RN PCU (Nights)

DescriptionJob Description Summary

• Provides high quality, age and population specific, direct clinical care according to the Scope of Service for the
• Medical/Surgical unit and within Wyoming Nursing license. Demonstrates knowledgeable nursing skills to implement ideal,
• evidence based, best practice, patient care through on-going updates and education. Maintains safe and knowledgeable
• practice with use of equipment and technology. Acts as a resource on the unit and throughout the organization and assists
• other departments as requested. Utilizes resource to minimize risks and promote safety. Adheres to and practices the St
• John's Health Corporate Compliance Program and participates in Performance Improvement activities.

Essential Functions

1. Safety

• Obtains and reviews all patient data using observational, interviewing, interpretation and critical thinking skills for all patients
• to develop an individualized, safe plan of care. Identifies risk factors and provides interventions for safe patient care and
• environment. Implements measures to prevent injury from environmental hazards. Ensures equipment is functioning properly
• before use and reports malfunctioning equipment according to unit procedures. Follows hospital policies and established safe
• practices such as National Patient Safety Goals, CDC guidelines, fall risk assessments, proper techniques for nursing
• interventions, and nurse hand off protocols. Initiates and completed Event Reports for unexpected outcomes and near misses.

1. Care Planning

• Exercises critical thinking and best practices and professional nursing standards within the context of a multidisciplinary
• approach to development of patient care planning. Addresses patient and family's spiritual/emotional/physical needs utilizing a
• holistic approach. Develops a plan of care that is unique to each patient's needs, reflecting measurable goals that are
• mutually set with the patient and family. Identifies continuity of care needs for discharge and follow up using appropriate
• resources. Evaluates patient's understanding and response to the plan of care and evaluates the effectiveness of
• interventions towards established goals and outcome expectations. Completes SBAR report with charge nurse focusing on
• patient goals and plan of care for a safe discharge home.

1. Direct Patient Care

• Incorporates teaching/education into all aspects of patient care and nursing practice. Assesses age and population specific
• and developmentally appropriate patient and family education needs. Assesses readiness to learn based on patient
• perception, education level and expectation of care. Initiates and incorporates patient and family education onto the plan of
• care. Provides clear information to assist the patient to make informed decisions. Encourages patients' active involvement in
• their care. Communicates status report to patient's family as appropriate.

1. Teamwork

• Assists and completes daily routines (i.e. crash cart checks, narcotic counts, glucometer controls). Keeps department clean,
• orderly and stocks daily. May function in the charge nurse role and accepts increased supervisory responsibilities as
• requested. Uses supplies and equipment within safe parameters, Acts as a resource to others. Delegates responsibly. Floats
• to other departments as needed. Keeps competencies current.

Job Requirements

Minimum Education

Required: ASN

Preferred: BSN and ACLS preferred

Minimum Work Experience

Required: NA

Preferred: NA

• Required Licenses: Current RN License with the authority to practice in the State of Wyoming and BLS required at time of hire. CPI
• certification required within 6 months of hire.

Functional Demands

Working Conditions

• Hospital medical/surgical unit. May float to other nursing units. Frequent stressful situations. Must be on-site at the St. John's Health
• campus or other facilities to fulfill the responsibilities of this role.

Physical Requirements

• 75% of time standing and walking. Irregular work hours, meals and breaks. Must possess sight/hearing senses to meet job
• requirements. Intermittent sitting and computer use. Must possess the ability to lift, push, pull and move patients, equipment and
• supplies. Must be able to lift up to 50 pounds.

Direct Reports: CNAs, LPNs, GNs

Reports to: Clinical Manager RN PCU

Internal and External Contacts: All hospital departments, patients, physicians, families and/or friends of patients, community agencies, transferring medial facilities.

Leadership Capabilities

1. Patient Focus

• Is dedicated to meeting the expectations and requirements of patients
• Gets firsthand patient feedback and uses it for improvements
• Establishes and maintains effective relationships with patients and gains their trust and respect

1. Attention to Detail

• Completes tasks in a way that ensures there are not errors
• Methodically and patiently reviews work to identify any mistakes or discrepancies
• Creates and stores documentation in a way that is thorough and easy to access

1. Quality Decision Making

• Considers many factors and sources when making decisions
• Is correct and accurate with most of his/her solutions and suggestions when judged over time
• Is sought out by others for advice and solutions
• Spends his/her time and the time of others on what's important
• Quickly zeros in on the critical and few and puts the trivial many aside
• Handles risks and uncertainty with composure

1. Interpersonal Skills (Nursing)

• Steps up to conflicts, seeing them as opportunities
• Builds appropriate rapport
• Finds common ground and gains cooperation
• Taking responsibility for the consequences of one's own actions and decisions