Registered Nurse - Emergency Services

Willmar, Minnesota
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Mar 13, 2018
Job Type
Part Time
The R.N. II is the basic level of professional nursing practice. She/he identifies and

implements nursing interventions that have less predictable outcomes, and evaluates the results of these interventions for a given patient population. A nurse at this level may be required to assume leadership responsibility.


A. REPORTS TO: Director, Assistant Director, Program Coordinator, or designee.

B. SUPERVISES: LPN's, LPNA's, Nursing Assistants, Patient Care Associates, and other ancillary staff

C. INTERRELATIONSHIPS WITH: All nursing staff, all ancillary and clerical departments' staff, physicians, patients and families.

HOURS OF WORK: Variable - rotating 8/10 and/or 12 hour shifts.
DRESS CODE: Per unit dress code.
ESSENTIAL REQUIREMENTS OF WORK (Minimum qualifications necessary to function at full


A. EDUCATION AND TRAINING: Graduate of an accredited school of nursing. Current licensure in the State of Minnesota.

B. EXPERIENCE: Maintains RN I criteria and meets RN II criteria.

C. JOB KNOWLEDGE (Specific): Working knowledge of professional nursing theory and practice.

Ability to communicate effectively orally and in writing. Ability to establish and maintain effective working relationships with patients, employees, public, and other providers.

A knowledge of growth and development; specifically an understanding of the cognitive, physical, emotional and chronological maturation process. An understanding of the range of treatment needed by patients of all ages in relation to the growth and development processes to include neonate, child, adolescent, adult and geriatric patients.


Registered Nurse II 8242-43
CLIENTELE DIRECTLY AFFECTED BY JOB: Patients/families, physicians, multidisciplinary treatment

PHYSICAL DEMANDS OF THE JOB: Sustained physical effort, seldom seated, continuous activity,

PHYSICAL ENVIRONMENT OF THE JOB: Fair working conditions with frequent exposure to

disagreeable elements and danger.

pumps/exercisers/suctions/respiratory/heating and cooling/vital sign measurement equipment, computer, bar code scanners, copy machine, medication dispensing machines, beds, carts, lifting devices, wheelchairs, telecommunication devices.


A. JUDGEMENT AND INITIATIVE: Requires continuous mental effort for decision making and problem solving in a variety of patient care situations, many of which are complex and/or stressful in nature.

B. INDEPENDENT ACTION: Needs to perform at independent level with minimal direction.

C. EFFECT OF ERROR: High liability for nurse and hospital for patient care errors - error


D. CONTACT WITH OTHERS: Frequent multiple contact with other care providers and ancillary support staff, patients/families.


A. RESPONSIBILITY: Responsible for all RN II criteria and accountable to Director, Assistant Director, Program Coordinator, or designee.



B. RESPONSIBILITY: Nursing Practice and Patient Care Responsibilities

TASKS: 1. Assessment/Diagnosis

A, Establishes relationship with patient and family and introduces self and explains role. B. Applies effective interviewing skills to elicit information from the patient and/or family/significant other that is necessary to plan, implement, and evaluate nursing care. C. Performs the initial nursing and physical assessment. D. Identifies relationships and implications of collected data for patient care through the

Registered Nurse II 8242-43

nursing interview.

E. Identifies and interprets abnormal diagnostic data and incorporates it in the written assessment.

F. Identifies verbal and nonverbal communication problems of patient and/or family.

G. Integrates assessment data and identifies all appropriate priority nursing diagnoses. H. Identifies implications of patient age in assessment of needs and identification of nursing diagnoses. I. Assesses the needs of a specific patient population by:

1) Establishing appropriate prioritization of their patient assignment.

2) Collaborating with physician, care managers, unit coordinator and other

members of the health team as appropriate.

2. Planning

a. Identifies expected outcomes for planned nursing interventions.

b. Interprets data obtained by self & others and incorporates this in the nursing care plan.

c. Participates in the organization and implementation of formal teaching plans. d. Identifies nursing interventions appropriate to patients age.

e. Collaborates with patient/family, care manager, social worker, unit coordinator

and others to coordinate/plan patient care, patient discharge and documentation of same.

f. Establishes priorities for patient care plan.

g. Establishes thorough patient care plan within 8 hours of admission.

h. Communicates and directs the Patient Care Plan to other members of the multi-

disciplinary team.

Registered Nurse II 8242-43

3. Implementation

a. Establishes priorities and implements nursing actions on the patient care plan by either direct care or delegation of responsibility.

b. Communicates accurate information about the nursing care plan to the patient

and/or family.

c. Documents patient care problems utilizing assessment data.

d. Demonstrates the ability to utilize the requisite technology relevant to the specific clinical area (see unit skills checklist).

e. Implements and/or assists others to implement the teaching plan.

f. Recognizes the need for post hospitalization care and follow-up.

g. Works with care manager, social worker and others, and makes recommendations

for referrals, etc.

4. Evaluation

a. Interprets initial assessments and revises these assessments based on patient's response.

b. Utilizes data obtained from patient, family, and/or significant others to re-evaluate

patient care.

c. Collaborates with nursing colleagues and multidisciplinary team members regarding effectiveness of the Patient Care Plan for each patient.

d. Evaluates and documents to what extent nursing goals have been met for a select

group of patients.


C. RESPONSIBILITY: Pain Management

TASKS: 1. Provides appropriate and attentive pain management which includes:

a. Accepts the patient's report of pain b. Relieves the physical and psychosocial symptoms associated with pain

while optimizing individual and family functioning. c. Promotes active participation by patients and their families in selecting

pain management strategies and in communicating new or unrelieved pain.

d. Provides consistent state of the art care through the multi disciplinary care team and universal guidelines for pain management.

Registered Nurse II 8242-43

e. Educates patients, families and care givers about pain management and continually reinforces the development and application of knowledge.

D. RESPONSIBILITY: Professional Responsibilities


1. Self-Development

a. Participates in a formal self-evaluation by identifying areas of strength and


b. Seeks supervision of own actions and sets goals for self-improvement.

c. Participates in educational programs and workshops to increase professional competence and meet personal needs and goals.

d. Understands the legal consequences of nursing actions.

e. Seeks consultation with nursing colleagues as appropriate. f. Participates in the identified Patient Care Delivery System:

1) Makes decisions regarding the patient=s nursing care.

2) Plans and provides care to assist the patient with achieving stated outcomes.

3) Utilizes verbal/written communication with all members of the health

care team, patient and family, to meet patient needs.

g. Initiates and conducts informal care conferences as needed.

h. Participates in multidisciplinary team meetings.

1) Seeks and contributes to the multidisciplinary approach.

2) Makes decisions regarding the patient's nursing care.

3) Plans and provides care to assist the patient with achieving stated outcomes.

4) Utilizes verbal/written communication with all members of the health

care team, patient and family to meet patient needs.

Registered Nurse II 8242-43

2. Staff Development

a. Demonstrates the use of strong interpersonal communication skills with staff and other members of the health care team.

b. Communicates concisely, assertively, and responsively with peers.

c. Works with new employees to see that designed orientation plan is carried out.

d. Presents patient/family needs at multidisciplinary team meeting as needed. e. Participates in the staff evaluation process as requested.

3. Unit Development

a. Participates consistently in appropriate staff assignments and their revision.

b. Participates effectively in evaluation of environmental safety and assumes

responsibility for interventions.

c. In collaboration with group members, assigns aspects of care to selected members of the nursing staff.

d. Guides care given by selected members of the nursing staff.

e. Participates actively in informal care conference.

f. Supports care management activities. g. Participates in staff meetings.

4. Student Development

a. Participates in unit orientation of faculty and/or students.

b. Participates in assigning students to individual patients.

c. Evaluates specific unit-level learning experiences and informs the students and/or

faculty of opportunities.

d. Contributes to the evaluation of student clinical experience. e. Actively participates in guiding/mentoring of students-nursing & others.



1. Assists in data collection and identification of problem.

2. Applies research findings to nursing practice.

Registered Nurse II 8242-43

F. RESPONSIBILITY: Continuous Quality Improvement


1. Demonstrates understanding of the CQI philosophy. 2. Participates in CQI training activities or CQI teams if appropriate. 3. Demonstrates sensitivity to customers and their needs. 4. Interacts appropriately with internal customers, i.e. coworkers within department, staff

across departments. 5 Interacts appropriately with external customers, i.e. patients, families, medical staff, vendors. 6. Role models positive behaviors.

G. RESPONSIBILITY: Service Excellence

Tasks: Demonstrates an ongoing commitment to the Service Excellence philosophy by adhering to behaviors outlined in Rice=s AStandards of Excellence.@

H. RESPONSIBILITY: Safety - Maintain and promote a safe environment for all patients, visitors and


TASKS: f. Consistently follow all policies, practices and work rules. g. Do not use shortcuts or "work-arounds" that may reduce safety or increase risk. h. Stay alert, act responsibly and use common sense to reduce risks. i. Report "actual events" and "good catches" as soon as possible. j. Create a safe environment by eliminating hazards and identifying and reporting unsafe

systems. k. Complete all mandatory safety education, attend safety sessions, review and understand the

Safety Program (available on RiceNet). Seek answers to questions you have about the Safety Program.

5/96, 4/97, 12/98, 6/99, 4/00, 01/01, 5/10

Registered Nurse II 8242-43 SPECIFIC JOB DEMANDS:

• Sitting for report, documentation and at times when working with patient.

• Repeat use of hands for cares- i.e. vital signs, medication administration- either oral or IV - suctioning, patient's education.

• Moving around the floor and specifically between assigned patients and specifically to follow through with patient care.

• Forward/upward/downward reaching when caring for a particular patient and obtaining supplies.

• Assist with patient ambulation to build tolerance.

• Transfers in and out of bed, chairs, wheelchair and other means of moving a patient.

• CPR and the related activities. An ability to be change positions to do chest compressions airway ventilation, etc.

• Patient cares done with assistance or alone depending on needs of patients on any shift. Lifting and moving patients, CPM machines, and positioning a patient's extremity in the unit.

• Over the head reaching for IV bag hanging, lifting bags of solutions of various weights.

• Visual acuity is needed for doing activities related to medication administration.

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