ATLANTICARE _____________________________________________ROLE DESCRIPTION TITLE: Registered Nurse JOB CODE: 345, 345A, 353, 731, 731A, 981, 1141, 1141A, 1149, 1149A, 1150, 1151, 1151A, 1704, 1909, 1910, 1911, 1912, 2425, 3115, 3244, 3244A, 3245 EXEMPT: NON-EXEMPT: X DATE: 4/99 REVISED: 1/21 (Q), 3/21 (Q) 4/21 (Q), 8/31 (Q) 5/23(Q), 10/23(Q), 2/2024 (J/C), 5/24 (Q), 8/24 (Q), 10/24 (Q), 12/24 (Q), 03/25 (Q), (JC) 04/26 (Q) POSITION SUMMARY The Registered Nurse is a member of the interdisciplinary team working in collaboration with the Physician. The Registered Nurse utilizes the nursing care process consistent with their license and/or certification including initiation of culturally competent continuum of care including inpatient, outpatient and community settings. The Registered Nurse is responsible for overseeing any necessary coordination of the interdisciplinary plan of care and provides for its consistency with the medical treatment plan. The patient care process includes: * Assessment - an orderly process consisting of the identification, gathering and organization of subjective and objective data pertaining to the patient/family/significant other, including physical, psychosocial, spiritual and cultural. * Planning - an organized step in the process that consists of the identification of actual or potential problems and desired outcomes (goals) that result in a documented plan of care. The plan of care provides direction for the patient/family/significant other and interdisciplinary team. * Intervention - the specific interventions or orders that are implemented consistent with the plan of care and medical treatment plan. * Evaluation - a step in the process that involves determining the effectiveness of the interventions in achieving the plan of care and determining the conclusions concerning the achievement or lack of achievement of desired outcomes. The evaluation may initiate the need for reassessment and revisions to the problems, goals, plan of care, and interventions. This step provides for documentation of required actions. Based upon findings identified during assessment and reassessment: * Patients have problems identified and prioritized relative to biophysical, psychological, environmental, self-care, educational and social status. * Goals are identified consistent with the problem to provide direction for patient care and health promotion. * Education is consistent with the identified problem and associated goals and is seen as critical to creating an environment that promotes patient empowerment * Employee may be required to perform Limited Laboratory Services to include patient identification and preparation for specimen collection, processing samples for testing, performing required quality control testing and instrument maintenance and function checks, monitoring, recording and reporting tests results to clinicians to include critical values, and maintaining competency/certification of the aforementioned tasks and duties. Licensed and registered care providers responsible for utilizing the care process relative to their scope of practice and knowledge base, may document the assessment, plan, intervention and Evaluation. All patient care activities are administered according to standards, procedural guidelines and organizational policy. The Registered Nurse actively supports performance improvement initiatives and provides leadership to other members of the patient care team. By participating in educational activities, the Registered Nurse assumes responsibility for continued professional and personal growth. QUALIFICATIONS EDUCATION/LICENSE: * Graduate of an accredited school of nursing; BSN preferred. * Current Licensure as a Registered Nurse in the State of New Jersey or current multi state license required. * American Heart Association BLS required upon hire or transfer. EXPERIENCE: Proficiency in Clinical Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire. Specialty Experience Advanced Certification Required Certification Preferred Emergency Room: * Mainland * Satellite Hammonton 2 years medical/ surgical and/ or emergency room experience preferred. * ACLS required within 6 months of hire or transfer * Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization; * Minimum of 8 contact hours of education every 1 year in basic stroke assessment, intervention and NIHSS to be completed by 6 months of hire or transfer and continuously maintained thereafter. * ATCN or TNCC is required within 24 months of hire or transfer * PALS or ENPC attained within 12 months of hire or transfer. * CPI by 10/31/25 for existing team members, and new team members have 1 year from hire or transfer date. Emergency Room: * City 2 years medical/ surgical and/ or emergency room experience preferred. * ACLS required within 6 months of hire or transfer * ATCN or TNCC is required within 24 months of hire or transfer * Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization; * Minimum of 8 contact hours of education every 1 year in basic stroke assessment, intervention and NIHSS to be completed by 6 months of hire or transfer and continuously maintained thereafter. * PALS or ENPC attained within 12 months of hire or transfer. * CPI by 10/31/25 for existing team members, and new team members have 1 year from hire or transfer date. Trauma Bay * ACLS, PALS & ATCN at time of hire. * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. 3 Harmony Trauma 2 years medical/surgical experience preferred; Critical care experience preferred. * ACLS required within 6 months from date of hire or transfer * ATCN required within 3 years from date of hire or transfer * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. 3 Harmony ICU 2 years medical/surgical experience preferred; Critical care experience preferred. * ACLS required within 6 months from date of hire or transfer * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. Intensive Care Unit (ICU)/(CTICU) 2 years medical/surgical experience preferred; Critical care experience preferred. * ACLS required within 6 months from date of hire or transfer. * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. * CCRN preferred Cardiovascular ICU(CVU) 2 years critical care and Cardiovascular ICU experience preferred. * ACLS required within 6 months from date of hire or transfer. * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. * CCRN preferred. Heart and Vascular Unit (HVU) 2 years telemetry experience preferred. * ACLS required within 6 months from date of hire or transfer * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. 3 Harbor (PCU) 2 years telemetry Experience preferred. * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. ACLS preferred. 3 Pines/3 Central Medical/Surgical experience preferred. * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. ACLS preferred. 1 South/ 1 Meadow Medical/Surgical experience preferred. * ACLS preferred. 3 Meadow Medical/Surgical experience preferred. * ACLS preferred. 4South/4 Meadow, Medical/Surgical experience preferred. * 5Harmony Medical/Surgical experience preferred. * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. 4 Michigan Medical/Surgical experience preferred. 4Harmony Medical/Surgical experience preferred. * ACLS required within 1 year from date of hire or transfer * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. Med Surg/Cardiac/ Stroke Care (2West/2 Pines,) Medical/Surgical experience preferred. * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. ACLS preferred. 6 Harmony Medical/Surgical experience preferred. * ACLS required within 1 year from date of hire or transfer * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. 7 Harmony Medical/Surgical experience preferred. * NIHSS and minimum of 8 contact hours of education every 1 year in basic stroke assessment or intervention by 5/31/25 for existing team members, and new team members have 1 year from hire or transfer date. ACLS preferred. Pre-Admission Testing (PAT) Medical/Surgical experience preferred. Operating Room Medical/Surgical, Critical Care and operating room experience preferred. Effective 1/1/25, all new OR team members must scrub and/or learn to scrub during their orientation within six months. * ACLS is required by 12/31/24 for all RNs in the City OR and 4/25/25 for all RNs in the Mainland OR. * CNOR preferred. PACU/Same Day Surgery/ Recovery Room Critical Care or PACU experience required. * ACLS is required at time of hire or transfer. * PALS is required within 6 months from date of hire or transfer. * CPAN preferred. Intervention Radiology (radiation special procedure adm.) 2 years medical/surgical experience required; Interventional Radiology, and Critical Care experience preferred. * ACLS is required at time of hire or transfer. * PALS is required within 1 year from date of hire or transfer. Cath Lab (cath lab holding, Electrophysiology (EP)) Critical care, emergency room, cath-lab or telemetry experience preferred; * ACLS at time of hire or transfer Non-Invasive Lab MLD 2 years telemetry experience required * ACLS at time of hire or transfer Endoscopy 2 years medical/surgical experience required; Endoscopy, telemetry and critical care experience preferred. * ACLS is required within 6 months from date of hire or transfer. CGRN preferred. Radiation Oncology/ Cape May Radiation Therapy/ Radiation Therapy Mainland Oncology experience preferred. * ONS/ONCC(r) Radiation Therapy Certificate, required within 6 months from date of hire or transfer, renewal every 2 years. * Minimum of 12 oncology-related CEUs yearly or Oncology Certified Nurse (OCN) or Radiation Oncology Certified Nurse (ROCN) certification renewed every 4 years. ROCN or OCN preferred Medical Oncology/ Infusion Services/ Cape May Medical Oncology/ Retired Nurse Program (Oncology) Oncology experience preferred * ONS Fundamentals of Chemotherapy/Immunotherapy Administration or Chemotherapy/ Immunotherapy certificate, required within 6 months from date of hire or transfer, renewed every 2 years. * Minimum of 12 oncology-related CEUs yearly or Oncology Certified Nurse (OCN) certification renewed every 4 years. OCN preferred Wound Care Medical/Surgical experience preferred. * ACLS required within 6 months from date of hire or transfer. * Wound care and HBO Training course through Healogics is required within 1 year from date of hire or transfer. Psychiatry (1 West/1 Pines & Psychiatric Intervention Program (PIP) Medical/Surgical and psychiatry experience preferred. * (QPRT) annual education required within 6 months from date of hire or transfer * CPI by 10/31/25 for existing employees, and new employees have 1 year from hire or transfer date. Acute Partial/Child Adolescent Program Experience in behavioral health setting required. Crisis intervention Prevention Preferred; tracked by department leadership. * A valid NJ Driver's License is required for all employees in the Adult and Child Partial Programs. * CPI is required within 90 days of hire or transfer and renewed annually. Labor and Delivery (L&D) 2 years labor and delivery experience preferred * ACLS is required within 6 months from date of hire or transfer. * NRP is required within 4 months from date of hire or transfer. Neonatal Intensive Care Unit (NICU) 2 years Neonatal Intensive Care Unit experience preferred. * NRP is required within 4 months from date of hire or transfer. Mother/Baby Unit (OB) 2 years mother/baby experience preferred. * NRP is required within 4 months from date of hire or transfer. Perinatology/ Material Fetal Medicine (MFM) 3 years labor and delivery experience preferred. * EFM-C certification required within 6 months of hire or transfer. Pediatrics Medical/Surgical experience preferred; Pediatric experience strongly preferred. * PALS is required within 1 year from date of hire or transfer. PERFORMANCE EXPECTATIONS Demonstrates the ability to perform the department specific competencies as listed on the Assessment and Evaluation Tool. WORK ENVIRONMENT Potential for exposure to the hazards and risk of the hospital environment, blood borne pathogens, including exposure to infectious disease, hazardous substances, and potential injury. * considerable reaching, stooping, kneeling and crouching * extensive standing and walking, including stairs * lifting approximately 25-50 pounds frequently * lifting approximately 50 to 100 pounds with assistance occasionally * pushing and pulling of heavy equipment Some departments require the ability to distinguish colors. Essential functions of this position are listed on the department specific Assessment and Evaluation Tool. WORK ENVIRONMENT IN THE ELECTROPHYSIOLOGY LAB & PROCEDURAL AREAS Potential for exposure to the hazards and risk of the hospital environment, blood borne pathogens, including exposure to infectious disease, hazardous substances, latex exposure, including radiation exposure and potential injury. * considerable reaching, stooping, kneeling and crouching * extensive standing (wearing lead) and walking, including stairs * lifting approximately 25-50 pounds frequently * lifting approximately 50 to 100 pounds with assistance occasionally * pushing and pulling of heavy equipment * transporting patients on stretchers unassisted * manual dexterity to hand off instruments * maneuver in small work areas congested with cords, foot pedals and various equipment consoles * move patients from beds/stretchers to procedure tables and from procedure tables to stretchers or beds * Some departments require the ability to distinguish colors. Essential functions of this position are listed on the department specific Assessment and Evaluation Tool UNIT POPULATIONS SERVED Core competencies will be assessed primarily on the following patient population(s) serviced: Bariatric Morbid obese adult with all comorbid illness/conditions, including but not limited to: cardiac/cardiovascular, metabolic; renal, pulmonary, etc. Cath Lab Cardiac/vascular conditions and diseases including but not limited to: CAD, carotid stenosis, renal stenosis, PVD, etc. Critical Care Acute medical/surgical care of skeletal muscular, renal orthoconditions and diseases including but not limited to: AMI, CAD, PVD, CVA/TIA, COPD, CHF, shock, renal failure, metabolic disorders, etc. Behavioral Health Behavioral health illnesses including but not limited to bipolar disorder, schizophrenia, depression, psychosis, etc.. Endoscopy Chronic pain management, endoscopic procedures of cardiovascular, GI, pulmonary conditions and disease, etc.. Emergency Department Triage, assess and treat patients of all age presenting for emergency care for all body systems, conditions and diseases including but not limited to: coronary, pulmonary, neuro, skeletal muscular, GI/metabolic, GU/renal, GYN, integumentary, etc.. Intermediate Care Monitored post-surgical care including but not limited to neuro, GI, GU/GYN, peripheral vascular interventions, orthopedic procedures, etc.. Medical diagnoses including but not limited to: cardiac, pulmonary, neuron, GI, VCA/TIA and renal conditions, etc.. Medical Surgical Medical/Surgical diagnoses including but not limited to orthopedic, neuron, GI, GU/GYN, renal, metabolic, pulmonary systems and those requiring isolation/precautions. Telemetry/Medical/Surgical Cardiac/cardiovascular, neuro, GI conditions and diseases including not limited to: CAD, PVD, COPD, CHF, metabolic disorders, etc. Telemetry/Stroke Cardiac/cardiovascular, neuron, renal, GI conditions and diseases including but not limited to: CAD, PVD, CVA/TIA, COPD, CHF, metabolic disorders, etc. Wound Care Ostomy diversion surgeries, wound care, pressure sore/ulcer etc.. Structural Heart Adults with Structural Heart disease and other comorbid conditions including but not limited to: CAD, PAD, Heart Failure, Lung disease, Obesity, Diabetes, Arrhythmias REPORTING RELATIONSHIP This position reports to the patient care unit or department leadership. The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position. The Registered Nurse is a member of the interdisciplinary team working in collaboration with the Physician. The Registered Nurse utilizes the nursing care process consistent with their license and/or certification including initiation of culturally competent continuum of care including inpatient, outpatient and community settings. The Registered Nurse is responsible for overseeing any necessary coordination of the interdisciplinary plan of care and provides for its consistency with the medical treatment plan. The patient care process includes: Assessment - an orderly process consisting of the identification, gathering and organization of subjective and objective data pertaining to the patient/family/significant other, including physical, psychosocial, spiritual and cultural. Planning - an organized step in the process that consists of the identification of actual or potential problems and desired outcomes (goals) that result in a documented plan of care. The plan of care provides direction for the patient/family/significant other and interdisciplinary team. Intervention - the specific interventions or orders that are implemented consistent with the plan of care and medical treatment plan. Evaluation - a step in the process that involves determining the effectiveness of the interventions in achieving the plan of care and determining the conclusions concerning the achievement or lack of achievement of desired outcomes. The evaluation may initiate the need for reassessment and revisions to the problems, goals, plan of care, and interventions. This step provides for documentation of required actions. Based upon findings identified during assessment and reassessment: Patients have problems identified and prioritized relative t