Registered Nurse - Pediatric Electrophysiology (BCH-Cross Bay)

%  

of time

Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

5

YES

50

CLINICAL KNOWLEDGE/SKILLS MANAGEMENT

A. Clinical Knowledge

1. Assesses, plans, implements, and evaluates appropriate interventions for patients referred to Pediatric Electrophysiology.
2. Integrates nursing theory, research, and knowledge of Pediatric Electrophysiology.
3. Maintains knowledge base consistent with the advances in treatment related to Pediatric Electrophysiology 

B. Clinical Skill

1. Performs required technical procedures and does so safely, legally, effectively, and efficiently.
2. Utilizes computer technology for, and maintains confidentiality of data collection, documentation, communication and research. Proficient in Apex.
3. Is competent, and participates, in research protocols as dictated by specific departments.
4. Demonstrated ability to provide appropriate care based on the needs of a specific individual, including the patient’s age.

C. Clinical Organization

1. Manages clinical situations with advanced skills, insuring the incorporation of patient and family physical, psychosocial, and cultural needs.
2. Utilizes the nursing process in providing care for a group of patients in accordance with all Medical Center and Ambulatory Services Policies and Procedures.
3. Establishes and/or revises priorities for job/patient care activities based on acuity, patient volume, resource availability, patient/family preference, and scheduled procedures.
4. Seeks consultation, supervision, and/or assistance when unable to perform procedures effectively, safely, or independently.
5. Manages telephone triage of patient symptoms, coordinates patient evaluations, assists with patient teaching and assisting in the overall coordination of timely patient care.

D. Patient Care Management

1. Functions as patient advocate and facilitates patient/family participation in decisions regarding their care. Is a resource to patients and families.
2. Supervises patient care and delegates appropriate components in a manner that promotes efficiency, teamwork and optimal patient care outcomes.
3. Evaluates and provides consistent and timely feedback to members of the health care team and Manager regarding the quality of patient care.

                                                                                         care agencies

1. Functions as contact person to triage patient care requests and referrals.
2. For hospitalized patients, follow the patient while hospitalized, and actively engage in potential disposition changes to assure an appropriate discharge.
3. Provide timely ongoing contact and follow-up with patient to ensure understanding of condition/clinical status, procedure, plan of care, and need for follow-up care.

4. Conduct ongoing contact and follow-up with post-acute care providers, pharmacies, other providers, and insurance companies on a timely basis and notify providers or readmissions and significant clinical status changes as appropriate.

20

NURSING PROCESS/DOCUMENTATION

Meets Medical Center documentation standards as evidence by documentation of the following:

A. Assessment

1. Contributes to data collection associated with Pediatric Electrophysiology 
2. Screens and assesses patients for pain.
3. Screens and assesses patients for complications. 

B. Planning

1. Prioritizes patient needs and helps patient formulate plan of care.
2. Assists members of health care team in the formulation and implementation of the patient’s plan of care.

C. Implementing

1. Prepares patients for and instructs them about specific diagnostic and therapeutic procedures and treatments.
2. Responds and participates in the management of emergency clinical issues.

D. Evaluating

1. Documents patient outcomes and responses to nursing interventions.
2. Utilizes theoretical knowledge and clinical skill to develop alternate approaches to patient and family care.

E. Teaching

1. Identifies patient, family and/or patient’s caregiver learning needs and potential barriers to learning 
2. Identifies patient, family and/or patient’s caregiver teaching interventions specific to patient’s diagnosis and ability to learn, collaborating with other disciplines as appropriate.
3. Involves patient, family, and/or the patient’s caregiver in teaching. 
4. Participates in the evaluation and revision of patient education materials.
5. Evaluates the patient, family and/or patient caregiver’s response to teaching.

10

COMMUNICATION

1. Responds to the emotional needs of patients, families and/or caregivers by demonstrating sensitivity to their sociocultural dynamics.
2. Interacts with patients, families, caregivers and staff in a supportive, calm, and therapeutic manner.
3. Demonstrates courtesy, common sense and follow through in all telephone communications, maintaining the telephone standards established be the Medical Center.
4. Listens respectfully to the ideas, opinions and feelings of others.
5. Demonstrates sensitivity, respect, tact and diplomacy in all interactions.
6. Communicates and accepts constructive feedback in a manner that promotes a positive outcome and supportive work environment.
7. Utilizes advanced interpersonal skills to facilitate problem resolution with members of the health care team, patients and their families.
8. Utilizes appropriate chain of command in problem resolution, as identified in the organizational chart and Administrative manual.
9. Responds to patients, providers and care team phone calls, emails, In-Baskets, in a prompt manner. Documentation is thorough.

10

PROFESSIONALISM

A. Professional Development

1. Identifies and meets own educational needs to enhance area of practice.

B. Work Related Policies

1. Maintains current California RN license, CPR and specialty certification of CCDS (certificated cardiac device specialist), RCES (registered electrophysiology specialist) and present proof prior to expiration, per policy.
2. Meets annual review requirements.
3. Meets annual PPD or chest exam requirements.
4. Meets work schedule commitment.
5. Follows department guidelines regarding attendance.
6. Maintains flexibility in relation to patient assignments, shift assignment and work assignment.
7. Adheres to dress code, including appropriate identification.
8. Complies with practice related policies.
9. Knowledgeable about and complies with all applicable infection control, health and safety policies and procedures as implemented by the Ambulatory Services and the Medical Center.

C. Professional Reliability

1. Articulates practice/departmental goals and philosophy.
2. Participates in practice/department committees, including Performance Improvement.
3. Complies with activities mandated by JCAHO/Title 22.
4. Maintains knowledge of and adheres to established clinical and administrative policies and procedures.
5. Ensures protection of patient rights and confidentiality. 
6. Supports Medical Center cost containment efforts.
7. Reads meeting materials and other departmental communications and integrates practice.
8. Promotes and participates in research activities to enhance patient care.

5

LEADERSHIP

A. Uses an Effective Approach with Patient and Unit-related Problems

1. Identifies actual and potential problems and participates in formulation/implementation of a plan for resolution of problems using appropriate resources.
2. Reports unresolved patient and practice related problems to appropriate individual(s) and/or department.
3. Acts as a resource to other staff members in problem identification/resolution and current issues in own clinical area.
4. Delegates duties and guides personnel in patient care delivery to ensure safe and individualized patient care.

B. Fosters a Collaborative Approach to patient and Staff-related Issues

1. Acts as a reliable and approachable role model/mentor for staff and students at a level appropriate to own stage of professional development.
2. Incorporates new procedures/policies, knowledge of equipment and medical products into one’s own and other’s clinical practice.
3. Recognizes and utilizes talents and strengths of staff members to improve care to             

                patients.

100%

(To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)