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

  • CG CAHPS : office staff ______% (clinic targets)
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  • 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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