Job Description

Summary

The Proficient Clinic Nurse is a Registered Nurse that has mastered more advanced technical and organizational nursing skills. He or she is skilled in evaluating patient responses and uses past experiences in providing care in the outpatient clinical setting. Patients and families are viewed holistically, there is a focus on outcomes, and care is delivered using a systematic approach. The Proficient level RN is able to make decisions guided by experience, as well as policies, procedures, guidelines and standards. He or she consults with other members of the healthcare team when necessary. At the Proficient level, the RN can comfortably care for patients in his or her clinical area.

Responsibilities

Advocacy & Moral Agency: Working on another’s behalf and representing the concerns of the patient/family and nursing staff; serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within and outside the clinical setting. - Engages in moral decision making and develops an alternate plan when needed. - Improves or individualizes standards and guidelines when necessary. - Demonstrates working collaboratively with patient’s family, allowing them to speak/represent themselves when possible. - Demonstrates awareness of patient and family rights. - Demonstrates the holistic perspective of the patient. - Practice is consistent with the American Nurses Association "Code of Ethics for Nurses". Response to Diversity: The sensitivity to recognize, appreciate and incorporate differences into the provision of care. Differences may include, but are not limited to, cultural differences, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age and values. - Recognizes and practices within the code of ethics for applicable specialty organizations. - Identifies patient and/or family ethical issues and accesses appropriate resources including social services, pastoral care, etc. - Incorporates patient and family spiritual belief system into plan of care. - Acts as a resource regarding values, cultural and spiritual diversity. - Recognizes and respects cultural and spiritual differences and practices culturally competent care. Clinical Inquiry: The ongoing process of questioning and evaluating practice and providing informed practice. Creating practice changes through research utilization and experiential learning. - Accesses nursing databases available for resources to support practice. - Demonstrates Evidence-Based nursing practice. - Demonstrates clinical leadership through organized knowledge sharing and knowledge transfer of evidence based practice (EBP) to nursing practice. - Is proactive in supporting identified unit and organizational efforts to achieve optimal patient outcomes based on identified initiatives. Clinical Judgment: Clinical reasoning, which includes clinical decision making, critical thinking, and a global grasp on the situation, coupled with nursing skills by a nurse through a process of integrating formal and experiential knowledge. - Quickly identifies key components of patient presentations and initiates and / or facilitates appropriate interventions. - Confidently integrates advanced technologies with clinical practice to enhance patient outcomes. - Rapidly prioritizes and changes plan of care as patient condition declines and evaluates the effectiveness of changes; manages patient assignment and assumes proactive role in crisis and while under stress. - Delegates assignments effectively according to the five rights for delegation: right task, right circumstance, right person, right direction, and right supervision. - Demonstrates clinical competence, confidence, and clarity in communications with co-workers. - Leads effectively in rapidly changing or critical situations. Caring Practice: Nursing activities that create a compassionate, supportive, and therapeutic environment for patients and staff, with the aim of promoting comfort and healing and preventing unnecessary suffering. Includes, but is not limited to vigilance, engagement, and responsiveness of caregivers, including family and healthcare personnel. - Actively listens to patients and families and fosters trusting and therapeutic relationships. - Approaches patients and families with compassion, and offers emotional support. - Practice reflects recognition of impact of family on patient outcomes and involves them in care. - Inquires as to patient belief system, offers spiritual support, and seeks appropriate resources. - Seeks resolutions and recommends changes to communication issues. - Demonstrates understanding of the National Patient Safety Goals and impact to patient care. Systems Thinking (Safety / Quality Improvement): Body of knowledge and tools that allow the nurse to manage whatever environmental and system resources exist for the patient/family and staff, within or across healthcare and non-healthcare systems. - Protects patient from harm, is able to recognize risk management concerns, and takes action to prevent future occurrences. - Uses information generated from organizational quality improvement processes in the selection and application of nursing interventions. - Participates in designing, implementing or evaluating quality improvement projects in department. - Assigns or delegates’ tasks based on the needs/condition of the patient, potential for harm, stability of the patient condition, and task complexity. - Evaluates factors such as safety, effectiveness, availability, cost, benefits and impact on practice when choosing practice options that would yield the same expected outcomes. Collaboration: Working with others in a way that promotes/encourages each person’s contributions toward achieving optimal, realistic patient/family goals. Involves intra and interdisciplinary work with colleagues and community. - Initiates interdisciplinary discussions related to plans of care. - Collectively works to solve problems and make decisions to improve teamwork and group performance or outcomes. - Utilizes standard reporting system (SBAR) to effectively communicate patient care needs. - Identifies and mediates difficult/complex team situations. - Listens to understand team members’ perspectives. Listens to learn and discover new ways to work with each other. - Acts as a resource to team members regarding the hospital mission and values. - Communicates effectively with peers, physicians, hospital departments, and other hospital resources to manage patient care. Facilitation of Learning: The ability to facilitate learning for patient/families, nursing staff, other members of the healthcare team, and community. Includes both formal and informal facilitation of learning. - Assists patients and families to integrate implications of illness into their lifestyles. - Actively seeks learning opportunities for students and maintains a positive learning environment. - Assess learning needs and implements learning plans for team members at all levels. - Uses evidence-based practice resources to support professional development. - Assists in the development of departmental patient/family teaching materials. - Teaches by example; identifies own learning needs and seeks way to enhance education skills. - Recognizes patient/family as having choices and consequences that are negotiated in relation to education.

Other Information

REQUIRED: 2+ years related experience

Education

Essential:
* ASSOCIATE'S DEGREE
Essential:
* NURSING

Credentials

Essential:
* BASIC LIFE SUPPORT (BLS)
* REGISTERED NURSE (RN)
Essential:
* AMERICAN HEART ASSOCIATION
* STATE BOARD OF NURSING - ARIZONA

Application Instructions

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