
Synthesizes available data, information and knowledge relevant to the situation to identify patterns and variances
Analyzes the assessment data to determine diagnoses or issues (Diagnosis)
Derives the patient nursing diagnoses or issues based on assessment data
Validates the nursing diagnoses or issues with the patient, family and other healthcare providers when possible and appropriate
Documents nursing diagnoses or issues in a manner that facilitates the determination of the expected Outcome or plan
Identifies expected outcomes for a plan individualized to the patient or the situation
Involves the patient, family and other healthcare providers in formulating expected outcomes
Develops culturally appropriate expected outcomes for the diagnoses
Develops expected outcomes that provide direction for the continuity of care
Modifies expected outcomes based on changes in the status of the patient or evaluation of the situation
Develops a plan that prescribes strategies and alternatives to attain expected outcomes (Plan of Care)
Develops an individualized plan of care considering patient characteristics or the situation
Develops the plan in conjunction with the patient, family and others as appropriate
Includes strategies within the plan that address each of the identified diagnoses or issues
Provides for continuity within the plan
Establishes plan priorities with the patient, family and others as appropriate
Utilizes the plan to provide direction to other members of the healthcare team
Implements the identified plan of care
Implements the plan of care in a safe and timely manner
Documents implementation and any modifications to the plan of care
Utilizes evidence-based interventions and treatments specific to the diagnoses or problem
Collaborates with nursing colleagues and others to implement the plan of care
Coordinates the implementation of the plan of care
Documents the coordination of care
Employs strategies to promote health and a safe environment
Provides health teaching that addresses such topics as healthy lifestyles, risk-reducing behaviors, developmental needs, activities of daily living and preventative self-care.
Seeks opportunities for feedback and evaluation of the effectiveness of health teaching strategies used
Systematically enhances the quality and effectiveness of nursing practice
Demonstrates quality by documenting the application of the nursing process in a responsible, accountable, ethical manner.
Uses the results of quality improvement activities to initiate changes in nursing practice
Uses creativity and innovation in nursing practice to improve care delivery
Incorporates new knowledge to initiate changes in nursing practice
Participates in quality improvement activities, including but not limited to:
Identifying aspects of practice important for quality monitoring
Using indicators developed to monitor quality and effectiveness of nursing practice
Collecting data to monitor quality and effectiveness of nursing practice
Analyzing data to identify opportunities for improving nursing practice
Formulating recommendations to improve nursing practice
Implementing activities to enhance the quality of nursing practice
Developing, implementing and evaluating policies, procedures and/or guidelines to improve the quality of practice
Participating on interdisciplinary teams to evaluate clinical care
Participating in efforts to minimize costs and unnecessary duplication
Attains knowledge and competency that reflects current nursing practice
Participates in ongoing educational activities related to appropriate knowledge bases and professional issues
Demonstrates a commitment to lifelong learning through self-reflection and inquiry to identify leaning needs
Seeks experiences that reflect current practice in order to maintain skills and competence in clinical practice or role performance
Acquires knowledge and skills appropriate to the specialty area, practice setting, role or situation
Maintains professional records that provide evidence of competency and life long learning
Seeks experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge
Evaluates one's own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations
The registered nurse's practice reflects the application of knowledge or current practice standards, guidelines, statutes, rules and regulations
Provides age appropriate care in a culturally and ethnically sensitive manner
Engages in self- evaluation of practice on a regular basis, identifying areas of strength, as well as areas in which professional development would be beneficial
Obtains informal feedback regarding one's own practice from patients, peers, professional colleagues and others
Participates in systematic peer review as appropriate
Takes action to achieve goals identified during the evaluation process
Provides rationales for practice beliefs, decisions and actions as part of the informal and formal evaluation processes
Interacts with and contributes to the professional development of peers and colleagues
Shares knowledge and skills with peers and colleagues as evidenced by such activities as patient care conferences or presentations at formal or informal meetings
Provides peers with feedback regarding their practice and/or role performance
Interacts with peers and colleagues to enhances one's own professional nursing practice and/or role performance
Maintains compassionate and caring relationships with peers and colleagues
Contributes to an environment that is conducive to the education of healthcare professionals
Contributes to a supportive and healthy work environment
Collaborates with patient, family and others in the conduct of nursing practice
Communicates with patient, family and healthcare providers regarding patient care and the nurses role
In the provision of that care
Collaborates in creating a documented plan, focused on outcomes and decisions related to care and delivery of services that indicates communication with patients, families and others
Partners with others to effect change and generate positive outcomes through knowledge of the Patient or situation
Documents referrals, including provisions for continuity of care.
Integrates ethical provisions in all areas of practice
Delivers care in a manner that preserves and protects patient autonomy, dignity and rights
Maintains patient confidentiality within legal and regulatory parameters
Serves as a patient advocate assisting patients in developing skills for self advocacy
Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries
Demonstrates a commitment to practicing self-care, managing stress, and connecting with self and others
Reports illegal, incompetent or impaired practices
Integrates research findings into practice
Utilizes the best available evidence including research findings to guide nursing practice decisions
Actively participates in research activities at various levels appropriate to the nurse's level of education and position as opportunity affords
Identifying clinical problems specific to nursing research (patient care and nursing practice)
Participating in data collection
Participating in a formal committee or program
Sharing research activities and/or findings with peers and others
Critically analyzing and interpreting research for application to practice
Using research findings in the development of policies, procedures, and standards of practice in patient care
Provides leadership in the professional practice setting and the profession
Engages in teamwork as a team player and a team builder
Works to create and maintain healthy work environments
Displays a commitment to life-long learning for self and others
Teaches others to succeed by mentoring and other strategies
Exhibits creativity and flexibility through times of change
Demonstrates energy, excitement and a passion for quality work
Willingly accepts mistakes by self and others, thereby creating a culture in which risk-taking is not only safe but expected
Inspires loyalty through valuing people as the most precious asset in an organization
Directs the coordination of care across settings and among caregivers including oversight of licensed and unlicensed personnel in any assigned or delegated tasks
Serves in key roles in the work setting by participating on committees, councils and teams
Promotes advancement of the profession through participation in professional organizations.
RN ADDENDUM: INTENSIVE CARE UNIT
Education Completes mandatory Netlearning during probationary period.
ACLS certification required or ability to successfully complete ACLS within 8 months of hire.
Ability to successfully complete PALS certification within 8 months of hire.
Attends available critical care inservices.
Ability to comply with hospital policy and procedures when caring for the patient with a temporary pacemaker.
Ability to comply with hospital policy and procedure when caring for the patient with an arterial line.
Ability to comply with hospital policy and procedure when caring for the patient with a CVP line.
Ability to comply with hospital policy and procedure when caring for the patient with a pulmonary-artery catheter.
Ability to assist with set-up of equipment, insertion of catheters (lines), and calibration of equipment.
Ability to comply with hospital policy and procedure when caring for the patient with an intra-aortic balloon pump.
Ability to comply with hospital policy and procedures related to caring for patients on mechanical ventilation.
bility to assist with endotracheal intubation and extubation.
IV. Rhythm Analysis
Ability to use Hewlett Packard monitors; electrode placement, lead selection, alarm adjustments, and trouble shooting.
Ability to interpret arrhythmias; sinus, atrial, junctional, ventricular and associated blocks
Additional Functions - Stroke Competency
Complies with hospital policies, procedures, protocols, and guidelines related to care for patients with an acute stroke.
Completes required stroke competency check list or chart review annually.
Participates in eight hours of initial cerebrovascular disease (stroke) education by November 1, 2018, or within one year of hire.
Participates in four hours annually of cerebrovascular disease (stroke education).
RN Addendum: ICU Charge Nurse
Enhances patient safety and nursing productivity through effective staffing practices
Continuosly evaluates staffing needs through the assessment of patient acuity and nursing skill mix
Evaluates productivity on an ongoing basis
Communicates effectively with house supervisors and other departments to help facilitate adequate staffing in all areas
Demonstrates leadership through:
Effective interpersonal communication
Planning and organizational skills
Creativity, flexibility, and accountability