Independently provides holistic, individualized care using the nursing process for patients routinely seen on the unit. Demonstrates clinical competency, nursing judgment, teaching skills, and a commitment to improving the quality of patient care. Independently performs general and unit specific clinical skills.

Mandatory Requirements
1. Demonstrates the ability to obtain and interpret information in terms of the patient’s needs. Possesses knowledge of growth and development, and has an understanding of the range of treatment needs for adult geriatric population.
2. Reviews/revises/records an individualized patient history and assessment utilizing the minimum data set and the Federal Medicare and State Survey Guidelines. Completes adult admission history and daily assessments.
3. Completes minimum data set {MDS} and adjusts the care plan based on the resident assessment protocol{RAP}. Sees that nursing portion of MDS is completed within two days of patient discharge from unit.
4. Evaluation of the patient’s status and response to medical and nursing treatments/interventions is routinely documented.
5. Receives transcribes and carries out physician orders accurately and in a timely manner.
6. Evaluates teaching effectiveness of patient/family and routine documents on Interdisciplinary Patient/Family Education Form.
7. Provides clear, concise and pertinent direction to care team. Determines work assignments for subordinates based on resources, identified patient care needs and nursing staff skill/level.
8. Adheres to compliance rounds of unit.
9. Assists in data collection in cooperation with Quality Improvement and State Survey requirements.
10. Adheres to OSHA guidelines/universal precautions as described in Hospital Policy.
11. Assessment of Patients: Systematically and continually assesses the health and status of the patientassuring the application of age specific standards.
12. Care of the Patient: In collaboration with the patient/family, with regard to developmental, cultural andage specific differences, develops and implements patient care plans to include problems, goals,evaluations and interventions.
13. Education of patient/family: Provides patient/family education with regard to assessing ability to learn,special learning needs, and evaluating effectiveness of teaching. Documents information in patient/familyeducation screens on computer.
14. Surveillance, prevention and control of infection: Follows established policies and procedures to identifyand reduce the risks of acquiring or transmitting infection by use of personal protective measures.
15. Management of information: Documents assessments, interventions and evaluations of care objectivelyand timely, using the computer technology required by the department.
16. Leadership: Provides clear, concise and pertinent direction to the care team bases on resources, identifiedpatient care needs and nursing staff skill level, documents critical incidents, uses time and supplies resourcefully, functions as charge nurse as needed.

Minimum Education and Experience:

Licensure/Certification/Registration:

Current Registered Nurse License in the State of Texas, current BLS & ACLS certification.

Education:

High School graduate or equivalent required. Must have graduated from an accredited School of Nursing; BSN desirable.

Experience:

A minimum of 6 months of Telemetry/Critical Care nursing experience is required with 2 yrs or more preferrred; must be able to articulate and demonstrate appropriate nursing theory and practice.

Knowledge/Skills/Abilities:

Demonstrates good organizational skills. Provides safe and appropriate patient care within the Standards of Nursing Practice. Displays appropriate judgment and problem solving skills. Communicates positively and professionally with all internal and external customers. Maintains patient confidentiality.

Dynamic unit! Located on the 7th floor of our downtown facility, this Medical Telemetry unit is home to a close-knit team of nurses and support staff who take close care and treat patients of a cardiac and medical nature.

Location: Metropolitan Methodist

Unit: Telemetry

Shift: 7 P - 7 A rotating weekends

Multiple vacancies

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient's family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-social and pain sessments; includes assessment of patient education needs.

? Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.

? Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed nursing diploma programs.

2. Experience:

A. RN I - Less than six months experience. MHS practice for RNs with less than six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-social and pain assessments; includes assessment of patient education needs.

? Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.

? Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date Note: Verification of high school graduation/GED is required for those who completed nursing diploma programs.

2. Experience:

A. RN I - Less than six months experience. MHS practice for RNs with less than six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of Texas

2. Preferred: Certification in their specialty

1. Builds and maintains a high functioning team.

2. Manages and provides guidance and direction to first line supervisors/charge personnel including interviewing, work allocation, orientation and training, staff development, problem resolution, evaluating performance, making recommendations for personnel actions, and motivation of employees to achieve peak performance. Is responsible for meeting unit productivity targets.

3. Manages and plans for unit and clinical activities including supervising the treatment and care of the patients.

4. Responsible for organizing, directing, teaching and evaluating total nursing care within area of responsibility, including ensuring adequate staffing.

5. Participates in the planning, development and management of operational and equipment budgets annually. Provides financial variance analysis reports in a timely manner. Reviews monthly financial statistics and plans expenditures according to budget limitations. Manages the ongoing implementation of approved plans.

6. Anticipates the purchase or replacement of equipment with input from staff and physicians. Implements the equipment purchase process. Anticipates and recommends needs for added space and needed services not provided by the organization.

1. Education

Bachelor’s degree in Nursing preferred, Master’s degree highly preferred.

2. Experience

At least 3 years clinical acute care nursing experience.

1-year management experience as full time or relief charge nurse, clinical care manager, or Nursing Administrative Supervisor desirable.

Demonstrated leadership skills.

Evidence of continued professional development.

Knowledge of Microsoft Office is preferable.

Minimum License Required:

Current license to practice professional nursing in the state of Texas.

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-social and pain assessments; includes assessment of patient education needs.

? Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.

? Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date Note: Verification of high school graduation/GED is required for those who completed nursing diploma programs.

2. Experience:

A. RN I - Less than six months experience. MHS practice for RNs with less than six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

• Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho social and pain assessments; includes assessment of patient education needs.
• Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.
• Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.
• Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN II- A minimum of six months clinical experience as a licensed RN

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

Reporting Relationships:

Supervised By: Unit Director or designee

Supervision Of: Nursing Support Staff

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % Standing 30 % Walking 60 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

objects weighing more than 50 lbs.

X

Lifting/carrying

X

Repetitive arm/

Hand movements.

X

Pushing/pulling

X

Eye-hand-foot coordination

X

Stooping/kneeling/

Bending

X

Manual dexterity (eye/hand coordination)

X

Crawling

X

Finger dexterity

X

Climbing

X

Color vision

X

Balance

X

Vision acuity – far

X

Depth Perception

X

Vision acuity – near

X

Hearing Acuity

MENTAL AND EMOTIONAL REQUIREMENTS

X

Manage stress appropriately

Make decisions under

Pressure

X

Manage anger/ fear/ hostility/violence of others

X

Handle multiple priorities

Work alone

Work in confined or crowded areas

Some Freq None Some Freq None

X

Blood-borne pathogen exposure

X

Exposure to x-ray/electromagnetic energy

X

Exposure to toxic/caustic/chemicals/detergents

X

Exposure to high-pitched noises

X

Exposure to dust/fumes/helicopter

X

Exposure to communicable diseases

X

Exposure to moving mechanical parts

X

Exposure to extreme conditions, hot/cold

X

Exposure to potential electric shock

X

Gaseous risk exposure

X

Adverse weather conditions

X

Dangerous driving conditions.

X

Exposure to laser beams

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-social and pain assessments; includes assessment of patient education needs.

? Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.

? Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date Note: Verification of high school graduation/GED is required for those who completed nursing diploma programs.

2. Experience:

A. RN I - Less than six months experience. MHS practice for RNs with less than six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

• Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho social and pain assessments; includes assessment of patient education needs.
• Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.
• Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.
• Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN II- A minimum of six months clinical experience as a licensed RN

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

Reporting Relationships:

Supervised By: Unit Director or designee

Supervision Of: Nursing Support Staff

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % Standing 30 % Walking 60 % = 100%

LIFTING/CARRYING DEMANDS:

Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

objects weighing more than 50 lbs.

X

Lifting/carrying

X

Repetitive arm/

Hand movements.

X

Pushing/pulling

X

Eye-hand-foot coordination

X

Stooping/kneeling/

Bending

X

Manual dexterity (eye/hand coordination)

X

Crawling

X

Finger dexterity

X

Climbing

X

Color vision

X

Balance

X

Vision acuity – far

X

Depth Perception

X

Vision acuity – near

X

Hearing Acuity

AGES OF PATIENTS SERVED

X

Birth – 1 year = Neonatal/Infant

X

18 – 64 years = Adult

X

1 - 11 years = Child/Pediatric

X

65 years = Geriatric

X

12 - 17 years = Adolescent

N/A = No responsibility to treat/care

for patients

MENTAL AND EMOTIONAL REQUIREMENTS

X

Manage stress appropriately

Make decisions under

Pressure

X

Manage anger/ fear/ hostility/violence of others

X

Handle multiple priorities

Work alone

Work in confined or crowded areas

Some Freq None Some Freq None

X

Blood-borne pathogen exposure

X

Exposure to x-ray/electromagnetic energy

X

Exposure to toxic/caustic/chemicals/detergents

X

Exposure to high-pitched noises

X

Exposure to dust/fumes/helicopter

X

Exposure to communicable diseases

X

Exposure to moving mechanical parts

X

Exposure to extreme conditions, hot/cold

X

Exposure to potential electric shock

X

Gaseous risk exposure

X

Adverse weather conditions

X

Dangerous driving conditions.

X

Exposure to laser beams

General Statement of Duties:

Essential Job Functions:

1. Coordinates, directs, assesses, modifies and formulates an appropriate staff assignment plan that addresses acuity, competency of staff and staff mix of licensed and unlicensed staff

2. Serves as the primary decision maker for clinical operations during a given shift and modifies staff assignment/mix according to the changes in patient acuity and/or volume.

3. Role models professional standards of behavior of the nursing practice as evidenced by the nurse practice act.

4. Serves as primary resource for the unit, to other nursing personnel, physicians and other members of the team. Ensures evidence–based care measures are followed and demonstrates effective clinical leadership skills.

5. Demonstrates successful conflict resolution in a timely manner with patients, families and other healthcare team members.

6. Consistently demonstrates ME standards of behavior and holds staff accountable for the same.

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately 40__ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 20 % Standing 50 % Walking 30 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

( X ) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

objects weighing more than 50 lbs.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

*RNs hired as of 01/01/2013 that do not have a BSN upon hire must do all of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN II- Two years clinical experience in the specialty area they are applying.

Exceptions must have senior nursing administrative approval.

B. RN III- ALL of the following:

1) One year clinical experience in a RN II role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III

C. RN IV- ALL of the following:

1) One year clinical experience in a RN III role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV

3. Employee completes initial and ongoing training and competencies as defined by service

line, facility and department/unit which are specific to the needs of the patient population

served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than

six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV

3. Employee completes initial and ongoing training and competencies as defined by service

line, facility and department/unit which are specific to the needs of the patient population

served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

General Statement of Duties:

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

• Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho social and pain assessments; includes assessment of patient education needs.
• Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.
• Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.
• Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN II- A minimum of six months clinical experience as a licensed RN

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

Reporting Relationships:

Supervised By: Unit Director or designee

Supervision Of: Nursing Support Staff

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % Standing 30 % Walking 60 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

objects weighing more than 50 lbs.

X

Lifting/carrying

X

Repetitive arm/

Hand movements.

X

Pushing/pulling

X

Eye-hand-foot coordination

X

Stooping/kneeling/

Bending

X

Manual dexterity (eye/hand coordination)

X

Crawling

X

Finger dexterity

X

Climbing

X

Color vision

X

Balance

X

Vision acuity – far

X

Depth Perception

X

Vision acuity – near

X

Hearing Acuity

MENTAL AND EMOTIONAL REQUIREMENTS

X

Manage stress appropriately

Make decisions under

Pressure

X

Manage anger/ fear/ hostility/violence of others

X

Handle multiple priorities

Work alone

Work in confined or crowded areas

Some Freq None Some Freq None

X

Blood-borne pathogen exposure

X

Exposure to x-ray/electromagnetic energy

X

Exposure to toxic/caustic/chemicals/detergents

X

Exposure to high-pitched noises

X

Exposure to dust/fumes/helicopter

X

Exposure to communicable diseases

X

Exposure to moving mechanical parts

X

Exposure to extreme conditions, hot/cold

X

Exposure to potential electric shock

X

Gaseous risk exposure

X

Adverse weather conditions

X

Dangerous driving conditions.

X

Exposure to laser beams

General Statement of Duties:

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-social and pain assessments; includes assessment of patient education needs.

? Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care.

Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.

? Implementation: Prioritizes and implements a competent, prioritized and efficient

nursing plan of care.

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % Standing 30 % Walking 60 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

objects weighing more than 50 lbs.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than

six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role (in Lawson) within Methodist Healthcare System. May submit completed application to Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN II role.

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role (per Lawson) within Methodist Healthcare System. May submit completed application to Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN III role.

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV.

E.

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The RN Charge Nurse has advanced leadership skills and is responsible for the coordination of unit operations during a particular shift. In this leadership role, the RN Charge Nurse promotes collaboration among all members of the team, facilitates throughput and prevents or resolves conflict. He/she role models and promotes Methodist Excellence (ME) standards of behavior while providing for an optimal patient care and work environment during the designated shift. Is a resource person to the patient care team. Makes appropriate patient care assignments and is accountable for the quality of nursing care services delivered by self or others under their direction; in accordance with the Texas Nurse Practice Act, hospital policies, procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224).

Essential Job Functions:

1. Coordinates, directs, assesses, modifies and formulates an appropriate staff assignment plan that addresses acuity, competency of staff and staff mix of licensed and unlicensed staff

2. Serves as the primary decision maker for clinical operations during a given shift and modifies staff assignment/mix according to the changes in patient acuity and/or volume.

3. Role models professional standards of behavior of the nursing practice as evidenced by the nurse practice act.

4. Serves as primary resource for the unit, to other nursing personnel, physicians and other members of the team. Ensures evidence–based care measures are followed and demonstrates effective clinical leadership skills.

5. Demonstrates successful conflict resolution in a timely manner with patients, families and other healthcare team members.

6. Consistently demonstrates ME standards of behavior and holds staff accountable for the same.

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately 40__ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 20 % Standing 50 % Walking 30 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

( X ) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

objects weighing more than 50 lbs.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

*RNs hired as of 01/01/2013 that do not have a BSN upon hire must do all of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN II- Two years clinical experience in the specialty area they are applying.

Exceptions must have senior nursing administrative approval.

B. RN III- ALL of the following:

1) One year clinical experience in a RN II role (in Lawson) within Methodist Healthcare System. May submit completed application to Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN II role.

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III.

C. RN IV- ALL of the following:

1) One year clinical experience in a RN III role (per Lawson) within Methodist Healthcare System. May submit completed application to

Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN III role.

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV.

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-social and pain assessments; includes assessment of patient education needs.

Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses,

formulates goals, teaching plans and outcomes to create an individualized plan of care.

Identifies individual patient goals, readiness to learn and incorporates family into the plan

of care.

Implementation: Prioritizes and implements a competent, prioritized and efficient

nursing plan of care.

Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and

recognizes changes in patient conditions, determines when reassessments are needed and

adjusts the plan of care as necessary. Compares expected and achieved outcomes of

nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Additional Job Duties

1. Recognizes and responds to crisis situations. Notifies appropriate individuals of actual or

impending crisis.

2. Incorporates patient's cultural and spiritual beliefs into care by making appropriate referrals to

chaplain, social services, case manager, etc. Documents pertinent data including assessment,

interventions and evaluations.

3. Participates in performance improvement activities of the hospital/unit. This may include data

collection. Participation on a team or implementing recommendations identified through quality

initiatives.

4. Assists in providing education for staff through being a liaison and/or through preceptor ship.

Assists coworkers willingly and shares information/resources with team members.

5. Supports the mission and vision of the Methodist Healthcare System and Methodist Excellence by

providing courteous, compassionate and quality service to all customers by anticipating and

accommodating customer’s needs.

6. Understands and is committed to helping the Methodist Healthcare System and its associated

facilities achieve its goals under the MHS Financial Performance Plan.

7. Must learn and comply with System and facility safety policies and rules; must use appropriate

safety equipment and procedures at all times; must immediately report all unsafe conditions to

supervisors; must be familiar with all safety features of equipment, tools or materials encompassed

by job duties; and must check with supervisors (prior to job performance) if there is a question as

to the safe procedure to be used for any job function.

8. Patient information is managed confidentially – including both written and electronic records.

Ensures physical and auditory privacy.

9. Completes other duties as assigned.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than

six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role (in Lawson) within Methodist Healthcare System. May submit completed application to Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN II role.

2) Approved for and maintains requirements of the MHS Nursing

Clinical Excellence program RN level III.

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role (per Lawson) within Methodist Healthcare System. May submit completed application to Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN III role.

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV.

E.

3. Employee completes initial and ongoing training and competencies as defined by service

line, facility and department/unit which are specific to the needs of the patient population

served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % Standing 30 % Walking 60 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

objects weighing more than 50 lbs.

General Statement of Duties:

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-

social and pain assessments; includes assessment of patient education needs.

Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses,

formulates goals, teaching plans and outcomes to create an individualized plan of care.

Identifies individual patient goals, readiness to learn and incorporates family into the plan

of care.

Implementation: Prioritizes and implements a competent, prioritized and efficient

nursing plan of care.

Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and

recognizes changes in patient conditions, determines when reassessments are needed and

adjusts the plan of care as necessary. Compares expected and achieved outcomes of

nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % Standing 30 % Walking 60 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

objects weighing more than 50 lbs.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than

six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV

3. Employee completes initial and ongoing training and competencies as defined by service

line, facility and department/unit which are specific to the needs of the patient population

served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Additional Job Duties

1. Recognizes and responds to crisis situations. Notifies appropriate individuals of actual or

impending crisis.

2. Incorporates patient's cultural and spiritual beliefs into care by making appropriate referrals to

chaplain, social services, case manager, etc. Documents pertinent data including assessment,

interventions and evaluations.

3. Participates in performance improvement activities of the hospital/unit. This may include data

collection. Participation on a team or implementing recommendations identified through quality

initiatives.

4. Assists in providing education for staff through being a liaison and/or through preceptor ship.

Assists coworkers willingly and shares information/resources with team members.

5. Supports the mission and vision of the Methodist Healthcare System and Methodist Excellence by

providing courteous, compassionate and quality service to all customers by anticipating and

accommodating customer’s needs.

6. Understands and is committed to helping the Methodist Healthcare System and its associated

facilities achieve its goals under the MHS Financial Performance Plan.

7. Must learn and comply with System and facility safety policies and rules; must use appropriate

safety equipment and procedures at all times; must immediately report all unsafe conditions to

supervisors; must be familiar with all safety features of equipment, tools or materials encompassed

by job duties; and must check with supervisors (prior to job performance) if there is a question as

to the safe procedure to be used for any job function.

8. Patient information is managed confidentially – including both written and electronic records.

Ensures physical and auditory privacy.

9. Completes other duties as assigned.

Methodist Healthcare System Job Description Job Title: Registered Nurse (RN) FLSA: Non-exempt 4

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-

social and pain assessments; includes assessment of patient education needs.

? Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses,

formulates goals, teaching plans and outcomes to create an individualized plan of care.

Identifies individual patient goals, readiness to learn and incorporates family into the plan

of care.

? Implementation: Prioritizes and implements a competent, prioritized and efficient

nursing plan of care.

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and

recognizes changes in patient conditions, determines when reassessments are needed and

adjusts the plan of care as necessary. Compares expected and achieved outcomes of

nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

Methodist Healthcare System Job Description Job Title: Registered Nurse (RN) FLSA: Non-exempt 3

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Additional Job Duties

1. Recognizes and responds to crisis situations. Notifies appropriate individuals of actual or

impending crisis.

2. Incorporates patient's cultural and spiritual beliefs into care by making appropriate referrals to

chaplain, social services, case manager, etc. Documents pertinent data including assessment,

interventions and evaluations.

3. Participates in performance improvement activities of the hospital/unit. This may include data

collection. Participation on a team or implementing recommendations identified through quality

initiatives.

4. Assists in providing education for staff through being a liaison and/or through preceptor ship.

Assists coworkers willingly and shares information/resources with team members.

5. Supports the mission and vision of the Methodist Healthcare System and Methodist Excellence by

providing courteous, compassionate and quality service to all customers by anticipating and

accommodating customer’s needs.

6. Understands and is committed to helping the Methodist Healthcare System and its associated

facilities achieve its goals under the MHS Financial Performance Plan.

7. Must learn and comply with System and facility safety policies and rules; must use appropriate

safety equipment and procedures at all times; must immediately report all unsafe conditions to

supervisors; must be familiar with all safety features of equipment, tools or materials encompassed

by job duties; and must check with supervisors (prior to job performance) if there is a question as

to the safe procedure to be used for any job function.

8. Patient information is managed confidentially – including both written and electronic records.

Ensures physical and auditory privacy.

9. Completes other duties as assigned.

Methodist Healthcare System Job Description Job Title: Registered Nurse (RN) FLSA: Non-exempt 4

Methodist Excellence (ME) Behavior Standards:

The ME Standards are essential behavior expectations of every employee.

1. Attitude: A positive and cheerful attitude by employees is a reflection of the facility. When employees present a positive attitude, our customers will sense that quality care is truly our mission.

2. Appearance: MHS is proud of the appearance of our facilities and the employees. A professional appearance is important as it assures a positive image of the individual as well as the entire organization.

3. Communication: Communication skills are essential in the work place. In a healthcare environment, communication is vital in providing quality patient care. Intra- and inter-departmental communication and communication with physicians and patients are key providing a consistent and effective continuum of care.

4. Compassionate Service: Healthcare is more than just a business; although the clinical and technical expertise we provide is exceptional, compassion, and passion are vital ingredients in providing service and showing our customers we truly care.

5. Ownership/Pride: Every Employee represents MHS in the eyes of our customers; therefore, it is essential that every member of the Methodist Healthcare Team feel a sense of ownership and pride towards his or her job and the organization.

6. Privacy: Employees must be sensitive to the legal rights and emotional needs of privacy for patients and conduct themselves in a professional manner that respects this aspect of the patient’s overall well being.

7. Safety: Each of us has a responsibility in ensuring the safety of our patients, our physicians, our coworkers, our visitors, and ourselves.

8. Teamwork/Commitment to Coworkers: At MHS, we are all linked to one another by a common purpose; to serve our patients and community. We believe, through teamwork, we can produce better results collectively than we would as individuals.

9. Fun: MHS promotes an environment of employee fellowship. Employees need to know that having fun at work and enjoying one’s job make for a positive workplace.

10. Accountability: Accountability is the foundation of Methodist Excellence. The building blocks of Accountability involve personal responsibility for job actions and performance; complete understanding of job responsibilities, and adherence to all Methodist Healthcare policies and procedures.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than

six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III

Methodist Healthcare System Job Description Job Title: Registered Nurse (RN) FLSA: Non-exempt 2

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV

3. Employee completes initial and ongoing training and competencies as defined by service

line, facility and department/unit which are specific to the needs of the patient population

served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-social and pain assessments; includes assessment of patient education needs.

Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses,

formulates goals, teaching plans and outcomes to create an individualized plan of care.

Identifies individual patient goals, readiness to learn and incorporates family into the plan

of care.

Implementation: Prioritizes and implements a competent, prioritized and efficient

nursing plan of care.

Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and

recognizes changes in patient conditions, determines when reassessments are needed and

adjusts the plan of care as necessary. Compares expected and achieved outcomes of

nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Additional Job Duties

1. Recognizes and responds to crisis situations. Notifies appropriate individuals of actual or

impending crisis.

2. Incorporates patient's cultural and spiritual beliefs into care by making appropriate referrals to

chaplain, social services, case manager, etc. Documents pertinent data including assessment,

interventions and evaluations.

3. Participates in performance improvement activities of the hospital/unit. This may include data

collection. Participation on a team or implementing recommendations identified through quality

initiatives.

4. Assists in providing education for staff through being a liaison and/or through preceptor ship.

Assists coworkers willingly and shares information/resources with team members.

5. Supports the mission and vision of the Methodist Healthcare System and Methodist Excellence by

providing courteous, compassionate and quality service to all customers by anticipating and

accommodating customer’s needs.

6. Understands and is committed to helping the Methodist Healthcare System and its associated

facilities achieve its goals under the MHS Financial Performance Plan.

7. Must learn and comply with System and facility safety policies and rules; must use appropriate

safety equipment and procedures at all times; must immediately report all unsafe conditions to

supervisors; must be familiar with all safety features of equipment, tools or materials encompassed

by job duties; and must check with supervisors (prior to job performance) if there is a question as

to the safe procedure to be used for any job function.

8. Patient information is managed confidentially – including both written and electronic records.

Ensures physical and auditory privacy.

9. Completes other duties as assigned.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than

six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role (in Lawson) within Methodist Healthcare System. May submit completed application to Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN II role.

2) Approved for and maintains requirements of the MHS Nursing

Clinical Excellence program RN level III.

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role (per Lawson) within Methodist Healthcare System. May submit completed application to Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN III role.

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV.

E.

3. Employee completes initial and ongoing training and competencies as defined by service

line, facility and department/unit which are specific to the needs of the patient population

served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % Standing 30 % Walking 60 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho- social and pain assessments; includes assessment of patient education needs.

? Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care.

Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.

? Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % Standing 30 % Walking 60 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of objects weighing more than 50 lbs.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed nursing diploma programs.

2. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho- social and pain assessments; includes assessment of patient education needs.

? Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care.

Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.

? Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % Standing 30 % Walking 60 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of objects weighing more than 50 lbs.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed nursing diploma programs.

2. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-social and pain assessments; includes assessment of patient education needs.

? Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.

? Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date Note: Verification of high school graduation/GED is required for those who completed nursing diploma programs.

2. Experience:

A. RN I - Less than six months experience. MHS practice for RNs with less than six months experience is to attend an RN Residency program.

B. RN II- A minimum of six months clinical experience as a licensed RN

C. RN III- ALL of the following:

1) One year clinical experience in a RN II role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III

D. RN IV- ALL of the following:

1) One year clinical experience in a RN III role within Methodist Healthcare System

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV

3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of Texas

2. Preferred: Certification in their specialty

General Statement of Duties:

The Cardiac/Vascular Care Coordinator is a professional nurse who is responsible for the overall coordination of the Phase I cardiac rehabilitation program. This includes performing patient teaching and nursing interventions to enhance strengths and minimize weaknesses of patient, families, and nursing staff involved in the Cardiac Rehabilitation Program. Utilizing an interdisciplinary approach, the CVCC will collaborate with the nurses and physicians involved in the care of patients with cardiac diagnoses.

Essential Job Functions:

1. Plans, coordinates, implements, documents, and evaluates educational, exercise and behavioral counseling components of the Cardiac Rehabilitation Program. Assesses teaching/learning needs of patients and families regarding cardiac and vascular rehabilitation.

2. Serves as a resource or consultant to nursing units caring for patients with cardiovascular disease, to the Education Department, and to other hospital personnel.

3. Consults with nursing units caring for patients with cardiovascular disease, Education Dept., and other hospital personnel/units to provide and implement plans of care.

4. Maintains a quality assurance program for cardiac rehabilitation, to include the development/update of policies & procedures related to cardiac rehabilitation, prepares statistical reports and identifies areas for improvement. Serves on committees regarding quality of care issues to help determine appropriate action plans, which relate to Cardiac Rehab.

5. Keeps abreast of the physician utilization of service, their specialty, and specific needs. Coordinates this information with departments and their supervisors to ensure smooth transition of the patient through the Cardiac Rehabilitation program.

Graduate of an accredited School of Professional Nursing, with a Baccalaureate Degree in nursing preferred.

Critical care experience with experience in cardiovascular assessment.

Certification in BLS, ACLS, Basic Dysrhythmia Course.

Knowledge of and ability to apply principles of adult education. Supervisory experience is recommended but not required.

Minimum License and Certificates Required

License to practice professional nursing in the State of Texas

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient's family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions:

1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

? Assessment: Conducting comprehensive, timely, and ongoing focused physical, psycho-social and pain assessments

? Planning: Utilizing the assessment, identifying problems, making nursing diagnoses, formulating goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.

? Implementation: Prioritizing and implementing a competent, prioritized and efficient nursing plan of care

? Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Serves as a resource to nursing personnel for implementing nursing care based on patient's needs, staff competencies, licensure and circumstantial/procedural complexities. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

1. Education: Graduate of an accredited diploma, associates, or baccalaureate degree (BSN) nursing program

RNs hired as of 01/01/2013 that do not have a BSN upon hire must do all of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN I - None (Must have CNO and Recruiting Director written approval)

B. RN II- Six months clinical experience as a licensed Registered Nurse

C. RN III- All of the following:

1) One year clinical experience in a licensed RN role within Methodist Healthcare System AND

2) Approval for and maintenance of RN level III through the MHS Nursing Clinical Excellence program

D. RN IV- All of the following:

1) Two years clinical experience in a licensed RN role within Methodist Healthcare System AND

2) Approval for an maintenance of RN level IV through the MHS Nursing Clinical Excellence Program

3) Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required:

1. Required: RN License to practice as a professional registered nursing in the state of Texas

2. Preferred: Certification in their specialty