The Staff Nurse and the Charge Nurse
provide safe and effective nursing care in the assigned area(s) in a
manner consistent with the philosophy and objectives of the Hospital
and within the framework of established policies and procedures of
the Department of Nursing Services. As a key team member in the
clinical area, the Staff Nurse and Charge Nurse promote a climate of
effective performance and learning through role modeling, willingness
to learn and teach, and availability to patients and staff.
• Must have ability to
• Charge Nurse - Must be able to
demonstrate leadership ability.
• Must be able to perform
concentrated and/or complex mental activity with frequent involvement
in complex and/or highly technical situations;
• Must be
able to work successfully under highly stressful conditions;
• Must be able to make sound, independent judgments based on
scientific and/or ethical principles;
• Must be able to
comprehend and perform oral and written instructions and procedures;
• Must be able to collaborate with other multidisciplinary
team members in an appropriate fashion;
• Must be capable
of adapting to varying workloads an work assignments on a constant
• Must have effective comprehensive reading skills,
strong communication skills, written and verbal.
have math skills to enable calculation of drug dosages and infusion
• Must possess a valid Arizona Drivers License in
order to transport patients and/or staff, or drive hospital vehicles.
1. Completes an
assessment for each patient by performing a thorough mental,
physical, nutritional and functional assessment on admission, and as
needed, based upon patient’s condition.
patient’s psychosocial status, and patient/family learning
needs and discharge criteria.
3. Assesses for pain, utilizes
pain scale; documents accordingly.
4. Utilizes appropriate
observation level for patient: q15 minute checks, visual observation,
and/or 1:1 or elopement precautions.
5. Completes plan of care;
formulates a nursing diagnosis based upon assessment findings.
Reviews plan of care daily and modifies as patient’s condition
6. Organizes and directs care of patients, setting
priorities and assigning most skilled staff to care for most acutely
7. Provides/coordinates education of patients
based on assessment of learning needs and readiness.
Provides care for patient’s with: Depression/Suicidal impulses,
Mania, Delusions/Hallucinations, Paranoia, Anxiety,
Aggressive/Assaultive Behavior, Chemical Dependency Issues/Detox,
Personality Disorders, i.e. Borderline/Sociopathic, Eating Disorders,
Dissociate Identity Disorder/PTSD, Dementia/Alzheimer’s, and
medical problems such as hypertension, headache, diabetes, URI, UTI,
heart disease, thyroid disorders, and acute or chronic infection.
9. Intervenes in managing complex patient care situations utilizing
departmental policies and procedures that promote most facilitative
alternatives. Prioritizes interventions in rapidly changing patient
10. Assesses patient’s response to
interventions; communicates these findings to other team members.
11. Sets priorities appropriately utilizing data from Nursing
Assessment. Adapts procedures to individual patient needs while
maintaining the integrity of the principles involved.
Documents education about medications, disease symptom
identification, social skills, stress management, and impulse control
13. Is available for 1:1 interactions with patients
as needed and shares in providing intervention and/or management of
14. Anticipates emergent situations and
intervenes early and appropriately.
15. Identifies patients at
risk for injury due to falls or behavior, coordinates the efforts of
the team to prevent injury, implements Fall Precautions, and
communicates to others the potential risk of injury.
Demonstrates effective management of assaultive behavior and
appropriate use of Seclusion/Time Out.
utilization of less restrictive measure prior to Seclusion and
Restraint: 1:1: diversional activities, groups, prn medications, peer
support, and/or decreased stimulation.
18. Demonstrates use of
application of restraints; monitors patients in restraints; provides
fluids, food, ROM and bathroom. Assesses and assists with discharge
19. Demonstrates competence in CPI.
Utilizes observational skills to provide constructive feedback and
input to patients.
21. Observes signs and symptoms presented by
patients and acts appropriately, effectively and in a timely fashion.
22. Reports pertinent information to the appropriate discipline
in a manner consistent with the acuity of the situation.
Completes daily documentation of patient’s condition and care
legibly in Nursing Notes.
24. Completes charting on all
assigned patients, in progress notes and all pertinent graphics.
25. Completes pertinent status reports by end of shift (i.e.
incident, suicide, AWOL, infection control and acuity).
Plans work to facilitate completion of assigned duties during shift.
27. Completes work left from previous shifts and reports
incomplete assignments to ensure continuity of care; finishes patient
28. Establishes and maintains a
therapeutic alliance with patients by assisting the patient to use
the therapeutic milieu.
29. Is proficient in special procedures
including, but not limited to collecting laboratory specimens,
glucometer, 02 Administration, dressing changes, urinary catheters,
and insulin dosage calculation.
30. Ensures that lab results
and other test results are posted upon receipt. Ensures that
physician orders are affected within 30 minutes and transcribed
within one hour.
31. Receives and reports abnormal laboratory
values to physicians; documents accordingly.
attends and encourages participation of patients in milieu
33. Respects patient confidentiality in and outside
of group setting and uses discretion when discussing patient
34. Transcribes and administers medications and
treatments accurately. Documents correctly and legible on medication
record. Practices the “5 Rights” of medication
35. Ensures that medication consents are
obtained and signed prior to administering psychotropic medications.
36. Monitors patient for adverse drug reactions and reports any
adverse drug reactions immediately to physician or pharmacist. Knows
side effects, normal dosage and contraindications of all medications
37. Demonstrates responsibility for proper safekeeping,
monitoring, and accurate recording of all controlled medications kept
on the unit.
38. Acts as a role model in demonstrating nursing
practice and procedures.
39. Demonstrates a thorough knowledge
and adherence to Hospital policies and procedures and assists with
interpreting Hospital policies.
40. Uses good nursing judgment
and needs minimal supervision, but able to recognize when needs to
confer with doctor, nursing or supervisor, or program director prior
to making decisions.
41. Provides thorough unit orientation to
new staff. Utilizes a manner that is friendly and welcoming.
42. Staff Nurse functions as acting Charge Nurse when assigned.
Supervises in a fair manner and provides direction as needed.
43. At beginning of shift, determines acuity. Does not over/under
estimate staffing needs. Conveys shortage or overabundance of staff
in a timely manner to allow for best utilization of staff.
Continuously monitors acuity of unit. Keeps supervisor informed of
unusual events, conflicts, and/or patients in crisis.
Formulates staff assignments. Ensures that team members are competent
to perform tasks prior to delegation.
46. Ensures staff
complete assigned duties and patient care responsibilities during the
assigned shift. Informs staff of policy changes and actively promotes
strict adherence to all policies and procedures.
reviews work in progress, ensuring that all treatments, medications,
and diagnostic tests ordered by the physician are expeditiously
carried out and recorded.
48. Provides shift report providing
all pertinent information. Uses concise and meaningful language.
Includes patient’s name, diagnosis, physician, precautions,
level of precautions, and discharge status, if known.
Consistently monitors and documents staff performance. Uses
appropriate disciplinary measures.
50. Participates in
hospital-wide and unit specific performance improvement activities.