JOB SUMMARY Applies the nursing process to plan and manage the care of complex patients in a comprehensive manner. Recognizes complex learning needs and prepares individual teaching plans for patients/families and consistently demonstrates effective patient education to peers. Consistently ensures a comprehensive continuum of care plan in collaboration with the health care team. Demonstrates and role models effective communication and conflict resolution skills. Ensures evidence-based care and continuously monitors patient outcomes. Furthers professional growth by engaging in learning activities according Board of Nursing standards. . KEY RESPONSIBILITIES • Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum. • Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis. • Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes. • Employs strategies to promote health and a safe and healthy environment. • The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES • Evidence-Based Practice (Intermediate): Demonstrates ability to integrate evidence from multiple sources and determine if a practice change should occur. Shares knowledge with peers and other clinical team members independently. • Nursing Patient Assessment & Evaluation (Intermediate): Demonstrates mastery of patient assessments and evaluations in practical applications of a difficult nature. Conducts primary care patient interviews and physical examinations. Conducts inquiry with a thorough series of questions when patients state an ailment or complaint in order to accurately identify and elaborate on the problem. Possesses sufficient knowledge, training, and experience to role model and coach less experienced peers. • Nursing Patient Education (Intermediate): Demonstrates mastery of patient education in practical applications of a difficult nature. Possesses sufficient knowledge, training, and experience to be capable of providing patient health education services without requiring instruction from others. Able to train and educate by setting the example, giving technical instruction, providing leadership, and generally raising the level of performance of others while on the job. • Care Planning (Intermediate): Demonstrates ability to anticipate and plan for complex resource needs, identify discrete tasks, set priorities, schedule activities, meet deadlines, and organize work. Collaborates with members of the health care team to identify desired outcomes. Anticipates problems and obstacles before they arise. Able to adapt changes to patient care and area needs with minimal loss of disruption and loss of productivity. Develops creative ideas and takes innovative action to achieve planned goals and objectives. Possesses sufficient knowledge, training, and experience to role model and coach less experienced peers.