CNIII JOB EXPECTATION TEMPLATE

July 2015

BSC Quadrant: Clinical Quality/Internal Business. Foster enhanced, clinical care and operational processes to improve patient safety, clinical quality, operation efficiency and creative problem solving

Standards

Fully Achieves

/

Exceeds

  • Meets standards for CNII
  • Able to independently apply the nursing process in the care of patients. Embraces complexity. Addresses complexity with creativity. Coaches others in designing individualized care.
  • Recognizes trends in care requirements for patient populations and develops interventions and/or standard plans of care
  • Collects and reviews unit based patient data proficiently
  • Identifies actual or potential risks based on population data
  • Collaborates with the healthcare team to develop outcomes based upon unit population data
  • Collaborates with the team to design an individualized standard plan of care aimed at short term and long term goals using evidence based practice
  • Utilizes/disseminates plan by collaborating with team to implement/integrate plan to address population care needs
  • Utilizes ongoing patient assessment to revise standard POC based upon unit patient care needs
  • Uses the nursing process to individualize plan of care based on needs of patient. Practice is independent but collaborative
  • Unit/CSU meets Balanced Scorecard, Critical Success Factors, CMS targets
  • Pain
  • Wound
  • Restraints
  • Patient & Family education
  • Discharge instructions
  • Falls/CLABSI/CAUTI
  • Patient Flow
  • Documentation
  • Coaches others and holds them accountable for patient safety principles in practice
  • 6 Rights of Medication Safety
  • TJC Patient Safety Goals
  • Healing environment
  • Designs strategies to acts on actual or potential safety issues and submits online safety reports appropriately
  • Active participant in or leads unit CPC
  • Provides leadership for activities to monitor safety issues at unit level and structure for addressing
  • Coaches others in recognition of safety issues related to environment of care and appropriate intervention
  • Leads data gathering & analysis related to unit performance in unit audits and improve unit Clinical Quality BSC performance metrics
  • Role models and coaches others in critical thinking skills
  • Coaches others as charge Nurse/Administrative resource or preceptor
  • Delegates and hands-off appropriately
  • Assist with assimilation of new technology into clinical care
  • Identify opportunities to efficient and effective use of technology
  • Facilitates and coordinates patient and family care for different patients populations
/
  • Exceeds standards for CNII
  • Uses national benchmarks and standards to enhance care standards at the unit level
  • Active participant in CSUdepartmental/entity clinical practice initiatives (e.g. CPC, clinical champion, safety teams)
  • Leads activities to monitors individual and unit compliance with expected standards
  • Leads activities to maintain and/or enhance unit safety
  • Unit exceeds Balanced Scorecard, Critical Success Factors, & CMS targets
  • Exceeds standards for CNII

BSC Quadrant: Patient Experience. Foster a culture of service excellence which anticipates and responds to the needs of our customers.

Standards

Fully Achieves

/

Exceeds

  • Meets standards for CNII
  • Proficient in and coaches others in customer satisfaction
  • Leads service excellence initiatives that result in
  • HCAHPS/Press Ganey Scores
  • Establishes effective means of communication with patients, and families and interpersonal relationships (all team members/ daily plan of care)
  • Patient& Family Centered Care
  • Coach others in RELATE/service recovery principles
  • Unit/CSU Specific
/
  • Exceeds standards for CN II
  • Unit exceeds targets for customer service
  • HCAHPS/Press Ganey Scores
  • Unit/CSU Specific
  • Patient & Family centered care

BSC Quadrant: Work Culture. Be recognized as a leader in developing the skills and performance of staff members while improving the work environment

Standards

Fully Achieves

/

Exceeds

  • Meets standards for CNII
  • Leads activities that support staff to attain & maintain required competencies
  • Implements unit governance activities
  • Coaches others and holds them accountable for behaviors that foster a positive unit climate
  • Participates in 20 hours of continuing educationrelevant to practice and incorporate into practice
  • Provides leadership at the unit level supporting MagnetHospital principles
  • Unit meets turnover targets
  • Participates in peer evaluation process
  • Encourages others to participate in work culture/safety surveys. Participates in analysis of data and planning strategies
  • Unit meets
  • Job Enjoyment score
  • WCS Participation Rate
  • WCS Power score
  • Safety Attitudes Questionnaire rate
  • Attend 75 % (CSU Specific) staff meetings or reviews 100% meeting minutes and modifies practice/behaviors to comply with information presented
  • Coaches and mentors CNI & CNII in professional growth
  • Participate in activities that promote teamwork and positive unit identification
  • Understands and practices Just Culture
  • Identify learning needs at the unit level
  • Functions as a preceptor to coordinate learning activities and orientation of individuals and groups
/
  • Exceeds standards for CN II
  • Lead activities that promote teamwork and positive unit identification
  • Active member of professional nursing organization
  • Leads unit governance activities/councils
  • Represents unit at hospital council meetings and disseminates information
  • Participates in 24 hours of continuing education relevant to practice
  • Unit exceeds turnover targets
  • Unit exceeds NDNQI Participation rate
  • NDNQI Job Enjoyment score
  • WCS Participation Rate
  • WCS Power score
  • Safety Attitudes Questionnaire rate
  • Develops programs and learning activities for unit
  • Coordinate orientation for unit
  • Identify learning needs at the CSU/hospital level and collaborate across disciplines to address the needs
  • Role model and encourage Just Culture

BSC Quadrant: Financial. Increase market share; to operate efficiently; to generate sufficient resources for investment in staff, facilities and technology

Standards

Fully Achieves

/

Exceeds

  • Develop initiatives to ensure the unit meets targets for labor standards for variable, patient attendant and agency usage
  • Understands variable staffing plan
  • Utilizes appropriate decision making in determining levels of care
  • Patient care assignment
  • The use of indirect time
  • Unit meets supply expense targets
  • Unit meets financial targets
  • Management of overtime, break/lunch time
  • Utilization of unit resources (equipment, supplies linen)
  • Modifiesassignments to meet unit needs
/
  • Unit exceeds financial targets
  • Unit exceeds targets for labor standards for variable, patient attendants, and agency usage
  • Coach others in the use of the variable staffing plan and appropriate patient assignment

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