mercy rn cvicu policy

7/28/2019 Mercy RN CVICU Policy

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CATHOLIC HEALTH SYSTEMJOB DESCRIPTION AND PERFORMANCE EVALUATION FORM

(FOR NON-EXEMPT AND EXEMPT/NON-MANAGEMENT POSITIONS)

JOB TITLE

REGISTERED NURSE(CARDIO THORACIC UNIT B)

DEPARTMENT NUMBER

6190

DEPARTMENT NAME

Cardiothoracic UnitEMPLOYER

MERCY HOSPITAL OF BUFFALO

FACILITY/HOSPITAL NUMBER

400

REVISED /ESTABLISHED DATE

REVISED 9/25/07EMPLOYEE NAME MANAGER RESPONSIBLE FOR

MAINTENANCE/TITLE:EVALUATION PERIODFROM:TO:

***For HR Use Only***

JOB CODE

42560

SALARYGRADE

121

FLSASTATUS

EEOC CODE

P

GL # NATURALCLASS CODE

KRONOS

JOB SUMMARY:Coordinates the nurse care for patients by assessing, planning, implementing and evaluating. Participatesin patient and family teaching. Provides leadership by working cooperatively with ancillary, nursing andother patient team personnel in maintaining standards for professional nursing practice in theCardiothoracic Critical Care Unit.

REPORTS TO:

Nurse Manager

SUPERVISORY RESPONSIBILITIES: None

AGE GROUPS: CLINICAL POSITIONS ONLY.Neonate 0 28 daysPediatric 29 days - 12 yearsAdolescent 13 17 yearsAdult 18 64 yearsGeriatric 65 years and above

Last saved by Jessie 09/25/2007 1


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SKILL AND EDUCATIONAL REQUIREMENTS (MINIMUM):

EDUCATION: Graduate from an accredited Registered Professional Nursing Program. Current registration as registered nurse in New York State.

Current BLS validation and ACLS validation.

EXPERIENCE: Must have one (1) year of recent (within 6 months) critical care experience.

Must successfully complete cardiothoracic training program as defined by education competencies.

KNOWLEDGE, SKILL AND ABILITY:

Participates in educational conferences and upgrades and maintains professional knowledge and skillsrelated to the area of responsibility, maintains confidentiality, understands legal aspects of job function,and adheres to hospital policies and procedures.

Role involves a variety of problems to be solved under general guidelines, and calls for a variety of

decisions, some of which are complex and must be referred to a resource person.

Assists in directing a small group of employees performing similar or related tasks of semi-skilled nature.

Instructs employees.

Assigns, contributes to evaluating performance, and maintains efficiency of staff assigned to him/her.

Has an obligation to conserve supplies, equipment and time in a cost-effective environment.



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WORKING CONDITIONS:

PHYSICAL EFFORT: Activity & StrengthActivity & StrengthMEDIUM

Activity

Equivalent Strength Level

Occasional

0 to 2.6hours/day

Frequent2.7 to 5.3hours/day

Constant5.4 to 8

hours/day

Low Lift (floor toknuckle)

21-50 lb11 - 20 lb

1 - 10 lb

Mid Lift (knuckle toshoulder)

21-50 lb11 - 20 lb

1 - 10 lb

High Lift (shoulder and

above)21-50 lb

11 - 20 lb1 - 10 lb

Full Lift (floor toshoulder)

21-50 lb11 - 20 lb

1 - 10 lb

Carry 21-50 lb 11 - 20 lb 1 - 10 lb

Push 21-50 lb 11 - 20 lb 1 - 10 lb

Pull 21-50 lb 11 - 20 lb 1 - 10 lb

Overall StrengthCategory

21-50 lb11 - 20 lb

1 - 10 lb

ActivityJob

Demand

Dictionary Of Occupational

Titles

Walk FrequentConstant (C) 67-100%

Workday

Frequent (F) 34-66% Workday

Occasional (O) 0-33% Workday

Not Present (N)

Climb Stairs Occasional

Stoop Frequent

Kneel Occasional

Crouch Occasional

Reach (immediate) Frequent

Reach (overhead) Occasional

Handling Frequent

Fingering Frequent



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Sitting Occasional

Standing Constant

Push Cart Frequent

Pull Cart Frequent

INTERNAL/EXTERNAL RELATIONSHIPS:

INTERNAL: Interacts with all members of the health care team.

EXTERNAL: Interacts with outside contracted providers and outside healthcare facilities.



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MAJOR TASKS, DUTIES ANDRESPONSIBILITIES

CRITERIA/STANDARD (ifestablished)

Employee SelfRating

Evaluator Rating

ValidationMethod(O/D/C)

Comments/ActiPlan for Ratingof 0 or 1

1. Utilizes the nursing processto meet patient needs.

Coordinates the delivery of

care by the interdisciplinaryteam.

Performs assessment/datacollection independently in asystematic manner focusingon physiologic and cognitivestatus.

Establishes a plan of care,

with multidisciplinary careteam, which is patientfocused, prioritized andencompasses the continuumof care.

Communicates plan of care

and all pertinent clinical datato the appropriate member(s)

of the healthcare team in atimely manner.

Utilizes computer applications

as appropriate.

Formulates patient centeredgoals/outcomes based onassessment date

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Employee SelfRating

Evaluator Rating



Provides rationale for patient

care which is based onnursing knowledge to achievedesired patient outcomes.

Recognizes clinical anddiagnostic changes in patientstatus.

Initiates action related to

patients change in conditionand unexpected response tocare.

Evaluates patient response to

care and revises plan basedon ongoing assessment andgoal/outcome attainment.

Participates in the

development andimplementation ofpatient/family teaching.

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Employee SelfRating

Evaluator Rating



2. Maintains Clinical Practice Performs according to

established protocols inemergency situations toinclude informing appropriateperson and documentingevents.

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Employee SelfRating

Evaluator Rating



Institutes emergency

procedures according to ACLSprotocols in response tochanges in patients conditionand/or cardiac/respiratoryarrest.

Participates in house-widecode team response.

Administers medicationssafely with knowledge ofaction, side effects andcontraindications, includingthose requiring titration andmonitoring.

Demonstrates the ability to

assess and interact withpatients and families fromdiffering

religious/social/culturalbackgrounds and utilizesappropriate resources for thispurpose.

Demonstrates appropriate

care, prevention andtreatment of dermal ulcersand follows established skincare protocols.

Incorporates proper principles

of body mechanics during

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Employee SelfRating

Evaluator Rating



Maintains a safe environment

by keeping call light in reach,room free of clutter, personalitems (water, tissues) withinreach.

Implements alternativestrategies to reduce restraintuse.

Demonstrates the use of the

least restrictive approach topatient restraint in clinicallyjustified situations.

Applies restraints according toprocedure.

Assesses/observes, intervenesaccording to hospital policywhen caring for a patient inrestraints.

Completes the nursing recordand all other requireddocumentation accurately,legibly and completely.

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Employee SelfRating

Evaluator Rating



Demonstrates ability to serve

as Charge Nurse:

Demonstrates appropriatedelegation skills.

Assigns patients based on

patients needs.

Attempts to resolveimmediate staffing problems.

Utilizes the medical chain of

command.

Demonstrates ability to

Achieve IV access.

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Employee SelfRating

Evaluator Rating



Performs Intravenous Site

Care (Central Peripheral)

Performs Venipuncture forBlood Testing.

Performs BGTs (Blood Glucose

Testing).

Inserts Nasogastric Tubes

Provides enteral feeding

Inserts foley catheters

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Employee SelfRating

Evaluator Rating



3. Practices according to New

York State Nurse PracticeAct, regulatory code of NewYork State Department ofHealth and JCAHOStandards.

Advocates Patients Bill of

Rights.

Strictly follows hospital anddepartment policies andprocedures.

Demonstrates an awareness

of professional standards andscopeof practice within nursepracticeact.

Participates in quality

improvement activities asappropriate.

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Employee SelfRating

Evaluator Rating



4. Assumes personal

responsibility forprofessional developmentand continuing education.

Participates in hospital

sponsored inservices andcontinuing educationprograms/activities.

Seeks educationalopportunities relevant to unitspecific care.

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Develops and initiates

personal goals yearly.

Participates in unit/nursing/hospital/medical staffmeetings/committees.

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Employee SelfRating

Evaluator Rating



5. Promotes an environment in

which the patient care teamworks cooperatively towardspositive patient outcome.

Respects and protects the

confidentiality of all patient,hospital and peer information.

Is able to adapt to changeswhen required.

Responds to constructive

criticism in a positive manner.

Works at establishing a goodrapport and cooperativerelationship with staff.

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Employee SelfRating

Evaluator Rating



6. Age Specific Competencies Geriatric Population:

o Orients patient toenvironment.

o Introduces self.

o Speaks slowly and

distinctly, looks at patient.o Identifies sensory deficits

that can affectunderstanding.

o Ensures hearing aid,glasses, dentures are in

place.o Assesses fragility of skin

and implements measureto maintain skin integrity.

o Determines mobility of

body parts.o Recognizes and reports

signs and symptoms ofneglect.

o Maintains body

temperature.

Adult Population (age 18-64):o Assesses changes related

to aging.o Assesses whether illness

threatens or diminisheshome or work capabilities.

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Employee SelfRating

Evaluator Rating



7. Demonstrates ability to

provide care for the patientsrequiring mechanicalventilation.

Identifies normal values and

waveforms (PA, CVP, PCWP,RA, arterial pressures, PVR,SVR)

Obtains PCWP

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Employee SelfRating

Evaluator Rating



Performs cardiac outputs and

interprets values and providesinterventions based onprotocol.

Demonstrates ability toproperly care for pressure linesystem.

Demonstrates ability to

troubleshoot monitoringproblems.

Maintains sterility for dressing

changes according to policy.

Performs mixed venous blood

sampling from PA cathetersaccording to protocol

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Employee SelfRating

Evaluator Rating



8. Demonstrates ability to

provide care for the patientsrequiring mechanicalventilation.

Provides airway management

for a patient with an ET tube:o Suctioning

o Oral care

o Taping tube

o Cuff technique

o documentation

Provides airway managementfor a patient with a trach:o Suctioning

o Trach Care

o Oral Careo Cuff Technique

o Changing trach

o Trach holder

o Documentation

Obtains arterial blood gases.

Interprets abg values andprovides interventions basedon protocol.

Recognizes different modes of

ventilation used for weaningand provides interventions asappropriate.

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Employee SelfRating

Evaluator Rating



Demonstrates/verbalizes

extubation technique.

Provides psychosocialsupport:o States alternative ways to

communicate.o States the indications for

ventilator sedationo

Encourages familyinvolvement.o Coordinate interdisciplinary

efforts.

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Employee SelfRating

Evaluator Rating



9. Demonstrates ability to care

for immediate post-operative cardio thoracicpatient.

Provides care for patient

recovering from anesthesiaand/or conscious sedation.

Demonstrates airwaymanagement techniques

Performs and documents

post-operative assessment.

Performs hemodynamicmonitoring and providesinterventions per protocol.

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Monitors fluid and electrolyte

status and providesinterventions per protocol.

Transfuses blood products perprotocol.

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Employee SelfRating

Evaluator Rating



Assesses physiologic values

and performs interventionsper protocol.

Maintains potency of chesttubes and monitors drainage.

Uses sterile technique fordressing changes.

Assesses wound(s) for signs ofinfection and/or healing.

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Employee SelfRating

Evaluator Rating



Documents findings.

Assesses pain based on painscale and providesappropriate interventions.

Assesses and interpretscardiac rhythms and providesappropriate interventionsinclusive of transcutaneauspacing, transvenous pacingand defibrillation per protocol.

Performs neurologicalassessments.

Collaborates with case

management to identify andmeet discharge needs.

Assesses patient for signs &symptoms of post surgicaldepression.

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Employee SelfRating

Evaluator Rating



10.Demonstrates ability to

provide care for the patientrequiring hemodialysis.

Recognizes changes in fluid

status including weightchanges, Intake & Output,CVP readings and otherassociated physiologicalchanges.

Monitors laboratory values.

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11.Provides nursing care for thecardiac patient.

Verbalizes components of

assessment.

Demonstrates appropriatetreatment and follow-up.

Follows established

pathways/protocols.

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12.Implements plan of care tomeet nutritionalrequirements.

Assesses nutritional intake. 1234

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Employee SelfRating

Evaluator Rating



Monitors intake and output

and weights.

Assesses bladder and bowelfunction.

Knowledgeable regardingappropriate lab values forpatients at nutritional risk.

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13.Provides care to the patientreceiving conscioussedation.

Verbalizes patient assessment

prior to, during and followingsedation.

Demonstrates proper

utilization of scoring sheet fordocumenting.

Demonstrates knowledge of

drugs used for IV conscioussedation.

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Employee SelfRating

Evaluator Rating



Identifies procedures/tests

indicting use of IV conscioussedation.

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14.Provides patient/familyteaching.

Assesses ability/desire for

learning.

Incorporates adult learning

techniques.

Assesses understanding of

concepts.

Formulates alternativestrategies when applicable.

Documents discussion and

patients/familysunderstanding of material.

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Employee SelfRating

Evaluator Rating



15.Demonstrates ability to

provide care for the patientreceiving intra-aortic balloonpump, counter pulsationtherapy.

Demonstrates understanding

of anatomical andphysiological parameters ofIABP.

Recognizes waveforms foreffective inflation anddeflation.

Assists with insertion of IABP

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16.Provides care to the patientreceiving epidural painmanagement.

Verbalizes patient assessment

and patient response to thepain management regime.

Demonstrates epidural pump

set-up.

Utilizes pain scale.

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Employee SelfRating

Evaluator Rating



Teaches patient the pain

scale.

Notifies MD when pain is notcontrolled.

Removes epidural catheter.

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BEHAVIORAL FACTORS



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The following Behavioral Factors apply to ALL employees.BEHAVIORIAL FACTOR CRITERIA/STANDARD (if

established)Employee SelfRating

EvaluatorRating

ValidationMethod

(O/D/C)

Comments/Acn Plan forRatings of 0

or 11. Attendance/Reliability Complies with AttendancePolicy and reports to work ontime

Meets requirements for

attendance at departmentmeetings

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2. Customer Service Communicates appropriatelywith patients, visitors and co-workers

Demonstrates sensitivity to

cultural diversity

Exhibits excellent CustomerRelations skills

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3. Mission and Core Values ofCatholic Health System

Demonstrates commitment toMission and Core Values ofCHS of compassion to ourpatients and commitment toexcellence by improving staffperformance.

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BEHAVIORIAL FACTOR CRITERIA/STANDARD (if established)

Employee SelfRating

EvaluatorRating


Comments/Acn Plan forRatings of 0or 1

4. Employee HealthRequirements

Annual Health Assessment

completed on:

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5. Patient Rights Demonstrates knowledge of

and adheres to Patient Bill ofRights

Maintains patientconfidentiality

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6. Infection Control Adheres to principles of

Infection Control

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7. Safety Attend annual Safety In-

Service Date attended:

Identifies safety hazards andprovides a safe environmentfor patients, visitors andassociates

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BEHAVIORIAL FACTOR CRITERIA/STANDARD (if established)

Employee SelfRating

EvaluatorRating


Comments/Acn Plan forRatings of 0or 1

8. Mandatory EducationalPrograms

Date attended: 1234

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9. Corporate Compliance Demonstrates knowledge of

and adheres to CHS CorporateCompliance Plan andStandards of Conduct.

Identifies area of compliance

risk with job duties anddepartmental activities.

Compliance training, date

completed.

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PART II: DEMONSTRATIONOF CORE VALUES

INSTRUCTIONS: Assess the employees demonstration of each core value and place a check in the box next to the phrase that best describes the degree to which the

employee demonstrates that core value. Use the comment section to clarify your rating.

1. Reverence for the dignity of each person We believe that each person is a manifestation of the sacredness of human life.

This core value affirms that each person has special value, a unique set of gifts and talents that help further the ministry of the Catholic Health System. Indicators that

exemplify this value include: Shows sincere interest in each person; expresses appreciation; apologizes for misunderstandings, inconveniences or mistakes; is widely trusted,

adheres to provisions of Patient Bill of Rights.

Needs Improvement (1) Acceptable/Solid Performance (2) Commendable (3) Outstanding (4)



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PART II: DEMONSTRATIONOF CORE VALUESComments:

2. Compassion- We demonstrate our connectedness to each other through inclusive and compassionate relationships.

This core value affirms that the workplace is a community of persons, committed to a common mission, who depend upon and support each other. Indicators that exemplify

this value include: Spends the extra effort to put people at ease; extends hospitality graciously; builds rapport well; brings out the best in people; listens with empathy to

understand others thoughts, feelings, and concerns; treats all persons whom we serve and with whom we work with respect and compassion; shares wins and successes; shares

credit for accomplishments with others.

Needs Improvement (1) Acceptable/Solid Performance (2) Commendable (3) Outstanding (4)Comments:

3. Justice for All, Especially Those Who are Poor and Disadvantaged We advocate for a society in which all can realize their full potential and achieve the common

good.

This core value affirms that the organization demonstrates a special commitment to serving those who are economically and spiritually poor through the manner in which we

provide programs and services in a way that is truly responsive to their needs. In addition, policies and practices of the organization, internal and external, conform to the

principles of social justice. Indicators that exemplify this values include: Treats others justly and respectfully; respects diversity; recognizes and appreciates the need and

circumstances of persons who are poor; responds with empathy to those who are less fortunate; is seen as one who cares about and actively takes initiatives to conserve the

resources of the earth; stands up for what is believed to be right, even in the face of adversity; adheres to provisions of Patient Bill of Rights.




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PART II: DEMONSTRATIONOF CORE VALUES

4. Excellence We care for and strengthen the ministry and all resources entrusted to us by continually striving for service excellence .

This core value affirms that everyone in the organization is committed to the principles of performance improvement in fostering our service culture. Indicators of this value

include: Is grounded in the spiritual roots of our healthcare ministry; supports work/life balance for self and others; seeks opportunities to acquire new skills; is open and directin providing feedback and suggestions to others; maintains a sense of humor; brings out the best in others; realizes the importance of their work in contributing to the mission.




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PART III: COMPLIANCEWITHCHSSTANDARDS & PROGRAMS

STANDARDS/PROGRAMS DATE COMPLETED YES NO

Employee Health Assessment Current

Infection Control Practices Observed

Corporate Compliance Training Current

Mandatory Education Current

Adheres to Safety Standards

If NO is checked for any of the above, contact your HR Representative immediately.



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PART IV: GOALS

STRENGTHS AND ACCOMPLISHMENTSIdentify the three most significant strengths or job accomplishments.

1.

2.

3.

FUTURE GOALSIdentify three developmental goals and/or training needs.

1.

2.

3.

The following three (3) factors typically carry equal weight in the assessing an associates

performance.



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A minimum score of 2 is required in all three (3) sections to deem that an associate has met the

minimum performance level equating to satisfactory job performance for this evaluation period.

An overall rating of 1 4 is determined by averaging the scores of all three (3) factors.

A score for ANY of the three (3) factors that is not indicated as greater than 2 will require a formal

action plan to be compiled by the manager in conjunction with an HR Representative. The plan must

be specific to the responsibilities, competencies and/or behaviors identified for improvement orfurther development. The Action plan document must be compiled within thirty (30) days of theassociates performance evaluation meeting.

FACTORS OVERALL RATINGOVERALL MAJOR DUTIES, TASKS AND RESPONSIBILITIES RATING

OVERALL DEMONSTRATION OF VALUES RATING

OVERALL PURSUING EXCELLENCE EIGHT (8) EXPECTATIONS RATING

OVERALL PERFORMANCE RATING [Average of above three (3)Factors]

___________________________________ _________________ _________________________________ _____________Managers Signature & Job Title Date Associates Signature

Date

Is a formal action plan required for this associate? Yes NoSUMMARY OF MANAGERS COMMENTS: SUMMARY OF ASSOCIATESCOMMENTS:

HR use only

Rater Signature & Job Title Date

SUMMARY OF EMPLOYEE COMMENTS:

Last saved by Jessie 09/25/2007

Date Received: Date Entered: Entered By:

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