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Northern Light Health Registered Nurse I in Ellsworth, Maine

Northern Light Maine Coast Hospital

Department: Pre-Op Surgery

Position is located: Northern Light Maine Coast Hospital

Work Type: PRN

FTE: 0.000100:

Work Schedule: No Hours Assigned

Summary:The Registered Nurse I is a Registered Nurse who is a beginning professional caregiver, entering into practice and establishing a professional identity. The incumbent is responsible for the practice of nursing according to the Rules and Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse I is responsible for the delivery of patient care to assigned patients, and for the supervision of other qualified staff to whom the Registered Nurse I has delegated patient care in the exercise of his/her independent judgment. The nurse plans and evaluates the nursing care for patients and families and exercises independent judgment in implementing care or assigning the care to other qualified staff. The nurse addresses physical, spiritual, emotional and educational needs of the patient, and coordinates the plan of care with other healthcare professionals. The incumbent performs duties and tasks in accordance with performance standards established for the job.

Responsibilities:• Completes nursing documentation in a timely manner which includes, but is not limited to:• Patient admission/primary assessment.• Assessments and reassessments on all patients per policy as well as assessing and reassessing as indicated by critical thinking skills as patient condition warrants. Documentation must be timely within electronic documentation or unit specific flow sheets.• Lab and diagnostic testing results in assessments per policy.• Timely, accurate assessment and reassessment of pain utilizing an age appropriate pain scale.• Completes nursing functions on assigned unit• Demonstrates the ability to formulate individualized plans of care, individualized to patient specific disease process, age, and psychosocial needs. Plans of care are initiated and revised as indicated by the patient's response to the objectives, overall plan appropriateness and effectiveness.• Recognizes changes in patient condition• Responds quickly and appropriately to changes in patient condition• Is able to handle patient assignment within unit matrix expectations• Manages and implements physician orders for the delivery of care in a timely, safe, coordinated and collaborative manner.• Delegates tasks to team members, as appropriate.• Is a role model and mentor by being active in continuing education, which includes but is not limited to:• Precepting new staff as assigned.• Identifying learning needs and seeking appropriate training or education to remain current in knowledge, skills and advancements.• Having an understanding of the unit's quality improvement plan as evidenced by supporting a quality plan, developing a policy or unit competency, by collecting data or membership on a committee.• Facilitating students' positive learning experience.• Promotes patient education which includes but is not limited to:• Starting patient education on admission.• Providing patient/family with education on new medications, treatments, and diagnoses.• Demonstrating an understanding of how age, psychosocial needs, culture and finances impact the patients/families ability to learn and comply.• Completes patient education prior to discharge• Utilizing the teach back method.• Communicates in a mutually respectful manner, which includes but is not limited to:• Reporting all patient/family complaints or concerns via the chain of command.• Coordinating care planning with other disciplines, families, and/or caregivers.• Communicating with practitioners regarding changes in patients' status, symptoms and results of diagnostic testing.• Consistently ensures that nursing process safety mechanisms are followed which include, but are not limited to:• Hand off report policy• Recognizing the importance of including patients and their families in the plan of care by utilizing the bed sire report, as appropriate.• Verifying telephone orders are read back, clarified, legible and documented per hospital policy.• Complies with all administrative and clinical policies including high risk patients which include but are not limited to: pediatrics, psychiatrics, and substance abuse• Administering medications in a safe and timely manner per hospital policy. Includes, but is not limited to: administering medications within 30 minutes before or after the scheduled time, verifying identification of the patient using two identifiers, and bar code scanning (department specific).• Ensuring medications are administered and documented per individual department policy.• Documenting co-signatures as appropriate (critical drips, pediatrics, blood products).• Complying with time out and site verification policy.• Documenting patient care in a timely manner.• Recognizing the needs for and maximizing the use of safe patient handling equipment.• Demonstrates knowledge and competencies which include but are not limited to the following equipment and skills:o Preanesthesia interviews (telephone & in person)o IV insertiono Patient controlled analgesiao Administration of moderate sedationo Cross trained to Post Anesthesia Care Unito Femoral Nerve Blockso Suretranso Blood transfusion• Adheres to Attendance and Punctuality Policy, which includes but is not limited to:• Reporting to work on time and when scheduled.• Taking breaks per policy.• Requesting time off with appropriate lead time.

Other information:BLS Required.

Competencies and skills:Essential:* Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan. * Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.* Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness, self-management, other awareness and relationship management. Conducts themselves in an empathic, appropriate way, with a sense of humor and stimulates a collaborative work environment. Is respectful of the attitudes, feelings, or circumstances of others and aware of the influence of their own behavior on them. Is aware of relevant social, political, system, and professional trends and developments and uses this information for the organization's benefit. * Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level. * Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved. * Influences and Inspires: Builds enthusiasm and commitment among others to move in a desired direction and models it personally. Creates a compelling vision of success that motivates workplace initiative and energizes others to follow. Provides direction and guidance to encourage cooperation between team members in order to attain an objective. Has the ability to appropriately influence others' actions and decisions with and without express authority.* Word processing, spreadsheets, data entry, database experience and other computer related skills.* No previous experience required.* Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.* Promotes Health and Safety: Promotes a healthy and safe environment for patients, employees and visitors. Advocates and models healthy physical and mental health behaviors even in challenging circumstances. Sets high quality standards and strives for continuous improvement and quality assurance by reporting and encouraging others to report near misses and safety issues. * Provides Patient-Centered Care: Demonstrates understanding of patient care quality and service as organizational priority. Proactively supports change to improve patient experience and results. Exhibits the ability and willingness to find out what the patient wants and needs and to act accordingly, taking the organizational and outside resources into account. Cooperates, collaborates, communicates, and integrates care within and between teams to ensure that care is continuous and reliable.* Serves Others: Strives to understand, meet and exceed the expectations and requirements of internal and external customers which may include the people and communities in our service areas. Develops and maintains relationships, alliances and coalitions within and outside the organization and leverages them in order to obtain information, support, and promote cooperation and collaboration. * Utilizes Resources Effectively: Understands how to get the most out of available resources and uses cost-benefit thinking in decision-making and in setting priorities. Monitors and analyzes resource usage to identify and eliminate areas of waste and maximize resources. As a leader, defines targets and provides appropriate means; oversees progress and makes adjustments when necessary. Appropriately delegates work, sets clear direction and manages workflow and time.

Credentials:Essential:* Registered Nurse

Education:Essential:* Associate's Degree

Working conditions:Essential:* Lifting, moving and loading 30 to 50 pounds.* Alternate shift schedules (day, evening, nights, weekends).

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