Clinical Nurse II

Job Requirements TITLE: MC CLINICAL NURSE II GRADE: RNS-111 FLSA STATUS: NON EXEMPT JOB CODE: 104782 DEPARTMENT: NURSING LOCATION: UMMC PREVIOUS TITLE: NEW DATE CREATED: 7/08 REPORTS TO: MANAGER, NURSING DATE REVIEWED: 1/12 I. General Summary This role is considered the minimum role for all nurses who have greater than 12 months experience. Provides and coordinates independent care to patients within a clinical specialty as a fully effective and participative member of the multidisciplinary patient care services team.

II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

Clinical Practice: 1. Provides independent care to unit specific patient population; serves as clinical resource for others, utilizes and integrates evidence into practice, functions effectively in roles specific to unit (such as arrest team for ICU, triage for ED, etc). A.

Accountable to patients and families for the processes and outcomes of care during an episode of care. B. Accountable to peers for the advancement of group practice on the unit, and to the nurse manager for the totality of work performance. 2.

Serves as an effective primary coordinating nurse; collaborates with interdisciplinary team to plan and coordinate care addressing patient/family needs. 3. Serves as clinical resource for others. Service/Quality: 1.

Assists in team development and evaluation of the Relationship-Based Care model; suggests methods for improvement. Participates in collection of data related to Relationship-Based Care outcomes (e.g. hand offs, medication safety, etc). 2. Participates in implementation efforts addressing Nursing Sensitive Quality Indicators (NSQI). 3.

Participates and contributes to Performance Improvement, or Evidence Based Practice, or research at the unit level. 4. Complies with standards and participates with unit level activities for regulatory compliance. Unit Operations: 1.

Supports charge nurse decisions; performs charge role for assigned shifts as needed. 2. Follows and supports the AACN guidelines for Healthy Work Environment (communication, collaboration, effective decision making, recognition, leadership, staffing); participates as team member focusing on elements within the Healthy Work Environment. 3. Assists in the development of clinical practice protocols and standards for unit. 4.

Participates in unit based process governance activities: Performance Improvement, Professional Development, Clinical Practice, Teamwork, etc.; assists in development of action plans and supports implementation. 5. Orients Clinical Nurse I to unit level governance structure and councils. Professional Development: 1.

Serves as preceptor, coach, mentor to new nurses and students. Contributes to ancillary personnel skills and development, attends educational offerings and in-services independently. 2. Contributes to development of unit based peer review processes; actively participates in individual peer review feedback III.

Education & Experience 1. Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required.; BSN preferred. Up-to-date status on all mandatory training and classes. 2.

One year nursing experience. Solid knowledge and clinical skills. 3. Current CPR certification required. 4.

Maintenance of 10 contact hours of education every two years. 5. Member in a professional organization is preferred. 6. Recent applicable clinical experience in a comparable setting.

IV. Knowledge, Skills & Abilities 1. Responsible for maintaining competencies required for the patient care setting; focus on advancing own professional development 2.

Ability to practice and adhere to the guidelines specified in the UMMC Role of the Professional Nurse Job Charter/Description. 3. Demonstrates highly effective interpersonal, verbal and written communication skills. 4. Demonstrates leadership qualities through effectiveness as charge nurse, preceptor, or clinical resource. 5.

Demonstrates effectiveness as a multidisciplinary team member. 6. Ability to learn and use computer systems in order to manage patient information. 7. Ability to participate in team-building efforts on units; supports and models teamwork 8.

Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. V.

Patient Safety Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives. 1. Takes action to correct observed risks to patient safety. 2. Reports adverse events and near misses to appropriate management authority. 3.

Identifies possible risks in processes, procedures, devices and communicates the same to those in charge. Physical Requirements & Working Conditions required to perform the essential functions of the Job Job Title: CNII Job Code: 104782 Completed By: Department: Surgical Services Date: 12/13/11 Manager Job Title: This form is designed to identify the physical demands essential to perform the job; the equipment and tools used; and the working conditions.

All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. See following page for physical descriptors. PHYSICAL REQUIREMENTS Check only the boxes which reflect what are essential to perform the physical requirements of the job.

If the position does not require the physical demand, leave blank. physical demand Rarely Occasional ly Frequently Constantly physical demand Rarely Occasionally Frequently Constantly Walking X Crawling Sitting X Reaching X Standing X Handling X Reclining Fingering X Carrying X Feeling X Climbing X Talking X Balancing X Hearing X Stooping/ Bending X Tasting Smelling X Kneeling X Driving Crouching X Specify lbs of force required and enter in appropriate frequency box.

Maximum Lbs Rarely Occasionally Frequently Constantly Lifting When participating in patient care 50+* 35 When moving an object (maximum lbs) 50 Pushing Exertion of force** required to move an object 50 Pulling Exertion of force** required to move an object 50 *Generally Lifts will not exceed 50 lbs. **Exertion of force – amount of force required for pushing and pulling. For example, about 20 lbs of force is required to push a 200 lb patient in a wheelchair whereas about 22 lbs of force is required to push a 50 lb box on the floor.

Check the vision requirements for the job Near Acuity X Field of Vision X Far Acuity X Color Vision X Depth Perception X Equipment and Tools Check the items required to perform the essential functions of the job Standard Office Equipment (e.g. computer, telephone) X Medical Instruments/Equipments (e.g. syringe, forceps, needles, sterilizing aids, catheters, lab tools). X Power Tools (e.g. saw, drill, hammer) Other Equipment (please specify) Vehicles (please specify) Working Conditions Check all that apply Standard Office Environment Wet and/or Humid Conditions Laboratory Environment Extreme temperatures (hot or cold) Weekend, shift work, on call, holidays and overtime X Inclement Weather Patients with tendencies for violent outbursts Noise / Vibration Close quarters, crawl spaces, shafts, small enclosed rooms, narrow isles or passageways.

Potential Exposures Potential Hazards Bodily Fluids X Mechanical Infectious Diseases X Electrical Blood X Chemical Burns (e.g. kitchen) Atmospheric Conditions Radiation/Radioactive Material Fumes/Gases, potential fires X Hazardous Drugs X Dust Poor Ventilation Please detail any additional physical demands or working conditions essential to the job : Depending on area assigned, and on an occasional basis, may be exposed to ‘patients with violent outbursts, chemical and cleaning odors; noise and vibration; and rarely, radioactive material.

Also potential latex exposure. Physical Requirements & Working Conditions required to perform the essential functions of the Job Job Title: CNII Job Code: 104782 Completed By: Department: Nursing Except Surgical Svcs and Ambulatory Services Date: 12/13/11 Manager Job Title: This form is designed to identify the physical demands essential to perform the job; the equipment and tools used; and the working conditions. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

See following page for physical descriptors. PHYSICAL REQUIREMENTS Check only the boxes which reflect what are essential to perform the physical requirements of the job. If the position does not require the physical demand, leave blank. physical demand Rarely Occasional ly Frequently Constantly physical demand Rarely Occasionally Frequently Constantly Walking X Crawling Sitting X Reaching X Standing X Handling X Reclining Fingering X Carrying X Feeling X Climbing X Talking X Balancing X Hearing X Stooping/ Bending X Tasting Smelling X Kneeling X Driving Crouching X Specify lbs of force required and enter in appropriate frequency box.

Maximum Lbs Rarely Occasionally Frequently Constantly Lifting When participating in patient care 50+* 35 When moving an object (maximum lbs) 50 Pushing Exertion of force** required to move an object 50 Pulling Exertion of force** required to move an object 50 *Generally Lifts will not exceed 50 lbs. **Exertion of force – amount of force required for pushing and pulling. For example, about 20 lbs of force is required to push a 200 lb patient in a wheelchair whereas about 22 lbs of force is required to push a 50 lb box on the floor.

Check the vision requirements for the job Near Acuity X Field of Vision X Far Acuity X Color Vision X Depth Perception X Equipment and Tools Check the items required to perform the essential functions of the job Standard Office Equipment (e.g. computer, telephone) X Medical Instruments/Equipments (e.g. syringe, forceps, needles, sterilizing aids, catheters, lab tools). X Power Tools (e.g. saw, drill, hammer) Other Equipment (please specify) Vehicles (please specify) Working Conditions Check all that apply Standard Office Environment Wet and/or Humid Conditions Laboratory Environment Extreme temperatures (hot or cold) Weekend, shift work, on call, holidays and overtime X Inclement Weather Patients with tendencies for violent outbursts Noise / Vibration Close quarters, crawl spaces, shafts, small enclosed rooms, narrow isles or passageways.

Potential Exposures Potential Hazards Bodily Fluids X Mechanical Infectious Diseases X Electrical Blood X Chemical Burns (e.g. kitchen) Atmospheric Conditions Radiation/Radioactive Material Fumes/Gases Hazardous Drugs X Dust Poor Ventilation Please detail any additional physical demands or working conditions essential to the job : Depending on area assigned, and on an occasional basis, may be exposed to ‘patients with violent outbursts, chemical and cleaning odors; noise and vibration; and rarely, radioactive material.

Also potential latex exposure. Physical Requirements & Working Conditions required to perform the essential functions of the Job Job Title: CNII Job Code: 104782 Completed By: Department: Ambulatory Services Date: 12/13/11 Manager Job Title:

nights shift This form is designed to identify the physical demands essential to perform the job; the equipment and tools used; and the working conditions. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. See following page for physical descriptors.

PHYSICAL REQUIREMENTS Check only the boxes which reflect what are essential to perform the physical requirements of the job. If the position does not require the physical demand, leave blank. physical demand Rarely Occasional ly Frequently Constantly physical demand Rarely Occasionally Frequently Constantly Walking X Crawling Sitting X Reaching X Standing X Handling X Reclining Fingering X Carrying X Feeling X Climbing X Talking X Balancing X Hearing X Stooping/ Bending X Tasting Smelling X Kneeling X Driving Crouching X Specify lbs of force required and enter in appropriate frequency box.

Maximum Lbs Rarely Occasionally Frequently Constantly Lifting When participating in patient care 50+* 35 When moving an object (maximum lbs) 50 Pushing Exertion of force** required to move an object 50 Pulling Exertion of force** required to move an object 50 *Generally Lifts will not exceed 50 lbs. **Exertion of force – amount of force required for pushing and pulling. For example, about 20 lbs of force is required to push a 200 lb patient in a wheelchair whereas about 22 lbs of force is required to push a 50 lb box on the floor.

Check the vision requirements for the job Near Acuity X Field of Vision X Far Acuity X Color Vision X Depth Perception X Equipment and Tools Check the items required to perform the essential functions of the job Standard Office Equipment (e.g. computer, telephone) X Medical Instruments/Equipments (e.g. syringe, forceps, needles, sterilizing aids, catheters, lab tools). X Power Tools (e.g. saw, drill, hammer) Other Equipment (please specify) Vehicles (please specify) Working Conditions Check all that apply Standard Office Environment Wet and/or Humid Conditions Laboratory Environment Extreme temperatures (hot or cold) Weekend, shift work, on call, holidays and overtime X Inclement Weather Patients with tendencies for violent outbursts Noise / Vibration Close quarters, crawl spaces, shafts, small enclosed rooms, narrow isles or passageways.

Potential Exposures Potential Hazards Bodily Fluids X Mechanical Infectious Diseases X Electrical Blood X Chemical Burns (e.g. kitchen) Atmospheric Conditions Radiation/Radioactive Material Fumes/Gases Hazardous Drugs X Dust Poor Ventilation Please detail any additional physical demands or working conditions essential to the job : Depending on area assigned, and on an occasional basis, may be exposed to ‘patients with violent outbursts, chemical and cleaning odors; noise and vibration; and rarely, radioactive material.

Also potential latex exposure.