Job description

BASIC PURPOSE OF THE JOB
Manages individualized, goal directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures.
CONTACTS
Supervises
No supervisor responsibilities
Approximate number of direct reports
Approximate number of indirect reports

Age of Patient Populations Served (check all that apply) Neonates (1 – 30 days)
Infants (31 days – 1 year)
Children (2 – 12 years)
Adolescents (13 – 18 years)
Adults (19 – 70 years)
Geriatrics (70+ years)
No patient contact
Internal Contacts (check all that apply) Patients
Providers (i.e. physicians)
Staff (i.e. clinical and admin support staff)
Volunteers

Others:
External Contacts (check all that apply) Patients
Providers
Vendors
Community agencies and advocates
Regulatory agencies

Others:
OVERTIME STATUS
Exempt (salaried – not eligible for overtime) Nonexempt (hourly – eligible for overtime)
JOB REQUIREMENTS
Minimum Education Bachelor’s degree in Nursing preferred
Minimum Work Experience
Required Licenses / Certifications

• Current Registered Nurse license from the Territory of Guam
• Current Healthcare Provider BLS Certification
• Current Healthcare Provider ACLS Certification (must be obtained within six months of employment)
• Current Healthcare Provider ACLS certification (must be obtained within six months of employment.
• Current Healthcare Provider PALS certification (must be obtained within six months of employment.
• Current Healthcare Provider NRP certification (must be obtained within six months of employment.

Required Skills, Knowledge and Abilities Demonstrated proficiency in acute care nursing, knowledge, and skills
PHYSICAL REQUIREMENTS

Indicate the appropriate physical requirements of this job in the course of a shift.

Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.

General Activity Number of Hours
6 – 8 4 – 6 2 – 4 1 – 2 None
Stand / Walk
Sit
Drive
Motion Up to 1/3 of time 1/3 or more of time
Bend
Squat
Crawl
Climb
Reach
Lift
Carry
Push
Pull
Use of Hands / Feet Gross Motor Function Precise Motor Function (Or Fine Manipulation)
Right Hand

Left Hand

Right Foot

Left Foot

Weight Lifted / Force Exerted Show how much weight or force and how often by checking the appropriate boxes. Up to 1/3 of time 1/3 or more of time
Up to 10 pounds

Up to 25 pounds

Up to 50 pounds

Up to 100 pounds

More than 100 pounds

Body Fluid Exposure Yes No

List any other physical requirements:
MENTAL AND EMOTIONAL REQUIREMENTS

Indicate the mental and emotional activities required of this job in the course of a normal shift (check all that apply).

Handles multiples priorities
Independent discretion / decision making
Makes decisions under pressure
Manages anger / fear / hostility
Manages stress appropriately
Works alone effectively
Works in close proximity to others and /or in a distracting environment
Works with others effectively
ESSENTIAL FUNCTIONS

Essential functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards.

1.Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients.

a.Performs admission assessment within eight hours of admission or in accordance with specific unit standards.

b.Identifies and documents nursing diagnosis on patient’s plan of care within eight hours of admission.

c.Identifies and documents patient/family/significant other teaching needs upon admission.

d.Identifies discharge planning needs of patient/family/significant other of admission.

e.Verification of patient identity.

f.Verification of the operative procedure, operative site, surgeon, and consents.

g.Assesses psychological status, including level of understanding, perception of surgery, and anxiety level.

h.Verification of patient’s allergies, NPO status and whether or not patient has voided.

i.Checks the current history and physical, laboratory results, the execution of perioperative orders, and results of ordered diagnostic tests.

2.Develops, discusses, and communicates a realistic problem list (plan of care) for each patient in collaboration with each patient/family/significant other to address all identified needs.

1. Plan of care will include nursing diagnosis statement for each identified problem.
2. Develops patient/family/significant other teaching and discharge plan as per unit standard.
3. Follows procedures for surgical interventions along with preferences of surgeon.
4. Assembles necessary instruments, supplies, and equipment prior to start of case.
5. Checks for availability and proper condition of necessary instruments, supplies, and equipment.

3.Demonstrates the skills and judgment necessary to implement medical plan of care, nursing interventions and procedures as necessary for the care of the patient.

1. Demonstrates knowledge of hospital policies and procedures for administering, transcribing, and recording medications.
2. Demonstrates knowledge of commonly used meds: action, dose, and side effects.
3. Observes five R's for administering meds: right patient, right drug, right dose, right method, and right time.
4. Demonstrates proper procedures in all methods of medication administration.
5. Assesses and documents IV site q4oor per unit standard.
6. Identifies priorities and executes nursing care accordingly.
7. Provides emotional support and comfort measures.
8. Gives information or explanation to patients and their families.
9. Applies and monitors principles of aseptic technique throughout the intraoperative period.
10. Acts as a scrub/circulating nurse during the intraoperative phase.
11. Ensures safe transfer/transport of patient to and from operating room.
12. Performs sponge, needle, and instrument counts according to policy and procedure.
13. Ensures safety of patients during the use of electrical equipment.
14. Preps the surgical site using aseptic technique.
15. Correctly collects and accurately labels specimens.
16. Confines and contains sources of contaminations.
17. Revises physician's preference cards and communicates changes to appropriate personnel.

4.Evaluates the identified problems, care provided, and patient’s responses are reassessed in order to meet patient and family needs to ensure overall quality of care delivered.

a.Reassessment of plan of care is done every 24 hours or per unit standard.

b.Assesses the patient/significant other’s response to teaching plan in order to evaluate the effectiveness of the plan.

c.Based on reassessment, plan of care will remain the same or be modified to meet the patient/significant other’s identified needs.

d.Documents outcomes of patient care.

5.Maintains up to date and accurate documentation of nursing care provided to ensure the integration of information for use by the health care team, to ensure quality care.

a.Nursing assessment is complete and accurate within eight hours of admission or per units standard.

b.Nursing documentation is reflected in the integrated progress notes with an entry made at least every 24 hours per standard and when reassessment of the patient requires.

c.Nursing rounds reports reflect current plan for the patient and shift updates.

d.Discharge plan accurately reflects patient and/or significant other’s ability to manage care after discharge.Referrals are made based on identified needs.

e.Demonstrates proper documentation of narcotics.

f.Accurately and promptly documents unusual occurrences noted during the perioperative phase.

g.All areas in the Intraop documentation record are complete.

6.Maintains current knowledge/certification/licensure. Pursues professional growth and development.

a.Practices within legal boundaries of nurse practice act and according to hospital policy and procedures.

b.Attends continuing education programs in order to maintain licensure. Obtains at least five contact hours per year in your area of practice.

c.Attends hospital sponsored training programs as required by department.

d.Maintains CPR certification.

7.Functions as a role model for current and new staff.

a.Accepts assignment as preceptor for new staff.

b.Facilitates problem resolution among peers as observed by nurse manager and peers.

c.Demonstrates a constructive approach during all interactions with staff and nurse manager toward
the organization.

8.Performs all responsibilities/duties required by the perioperative unit as defined in the scope of service, to ensure that the unique nature of the client is addressed.

9.Attends all required safety training programs and can describe his/her responsibilities related to general safety, department/service safety, and specific job related hazards.

a.All required safety education programs have been attended.

b.Provides complete and accurate responses to safety questions.

c.Operates assigned equipment and performs all procedures in a safe manner as instructed.

d.Maintains work area and equipment in condition required by department standards.

e.Demonstrates proper body mechanics in all functions.

f.If manager/leader, provides for the safety of department employees.

10.Follows the hospital exposure control plans/bloodborne and airborne pathogens.

a.Demonstrates knowledge of techniques, procedures, and correct use of protective barrier equipment.

b.Ensures a safe environment by instituting appropriate control measures.

c.Attends annual education programs.

11.Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.

a.Interacts with all of the above in a considerate, helpful, and courteous manner as observed by nurse manager and peers.

b.Fosters mature professional relationships with fellow employees in a courteous, friendly manner as measured by management observation and peer input.

c.Maintains professional composure and confidence during stressful situations.

d.Maintains open communication using appropriate chain of command regarding issues.

e.Conducts all work activities with respect for rights and wishes of patients, visitors, families, and
fellow employees.

f.Maintains confidentiality of all hospital and patient information at all times as observed by peers
and management.

g.Presents neat appearance in proper attire and identification as required by the position, department, and hospital policy.

h.Continuously displays a positive attitude within the department and across departmental lines to contribute to the overall customer service program in place at the hospital.

12.Promotes effective working relations and works effectively as part of a department/unit team inter- and intradepartmentally to facilitate the department’s/unit’s ability to meet its goals and objectives.

a.Participates in staff meetings as determined by nurse manager.

b.Supports the hospital's mission, policies, and procedures through attendance and participation at committee meetings, if applicable.

c.Utilizes automated system to communicate inter- and intradepartmentally, as appropriate.

d.Completes work assignments on time/readily accepts assignments as observed by nurse manager.

e.Reports to work on time, as observed by nurse manager.

f.Is at work as scheduled, as observed by nurse manager.

NONESSENTIAL FUNCTIONS

Nonessential functions are those tasks, duties, and responsibilities that are not critical to the performance of the job. Following are the nonessential functions of the job, along with the corresponding performance standards.

1.Assumes all other duties and responsibilities as necessary.

a.Demonstrates willingness to identify and/or assume activities relative to the developmental needs of the unit and the nursing department.

b.Demonstrates dependability/flexibility in meeting scheduling needs of unit and hospital.

c.Participates in the evaluation of new supplies, equipment, and/or instruments.

ORGANIZATIONAL COMPETENCIES

Following are the organizational competencies and corresponding performance standards for all employees in the organization. Indicate how the employee performed relative to these standards by checking the appropriate boxes.

SERVICE: The extent to which an employee demonstrates an understanding of the department’s service standards and strives to achieve them, treats patients and families with dignity, compassion and respect at all times, and demonstrates courtesy in interactions with members of all departments and disciplines within the hospital.

• Consistently holds self and others accountable for meeting patient/customer service standards.
• Anticipates service needs and proactively resolves issues.
• Thoroughly pursues patient/customer issues.
• Creates patient/customer service experiences that heighten the overall perception of the hospital as a premier healthcare provider.
• Consistently holds self-accountable for meeting patient/customer service standards.
• Consistently delivers on patient/customer complaints.
• Follows policies and procedures that guide and support the provision of services.

TEAMWORK: The extent to which an employee acts as a cohesive member of a work team and demonstrates appropriate interactions with all hospital service providers.

• Promotes collaborative work relationships and influences others to work collaboratively.
• Decisions and actions are based on consensus after considering the perspectives of other team members.
• Consistently uses effective interpersonal skills.
• Works collaboratively with others inside and outside the department.
• Understands needs of patients, customers, and staff, and works with others to meet those needs.
• Maintains positive working relationship with others.

COMMUNICATION: Fosters an environment that nurtures collaboration, teamwork, and mutual respect through effective communication. Demonstrates positive communication skills evidenced by effective working relationships.

• Acts as a role model for other staff when articulating information and perspectives.
• Anticipates needed information and updates by proactively communicating to managers, colleagues, and customers.
• Actively listens to others’ perspectives in communications and encourages others to do so.
• Consistently articulates information and perspectives clearly and concisely.
• Provides managers, colleagues, and customers with necessary information and updates in a timely manner.
• Handles conflicts well.

RESPECT FOR OTHERS: Takes actions that indicate a consideration for others and being aware of the impact of one’s behavior on others, demonstrates respect for diverse backgrounds of all patients, families, and coworkers, and seeks accommodations.

• Bases decisions and actions on thorough understanding of perspectives of others.
• Finds collaborative solutions to conflicts and facilitates prompt assistance.
• Promotes nonjudgmental approach in delivery of services and carrying out actions.
• Invites and values the input and views of others, reacting nondefensively to inquiry and challenges.
• Considers the needs of others when communicating and carrying out actions.
• Examines the facts before judging the actions of others.
• Actively listens and considers the needs of others in interactions and service delivery.

TIME AND PRIORITY MANAGEMENT: Optimizes use of time by efficiently using resources to identify barriers and balance priorities. Efficiently utilizes tools, resources, techniques, and/or systems to organize tasks. Balances multiple priorities simultaneously, ensuring the timely and accurate completion of each task while maintaining quality standards.

• Consistently optimizes time efficiently and effectively and serves as a role model/resource for others.
• Consistently utilizes appropriate tools, techniques, and resources/systems to achieve maximum results and teaches others to do so.
• Is viewed as a resource within the department when dealing with issues of systems and resources and accomplishing tasks in the most efficient and effective ways.
• Has sound working knowledge of systems and resources and is able to complete tasks in an effective and time-sensitive way.

STANDARDS OF EMPLOYMENT: All employees must meet the following standards.

• Attends all mandatory education programs and can describe his or her responsibilities related to general safety and regulatory compliance.
• Attends all required department-specific education and training programs and can describe his or her responsibilities related to department safety and specific job related hazards.
• Follows the hospital exposure control plans/bloodborne and airborne pathogens.
• Attire is professional, neat, clean, and appropriate for the work environment.
• Wears proper identification while on duty.
• Maintains confidentiality of all hospital and patient information at all times, as observed by peers and management.
• Reports to work on time and meets acceptable standard for attendance.
• Attends a minimum of two staff meetings, reads minutes for all staff meetings, and participates in committees as required

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