Registered Nurse 2 - Specialty (U)

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The RN provides overall care with loving kindness. As a member of the team, the RN uses creative problem-solving to meet the individual needs and requests of patients. Helps support the hope and faith of patients cared for. Is responsive to patient readiness to learn when they are taught something new. Is respectful of individual patient spiritual beliefs and practices. Creates an environment for the patient that helps them heal physically and spiritually. Establishes a helping-trusting relationship with the patients during their stay with us. Responds to each patient as a whole person, helping to care for their needs and concerns. Encourages patients to speak honestly about their feelings, no matter what their feelings are. The RN is accepting and supportive of patient beliefs regarding a higher power if they believe it allows healing. RN 3 provides activities that meet Clinical Ladder criteria such as, recipient of appreciation or recognition letter and/or participation in a medical mission.

UNIVERSITY OF MIAMI

Leadership

Contributes concise, constructive feedback in the provision of care to other staff and leadership, assumes responsibility and delegates to appropriate personnel and follows up to assure completion. Serves as a clinical role model, mentor, and/or preceptor, teaches others and suggests process improvements, provides evidence-based practice suggestions and coaches others to improve, supports changes and recognizes contribution of others.

Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.

Establishes Therapeutic and Trusting Relationships Creates and maintains a climate conducive to healing through being present to the patient and family, identifying and managing discomforts; providing emotional support and information; guiding the patient and family through phases of illness and recovery/passage to death and in accordance with the patient's goals and culture. Mobilizes the patient's strengths and abilities towards participation in recovery and control over plan of care.

Diagnostic and

Monitoring Functions

Obtains accurate and relevant assessment data and interprets the data as normal vs. abnormal. Determines nursing diagnosis. Modifies patient treatment plans as indicated by patients’ responses and conditions, and physician orders.

Plans and Implements Therapeutic

Interventions

Collaborates with the patient, family, and members of health care team to develop an individualized plan of care including discharge planning. Implements nursing and medical interventions safely. Performs appropriate patient tests and safely administers medications within the scope of practice. Administers and maintains accurate records related to medications and treatments as per regulatory bodies, policies, procedures, and physician orders. Evaluates effectiveness of interventions and monitors patient for adverse responses and side effects.

Utilizes available technology platforms which include but are not limited to the use of a telephone, mobile smart device and/or web-based and digital platforms for telehealth encounter. Practices and evaluates telehealth nursing services when applicable in accordance with relevant standards.

The RN 3 participates in the development of policies, procedures, protocols and standards of care; examines and questions treatment to determine if they are within best practice.

Teaching and

Coaching: Patient and Staff Teaching

Assesses a patient's and family's learning needs and readiness to learn. Teaches needed information for self-care and illness prevention. Adjusts information and expectations based on responses from patient, developmental levels, physiological and psychological condition, and cultural variations while addressing and meeting the needs of any language barriers that may be present. The RN 3 teaches other staff members both incidentally and/or through formal roles such as preceptor or super-user. The RN 3 serves as a Charge Nurse or Resource Nurse when needed. Initiates unit-level

UNIVERSITY OF MIAMI

Monitors and Ensures Quality Healthcare Practices

Monitors own practices and assists in monitoring and evaluating others for practices related to patient and employee safety and compliance to standards and policies. Looks for opportunities for continual improvement in patient care and the work environment. Adheres to University and unit-level policies and procedures and safeguards University assets.

RN 3 provides activities that meet Clinical Ladder criteria such