Nurse Resident Intern in CHEROKEE, North Carolina at Cherokee Indian Hospital Authority

Primary Function

The nurse resident performs care for patients/ clients throughout the life span with supervision under the guidance of the nurse residency program at Cherokee Indian Hospital Authority main campus and offsite campuses as required during the 1-year residency. The nurse resident is responsible for maintaining educational requirements and competency as designated through policy and procedures for assigned units during residency. The nurse resident provides high quality care through evidenced based practice and is responsible for maintaining a high standard of care and comprehensive nursing care throughout assigned units as their work directly effects the physical and psychosocial well-being of the community.

Job Description

• Will be required to complete all assigned educational activities and classes as part of the nurse residency guidelines.
• Performs nursing care in accordance with established nursing care standards. Provides nursing care to patients on their assigned unit and will participate in various patient care situation as directed and supervised by their assigned preceptor under the guidance of the department nurse manager and manager of nursing professional development or their designee to provide safe, high quality and efficient care.
• Demonstrates ability and willingness to adapt to special circumstances, such as patient emergencies, fluctuations in census and acuity levels of patients, and disasters.
• Will be required to rotate between nursing departments including outpatient and the emergency department. Will participate in required training for services within the assigned nursing department. The nurse resident will be assigned a training schedule for orientation of nursing units as represented in the nurse residency guidelines
• Works on a regularly assigned or rotational basis to provide continuity of services during evenings, nights, weekends, and holidays. May be required to participate in educational days outside of standard working hours
• The nurse resident will be evaluated at least every 90 days for performance within the currently assigned nursing unit with a final evaluation at one year of hire date and then yearly as designated by standard evaluative processes
• Performs ongoing assessment by actively participating in the determination of meeting the nursing care needs based upon collection and interpretation of data relevant to the health status of the client.
• Collects data from relevant sources regarding the biological, psychological, social and cultural factors and determines the influences these factors have on the health status of the individual.
• Collects data through observations of appearance and behavior, measurements of physical structure and physiological function, and information regarding available resources.
• Interprets data, recognizes existing relationships between data collected and the client’s health status and treatment regimen, and determines the client’s need for immediate nursing interventions with supervision from assigned preceptor.
• Reviews the patient’s health records and health summary, interviewing patients and family members, documenting the chief complaints, medical history, physical and clinical findings, identifying learning needs of the patient and family, and determining priority of care required with supervision by assigned preceptor. Assessment for health prevention, health promotion, restorative, and health maintenance needs are emphasized.
• The nurse will plan patient care according to individual assessed patient needs and established hospital policies and procedures with supervision from assigned preceptors.
• Initiates plan of care based on assessment of the patient for specific illnesses, injuries, and diseases and human behavior and appropriate standards of care with supervision by assigned preceptor.
• Develops expected patient outcomes that are observable and within an adequate period and are congruent with the patient’s present and potential physical capabilities and behavioral patterns with supervision by assigned preceptor.
• Plans for care to provide for the basic needs of patients including health prevention, health promotion, protection, comfort, nutritional, fluid and electrolyte balance, physiological functions, activity, rest, and sleep, hygiene, oxygenation, management of health, growth and development, and coping with supervision by assigned preceptor.
• Implements nursing care according to the established health care plan.
• Performs nursing interventions with supervision by assigned preceptors.
• Detects changes in the patient’s condition and takes appropriate action.
• Recognizes, identifies and interprets serious situations and immediately decides proper action with supervision by assigned preceptor.
• Initiates appropriate resuscitative measures in an emergency.
• Initiates appropriate action when safety measures are required to protect patients.
• Documents observations, nursing interventions, patient progress, needs, treatments, diagnoses, possible side effects of treatment, teaching, patient response, effectiveness, complications and communicates information to the required health care professional discipline
• Administers and documents medications per manufacturer guidelines, hospital policy and established protocols and according to State Board of Nursing regulations with supervision by assigned preceptor.
• Documents all known drug allergies on the medical record and according to protocol.
• Assures that all medications, treatments and tests are done appropriately and in a timely manner, detects, and reports medication errors.
• Administers, manages and titrates intravenous cardiac medications or other medications requiring cardiac monitoring after administration with supervision by assigned preceptor.
• When necessary, administers ambulatory care (after hours and weekend) infusions according to established nursing care standards with supervision from assigned preceptor.
• Provides counseling, teaching, and anticipatory guidance to patients and families on preventive, curative and rehabilitation measures involved in health care. Documents all patient education activities within the patients/family’s level of understanding.
• Accepts guidance, leadership, and training from other nursing personnel.
• Coordinates health care needs through referrals to support services, community, and tribal resources to promote continuity of care.
• Maintains a safe environment through the practice of Universal Precautions and Body Substance Isolation, medical waste/chemical management, and containment. Isolates infected patients. Cleans patient contact areas and equipment according to policies and OSHA regulations.
• Participates in the development and implementation of performance improvement activities. Identifies and reports risk management issues.
• Assumes responsibility for the adequacy and appropriateness of supplies and ensures proper functioning of all medical equipment. Maintains cleanliness and orderliness of work areas.
• Promotes patient advocacy and confidentiality.
• Serves on Committees as appointed.
• Maintains and promotes positive and constructive communications and activities within Nursing services, other departments, tribal, and community agencies for purposes of coordinating and understanding of goals and objectives relevant to the population served.
• Functions appropriately during disasters.
• Evaluates patient care provided.
• Directly observes and evaluates patient care.
• Revises nursing care to reflect changes in patient needs.
• Documents nursing care and patient progress according to hospital policy.
• Participates in ongoing nursing quality assurance programs.
• May be necessary to work when administrative leave is granted if patient care would be compromised.

Education/Experience

• Graduated from an accredited bachelor's or associate degree program in nursing.
• Applicant must have an unrestricted valid Registered Nurse license within the state of North Carolina or a state that is accepted as reciprocity.
• Current Basic Life Support (BLS) minimally required upon hire, must obtain Advanced Cardiac Life Support (ACLS) and Pediatric Advance Life Support (PALS) which can be acquired through the facility following appointment to position. ACLS and PALS will be required within 6 months of transition to residency.
• Crisis Prevention Institute (CPI) Training which can be acquired through the facility is required within 1 year of start date.
• Other department required education or certifications at the discretion of the nursing professional development manager must be completed in a timely manner
• Proficiency rated at 2 years for a new graduate to reach the journeyman’s level.
• Applicant must have a valid North Carolina driver’s license.

Job Knowledge

• Knowledge of principles, practices, techniques, and theories of professional nursing in order to plan and provide nursing care to meet the physical, emotional, spiritual, and socio-cultural needs of patients of all ages; specifically, Infancy (Birth-1 year), Toddler and Early Childhood (2 years), Latency (6-9 years), Preadolescence (10-12 years), Early Adolescence (13-15 years), Adolescence (16-20 years), Adult (21-64 years), and Elderly (65-+ years).
• basic knowledge of the nursing process and its application to clinical practice.
• basic knowledge of the biological aspects of the disease process and illness to recognize complications and therapeutic interventions required.
• Basic knowledge of medications and dosages to recognize desired effects, side effects, and complications of their use.
• Basic knowledge and ability to analyze the results of various medical procedures and translate into appropriate nursing interventions.
• Basic knowledge and ability to independently plan, manage, and organize work to meet priorities, accomplish work within established periods, and work in stressful situations.
• Basic knowledge of the occupational functions of multi-disciplinary health care team. Knowledge of the culture and medical health profile of the patient population.
• Basic knowledge and ability to teach and counsel patient/family on health maintenance and disease prevention.
• Basic knowledge of available health care programs and community resources.
• Basic knowledge of processes and procedures for establishing, revising, continually monitoring, and evaluating standards for the practice of nursing.
• Basic knowledge and skills in operating specialized medical equipment, such as monitoring devises incubators, suction pumps, oxygen equipment, etc.
• Basic knowledge of problem-oriented medical record methods. Knowledge of legal and ethical aspects of nursing.

Complexity of Duties

The nurse resident provides a full range of comprehensive nursing care that includes assessing patient needs, development of a plan of care, administration of medications and therapeutic measures, operation of specialized medical equipment, evaluation of the plan of care to ensure that the physical and psychosocial needs of the patient are met and counseling and teaching of patient and families under the supervision of the assigned preceptor. The nurse resident must recognize and respond appropriately to patient conditions that deviate from normal and identify, analyze, and report on causative factors and reactions.

Guidelines consist of professional standards of practice as determined by the nurse practice act, nursing and medical policy and procedures, standing orders, and hospital and agency policies.

Complies also with federal, state, accrediting and local regulations. These guidelines are not always specifically applicable to the individual patient, or situation, and independent judgment is required in selecting the most appropriate guidelines and applying the intent of the guideline to the specific situation at hand. The nurse receives assistance from the Director, Division of Nursing, or his/her designee with difficult or unusual problems.

Supervision Received

The nurse resident plans, schedules, and provides nursing care in coordination with the medical care plan and attempts to solve problems only within established procedures. This is done under the supervision of the assigned preceptor, Director, Division of Nursing, or his/her designee. The work is evaluated for technical soundness and adherence to professional standards.

Responsibility for Accuracy

The incumbent has a positive effect upon the recovery of the patient, is responsible for following policies and procedures, which serve as hospital guidelines, and prevents errors from occurring. Errors can have a negative patient outcome since the incumbent’s performance affects the health, recovery, and rehabilitation of patients, and the quality of care provided. Evaluations and observations are used to modify and develop clinically appropriate treatment plans. Work will be verified or checked by the assigned preceptor, supervisor, other health care providers or systems checks, but the responsibility for accuracy relies solely on the incumbent.

Contact with Others

Contacts are with patients, families, hospital personnel, and community agencies. Contacts with patients, families, and hospital personnel are to exchange, provide, and obtain information concerning the patient’s physical and psychosocial health care problems, and needs. The nurse resident uses teaching and counseling methods to influence and motivate patient and family behavior. Contacts with other health care or related disciplines within the hospital are for the purpose of collaboration and consultation.

Confidential Data

The incumbent has access to highly confidential patient medical and personal information. The Privacy Act of 1974 mandates that the incumbent shall maintain complete confidentiality of all administrative, medical, and all other pertinent information that comes to his/her attention or knowledge. The Act carries both civil and criminal penalties for unlawful disclosure of records. Violations of such confidentiality shall be cause for adverse action.

Mental/Visual/Physical

Working in the various services within the nursing department requires considerable walking, standing, bending, pushing, and lifting in helping patients to and from beds, wheelchairs, and stretchers. These same activities are required in moving equipment and medical supplies. May occasionally move more than 15 pounds.

Environment

The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, irritant chemicals, and explosive gases.

Customer Service

Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA’s guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.