Sp Unit Staff RN - Hospital (Labor & Delivery)

The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors:

Leadership:

• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws.

• Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability.

• Understands own and team members scope of practice and escalates issues as appropriate.

• Demonstrates professional, supportive behavior.

• Champions new ideas.

• Leads and directs others through the change process.

• Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes.

• Participates in problem identification and resolution.

• Mentors, orients, and coaches others in unit specific operations and patient care activities

• Shares responsibility and authority with subordinates and holds him/her accountable for performance.

• Demonstrates ability to problem solve with other departments in order to assist member problem resolution.

• Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities.

• Complies with regulatory requirements, policies, procedures, and standards of practice.

Nursing Process:

• Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan.

• Ensures plan shows multidisciplinary planning, consultation, and education.

• Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity.

• Ensures plan is discussed with patient, family/significant others, and completed in a timely manner.

• Monitors the patients progress based on the plan.

• Revises plan on ongoing basis based on patient condition and evaluation of progress.

• Ensures care meets standards of practice.

• Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan.

• Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections.

• Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge.

• Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge.

Documentation:

• Charting is accurate, legible, dated, and timed.

• Documentation reflects nursing process and interventions and evaluations taken.

• Utilizes computer systems effectively and efficiently for optimal patient care.

Clinical Outcomes: