BronxCare Health System
Full Job Description
Overview:Carries out patient care responsibilities with emphasis on decision-making related to the steps in the nursing process to include assessment, diagnosis, and identification of expected outcomes, planning, implementation and evaluation. Provides competent, safe and compassionate care based on established BronxCare Health System Patient Care and Nursing Standards. As a member of the interdisciplinary healthcare team, formulates the initial plan of care with the provider (physician or nurse practitioner) and collaborates with them to implement a comprehensive patient-centered plan of care to achieve expected outcomes; utilizes principles of assignment and delegation consistent with the NY State Nurse Practice Act.
Responsibilities:1. Describe responsibility:
Establish and maintain positive relationships with patients, visitors, and other employees. Interacts professionally, courteously, and appropriately with patients, visitors and other employees. Behaves in a manner consistent with maintaining and furthering a positive public perception of BronxCare Health System and its employees.
2. Describe responsibility:
Contributes to and participates in the Performance/Quality Improvement activities of the assigned department. Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and Customer Service.
3. CUSTOMER PATIENT FOCUS: Utilizes the principles of leadership established by the AONE and ANA
Privacy – Respects patient/customer privacy. Maintains a secure and trusting work environment
Phone Etiquette – follows departmental standards concerning the answering of telephones
Appearance – Maintains an appropriate professional appearance
Work Environment – Maintains working environment in a clean, safe, orderly manner
Patient/Customer Information – Provides appropriate and timely information to patient/customer. Demonstrates knowledge of HIPAA regulatory and patient’s confidentiality.
Call lights/Client Needs – Identifies and responds to patient/client needs according to hospital standards. Anticipates needs where possible.
Customer Waiting – Provides service to patients/clients according to hospital standards. Keeps patients/clients informed of work progress. Promotes/provides comfort while waiting
4. Clinical Responsibilities
Collects, assesses and documents patient healthcare data. Uses innovative strategies to direct the interdisciplinary team, including patient/family to identify a plan of care and outcomes that are realistic and measureable.
Leads interventions in the coordination of patient care in a safe, timely and appropriate manner. Applies, promotes, and oversees the escalation process.
Considers needs and behaviors of specific patient age groups and cultural groups in all patient care activities. Documents interventions per hospital standard.
Educates the patient/family regarding health status and established plan of care. Collaborates with the interdisciplinary team to modify expected outcomes. Documents learning outcomes of patient/family; evaluates and revises education plan.
Evaluates the patient’s progress towards expected outcomes. Involves the patient/family and interdisciplinary team in the evaluation process. Assesses for potential and actual variations. Responds to variations in patient’s progress by modifying the interventions. Reports documents and evaluates the effectiveness of the intervention(s).
5. Accountability/Work Ethic
Demonstrates an understanding of the organization fire/safety plan, emergency preparedness plan and patient safety goals
Removes and or reports broken or damaged equipment promptly
Checks alarm settings on medical devices and ensures they are audible.
Checks code cart/defibrillator based on hospital policy. Ensures that all institutional logs are updated as per policy.
Participates in fire drills and emergency drills as per hospital policy.
Handles and properly disposes of regulated medical waste as per hospital policy.
Wears employee ID badge at all times.
Complies with the organizational procedures with respect to absences, lateness and timeliness of meal breaks.
6. Coordination/Leadership/Responsibilities
Participates in patient throughput – bed flow (e.g. room turnover, wait time).
Complies with New York State Nurse Practice Act and regulations of relevant outside agencies, e.g., NY State Department of Health, The Joint Commission, regulatory requirements etc.
Demonstrates ability to differentiate those activities which are in scope of professional nursing practice and those that may be delegated to ancillary staff.
7. Education/Development/Responsibilities
Complies with annual education and mandatory/regulatory requirements. Also ensures that nursing staff complies with annual and mandatory skills, EHS Annual Health Assessments, and HealthStream competencies for staff under her/his supervision.
Serves as a support, resource and preceptor for nursing staff and students. Seeks opportunities to develop other staff.
8. Quality & Performance Outcomes Responsibilities
Adheres to patient care and nursing standards in care delivery, and uses best clinical practice guidelines (CPG).
7 Competencies
Mandatory population Health Management (unit based) competencies have been successfully completed.
Qualifications:All RNs; graduation from an accredited school of nursing
Experienced RNs; progressive clinical experience in specialty
New York RN Licensure – Current Registration
Basic Life Support (BLS)
Advance Cardiac Life Support (ACLS)
Pediatric Advance Life Support (PALS)
Neonatal Resuscitation Program (NRP)
– Trauma Nursing Core Course (TNCC – Emergency Services after one year)
Certification in area of clinical specialty (preferred for experienced RNs)
Associates
Bachelor’s
Foreign Language
Advanced clinical skills
Can recognize complex clinical problems.
Uses problem solving tools and techniques
Ability focus on patient/customer concerns within a busy environment
Collaborates effectively with other disciplines/departments.
