Nurse Clinician - High Risk OB

Date Posted:

March 10, 2021

Department:

31009929 High Risk Perinatal

Shift:

Day (United States of America)

Hours Per Week:

32

Union Contract:

Non-Union

Weekend Rotation:

None

Job Summary:

Nursing is the diagnosis and treatment of human response to actual or potential health problems. This includes establishing an intentional therapeutic relationship between a registered nurse and a patient and family. As a leader and the integrator of care, the professional nurse has the responsibility, authority, and accountability for planning, coordinating and evaluating the patient’s care needs.
Participates in and supports program development, nursing research, staff development and quality initiatives. May also provide coordination of care along a defined care pathway.

Job Description:

Principle Responsibilities

• Assessment.
  • Collects, prioritizes and synthesizes comprehensive data pertinent to the patient's health or situation.
  • Collects and prioritizes data in a systematic and ongoing process that involves the patient, family, other health care providers and environment as appropriate.
  • Integrates data relevant to the situation to identify needs, patterns and variances.
  • Uses appropriate evidence based assessment techniques and instruments in data collection.
• Diagnosis.
  • Analyzes assessment data to determine nursing diagnoses.
  • Interprets assessment information to identify each patient's needs relative to age, developmental stage and culture.
  • Formulates, revises and resolves nursing diagnoses that reflect the current patient status.
  • Validates and communicates nursing diagnoses with the patient, family and other health care team members.
  • Documents nursing diagnoses in compliance with the patient care guidelines.
• Outcomes Identification.
  • Identifies expected outcomes individualized to the patient.
  • Establishes, in the collaboration with the family, patient, realistic and measurable patient expected outcomes based on nursing diagnoses, patients present and potential capabilities, goals, available resources and plan for continuity of care.
• Planning.
  • Develops a plan that prescribes interventions to attain expected outcomes.
  • Develops an individualized plan considering patient characteristics or the situation as appropriate in conjunction with the patient, family and others.
  • Establishes a plan that provides for continuity of care.
  • Incorporates evidence based nursing practice takes into consideration current statutes, rules and regulations when developing the plan of care.
• Implementation.
  • Implements the identified plan.
  • Implements interventions in a safe, timely, appropriate manner.
  • Utilizes evidence-based interventions and treatments specific to the diagnoses as appropriate.
  • Coordinates implementation of the plan of care if appropriate
  • Documents interventions according to documentation guidelines.
• Evaluation.
  • Evaluates the patient’s progress towards attainment of the outcome.
  • Evaluates the patient’s/family’s understanding of and response to the plan of care.
  • Utilizes systematic and ongoing assessment data to revise diagnoses, outcomes and the plan of care.
  • Involves the patient, family, and health care team members in the evaluation process when appropriate.
  • Documents revisions in diagnoses, outcomes and the plan of care according to documentation guidelines.
• Quality of Practice.
  • Systematically enhances the quality and effectiveness of nursing practice.
  • Participates in quality improvement activities related to nursing practice.
  • Incorporates available QI data to improve nursing practice and outcome.
• Education.
  • Attains knowledge and competency that reflects current nursing practice.
  • Participates in educational activities related to nursing practice.
  • Acquires and applies the knowledge gained from educational experiences to current nursing practice.
• Professional Practice Evaluation.
  • Evaluates one’s own nursing practice in relation to professional practice standards and regulatory guidelines.
  • Engages in self-evaluation of practice on a regular basis, identifying strengths and goals for professional development.
  • Obtains informal feedback regarding one’s own practice from patients, peers, professional colleagues, and others.
• Collegiality.
  • Contributes to the professional development of peers, colleagues, and others.
  • Shares knowledge and skills in practice settings.
  • Provides immediate and ongoing positive and constructive feedback to colleagues regarding their performance.
  • Contributes to a supportive and healthy work environment.
• Collaboration.
  • Collaborates with patient, family, and others in the conduct of nursing practice.
  • Partners with others to effect change and generate positive outcomes through knowledge of the patient or situation.
• Ethics.
  • Acts in an ethical manner.
  • Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries.
  • Serves as a patient advocate assisting patients in developing skills for self-advocacy
  • Uses available resources to help formulate ethical decisions.
• Research.
  • Integrates research findings in practice.
  • Utilizes the best evidence, including research findings, to guide practice decisions.
• Resource Utilization.
  • Incorporates factors related to safety, effectiveness, cost, and impact on practice in planning and delivering patient care.
  • Utilizes resources related to standards of care in a safe, effective and ethical manner.
  • Manages resources to assure they will be accessible to other in the future.
• Leadership.
  • Provides leadership in the professional practice setting and the profession.
  • Functions as a professional role model.
  • Promotes a positive work environment.
  • Participates in shared decision-making.
• Environmental Health.
  • Practices in an environmentally safe and healthy manner.
  • Attains knowledge of environmental health concepts, such as implementation of environmental health strategies.
  • Promotes a practice environment that reduces environmental health risks for workers and healthcare consumers.
  • Communicates environmental health risks and exposure reduction strategies to healthcare consumers, families, colleagues and communities.
• Charge Nurse (only when acting in this role).
  • Demonstrates ability to coordinate and direct unit operation so the patient and family needs are met and resources are efficiently utilized in a safe manner.
  • Promotes an environment that encourages individual growth, nurtures professional practice and fosters teamwork.
  • Collaborates effectively with unit staff, leadership and other disciplines.
• Preceptor (only when acting in this role).
  • Demonstrates ability to identify the orientee's learning needs and plans appropriate learning experiences.
  • Demonstrates ability to implement an individualized orientation plan for the orientee.
  • Demonstrates ability to validate clinical competence of orientee.
  • Facilitates development of organizational and prioritization skills of orientee.
  • Demonstrates ability to evaluate interpersonal sills of orientee.
  • Serves as a professional role model.
  • Facilitated socialization of orientee into the organization and work group.
• Other duties as assigned.

Job Requirements

• Metro Hospitals (Abbott Northwestern, Mercy including Unity campus, United and St. Francis): INTERNAL APPLICANTS must have Associate's degree or Bachelor's degree required. EXTERNAL APPLICANTS in Specialty areas (ICU, Mom/Baby, ED, OR/Procedural areas and Mental Health) must have Bachelor's degree, or Associate's degree in nursing with at least one year of experience required. In Non-Specialty areas, Bachelor's degree required.
• Community Hospitals (Buffalo, Cambridge, Owatonna, Faribault, Regina, New Ulm, and River Falls): INTERNAL APPLICANTS must have Associate's degree or Bachelor's degree required. EXTERNAL APPLICANTS in Specialty areas (ICU, Mom/Baby, ED, OR/Procedural areas and Mental Health) must have Associate's degree with one year of applicable experience required. In Non-Specialty areas, Bachelor's degree preferred, Associate’s degree required.
• Bachelor's degree for external applicants at metro hospitals and St. Francis in a non-specialty area required or
• Bachelor's degree for external applicants at metro hospitals and St. Francis in a specialty area (ICU, Mom/Baby, Emergency Department, OR/procedural areas and mental health) required or Associate's degree in nursing with at least one year of experience in the specialty they are applying for required or
• Associate's or Vocational degree or Bachelors degree for internal applicants at metro hospitals and St. Francis required or
• Bachelor's degree preferred for external applicants at community hospitals in a non-specialty area, Associate's degree required or
• Associate's or Vocational degree for external applicants in a specialty area (ICU, Mom/Baby, Emergency Department, OR/procedural areas and mental health) with one year of applicable experience required. Nurse executive approval required or
• Associate's or Vocational degree or Bachelor's degree for internal applicants at community hospitals required 0
• 2 to 5 years RN experience in clinical area relevant to position required
• Licensed Registered Nurse - MN Board of Nursing required if working in the state of MN upon hire or
• Licensed Registered Nurse - WI Dept of Safety & Professional Services required if working in the state of WI upon hire and
• BLS Tier 1 - Basic Life Support - Multisource required by completion of orientation
• RN-C in department specialty preferred
• Advanced Life Support or Specialty Life Support may be required depending on the department

Leadership Capabilities

• See the Big Picture: Know where we are going as an organization. Use sound judgement and critical thinking to make good decisions that support our mission.
  • I know where Allina is going and how my role fits into this picture
  • I capture important lessons and share them to foster innovation
  • I am good at anticipating the implications of my decisions
  • I understand and apply the disciplines of continuous improvement
• Inspire Greatness: Inspire others by connecting their purpose to the broader mission. Lead others through change and celebrate success.
  • I help my team connect to the broader mission
  • I see and fulfill my role in motivating the team around me
  • I celebrate success and help my partners see what is possible with change
  • I call out and address unexpected roadblocks or problems
• Foster Learning and Growth: Role model growth, ongoing development and self-care. Empower, coach and encourage others to be at their best selves.
  • I role-model self-care and ongoing development
  • I share my knowledge and coach others to foster growth and success
  • I demonstrate enthusiasm for learning
  • I candidly advocate for the resources I need
  • I support my colleagues in their development and growth
• Deliver Excellence: Set and align clear goals, measure results, and continually improve safety, quality, experience, and innovation.
  • I take ownership of outcomes and fulfillment of goals
  • I facilitate adjustments to assure positive results
  • I work with a sense of urgency, concern and determination
  • I use well-grounded approaches to create sustainable solutions repeatedly
  • I engage and foster improvements to impact safety, quality, and efficiency
• Succeed Together: Connect with others authentically. Recognize the value of each individual and seek diverse points of view. Collaborate to succeed together.
  • I consider how decisions might impact my colleagues
  • I am generous in my commitment to supporting the needs of my partners
  • I respect others’ opinions, praise good work and encourage all team members to be involved
  • I seek common ground and work to create mutually beneficial outcomes

Functional Competencies

• Analytical Thinking: Diagnoses issues using a systematic and methodical approach.
• Problem Solving: Asseses circumstances using experience and a variety of information gathered.
• Functional Knowledge: Expertise in his/her discipline and understands these concepts in other disciplines.
• Company Knowledge: Understands how his/her role relates to others on the team and the role of the team.
• Communication Skills: Advanced communication skills involving complicated topics.

Physical Demands
Medium Work*:
Lifting weight Up to 32 lbs. occasionally (*Allina Safe Patient Moving Policy), Up to 25 lbs. frequently

Additional Job Description:

Must be able to perform blood draws, NST, have history of labor and delivery with 1 year of high risk experience, good communication skills, multiple sites including our united office