RN - Critical Care Stepdown Unit - 36 hour nights - WDH

1. CLINICAL JUDGMENT
o Appropriately assesses, plans, implements and evaluates patient care, specific to population served
o Follows policies/procedures, clinical practice standards pertinent to care, including emergency situations
o Matches formal knowledge with clinical events to make decisions
o Demonstrates the ability to provide competent, effective care
o Seeks validation for clinical decisions, integrates input from other clinicians for decision making
o Prioritizes and organizes work appropriately to effectively meet patient needs
o Appropriately delegates to and supervises team members based on assessment of competencies, within scope of practice to ensure appropriate implementation of care
o Collaborates & communicates relevant patient data to appropriate persons clearly and effectively, both orally and in writing (e.g. handoffs)
o Effectively develops teaching plan and regularly integrates teaching into patient care

2. SYSTEMS THINKING
o Recognizes available resources/tools for meeting patient/family needs
o Completes assignments in an efficient and timely manner, requesting and utilizing resources appropriately
o Documents patient assessment, plan, interventions and response in accordance with applicable policies and procedures
o Communicates with Nurse Manager/ or designee about availability and management of supplies, system equipment and personnel resources at unit/department level
o Demonstrates contribution to unit-based programs and strategies to monitor and continuously improve the quality of patient care
o Optimizes use of staff (overtime, agency, skill mix, etc.) based on unit census and patient acuity

3. CLINICAL INQUIRY
o Shows commitment to learning new knowledge and skills to enhance service to patients/ families and achieve organizational goals
o Implements and validates practices based upon current nursing evidence
o Advances the profession by assisting in clinical education and orientation of other staff and students; may function as preceptor for new staff
o Uses available resources to answer questions in regards to best practices, reflects upon practices on an ongoing basis
o Identifies opportunities for improvement in processes of care and other improvements at a unit level
o Actively participates in the collection and use of data and/or evaluation relative to unit-based performance improvements

4. UNIT SPECIFIC RESPONSIBILITIES
o Participates in selection of and completes all unit-specific competencies
o Articulates Nursing Sensitive Indicators and quality goals for unit and describes role in accomplishing expectations; describes role and participates in quality improvement initiatives.

Qualifications -
Experience Minimum Required
* Graduate of accredited nursing program with RN licensure.

Education Minimum Required
* RN program completion
*Education Preferred/Desired
* BSN or enrollment in BSN program

Licensure and/or Certifications Required
* Registered Nursing License
* AHA or ARC BLS

Granted the Distinguished Hospital Award for Clinical Excellence (trademark); 2019 by Healthgrades, Wentworth-Douglass Hospital is renowned as one of the largest acute care hospitals in the Seacoast region of New Hampshire and Southern Maine. At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth.