General Summary Essential Functions & Accountabilities

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Novice NursePosition Number: xxxx.2913Department: Patient Care ServicesDepartment Number:Direct Supervisor:Pay Grade: 75FLSA Status: Non-ExemptApproval Date of Job Description: 04-2020General SummaryAs a Novice Nurse the expectation will be successful demonstration of clinical skills, criticalthinking and judgement to perform professional nursing practice. This scope is based onPatricia Benner’s Nursing Theory. Upon successful completion of a 90 day probation,departmental orientation, and deemed as competent, progression to an RN, Patient Care will beexecuted.Essential Functions & Accountabilities1) Provides individualized nursing care by utilizing evidence based practices with guidance2) Demonstrates the ability to implement interventions identified in the Plan of Care3) Ability to systematically evaluate the quality and effectiveness of nursing practices afterdiscussion with preceptor &/or experienced nurse4) Reflects knowledge of current professional practice standards, laws & regulations5) Provides competent care as outlined by residency/ fellowship standards6) Practices decision making and takes action based on ethical principles & standards of careappropriate for the population served7) Collaborates with the patient and family in providing care based on Bayhealth’s core values8) All other duties as assigned within the scope and range of job responsibilitiesMinimum Education and tware Knowledge:Preferred*Associate Degree /Graduate of anaccredited nursingprogram/university*Must commit to a BSN withintimeframe as indicated within BSNagreementBSN degreeBasic computer literacyExperience with EPIC

Licensure/CertificationRN in DE or compact stateBLS required*ACLS / PALS may be required permanager’s direction and timeframeSpecial Knowledge, Skills, and/or Abilities Completion of High Reliability CourseDepartmental standards as outlined by Specialty related activitiesMust be proficient in reading, writing, and speaking English.Demonstrated good work ethicsFlexibility to adhere to required shiftsEnvironmental and Physical RequirementsOccasional (1-33%): Crawling, Squatting, Bending/Stooping, Reaching above shoulder height,Crouching, Kneeling, Balancing, Lifting/Carrying up to 60 lbs., Simple graspingFrequent (34-66%): Lifting/Carrying up to 10 lbs., Pushing/Pulling up to 60 lbs., Firm graspingConstant (67-100%): Standing, Walking, ReachingRequired Protective EquipmentStandard PrecautionsEssential Functions:Standing, Walking, Sitting, Bending, Kneeling, Reaching, Gripping, Lifting.Exerting up to 60 lbs. force to lift, carry, push or pull for a two person assist.Working ConditionsRegularly exposed to the risk of bloodborne diseases. Contact with patients under wide varietyof circumstances. Exposed to communicable disease. Subject to varying and unpredictablesituations. Handles emergency or crisis situations. May perform emergency care.Occasionally subjected to irregular hours. Works under pressure of time and accuracy, oftenunder stressful conditions.Depending on specialty may be exposed to dust, fumes, gases, and chemicals. Protectiveprotocol established.Age-Specific CompetenciesChild (1 month – 12 years)Adolescent (13-17 years)Adult (18 – 64 years)Geriatric (65 years)

Required Annual Mandatory EducationFire Safety, Infection Control, Right-to-KnowCorporate ComplianceService Excellence/PlanetreeCode Red Response/Fire ExtinguisherBack Safety CompetencyLatex Allergy SLPEmployee SignatureDate

Registered NursePosition Number: xxxx.0160Department: Patient Care ServicesDepartment Number:Direct Supervisor:Pay Grade: 080FLSA Status: Non-exemptApproval Date of Job Description: 10-2019General SummaryThe Registered Nurse provides professional nursing care to patients within a assigned unit witha commitment to quality and safety. Professional nursing practices, requiring specializedknowledge judgment and skill are performed using the process in accordance with hospitalpolicy, procedures and nursing philosophy.Essential Functions & Accountabilities1.2.3.4.5.6.7.8.9.Develops a patient centered plan of care based on individualized needs.Performs nursing interventions to achieve optimal patient outcomes.Demonstrates quality, safe and effective patient care.Exhibits positive interactions to promote a healthy work environment.Demonstrates standards of excellence which includes practicing nursing with core values ofcompassion, accountability, respect, teamwork and integrity.Demonstrates understanding and executes quality and performance improvement plans.(only for RN evaluation)Participates in decision making and takes actions based on ethical principles. (only for RNevaluation)Provides timely and accurate documentation of patient care.All other duties as assigned within the scope and range of job responsibilities.Minimum Education and ExperienceMinimumEducation:Experience:*Associate Degree /Graduate ofan accredited nursingprogram/university*Must commit to a BSN withintimeframe as indicated withinBSN agreementMust have 1 year of RNexperience or completed allBayhealth Novice RNPreferredBSN1 year experience in relevantspecialty

Computer/Software ter literacy withexperience in electronicdocumentationCurrent DE RN licensure oreligibility to obtain prior to jobofferBLS required*ACLS / PALS may be requiredper manager’s direction andtimeframe*Commit to seeking specialtycertification within time frame asindicated during interviewExperience with EPIC HERdocumentationNursing certification in relevantspecialtySpecial Knowledge, Skills, and/or Abilities Ability to effectively communicateMust be proficient in reading, writing, and speaking English.Demonstrated good work ethicsFlexibility to adhere to required shiftsEnvironmental and Physical RequirementsOccasional (1-33%): Crawling, Squatting, Bending/Stooping, Reaching above shoulder height,Crouching, Kneeling, Balancing, Lifting/Carrying up to 60 lbs., Simple graspingFrequent (34-66%): Lifting/Carrying up to 10 lbs., Pushing/Pulling up to 60 lbs., Firm graspingConstant (67-100%): Standing, Walking, ReachingRequired Protective EquipmentStandard PrecautionsEssential Functions:Standing, Walking, Sitting, Bending, Kneeling, Reaching, Gripping, Lifting.Exerting up to 60 lbs. force to lift, carry, push or pull for a two person assist.Working ConditionsRegularly exposed to the risk of bloodborne diseases. Contact with patients under wide varietyof circumstances. Exposed to communicable disease. Subject to varying and unpredictablesituations. Handles emergency or crisis situations. May perform emergency care.Occasionally subjected to irregular hours. Works under pressure of time and accuracy, oftenunder stressful conditions.Depending on specialty may be exposed to dust, fumes, gases, and chemicals. Protectiveprotocol established.

Age-Specific CompetenciesChild (1 month – 12 years)Adolescent (13-17 years)Adult (18 – 64 years)Geriatric (65 years)Required Annual Mandatory EducationFire Safety, Infection, Control right-to-knowCorporate ComplianceService Excellence/PlanetreeCode Red Response/Fire ExtinguisherBack Safety CompetencyLatex Allergy SLPEmployee SignatureDate

Nursing Assistant/Unit SecretaryPosition Number: xxxx.0300Department:Department Number:Direct Supervisor:Pay Grade: 020FLSA Status: Non-ExemptApproval Date of Job Description: 09-2019General SummaryThe Nursing Assistant/Unit Secretary (NA/US) position involves the delivery of clinical nursing assistantservices to patients. The NA/US functions under the supervision of a licensed nurse or therapist whoprovides care which does not require the judgment and skills of a licensed professional. Aftercompetency verification, the nursing assistant may deliver patient care services to the infant, pediatric,adolescent, adult, and geriatric populations.The care may include, but is not limited to, the following: bathing, dressing, grooming, toileting,ambulating, transferring, feeding, observing, and reporting the general well-being of the person(s) towhom they are providing care. Coordinates clerical duties of a diverse and confidential nature tomaintain efficiency of patient care areas.Job Specific Accountabilities1. Follows nursing assistant plan of care established by the Registered Nurse within a specifiedtimeframe; including, but not limited to, mouth care, bathing, AM and PM care, assistance withambulation, transfers to chair and/or bed, taking and documenting vital signs, and recordingaccurate intake and output. Documents all patient care delivered according to establishedpolicies and procedures.2. Performs duties with the knowledge and skills necessary to provide care appropriate to the ageof patients served on the assigned units.3. Maintains a safe, comfortable and therapeutic environment for patients and families inaccordance with hospital standards.4. Communicate relevant patient information to a professional nurse within appropriate time basedon level of urgency. Reports problems immediately to a professional nurse.5. Answer intercom or call lights in a timely, courteous manner, with appropriate communication topatient and/or professional nurse.6. Performs patient care based on established guidelines to diagnostic and therapeutic exams;i.e., NPO for labs or x-rays, OR, diet changes related to tests, enema-related tests.7. Perform safety and suicide precaution sitter duties as assigned.8. Assists other members of nursing team and/or ancillary departments as requested.9. All other duties as assigned, within the scope and range of job responsibilities.Minimum Education and ExperienceEducation:MinimumHigh School Diploma, GED, or equivalentcertificationNursing Student who has completed firstrotation of clinicals, or completed a1PreferredSuccessful completed of medicalterminology classBlood Glucose Monitory trainingHIPAA training

twareKnowledge:formalized Nursing Assistant trainingprogram.Six months experience in providing basiccare to patients in a clinical setting, orcompletion of first semester of clinical orcompletion of a formalized NA program.BLS required.Eligible for certification as a NursingAssistantBasic computer skillsMore than six months in providingbasic care to patients in a clinicalsetting. Experience in Home HealthCare, acute care, rehabilitation, orNursing home.Certified as a Nursing Assistant inthe State of Delaware.Familiarity with STAR order system.Special Knowledge, Skills or Abilities: Data Entry, Medical Terminology Ability to work independently; clerical procedures to include answering phones and filing excellentcustomer service skills. Must be proficient in reading, writing, and speaking English.Environmental and Physical RequirementsOccasional (1-33%): Crawling, Squatting, Bending/Stooping, Reaching above shoulder height,Crouching, Kneeling, Balancing, Lifting/Carrying up to 60 lbs., Simple graspingFrequent (34-66%): Lifting/Carrying up to 10 lbs., Pushing/Pulling up to 60 lbs., Firm graspingConstant (67-100%): Standing, Walking, ReachingRequired Protective EquipmentStandard PrecautionsEssential Functions:Standing, Walking, Sitting, Bending, Kneeling, Reaching, Gripping, Lifting.Exerting up to 60 lbs. force to lift, carry, push or pull for a two person assist.Working ConditionsRegularly exposed to the risk of bloodborne diseases. Contact with patients under wide variety ofcircumstances. Exposed to communicable disease. Subject to varying and unpredictable situations.Handles emergency or crisis situations. May perform emergency care. Occasionally subjected toirregular hours. Works under pressure of time and accuracy, often under stressful conditions.Depending on specialty may be exposed to dust, fumes, gases, and chemicals. Protective protocolestablished.Age Specific Patient PopulationChild (1 month – 12 years)Adolescent (13-17 years)Adult (18 – 64 years)Geriatric (65 years)2

Required Mandatory EducationFire Safety, Infection Control, Right-to-KnowService Excellence/PlanetreeCode Red Response-Fire ExtinguisherBack Safety CompetencyLatex Allergy SLPEmployee's SignatureDate3

ADVANCED EMERGENCY DEPARTMENT TECHNICIANPosition Number: 6245.1205Department: Emergency DepartmentDepartment Number: 6245Direct Supervisor: Nurse ManagerPay Grade: 045FLSA Status: Non-exemptApproval Date of Job Description: 09-2019General SummaryThe Advanced Emergency Department (ED) Technician involves the delivery of clinical nursing assistantservices to patients. The Advanced ED Technician functions under the supervision of a licensedregistered nurse or therapist; they provide care, which does not require the judgment and skills of alicensed professional. After competency verification, the Advanced ED Technician may deliver patientcare services to the neonate, infant, pediatric, adolescent, adult, and geriatric populations. The care mayinclude, but is not limited to, the following: obtaining and recording in the EHR, blood pressure, pulse,temperature and pulse oximetry, drawing blood, EKG, transporting patients, obtain urine and stoolspecimens, perform point of care testing, assist with ED procedures consistent with the scope of theemployee’s position, measure and assist in applying sling, cervical collar, splints and crutches, bathing,dressing, grooming, toileting, ambulating, transferring, feeding, observing, and reporting the general wellbeing of the person(s) to whom they are providing care.Essential Functions & Accountabilities1)Provide general basic nursing care, such as positioning patients, lifting and turning, assisting inuse of bedpan, commode, urinal or bathroom, and weighing.2)Perform routine, uncomplicated treatment procedures including enemas, application of hot andcold compresses, holding limbs for casting, wound cleansing, taking vital signs includingorthostatic vital signs and rectal temperatures and splinting of extremities. Collects and recordsintake and output, and chaperones pelvic and rectal examinations.3)Set up for suturing and procedures, using sterile technique; dismantles procedure set, caring forsoiled instruments safely and correctly.4)Accurately complete requisitions for ordered exams, including lab, imaging, cardiopulmonary,and other requisitions as required.5)Immediately report any observed changes in condition or behavior of patients and documents anycare given in an acceptable medical legal fashion. Immediately reports any unusual incidents.

6)Transport patients using wheelchair or stretcher within hospital and to/from vehicles; Assist thosepatients requiring help with ambulation.7)Restocks linen and supplies to exam rooms; fills blanket warmer and IV trays; provides generalcleaning, including emptying trash, straightening waiting area, etc. Washes and changes stretcheror exam table linen and empties dirty laundry.8)Performance of venipuncture for the purpose of insertion of IV Catheter and the withdrawal ofblood and to monitor the patient’s condition before, during and after the withdrawal of blood.10)Ability to read and interpret documents such as doctors’ orders, drug names, and lab tests.11)Administer maintenance intravenous fluids per provider order, under the direction of the primarycare Registered Nurse.11)All other duties as assigned within the scope and range of job responsibilitiesMinimum Education and ExperienceMinimumEducation:Experience:Graduate of accredited school ofnursing or nationally registeredParamedicNew GraduateComputer/Software Knowledge:Basic computer literacyLicensure/CertificationBLS required.Must be a graduate of accreditedschool of nursing; or completionof an accredited paramedicprogram. Must be a LicensedPractical Nurse (LPN) in DE, orcompact state; or a NationallyRegistered Paramedic(NREMTP).Preferred1 years LPN experience;Paramedic experienceBasic computer skills inMicrosoft Word & Excel, orsimilar software.Special Knowledge, Skills, and/or Abilities Moderate knowledge of medical terminology; Blood Glucose Monitoring; HIPPA. Must beproficient in reading, writing, and speaking English.

Environmental and Physical Requirements (Working Conditions)Regularly exposed to the risk of bloodborne diseases; Contact with patients under wide variety ofcircumstances. Exposed to unpleasant elements (accidents, injuries, illnesses), subject to varying andunpredictable situations. Handles emergency or crisis situations, may perform emergency care. Possessthe ability to work accurately and in an organized fashion in a high-paced and often stressfulenvironment; May be subjected to irregular hours, occasionally.Physical RequirementsOccasional (1-33%): KneelingFrequent (34-66%): Sitting, bending, climbing, gripping and carryingConstant (67-100%): Standing, walking, reaching, lifting, pushing and pullingEssential Functions: Standing, walking, sitting, bending, kneeling, climbing, reaching, gripping, lifting,carrying, pushing and pullingTasks not required: Climbing and crawlingRequired Personal Protective Equipment: Per Bayhealth PoliciesAge-Specific CompetenciesNeonate (birth - 28 days)Child (1 month – 12 years)Adolescent (13-17 years)Adult (18 – 64 years)Geriatric (65 years)Required Annual Mandatory EducationFire Safety, Infection, Control right-to-knowCorporate ComplianceService Excellence/PlanetreeCode Red Response/Fire ExtinguisherBack Safety CompetencyLatex Allergy SLP

Employee SignatureDate

Patricia Benner’s Nursing Theory. Upon successful completion of a 90 day probation, departmental orientation, and deemed as competent, progression to an RN, Patient Care will be executed. Essential Functions & A

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