Cni Job Expectation Template

ACNII JOB EXPECTATION TEMPLATE

January 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

*Able to independently apply the nursing process in the care of patients. Collaborates with team to individualize care:
Independently prioritize patient data collection based on patient’s immediate condition or anticipated problems
Analyzes data to determine patient’simmediate and projected needs
Recognizes abnormal signs and symptoms and intervenes in a timely manner. Consistently uses appropriate resources to individualize plan of care based on patient needs
Collaborates with patient family/significant other (SO) and healthcare team to identify and define outcomes to address patients’ immediate and anticipated needs
Integrate patient and family/SO needs into care delivery
Works to assure care is deliveredin a safe, realistic and timely manner
Collaborates with patient and family/SO to evaluate patients’ understanding of care needs prior to discharge from clinic / point of service
Uses the nursing process to individualize plan of care based on needs of patient. Practice is independent but collaborative
Pain
WoundCare
Patient education
Home Care instructions
Falls Risk
Patient Flow
Documentation
Unit/Clinic specific – BSC, CSF, CMS
Unit meets patient flow targets
Takes actions to facilitate patient flow and minimize delays
Patients properly prepared for discharge from clinic (prescriptions, appointments, instructions, home treatment plan, handoff reports)
Utilizes patient safety principles in practice
6 Rights of Medication Safety
TJC Patient Safety Goals
Environment of care
Recognizes and acts on actual or potential safetyand online safety reports
conducts event analysis of all falls within the shift of the fall.
Participates in unit audits
Demonstrates consistent critical thinking and problem solving skills
Supports clinic by acting as Charge Nurse, Team Lead or Preceptor
Adheres to best practice – rounding, huddles, delegation to assistive personnel, patient care handoffs ,

Role models the provision of evidence-based, clinically competent nursing care in a culturally sensitive manner

Actively monitors and role models individual and clinic compliance with expected patient care and safety standards

Collaborates with clinic leadership to achieve Ambulatory/EOC/IC scores greater than 95% for at least two consecutive quarters.

Actively involved in devising strategies to enhance patient care and clinic safety

Coaches others in role of Charge Nurse/Team Lead

Coaches others in the role of Preceptor

Acquires knowledge and skills required to serve as a clinical “mini-expert” in some facet of care in the clinic

Proactively takes actions to facilitate patient flow and identifies and resolves barriers.

Performs @ ACN III level

Infection Prevention- Hand Hygiene- 90%

Infection Prevention- Hand Hygiene- 90%

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

Standards

Fully Achieves

Exceeds

Clinic meets customer service targets
Press Ganey Scores
Clinic cleanliness
Establishes effective means of communication with patients, and families
Demonstrates positive teaminterpersonal relationships
Utilizes HEART Service recovery principles
Demonstrates ability to address patientfamily centered care issues
Presents professional appearance & demeanor with visible and appropriately worn ID badge
Clinic-specific targets met

Clinic exceeds patient satisfaction targets
Role models behaviors important in exceeding clinic targets for customer service
Press Ganey Scores
Clinic cleanliness
Clinic-specific targets
Positively recognized by patients/families/peers through press ganey surveys, 1:1 interactions and/or customer service excellence award.

Implements strategies to enhance patient family centered care

HCAHPS : Responsiveness of Hospital Staff ______% (unit targets)

HCAHPS : Responsiveness of Hospital Staff ______% (unit targets)

HCAHPS : Hospital Environment 64.1%

HCAHPA : Hospital Environment 78.9%

HCAHPS : How often was the area around your room quiet at night? 64.1%

HCAHPS : How often was the area around your room quiet at night? 78.9%

CG CAHPS : Access to care ______% (clinic targets)

CG CAHPS : Access to care ______% (clinic targets)

CG CAHPS : office staff ______% (clinic targets)

CG CAHPS : office staff ______% (clinic targets)

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

Maintains compliance with mandatory licensure, training and unit competencies
BLS/ACLS/PALs
Safety Training
Annual skills review
Clinic meets turnover targets
Participates in clinic work groups and committees
Contributes to positive clinic climate through personal behavior and teamwork
Participates in 18 hours of continuing educationrelevant to practice
Supports Magnet / Hallmarks principles if applicable
Participates in peer evaluation process
Attends 80% clinic specific staff meetings and modifies practice/behaviors to comply with information presented
WCS Participation rate
Power score
Safety Attitudes Questionnaire participation rate

Leads activities that promote teamwork and positive clinic identification
Active member of professional nursing organization
Actively participates in clinic committee and/or activities
Participates in 20hours of continuing education relevant to practice
Clinic exceeds turnover targets
Achieves specialty nursing certification
Exemplary attendance record

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

Standards

Fully Achieves

Exceeds

Personal behavior supports clinic’s achievement of financial targets
Manages overtime, break/lunch time
Clinic meets targets for labor standards for staffing and agency usage
Appropriate level of care
Clinic meets supply expense targets.

Flexibility with work schedule to meet unit needs

Swipes in and out appropriately (right place/right time, right location). Uses adjustment sheet appropriately.
Makes productive use of structured and unstructured work time

Clinic meets financial targets

Clinic exceeds financial targets

Clinic exceeds targets for labor standards for staffing and agency usage

Consistently changes work schedule to meet clinic needs

Identifies cost saving opportunities and initiates corrective action in collaboration with HCA/PM/NM, develops plan for implementation and education to the staff concerning change.

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