RN, Acute Hospital Night Shift

Scheduled Weekly Hours:

Position Title:

Registered Nurse (RN), staff

Last Reviewed:

12/2020

Salary Class:

Non-Exempt

Department:

Nursing

Position Code:

4701

Reports To:

Clinical Manager and/or Supervisor

BASIC FUNCTION

The registered nurse (RN) focuses on the health and wellness of individuals, families and populations in collaboration with other healthcare professionals by incorporating evidence-based practice in the management of acute illness, chronic disease, disability, and end-of-life care. The RN utilizes the nursing process and aligns practice with organizational policies, professional nursing standards and regulatory practice acts. The RN is also responsible for the direction and supervision of personnel assigned him/her.

MAJOR RESPONSIBILITIES

Assessment: Systematically and holistically assesses the patient's physiological, emotional, sociocultural, spiritual, and financial status while considering lifestyle preferences and learning needs. Planning: Collaborates with patients, families, and healthcare professionals to develop a patient-centered plan of care to promote health and optimize safety and wellness. Intervention: Provides competent and innovative patient care and education based on patient complexity, acuity, and nursing judgement within a culture of caring and safety. Documentation: Documents nursing assessment, planning, interventions, implementation, and patient/family response. Evaluation: Determines patient's progress toward achieving goal(s), and revises plan of care in collaboration with patient/family as needed. Delegation and Supervision: The RN delegates, supervises and evaluates the effectiveness of tasks performed by Licensed Practical Nurses (LPN) or Unlicensed Assistive Personnel (UAP) who have the knowledge and skill to perform the task, taking into consideration the following:

• Scope of practice
• Training
• Competence
• Population served
• Experience
• Policies and procedures

Leadership: Guides, directs and influences others by participating in activities such as:

• Quality improvement, evidence-based practice and research
• Shared governance (council structure)
• Department-based projects
• Continual learning

Professional and Organizational Responsibilities: Accepts accountability, elicits feedback, clarifies issues and concerns and works toward resolving problems and conflicts. The RN practices in accordance with:

• The Gundersen health System (GHS) mission, values and strategic plan
• The values, components and foundation of the GHS Nursing Professional Framework Values: Nursing Skills and Knowledge; Patient & Family Centered Care; Culture of Caring & Safety: Healing Environment Components: Nursing Structure: Practice; Professional Enhancement; Innovation; Reflective Practice Foundation: Caritas (Human Caring Theory)
• He/she demonstrates effective organizational skills with an ability to prioritize responsibilities efficiently in a rapidly changing work environment.
• Participates and supports education of nursing colleagues and students

Adheres to regular and predictable attendance.

Personally interacts, engages with and cares for patients.

Ensures patient safety.

The RN is required to assist and/or staff in other departments as necessary.

SCOPE OF THE JOB

Age Specific Population Served:

Pediatric (1 - 12 years)
Adolescent (13 - 17 years)
Adult (18 - 64 years)
Geriatric (65 years & older)
Infant (less than 1 year)

OSHA Category

Category I - All Employees in this job title have a reasonably anticipated risk of occupational exposure to blood and/or other potentially infectious materials.

POSITION QUALIFICATIONS

Education and Learning:

Required: Associate degree in Nursing

Current Wisconsin Licensure with renewal as directed by the State

Desired: Bachelor's degree in Nursing

Work Experience:

Required: No experience required.

Desired: 6 months or greater previous experience in Nursing

Reasoning/Decision Making

Must be flexible
Must be professional, honest and have personal integrity
Must be self-directed
Must be decisive
Must participate in and support professional organizations
Appreciates people whose values, goals, and cultures are different from your own
Develops additional knowledge by attending workshops and seminars

Communication

Communicates with ease on a professional level
Must have excellent oral and written communication skills

Leadership

Establishes priorities in accordance with organizational strategic plans and management objectives while meeting deadlines
Works independently: self-disciplined
Use effective time management
Plan, organize, execute assignments to meet deadlines
Problem solve - evaluate, analyze, negotiate and recommend alternatives
legal and regulatory standards

General - All Positions

Work cooperatively with a wide variety of people
Must have a professional attitude in regard to motivation, cooperation, flexibility, confidentiality, ethics and personal development
Perceives and respond sensitively to the needs of others
Use listening skills to identify important information in oral communication
Evidence of knowledge and ability to use p roper channels of communications

Recognizes the importance of setting a good example for others

Must be able to perform the essential job functions with or without reasonable accommodations

Computer Systems/Software/Applications

Microsoft Office Products, Adobe, Patient Record Systems, and other similar applications.

License and Certifications:

Required:

Registered Nurse (RN) licensed minimally in the state of practice, some positions may require additional state RN licenses.

Current American Heart Association (AHA) healthcare Provider CPR certification; Heart Saver, Rescue and Military training network CPR; or the American Red Cross CPR certification (CPR) except Citizen and Animal classes

PHYSICAL REQUIREMENTS/DEMANDS OF THE POSITION

Sitting

Frequently (34-66% or 5.5 hours)

Static Standing

Occasionally (6-33% or 3 hours)

Walking/Standing

Frequently (34-66% or 5.5 hours)

Driving

Rarely (1-5% or .5 hours)

Stooping/Bending

Occasionally (6-33% or 3 hours)

Squatting

Occasionally (6-33% or 3 hours)

Kneeling/Half Kneel

Occasionally (6-33% or 3 hours)

Climbing Stair

Occasionally (6-33% or 3 hours)

Reaching - Shoulder Level

Frequently (34-66% or 5.5 hours)

Reaching - Below Shoulder

Frequently (34-66% or 5.5 hours)

Reaching - Above Shoulder

Occasionally (6-33% or 3 hours)

Repetitive Actions - Fine Manipulation Pounds of Force 0-25

Frequently (34-66% or 5.5 hours)

Repetitive Actions - Grip Forces

Occasionally (6-33% or 3 hours) Pounds of Force 0-25

Pounds of force 0-25

Repetitive Actions - Fine Manipulation

Frequently (34-66% or 5.5 hours)

Balance - Right Leg

Occasionally (6-33% or 3 hours)

Balance - Left Leg

Occasionally (6-33% or 3 hours)

Lifting - Other

Occasionally (6-33% or 3 hours) Pounds of Force 0-25

Number of lbs 0-25

Carrying - Short Carry

Occasionally (6-33% or 3 hours) Pounds of Force 0-25

Number of lbs 0-25

Push/Pull (Static Force)

Occasionally (6-33% or 3 hours) Pounds of Force 0-25

Number of lbs 0-25

ENVIRONMENTAL CONDITIONS

Subject to inside environmental conditions.

Exposed to infectious diseases.

Potential for exposure to loud or unpleasant voices, bodily injury or stress of working with patients and their families during times of illness, confusion and agitation.

Physical/Sensory/Cognitive Requirements:

PHYSICAL:

Strength:

Ability to transfer, lift, move and turn a patient to or from a bed/wheelchair, Hoyer lift, EZ stand, toilet, tub and shower and occasionally the floor.Following assessment for need of assistance requires varying degrees of pushing, pulling, bending, and lifting due to the difference in patient weights which could be over 100 pounds.

Manual Dexterity:

Must be able to continuously perform manipulative tasks of writing, handling papers, computer keyboard/laptop/mouse/scanner, using the equipment listed above as well as safety pins, buttons, snaps, buckles, and tie strings.Occasionally performs difficult manipulative tasks, such as IV starts.

Coordination:

Ability to safely assist a patient with all ADL's, transfer and ambulation and use of equipment requiring good hand/eye coordination.Requires steadiness and the ability to move about in tight space, between objects, equipment and furniture.

Mobility:

Must be able to continuously stand and walk; frequently squat, climb stairs, bend to the floor, reach over the shoulder, kneel, twist, stretch or sit for varying periods of time during a scheduled shift of up to 12 hours.

Speech:

Must be able to continuously articulate clearly and precisely, with English as the basic element of speech.

Emotional Stability:

Must be able to continuously d3eal effectively with stress created by sick patients, multiple tasks, Moises, interruptions and work cooperatively as part of the healthcare team while maintaining a pleasant demeanor.

SENSORY:

Vision:

Must be able to continually see objects up close so as to notice a change in the patient condition (breathing, color, skin breakdown, etc.). Ability to focus and read thermometers and other gauges and distinguish colors for warning lights.

Hearing:

Must be able to continuously hear normal sounds and voice patters with some background noise.Must have adequate hearing to receive verbal communication by phone and in person.Must also be able to hear audible emergency signals, alarms, and call light indicators.

Smell:

Must be able to detect the smell of smoke, spoiled food, soiled linen, residue of infections and appropriateness of patient body odors.

COGNITIVE

Concentration:

Ability to concentrate on moderate details with frequent interruptions.

Attention Span:

Attend to a function from 10-25 minutes

Conceptualize:

Must be able to understand and relate specific ideas and concepts.

Memory:

Must be able to remember multiple tasks and assignments over a period of up to 12 hours of a scheduled shift.Also, day to day assignments for continuity of care and application of procedure.

Responsibilities in an Emergency:

The RN is expected to respond to emergency situations involving the safety of patients, other employees and the facility. This includes the ability to assist with a possible evacuation of patients.

If you need assistance with any portion of the application or have questions about the position, please contact the recruiter listed below:

Primary Recruiter:

Recruiter Email Address:

Equal Opportunity Employer