RESPONSIBILITES/TASKS: TECHNICAL/ADMINISTRATIVE/CLINICAL: Demonstrates
competence in the skills, (critical thinking, interpersonal, and technical) necessary to carry out
assigned duties as identified below. Demonstrated competence in recognizing and responding
to patients physical, mental, emotional and developmental needs should be evaluated in
relation to the patient populations served as appropriate for each responsibility.
Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury, the alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities and populations.
Consistently conforms to high standards of practice:
1. Assessment collects comprehensive data pertinent to the patients health or the situation.
a) Completes initial assessment within 24 hours of admission or established policy time
frame if sooner.
b) Completes physiological, psychological, spiritual, and educational assessment of the
patient/family within established policy time frame.
c) Maintains ongoing assessment following established practice guidelines that accurately
reflects patient status.
Documents nursing assessment clearly and concisely.
Notifies physician of pertinent changes in patient status
2. Diagnosis analyzes the assessment data to determine the diagnoses of issues
a) Identifies issues/problems in Care Graphs within established patient population time
b) Updates, adds or deletes issues/problems as patient condition changes.
3. Outcomes Identification identifies expected outcomes for a plan individualized to the
patient or the situation.
Identifies realistic and measurable outcomes which are complimentary to the medical
Plan of care and centered on the patients and familys/significant others needs and appropriate practice guidelines.
4. Planning develops a plan that prescribes strategies and alternatives to attain expected
a) Collaborates with co-workers, physician, other disciplines, patient and family to develop
individualized plan of care to address patient diagnoses or issues that attain patient
Revises plan of care based on evaluation of patients response.
Includes discharge planning needs in the plan of care.
5. Implementation implements the identified plan.
a) Coordinates care delivery assumes responsibility for assigning and coordinating patient care with ancillary personnel consistent with patient needs, staff competencies and licensure.
b) Employs strategies to promote health and a safe environment.
c) Demonstrates competence in the administration of age appropriate patient care and implementation of physician orders.
d) Implements age appropriate patient care in accordance with established practice guidelines, policies, procedures, state and federal law.
e) Facilitates a healing environment for patients through an evaluation of current hospital practice as it relates to the individual patients welfare, i.e. patient needs for rest, nourishment, exercise, emotional, and spiritual support.
f) Serves as a patient advocate.
g) Communicates response to care, i.e. documentation and verbal report.
h) Responsible for providing education for patients and their families regarding the patients illness, treatment, medications, and discharge planning needs.
6. Evaluation evaluates progress toward attainment of outcomes.
a) Regularly evaluates the effectiveness of the coordinated medical and patient-centered
plan of care and implements changes as necessary.
b) Encourages feedback from the patient, families/significant others, peers, and other
disciplines regarding perception of care provided to patients and utilizes feedback to
improve patient care practices.
C. Consistently conforms to high standards of professional performance.
1. Quality of Practice systematically evaluates the quality and effectiveness of nursing
2. Education attains knowledge and competency that reflects current nursing practice.
a) Progression towards goals from previous evaluation/orientation completion.
3. Professional Practice Evaluation evaluates own nursing practice in relation to professional
practice standards and guidelines, relevant statutes, rules, and regulations.
4. Collegiality interacts with and contributes to the professional development of peers and
5. Collaboration collaborates with patient, family and others in the conduct of nursing
a) Seeks supervision, consultation, or assistance when unable to perform effectively or
Ethics integrates ethical provisions in all areas of practice.
a) Provides care consistent with the Code of Ethics for Nurses
i. Practices with compassion and respect for the inherent dignity, worth, and uniqueness
of every individual, unrestricted by considerations of social or economic status,
personal attributes, or the nature of health problems.
ii. Primary commitment is to the patient, whether an individual, family, group or
iii. Promotes, advocates for, and strives to protect the health, safety and rights of the
iv. Responsible and accountable for individual nursing practice and determines
appropriate delegation of tasks consistent with the nurses obligation to provide
optimum patient care.
v. Owes the same duties to self as to others, including the responsibility to preserve
integrity and safety, to maintain competence, and to continue personal and
vi. Participates in establishing, maintaining, and improving health care environments and
conditions of employment conductive to the provision of quality health care and
consistent with the values of the profession through individual and collective action.
vii. Participates in the advancement of the profession through contribution to practice,
education, administration, and knowledge development.
viii. Collaborates with other health professionals and the public in promoting community,
national, and international efforts to meet health needs.
ix. In conjunction with the profession of Nursing, as represented by association and their
members, is responsible for articulating nursing values, for maintaining the integrity
of the profession and its practice, and for shaping social policy.