Arkansas Children's Hospital Little Rock, AR

The RN III demonstrates a proficient level of nursing practice to efficiently provide safe, effective, and holistic patient and family centered care for the patients and families in Surgical Services and commonly cares for patients from newborn to adult with conditions requiring surgical intervention in services of: orthopedic, genitourinary, burn, ENT, neurosurgery, ophthalmology, plastic reconstructive, general, laser treatment, and/or dental. Based on increasing knowledge, skills, and experience, the proficient nurse perceives situations holistically and plans and adjusts accordingly. They are able to quickly recognize variations from the anticipated course, think critically, modify plans, make appropriate decisions, recognize salient patient care issues, and focus on long term goals. The RN III promotes nursing excellence by acting as a role model, participating in shared decision making and evidence based practice, coaching and mentoring of others and applying clinical leadership skills to assist with problem-solving in their assigned area(s).

Position Duties

1. Nursing Process and Clinical Responsibilities

* Nursing practice demonstrates and promotes excellence in the application of the ACH Model of Patient and Family-Centered Care. 1) Role models and encourages respectful and compassionate behaviors in increasingly complex situations.2) Collaborates and role models partnerships with patients, families, and other providers to plan, deliver, and evaluate highly individualized care that ensures achievement of effective self-care by patients and families. 3) Consistently plans and delivers high quality, comprehensive and holistic care for increasing complex patient situations. Anticipates needs across the care continuum for patients and families and acts a resource to others in doing the same.

* Consistently provides safe and effective nursing care at a proficient level.1) Role models and promotes practice which is current and consistently in accordance with policies and procedures, professional practice standards, State Practice Act/Rules and Regulations (e.g. Arkansas State Board of Nursing, American Nurses' Association Pediatric Scope and Standards, Code of Ethics for Nurses, The Joint Commission).2) Demonstrates proficient technical and procedural nursing skills. 3) Recognizes and responds appropriately to potential and actual safety risks to maintain and promote a safe environment. 4) Recognizes the importance of patient safety initiatives and promotes consistent compliance to ACH initiatives by self and others. 5) Facilitates care delivery which is individualized, timely, effective, efficient, coordinated and complete for increasing complex patients.6) Role models and promotes effective interdisciplinary communication to assure continuity of care to achieve desired patient outcomes.

* Proficiently assesses increasingly complex patients and serves as a resource to others to ensure developmentally appropriate and culturally sensitive care.1) Applies knowledge of growth and development at a proficient level.2) Practices and promotes care which is consistently sensitive to developmental and cultural issues of increasing complex patients/ families.3) Anticipates, incorporates, and promotes the use of appropriate diversional, play, or recreational activities into patient care.

* Proficiently uses and role models critical thinking in the application of the nursing process in increasing complex situations. 1) Analyzes increasingly complex patient/family information to identify problems and outcomes; evaluates complex variations and patterns in patient care data for clinical implications.2) Applies current knowledge in increasing complex patient conditions; Is self-directed in seeking additional knowledge for self and others to improve patient care skills.3) Develops and promotes active use of the plan of care to assure that desired patient/ family outcomes are achieved; Collaborates with the patient, family, and interdisciplinary team members for ongoing plans.4) Identifies and competently and promptly responds to changes in increasingly complex patient conditions. Acts as a resource and guides others in appropriate responses to changes in patient conditions.

* Provides individualized patient and family education at a proficient level in increasingly complex care situations, and serves as a resource in guiding others.1) Proficiently assesses patient and family learning needs and develops appropriate individualized education plans. 2) Assesses completeness of all patient and family education and recognizes additional needs in comprehensive interdisciplinary teaching.3) Develops patient education materials for individual and specific patient populations.4) Promotes effective patient education processes for increasingly complex patients.

* Advances evidence-based nursing practice using best available evidence, patient's and family's preferences and values, and team's clinical expertise at a proficient level.1) Collaborates with others to search for and apply evidence to guide clinical practice. 2) Shares search findings with peers and serves as a resource for others.3) Leads team to incorporate evidence into clinical decision making, policies, and practice initiatives.4) Participates and promotes the implementation of practice changes. 5) Role models and engages others in evaluation of practice changes. 5) Serves as a role model for evidence-based practice.

2. Professional Nursing Practice

* Exemplifies, supports, and serves as a resource for understanding the ACH Professional Practice Model; mentors other in application to practice.1) Evaluates own performance to identify areas of strength and needs for professional development; Provides input for peer evaluations and mentors others.2) Role models actively seeking constructive feedback to improve their own practice and provides constructive feedback to others to improve patient care: Participates in organizational efforts to evaluate performance. 3) Serves as a mentor to others in portfolio and goal development. Maintains personal records/portfolio to identify accomplishments, ongoing growth needs, and future goals.4) Actively seeks experiences to maintain and enhance clinical skills and competence in a variety of settings, and guides others to do the same.5) Completes certification and pursues advanced education as appropriate in area of specialty.

* Proficiently mentors, coaches, precepts, and teaches healthcare professionals and students in the care of increasingly complex patients.

* Demonstrates increased responsibility through participation and leadership in interdisciplinary Shared Decision Making councils, committees, and hospital initiatives and serves as a resource to others.

* Promotes professional behaviors to promote a positive, professional work environment.

* Role models and promotes a positive image of nursing and ACH.

* Participates and leads in improvement of patient care, nursing practice and the work environment.1) Serves as a resource and coaches others in identifying and providing feedback on areas of improvement. 2) Role models and promotes active participation in improvement activities (performance improvement, quality improvement, evidence-based practice, research) and key hospital initiatives to impact outcomes.3) Promotes evaluation and implementation of equipment, products, and technology. Serves as a Super User for training and evaluation.4) Leads efforts to share findings of improvement activities.5) Promotes evidence-based improvement activities.

3. Leadership in Patient Care

* Role models and promotes accountability for quality of patient care across settings and caregivers.1) Serves as resource for team promoting advocacy for patients, families, and ACH Team.

* Demonstrates proficient leadership skills in the practice setting, including when assigned as or assisting other Team Leaders for a specified shift. 1) Partners with the staff to make patient assignments which assure positive patient outcomes and effective teamwork.2) Proactively anticipates and communicates staffing needs to promote safe, quality family and patient centered care.3) Proficiently ensures all quality and compliance issues are addressed within the designated time frame.4) Effectively maximizes the use of resources to best meet the patient and family needs within set acuity and budgetary guidelines and supports ongoing team development.5) Proficiently communicates with the patient, family and other team members to anticipate needs, reach set goals, resolve conflict and/or respond to the need for additional resources. 6) Proactively serves as a mentor and resource for clinical issues, unusual or high risk occurrences, complaints, or staff issues and seeks assistance from others as needed.

* Roles models leadership skills in the practice setting.1) Supports and engages others in adoption of practice changes. 2) Serves in key roles and mentors others in active participation on councils, committees, and hospital initiatives. Facilitates effective meeting processes.3) Routinely evaluates and provides ongoing peer feedback and coaching and actively participates in peer performance evaluation processes. 4) Helps to facilitate and promote positive and effective applicant peer interviews, on-boarding, recruitment and retention activities.5) Promotes a transparent culture of patient safety by role modeling the acknowledgment, acceptance and disclosure of mistakes by self and others and encouraging peers to do the same. 6) Proficient in the use of leadership skills to successfully guide individuals, groups, and activities to achieve patient goals and positive outcomes.

* Active in professional activities and promotes participation by others.1) Actively engaged in and routinely promotes participation in professional nursing organizations.2) Role models and promotes networking and participation in community organizations which promote health and wellness.

Position Qualifications

Education Requirements Associate's degree or equivalent from two-year college program or technical school or nursing diploma • Field of Study: RNNote: Must complete certification specific to patient population by July 1, 2016. Required Bachelor's degree from four-year college or university • Field of Study: BSN Preferred

Experience Requirements 3 years total experience required required as an RN and / or demonstrated performance of 100% at the previous level within the Nursing Achieve career ladder. •

* which includes 3 years of nursing experience


Certification/License/Registry Requirements RN License (AR or Compact State) • Candidate must possess at time of hire Required Certification specific to patient population Preferred

Physical Requirements Physical Activity - Stand Frequently Physical Activity - Walk Frequently Physical Activity - Sit Frequently Physical Activity - Use hands to touch, handle, or feel Frequently Physical Activity - Reach with hands and arms Frequently Physical Activity - Stoop, kneel, crouch, crawl, twist, or bend Occasionally Physical Activity - Talk or hear Regularly Physical Activity - Taste or smell Occasionally Physical Environment - Inside Office Environment / conditions Regularly Physical Environment - Risk of radiation Occasionally Physical Environment - Infectious disease Frequently Physical Environment - Blood or bodily fluid Frequently Lifting/Pushing/Pulling Weight - Up to 35 pounds Frequently Noise Level - In general, the noise level for this position is considered to be: Moderate

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