Chronic Dialysis Staff RN III - Clinic

Kaiser Permanente - Los Angeles, CA (30+ days ago)4.2


As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance w/ established standards of care, policies, & procedures. Demonstrates performance consistent w/ the Medical Center Vision, Mission, & Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality & effectiveness in work habits & clinical practice; & treats co-workers, patients, families, & all members of the health care team w/ dignity & respect.

Essential Functions:
The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, & behaviors:

Leadership:
Upholds Kaiser Permanente's Policies & Procedures, Principles of Responsibilities, & applicable state, federal & local laws.
Serves as a leader of the health care team; delegates tasks appropriately, & demonstrates appropriate accountability.
Understands own & team members scope of practice & escalates issues as appropriate.
Demonstrates professional, supportive behavior.
Champions new ideas.
Leads & directs others through the change process.
Utilizes communication strategies including chain of comm& & issue escalation, which result in intended outcomes.
Participates in problem identification & resolution.
Mentors, orients, & coaches others in unit specific operations & patient care activities.
Shares responsibility & authority w/ subordinates & holds him/her accountable for performance.
Demonstrates ability to problem solve w/ other departments in order to assist member problem resolution.
Prioritizes, delegates, & supervises work assignments appropriately to ensure completion of patient care activities.
Complies w/ regulatory requirements, policies, procedures, & standards of practice.

Nursing Process:
Develops &/or contributes to the individualized plan of care that reflects assessment, planning, implementing, & evaluating the outcomes of that plan.
Ensures plan shows multidisciplinary planning, consultation, & education.
Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, & appropriate acuity.
Ensures plan is discussed w/ patient, family/significant others, & completed in a timely manner.
Monitors the patient's progress based on the plan.
Revises plan on ongoing basis based on patient condition & evaluation of progress.
Ensures care meets standards of practice.
Ensures effective development & completion of discharge plan including discharge barriers & patient/family education.
Ensures that patient clearly understands discharge instructions.
In outpatient, identify barriers & needs for patient/family education that will facilitate the outpatient medical mgmt plan.
Ensures patient safety related but not limited to, medications & procedures utilizing the five rights; patient falls; decubitus prevention & prevention of nosocomial infections.
Ensures optimal pain control & patient comfort; identifies & discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge.
Ensures that patient understands medication purpose, side effects, & administration instructions in the hospital as well as at the time of discharge.

Documentation:
Charting is accurate, legible, dated, & timed.
Documentation reflects nursing process & interventions & evaluations taken.
Utilizes computer systems effectively & efficiently for optimal patient care.

Clinical Outcomes:
Discusses patient findings & progress toward outcomes w/ physicians & other members of the health care team.
Demonstrates competencies during the probationary period & ongoing completion by departmental competency validation.
Make comprehensive nursing decisions based on interpretation of data, assessments, & evaluations of patient outcomes.
Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, & improving.

Workplace Safety:
Adherence to LMP Workplace Safety principles & practices.
Applies standard precautions.
Maintains a safe environment for self & others.

Patient Care Experience:
Practices customer service standards as defined by the Service Area, Medical Center, & specified department.
Promptly answers call lights, alarms, & patient requests.
Makes appropriate referrals & facilitates the customer's ability to utilize resources.
Maintains & protects patient confidentiality.
Ensures clean, orderly, & functional work environment.
Treats all families of patients w/ courtesy, respect, kindness & compassion.
Provides an optimal patient care exp by actively listening to the needs of patients & family members & taking responsibility for meeting those identified needs.
Gives patients information in a way they can underst& & ensures comprehension.
Provides a patient care exp that exceeds members' expectations.

Team Commitment:
Viewed by others to be an effective team member who is flexible, cooperative, & willing to assist others.
Confronts difficult or conflict situations constructively & seeks appropriate assistance.
Takes accountability for own actions & accepts constructive criticism.
Acts as a resource, preceptor, & mentor to new employees, registry, students, & other team members.
Attends all mandatory meetings, in-services & staff meetings as required, actively participates in other departmental professional development (Requirement may vary for per diem staff).
Participates w/ the assessment of current & future unit learning needs & development of an annual education plan.
Keeps self- informed of activities on the unit & makes recommendations for change.
Adheres to Attendance Program.
Reports to assigned area promptly, being present & available for report at beginning of assigned shift.
Supports a collaborative Labor-Mgmt Partnership environment through unit based teams.

Fiscal Responsibility:
Organizes work to minimize the use of overtime.
Identifies & assists in systems improvement that needs simplification or correction.
Utilizes payroll & non-payroll resources to their maximum potential.