Ensuring the achievement of Northern Arizona Healthcare’s mission, the Supplemental Work and Transition (SWAT) Relief Registered Nurse, under the supervision of the Clinical Manager/Director, is responsible for collaborating with the Administrative Coordinator, Charge RN, nursing staff, physicians and ancillary department staff to provide patient care and facilitate patient throughput throughout the hospital. When providing services and leadership to the department, the SWAT RN acts as an advocate for the shift, making sure the Administrative Coordinator/Charge RNs are aware of the unique needs of the shift. The SWAT RN provides leadership for nursing personnel by being a team leader, serving as a preceptor, and being an active member of the health care team. The SWAT RN practices within the ANA Scope of Practice, the ANA Code of Ethics for Nurses and the standards of his/ or her specialty.

Patient Care
* Addresses patient and family concerns, communicates issues and solutions through appropriate channels.

* Documents incidents, events, interventions, and patient/staff/physician responses.

* Serves as patient advocate. Prioritize and problem solves to meet changes in patient status/condition.

* Works with other departments to ensure smooth patient throughput processes including discharge planning and patient education as appropriate.

* Collaborates with physicians and other health care professionals to ensure staffing patters meet appropriate skill mix necessary for quality patient care.

* Serves as a liaison with patients, physicians, Administrative Coordinator, unit staff, ancillary staff and departments.

* Serves as a resource, assists staff in caring for patients; able to assist physician with order delivery.

* Responds to Code Blue, rapid Response, Stroke, Code Transfusion, Trauma, AMI and Stroke Alerts.

* MRI safety training, Level 2 clearance, use of MRI monitoring equipment and infusion pumps.

* When needed, may assume role of RN transports for monitored patients, including but not limited to admissions, diagnostic radiology testing and special procedures.

* Able to assist in all inpatient and emergency room areas of the hospital.

* Able to assume care of Critical Care patients.

Administrative
* Support Administrative Coordinator and Charge RNs to determine needs of a department to provide quality care and maintain unit productivity.

* When appropriate, coordinates and assists Charge RN with patient care assignments and delegation of patient care activities to unit and ancillary staff.

* Assists in addressing work flow issues, ensures incidents are appropriately documented and corrective steps are taken.

* Identifies appropriate referral and educational resources for patients and staff.

* Advocates for both patients and staff as needs arise.

* Demonstrated knowledge of NAH and department policies and procedures. Works to ensure compliance of best practice among each staff member.

Coaching and Development
* Ensures staff accountability, monitors staff performance, and provides real time constructive feedback whenever possible.

* Identifies performance opportunities for improvement and provides resources and education as needed.

* Regularly recognizes fellow colleagues for performance and improvements.

* Collaborates and communicates with the Administrative Coordinator/Clinical Manager regarding staff performance.

* Provides coaching to nursing staff.

* Provides input to nursing leadership regarding performance, promotion, and corrective action on a regular basis.

Education
* Participates in creating and sustaining a learning environment supported by evidenced based practice and research.

* Focuses on personal development areas, engaging in professional/collegial interactions with peers and students.

* Work collaboratively with peers and other health care providers, and participating in ongoing in-service and educational seminars.

* Participates in the mentoring and education of colleagues and students.

Compliance/Safety
* Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

* Adheres to regulatory and organizational standards affecting patient care and safety as well as all hospital and departmental policies and procedures. Practices in a safe and cost effective manner.

* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.

* If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

* Completes all company mandatory modules and required job specific training in the specified time frame.

* Maintains timely and accurate documentation of assessments, interventions, EMR entries, and patient responses.

Education
RNs hired on or after 7/1/2016: Must graduate from a BSN program within 6 years of hire into an RN position.

Existing Staff RNs:

RNs hired before 7/1/2016 are not mandated to have a BSN, but are encouraged to pursue a BSN degree.

Certification & Licensures
Active, unrestricted, Arizona RN License or valid, participating compact license - Required

BLS (American Heart Assoc.) - Required

ACLS - Required for RN’s who provide direct care to adult patients in monitored care areas

NIHSS - Required within 30 days from date of hire

PALS - Required within 90 days from date of hire

NRP - Required within 90 days from date of hire for VVMC locations only

ATCN or TNCC - Required within one year from date of hire

Employee will obtain and maintain appropriate clinical competencies for the roles assigned by their departmental leader.

Experience
Minimum 2 years experience as RN - Required

Minimum 1 year experience in ICU/ED - Required

Ultrasound IV Competency - Required within 90 days from date of hire

Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.