Age of Patients Served is dependent on the specific populations cared for on the Unit.
Supports the mission statement of Munson Healthcare (MHC) and Munson Nursing: Munson Healthcare and its partners work together to provide superior quality care and promote community health.
Direct Care: Direct interaction with patients, families, and groups of patients to promote health or well-being and improve quality of life. Characterized by a holistic perspective in the advanced nursing management of health, illness, and disease states.
Conducts comprehensive, holistic wellness and illness assessments using known or innovative evidence-based techniques, tools, and direct and indirect methods.
Obtains data about context and etiologies (including both non-disease and disease-related factors) necessary to formulate differential diagnoses and plans of care, and to identify and evaluate of outcomes.
Employs evidence-based clinical practice guidelines to guide screening and diagnosis.
Assesses the effects of interactions among the individual, family, community, and social systems on health and illness.
Identifies potential risks to patient safety, autonomy and quality of care based on assessments across the patient, nurse and system spheres of influence.
Assesses the impact of environmental/system factors on care.
Synthesizes assessment data, advanced knowledge, and experience, using critical thinking and clinical judgment to formulate differential diagnoses for clinical problems amenable to CNS intervention.
Prioritizes differential diagnoses to reflect those conditions most relevant to signs, symptoms and patterns amenable to CNS interventions.
Selects interventions that may include, but are not limited to:
Application of advanced nursing therapies
Initiation of interdisciplinary team meetings, consultations and other communications to benefit patient care
Management of patient medications, clinical procedures and other interventions
Psychosocial support including patient counseling and spiritual interventions
Designs strategies, including advanced nursing therapies, to meet the multifaceted needs of complex patients and groups of patients.
Develops evidence-based clinical interventions and systems to achieve defined patient and system outcomes.
Uses advanced communication skills within therapeutic relationships to improve patient outcomes.
Prescribes nursing therapeutics, pharmacologic and non-pharmacologic interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients, families and groups, in accordance with professional preparation, institutional privileges, state and federal laws and practice acts.
Provides direct care to selected patients based on the needs of the patient and the CNS's specialty knowledge and skills
Assists staff in the development of innovative, cost effective programs or protocols of care
Evaluates nursing practice that considers Safety, Timeliness, Effectiveness, Efficiency, Efficacy and Patient-centered care.
Determines when evidence based guidelines, policies, procedures and plans of care need to be tailored to the individual
Differentiates between outcomes that require care process modification at the individual patient level and those that require modification at the system level.
Leads development of evidence-based plans for meeting individual, family, community, and population needs.
Provides leadership for collaborative, evidence-based revision of diagnoses and plans of care, to improve patient outcomes.
Consultation: Patient, staff, or system-focused interaction between professionals in which the consultant is recognized as having specialized expertise and assists consultee with problem solving
Provides consultation to staff nurses, medical staff and interdisciplinary colleagues
Initiates consultation to obtain resources as necessary to facilitate progress toward achieving identified outcomes
Communicates consultation findings to appropriate parties consistent with professional and institutional standards.
Analyzes data from consultations to implement practice improvements.
Systems Leadership: The ability to manage change and empower others to influence clinical practice and political processes both within and across systems.
Facilitates the provision of clinically competent care by staff/team through education, role modeling, teambuilding, and quality monitoring.
Performs system level assessments to identify variables that influence nursing practice and outcomes, including but not limited to:
Population variables (age distribution, health status, income distribution, culture).
Environment (schools, community support services, housing availability, employment opportunities)
System of health care delivery
Regulatory requirements
Internal and external political influences/stability
Health care financing
Recurring practices that enhance or compromise patient or system outcomes.
Determines nursing practice and system interventions that will promote patient, family and community safety.
Uses effective strategies for changing clinician and team behavior to encourage adoption of evidence-based practices and innovations in care delivery.
Provides leadership in maintaining a supportive and healthy work environment.
Provides leadership in promoting interdisciplinary collaboration to implement outcome-focused patient care programs meeting the clinical needs of patients, families, populations and communities.
Develops age-specific clinical standards, policies and procedures.
Uses leadership, team building, negotiation, and conflict resolution skills to build partnerships within and across systems, including communities.
Coordinates the care of patients with use of system and community resources to assure successful health/illness/wellness transitions, enhance delivery of care,