Registered Nurse – 1 Meadow Acute Care/Cardiac/Tele/Comfort Care

Job Description

POSITION SUMMARY
The Registered Nurse is a member of the interdisciplinary team working in collaboration with the Physician. The Registered Nurse utilizes the nursing care process consistent with their license and/or certification including initiation of culturally competent continuum of care including inpatient, outpatient and community settings. The Registered Nurse is responsible to oversee any necessary coordination of the interdisciplinary plan of care and provides for its consistency with the medical treatment plan. The patient care process includes:
* Assessment - an orderly process consisting of the identification, gathering and organization of subjective and objective data pertaining to the patient/family/significant other, including physical, psychosocial, spiritual and cultural.
* Planning - an organized step in the process that consists of the identification of actual or potential problems and desired outcomes (goals) that result in a documented plan of care. The plan of care provides direction for the patient/family/significant other and interdisciplinary team.
* Intervention - the specific interventions or orders that are implemented consistent with the plan of care and medical treatment plan.
* Evaluation - a step in the process that involves determining the effectiveness of the interventions in achieving the plan of care and determining the conclusions concerning the achievement or lack of achievement of desired outcomes. The evaluation may initiate the need for reassessment and revisions to the problems, goals, plan of care, and interventions. This step provides for documentation of required actions. Based upon findings identified during assessment and reassessment:
* Patients have problems identified and prioritized relative to biophysical, psychological, environmental, self care, educational and social status.
* Goals are identified consistent with the problem to provide direction for patient care and health promotion.
* Education is consistent with the identified problem and associated goals and is seen as critical to creating an environment that promotes patient empowerment
* Employee may be required to perform Limited Laboratory Services to include: patient identification and preparation for specimen collection, processing samples for testing, performing required quality control testing and instrument maintenance and function checks, monitoring, recording and reporting tests results to clinicians to include critical values, and maintaining competency/certification of the aforementioned tasks and duties. Licensed and registered care providers responsible for utilizing the care process relative to their scope of practice and knowledge base, may document the assessment, plan, intervention and
evaluation. All patient care activities are administered according to standards, procedural guidelines and organizational policy.

The Registered Nurse actively supports performance improvement initiatives and provides leadership to other members of the patient care team. By participating in educational activities, the Registered Nurse assumes responsibility for continued professional and personal growth.

QUALIFICATIONS
EDUCATION/LICENSE: Graduate of an accredited school of nursing; BSN preferred. Current Licensure as a Registered Nurse in the State of New Jersey or current multi state license required. BLS required. Valid NJ Driver's License is required for all employees in the Adult and Child Partial Programs.
EXPERIENCE: Proficiency in Clinical Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.

Specialty Experience Advanced Certification Required Certification
Preferred Emergency Room
City 2-4 years medical/surgical experience preferred; 2 years emergency room experience preferred.
ACLS required within 6 months of initial assignment and continuously maintained thereafter. All registered professional nurses after 24 months of initial assignment will have completion of ATCN or TNCC. Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization; PALS or ENPC, with PALS or ENPC provider status attained within 12 months of initial assignment and continuously maintained thereafter.
All registered professional nurses after 24 months of initial assignment will have completion of ATCN. Minimum of 8 contact hours of education every 1 year in basic stroke assessment, intervention and NIHSS to be completed by 6 months of hire and continuously maintained thereafter. Specialty
Experience Advanced Certification Required Certification
Preferred Emergency Room
Mainland 2-4 years medical/surgical experience preferred; 2 years emergency room experience preferred.
ACLS required within 6 months of initial assignment
All registered professional nurses after 24 months of initial assignment will have completion of ATCN or TNCC. Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization; PALS or ENPC, with PALS or ENPC provider status attained within 12 months of initial assignment and continuously maintained thereafter. Minimum of 8 contact hours of education every 1 year in basic stroke assessment, intervention and NIHSS to be completed by 6 months of hire and continuously maintained thereafter.




Labor and Delivery 2-4 years labor and delivery experience preferred
ACLS required within 6mo of hire or transfer. NRP (NALS) required within 1 year from date of hire or transfer.
Neonatal Intensive Care Unit/Intermediate Care Unit 2-4 years neonatal Intensive Care Unit experience preferred. NRP (NALS), required within 1 year from date of hire or transfer.
Mother/Baby Unit (OB) 2-4 years mother/baby experience preferred. NRP (NALS), required within 1 year from date of hire or transfer.
Perinatology 3 years labor and deliver experience preferred. OB certification required
Operating Room Minimum 1 year medical/surgical experience desired; 1-2 years operating room experience preferred. CNOR preferred.
ACLS preferred.
Critical Care (ICU) 2-4 years medical/surgical experience preferred; 1-2 years critical care experience preferred. ACLS required within
1 year from date of hire or transfer. CCRN preferred Specialty
Experience Advanced Certification Required Certification
Preferred Medical/Surgical
3 Pines/3 Central 1-2 years medical/surgical experience preferred. Effective February 18th 2020, ACLS is required for all currently hired employees on 3 Pines. Current Incumbents are required ACLS by December 31st 2021.
Incumbents hired after December 31st, 2021, will have 6 mos from date of hire or transfer to obtain ACLS.
Medical/Surgical
(2S, 4H, 5H, 7H, 4 M) 1-2 years medical/surgical experience preferred.
Dialysis
(renal, acute) 1-2 years medical/surgical experience preferred; 1-2 years dialysis experience preferred. ACLS required within one year of date of hire or transfer.
Psychiatry
(1 West 1 Pines)

PIP if not a screener 1-2 years medical/surgical experience preferred; 1-2 years psychiatry experience preferred. (QPRT) annual education required within 6 months from date of hire or transfer Crisis Prevention; Intervention annual education preferred and both are tracked by department leadership. .

PIP if Screener
(Psychiatric intervention program) 1-2 yrs medical/surgical experience preferred; 3 years psychiatry experience one of which is in a crisis setting required. Crisis Prevention Intervention annual education preferred and is tracked by department leadership. Current NJ State Certification as a Mental Health Screener required.
Valid New Jersey Drivers License is required and MVA check upon hire or transfer
Pediatrics 1-2 years medical/surgical experience preferred; 1-2 years pediatric experience strongly preferred.
PALS required within
1 year from date of hire or transfer. Specialty
Experience Advanced Certification Required Certification
Preferred Radiology
(radiology adm ) 2-4 years medical/surgical experience preferred; 1-2 interventional experience preferred. Critical Care experience preferred. ACLS
PALS required within 1 year from date of hire or transfer.
Cath Lab
(cath lab, EP) 1-2 years critical care, emergency room or telemetry experience preferred; 1 year cath-lab experience preferred.
ACLS
Trauma ICU 1 year trauma experience required 2 years preferred. ACLS, at time of hire PALS & ATCN required within 1 year from date of hire or transfer
Oncology
(1 south/ 1 Meadow) 1 --2 years medical/surgical experience preferred. Chemotherapy experience preferred. Effective 2/21, all employees within job codes are required to ACLS; within 1 year from date of hire or transfer. Chemotherapy certification preferred.
Endoscopy Minimum 2 years medical/surgical experience preferred; 1-2 yrs. endoscopy, telemetry and critical care experience preferred. ACLS required a 6
mos from hire or transfer. PALS, CCRN, and CGRN preferred.

Cardiac Diagnostic 1 --2 years medical/surgical experience preferred; 1-2 years critical care experience preferred. ACLS required at 6 mos. from hire or transfer.
Cardiovascular ICU(CVU) 2-4 years critical care experience preferred.
2-4 years cardiovascular ICU experience preferred. ACLS required at 1yr. from hire or transfer. CCRN preferred.
Progressive Cardiac Care unit (PCCU) 2-5 years telemetry experience preferred. ACLS required within 6 mos of date of hire or transfer.
Progressive Care unit (PCU) 2-5 years telemetry
experience preferred. ACLS required within 6 mos from date of hire or transfer
Telemetry
(2West/2 Pines, 6 Harmony)
1-2 years medical/surgical experience preferred. Effective 5/05-ACLS required within 1 year from date of hire or transfer.
Radiation
Oncology 1--3 years oncology experience preferred. OCN preferred. Specialty
Experience Advanced Certification Required Certification
Preferred Medical Oncology Infusion Services 1-3 years oncology experience preferred. ONS Chemotherapy and Biotherapy Competency Provider required within 6 mos. from date of hire or transfer. OCN preferred
PACU/SDS 1-3 years critical care or PACU experience required. ACLS required; PALS required within 6 mos from date of hire or transfer.
Pre-Admission Testing (PAT) 1-3 years medical/surgical experience preferred. None
Acute Partial/Child
Adolescent Program 1 yr experience in behavioral health setting. Crisis intervention Prevention Preferred; tracked by department leadership.

Bloodless Surgery 1-2 years medical/surgical experience preferred
Wound Care Out Patient 1-2 years medical/surgical experience preferred.

Wound care and HBO Training course through Healogics is required within 1 year from date of hire or transfer. ACLS required within 6 months of date of hire or transfer. Specialty
Experience Advanced Certification Required Certification
Preferred Hammonton Satellite Emergency Department
2-4 years medical/surgical experience preferred; 2 years emergency room experience preferred ACLS required Within 6months of initial assignment and continuously maintained thereafter. Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization; PALS or ENPC, with PALS or ENPC provider status attained within 12 months of initial assignment and continuously maintained thereafter. Minimum of 8 contact hours of education every 1 year in basic stroke assessment, intervention and NIHSS to be completed by 6 months of hire and continuously maintained thereafter.





Structural Heart 2-3 year experience in cardiology

Able to perform:
Phlebotomy
EKG
IV insertion BLS & ACLS required

PERFORMANCE EXPECTATIONS
Demonstrates the ability to perform the department specific competencies as listed on the Assessment and Evaluation Tool.

WORK ENVIRONMENT
Potential for exposure to the hazards and risk of the hospital environment, blood borne pathogens, including exposure to infectious disease, hazardous substances, and potential injury.
* considerable reaching, stooping, kneeling and crouching
* extensive standing and walking, including stairs
* lifting approximately 25-50 pounds frequently
* lifting approximately 50 to 100 pounds with assistance occasionally
* pushing and pulling of heavy equipment
Some departments require the ability to distinguish colors.
Essential functions of this position are listed on the department specific Assessment and Evaluation Tool. WORK ENVIRONMENT IN THE ELECTROPHYSIOLOGY LAB
Potential for exposure to the hazards and risk of the hospital environment, blood borne pathogens, including exposure to infectious disease, hazardous substances, including radiation exposure and potential injury.
* considerable reaching, stooping, kneeling and crouching
* extensive standing (wearing lead) and walking, including stairs
* lifting approximately 25-50 pounds frequently
* lifting approximately 50 to 100 pounds with assistance occasionally
* pushing and pulling of heavy equipment
* transporting patients on stretchers unassisted
* manual dexterity to hand off instruments
* maneuver in small work areas congested with cords, foot pedals and various
equipment consoles
* move patients from beds/stretchers to procedure tables and from procedure tables to
stretchers or beds
* Some departments require the ability to distinguish colors.
Essential functions of this position are listed on the department specific Assessment and Evaluation Tool

UNIT POPULATIONS SERVED
Core competencies will be assessed primarily on the following patient population(s) serviced:
Bariatric Morbid obese adult with all comorbid illness/conditions, including but not limited to: cardiac/cardiovascular, metabolic; renal, pulmonary, etc.
Cath Lab Cardiac/vascular conditions and diseases including but not limited to: CAD, carotid stenosis, renal stenosis, PVD, etc.
Critical Care Acute medical/surgical care of skeletal muscular, renal orthoconditions and diseases including but not limited to: AMI, CAD, PVD, CVA/TIA, COPD, CHF, shock, renal failure, metabolic disorders, etc.
Behavioral Health Behavioral health illnesses including but not limited to bipolar disorder, schizophrenia, depression, psychosis, etc..
Dialysis Patients with acute or chronic renal failure or chronic renal disease.
Endoscopy Chronic pain management, endoscopic procedures of cardiovascular, GI, pulmonary conditions and disease, etc..
Emergency Department Triage, assess and treat patients of all age presenting for emergency care for all body systems, conditions and diseases including but not limited to: coronary, pulmonary, neuro, skeletal muscular, GI/metabolic, GU/renal, GYN, integumentary, etc.. Intermediate Care Monitored post-surgical care including but not limited to neuro, GI, GU/GYN, peripheral vascular interventions, orthopedic procedures, etc.. Medical diagnoses including but not limited to: cardiac, pulmonary, neuron, GI, VCA/TIA and renal conditions, etc..
Medical Surgical Medical/Surgical diagnoses including but not limited to orthopedic, neuron, GI, GU/GYN, renal, metabolic, pulmonary systems and those requiring isolation/precautions.
Telemetry/Medical/Surgical Cardiac/cardiovascular, neuro, GI conditions and diseases including not limited to: CAD, PVD, COPD, CHF, metabolic disorders, etc.
Telemetry/Stroke Cardiac/cardiovascular, neuron, renal, GI conditions and diseases including but not limited to: CAD, PVD, CVA/TIA, COPD, CHF, metabolic disorders, etc.
Wound Care Ostomy diversion surgeries, wound care, pressure sore/ulcer etc..
Structural Heart Adults with Structural Heart disease and other comorbid conditions including but not limited to: CAD, PAD, Heart Failure, Lung disease, Obesity, Diabetes, Arrhythmias REPORTING RELATIONSHIP
This position reports to the patient care unit or department leadership.
The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.