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 are responsible for utilizing the care process relative to their scope of practice and knowledge base and 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. BLS required. Valid NJ driver's license is required for all employees in the Adult and Child Partial programs.
• 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.

Emergency Room – City

• 2-4 years of medical/surgical experience preferred; 2 years of emergency room experience preferred.
• ACLS required within 6 months of initial assignment and continuously maintained thereafter. All registered professional nurses after 24 months of initial assignment will have completion of ATCN or TNCC. Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization. PALS or ENPC with PALS or ENPC provider status attained within 12 months of initial assignment and continuously maintained thereafter.
• All registered professional nurses after 24 months of initial assignment will have completion of ATCN. 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 and continuously maintained thereafter.
• Specialty experience advanced certification preferred.

Emergency Room – Mainland

• 2-4 years of medical/surgical experience preferred. 2 years of emergency room experience preferred.
• ACLS required within 6 months of initial assignment.
• All registered professional nurses after 24 months of initial assignment will have completion of ATCN or TNCC. Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization. PALS or ENPC with PALS or ENPC provider status attained within 12 months of initial assignment and continuously maintained thereafter. 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 and continuously maintained thereafter.
• Specialty experience advanced certification preferred.

Labor and Delivery

• 2-4 years of labor and delivery experience preferred.
• ACLS required within 6 months of hire or transfer. NRP (NALS) required within 1 year from date of hire or transfer.
• Neonatal Intensive Care Unit/Intermediate Care Unit – 2-4 years neonatal intensive care unit experience preferred. NRP (NALS) required within 1 year from date of hire or transfer.
• Mother/Baby Unit (OB) – 2-4 years mother/baby experience preferred. NRP (NALS) required within 1 year from date of hire or transfer.
• Perinatology – 3 years of labor and deliver experience preferred. OB certification required.
• Operating Room – Minimum 1 year of medical/surgical experience desired; 1-2 years operating room experience preferred. CNOR preferred.
• ACLS preferred.
• Critical Care (ICU) – 2-4 years medical/surgical experience preferred; 1-2 years of critical care experience preferred. ACLS required within 1 year from date of hire or transfer. CCRN preferred.
• Specialty experience advanced certification preferred.

Medical/Surgical – 3 Pines/3 Central

• 1-2 years of medical/surgical experience preferred.
• Effective February 18th 2020, ACLS is required for all currently hired employees on 3 Pines. Current incumbents are required ACLS by December 31st 2021. Incumbents hired after December 31st, 2021, will have 6 months from date of hire or transfer to obtain ACLS.

Medical/Surgical (2S, 4H, 5H, 7H, 4 M)

• 1-2 years of medical/surgical experience preferred.
• Dialysis (renal, acute) – 1-2 years of medical/surgical experience preferred. 1-2 years of dialysis experience preferred. ACLS required within one year of date of hire or transfer.

Psychiatry – 1 West 1 Pines

• PIP (Psychiatric intervention program) – If not a screener, 1-2 years of medical/surgical experience preferred. 1-2 years of psychiatry experience preferred. (QPRT) annual education required within 6 months from date of hire or transfer. Crisis Prevention Intervention annual education preferred and both are tracked by department leadership.
• PIP (Psychiatric intervention program) – If screener, 1-2 years of medical/surgical experience preferred. 3 years of psychiatry experience, one of which is in a crisis setting required. Crisis Prevention Intervention annual education preferred and is tracked by department leadership. Current NJ state certification as a Mental Health Screener required.
• Valid New Jersey driver's license is required and MVA check upon hire or transfer.

Pediatrics

• 1-2 years of medical/surgical experience preferred. 1-2 years of pediatric experience strongly preferred.
• PALS required within 1 year from date of hire or transfer.
• Specialty experience advanced certification preferred.

Radiology – Radiology Administration

• 2-4 years of medical/surgical experience preferred; 1-2 years of interventional experience preferred.
• Critical care experience preferred.
• ACLS.
• PALS required within 1 year from date of hire or transfer.

Cath Lab (cath lab, EP)

• 1-2 years of critical care, emergency room or telemetry experience preferred.
• 1 year of cath lab experience preferred.
• ACLS.

Trauma ICU

• 1 year of trauma experience required; 2 years preferred.
• ACLS, at time of hire.
• PALS and  ATCN required within 1 year from date of hire or transfer.

Oncology (1 South/1 Meadow)

• 1 2 years of medical/surgical experience preferred.
• Chemotherapy experience preferred.
• Effective 2/21, all employees within job codes are required to have ACLS within 1 year from date of hire or transfer. C
• Chemotherapy certification preferred.

Endoscopy

• Minimum 2 years of medical/surgical experience preferred; 1-2 years of endoscopy, telemetry and critical care experience preferred.
• ACLS required at 6 months from hire or transfer.
• PALS, CCRN and CGRN preferred.

Cardiac Diagnostic

• 1-2 years of medical/surgical experience preferred; 1-2 years critical care experience preferred.
• ACLS required at 6 months from hire or transfer.

Cardiovascular ICU (CVU)

• 2-4 years of critical care experience preferred.
• 2-4 years of cardiovascular ICU experience preferred.
• ACLS required at 1 year from hire or transfer.
• CCRN preferred.

Progressive Cardiac Care Unit (PCCU)

• 2-5 years of telemetry experience preferred.
• ACLS required within 6 months of date of hire or transfer.

Progressive Care Unit (PCU)

• 2-5 years of telemetry experience preferred.
• ACLS required within 6 months from date of hire or transfer.

Telemetry (2 West/2 Pines, 6 Harmony)

• 1-2 years of medical/surgical experience preferred.
• Effective 5/05, ACLS required within 1 year from date of hire or transfer.

Radiation Oncology

• 1-3 years of oncology experience preferred.
• OCN preferred.
• Specialty experience advanced certification preferred.

Medical Oncology Infusion Services

• 1-3 years of oncology experience preferred.
• ONS Chemotherapy and Biotherapy Competency Provider required within 6 months from date of hire or transfer.
• OCN preferred.

PACU/SDS

• 1-3 years of critical care or PACU experience required.
• ACLS required; PALS required within 6 months from date of hire or transfer.

Pre-Admission Testing (PAT)

• 1-3 years of medical/surgical experience preferred.

Acute Partial/Child – Adolescent Program

• 1 year of experience in behavioral health setting.
• Crisis intervention prevention preferred; tracked by department leadership.

Bloodless Surgery

• 1-2 years of medical/surgical experience preferred.

Wound Care – Outpatient

• 1-2 years of medical/surgical experience preferred.
• Wound care and HBO training course through Healogics is required within 1 year from date of hire or transfer.
• ACLS required within 6 months of date of hire or transfer.
• Specialty experience advanced certification preferred.

Hammonton Satellite Emergency Department

• 2-4 years of medical/surgical experience preferred; 2 years of emergency room experience preferred.
• ACLS required within 6 months of initial assignment and continuously maintained thereafter.
• Minimum of 8 contact hours of education every 1 year in basic trauma assessment, intervention and stabilization.
• PALS or ENPC with PALS or ENPC provider status attained within 12 months of initial assignment and continuously maintained thereafter.
• 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 and continuously maintained thereafter.

Structural Heart

• 2-3 years of experience in cardiology.
• Able to perform phlebotomy, EKG and IV insertion.
• BLS and ACLS required.

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 and 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
Potential for exposure to the hazards and risk of the hospital environment and blood-borne pathogens, including exposure to infectious disease, hazardous substances, radiation 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.
• Dialysis: Patients with acute or chronic renal failure or chronic renal disease.
• 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: Monitor post-surgical care including, but not limited to, neuro, GI, GU/GYN, peripheral vascular interventions, orthopaedic 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, orthopaedic, neuron, GI, GU/GYN, renal, metabolic, pulmonary systems and those requiring isolation/precautions.
• Telemetry/Medical/Surgical: Cardiac/cardiovascular, neuro, GI conditions and diseases including, but 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, etc.