RN IIB - OR Services - Surgery (Day) - Houston Methodist Willowbrook Hospital

WORK SHIFT: DAY

WORK WEEK: Varies

Job Summary

3/2020

JOB SUMMARY

At Houston Methodist, the Registered Nurse (RN) IIB position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN IIB position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records.The RN IIB position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN IIB position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. The RN IIB position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management.

This job code is reserved for RNs who are dedicated to an OR, ER or Cardiac Cath Lab department.

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED

Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

oProvide personalized care and service by consistently demonstrating our I CARE values:

-INTEGRITY: We are honest and ethical in all we say and do.

-COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.

-ACCOUNTABILITY: We hold ourselves accountable for all our actions.

-RESPECT: We treat every individual as a person of worth, dignity, and value.

-EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

oFocuses on patient/customer safety

oDelivers personalized service using HM Service Standards

oProvides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

oIntentionally rounds with patients/customers to ensure their needs are being met

oInvolves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

PRIMARY JOB RESPONSIBILITIES

Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE - 25%

1.Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care. (EF)

2.Contributes to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from and offers guidance to interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes. (EF)

3.Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. May include preceptorship. Uses peer-to-peer accountability towards improvement of department score for turnover/retention/employee engagement on unit-based scorecard. (EF)

SERVICE - 25%

1.Follows the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Conducts nursing assessments, assists with exams and treatment, and maintenance of medical records. Practices in a manner that is congruent with cultural diversity and inclusion principles. (EF)

2.Develops, updates and communicates plan of care, including discharge, in partnership with the patient, family and interprofessional health care team, using the nursing process. Prioritizes care based on the patients needs, abilities and preferences. Advocates on patient/familys behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources. (EF)

3.Provides patient teaching based on learning needs, uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patients comprehension and adapts teaching methods accordingly. (EF)

4.Helps drive improvement of department score for patient satisfaction on unit-based scorecard, through peer-to-peer accountability to service standards. (EF)

QUALITY/SAFETY - 25%

1.Follows the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document. (EF)

2.Follows the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Identifies areas of practice improvements with research-based evidence to achieve core measure and patient safety outcomes, supported by accurate documentation. (EF)

3.Provides and modifies care to complex patients and coordinates care with the interprofessional team based on evaluation of the patients condition, supported by accurate documentation. Utilizes clinical judgement, using an evidence-based analytical approach. (EF)

4.Improves quality and safety scores on the unit-based scorecard, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team. (EF)

FINANCE - 10%

1.Displays self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. (EF)

2.Contributes towards meeting department financial targets on unit-based scorecard through decreasing length of stay, optimizing efficiency and other areas according to department specifications. (EF)

GROWTH/INNOVATION - 15%

1.Identifies and presents areas for innovation, efficiency and improvement in patient care or unit operations using evidence-based practice literature. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities. (EF)

2.Champions new care pathways or service line implementation to improve service to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to shared governance and leadership. (EF)

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION REQUIREMENTS

oBachelor of Science degree or higher from an accredited School of Nursing

EXPERIENCE REQUIREMENTS

oTwelve months registered nurse experience in a healthcare environment

CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED

oTexas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements.

oAmerican Heart Association Basic Life Support (BLS)

oOther credentials and certifications as defined by unit/service line

oAmerican Nursing Credentialing Center (ANCC)-recognized certification in applicable specialty area preferred

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

oDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

oSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

oAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles

oStrong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components

oAbility to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families

oUses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act

oDemonstrates proficient time management skills

oMaintains level of professional contributions as defined in Clinical Career Path program guide

oWorking knowledge of Microsoft products including Outlook

SUPPLEMENTAL REQUIREMENTS

Work AttireYes/No

Uniform No

ScrubsYes

Business professionalNo

Other (dept. approved) No

On-Call* No (for Non-Exempt or Exempt jobs)

*Note that employees may be required to be on-call during emergencies (i.e. Disaster, Severe Weather Event, etc.) regardless of selection above.

Travel

May require travel within Yes

Houston Metropolitan area

May require travel outside No

of Houston Metropolitan area

Travel specifications may vary by department.

Please note any other special considerations to this job:

Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity,national origin, age, disability, status as a protected veteran or other characteristics protected by law.

VEVRAA Federal Contractor priority referral Protected Veterans requested.

Company Profile

Houston Methodist Willowbrook Hospital opened in December 2000 to serve the comprehensive health care needs of the growing community in Northwest Houston. The 312 bed hospital has 17 operating rooms, and more than 1,900 employees. Houston Methodist Willowbrook Hospital has been named a Magnet recognized health care facility by the American Nurses Credentialing Centers (ANCC) Magnet Recognition Program and was ranked No. 8 in the Houston metro area and No. 19 in Texas by U.S. News & World Report as a Best Hospital in 2016. Houston Methodist Willowbrook Hospital is Northwest Houston's regional leader in robotic minimally-invasive surgeries and specializes in cardiology and cardiovascular services, neurology, neurosurgery, orthopedics and sports medicine, and comprehensive cancer services. Houston Methodist Willowbrook Hospital has a Breast Care Center, Cancer Center, Imaging Center, Infusion Center, Sleep Center, Surgical Weight Loss Center and operates the largest Childbirth Center in the greater Northwest Houston area.