Registered Nurse - PICC

The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission.

The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership.

The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice.

The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies.

Patient and Family Centered Care: -Recognizes the patient or the patient's designee as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. -Manages more complex patient care assignments appropriate to skill level. -Participates in building consensus and resolving conflict in the context of patient care. -Demonstrates the ability to see the "big picture". -Uses clinical experience and historical patient responses as a way to develop and refine practice. -Is able to speak to the patient about advanced care planning, values and end-of-life care before the need for an acute decision arises. -Evaluates and considers the implementation of alternative approaches to establishing a healing environment. -Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family-centered care. -Ensures the systems within the area of practice support patient-centered care.

Evidence-Based Practice and Research: -Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. -Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice. -Questions current practice and develops a sense of clinical inquiry. -Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. -Locates current evidence and resources related to clinical practice.

Safety: -Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. -Serves as resource person for safety concerns. -Demonstrates skills in problem solving, conflict resolution, and negotiation. -Participates appropriately in analyzing errors and designing system improvements. **Please see attachment for full

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-Minimum of three 3 years of pediatric vascular access nursing experience including neonates. -Peripheral IV insertion with Ultrasound skills required. -Dressing change experience required. -Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. -Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. -The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures.

Preferred Skills &

-PICC insertion experience highly preferred. nullEducation: Required

-BSN Preferred

-N/A Required Certifications &

-Current California RN License. -Current American Heart Association AHA Certification for Basic Life Support BLS. -American Heart Association Pediatric Advanced Life Support PALS. Preferred Certifications &

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