Displays professional nursing judgment in overseeing IV Therapy and Interventional procedures; serves as scheduling coordinator of patients for assessments, adolescent to geriatric; works in collaboration with physicians and management on new program development. Knowledgeable of PICC insertions/Criteria and serves as the IV/PICC resource nurse/coordinator.
Nursing expertise and clinical knowledge develop over time and are acquired through experience and exposure to different practice situations. Nurses must utilize multiple ways of thinking in order to cultivate the essential skills of clinical reasoning, critical thinking and clinical judgment. These skills will continue to develop as they progress through the stages of a career on their journey from novice to expert. Competence in these areas develops over a continuum and can be measured throughout each of these stages. The evaluator considers the expected stage of competency when rating the degree to which the nurse is performing.
Stage 1: Novice
Beginners, because they have no experience with the situations in which they are expected to perform, must depend on rules to guide their actions. Following rules, however, has its limits. No rule can tell novices which tasks are most relevant in real life situations. The novice will usually ask to be shown or told what to do.
Stage 2: Advanced Beginner
An advanced beginner is one who has coped with enough real situations to note (or to have them pointed out by a mentor) the recurrent meaningful aspects of situations. An advanced beginner needs help setting priorities since she/he operates on general guidelines and is only beginning to perceive recurrent meaningful patterns. The advanced beginner cannot reliably sort out what is most important in complex situations and will require help to prioritize.
Stage 3: Competent
Typically, the competent professional has been in practice two or three years. This person can rely on long-range goals and plans to determine which aspects of a situation are important and which can be ignored. The competent professional lacks the speed and flexibility of someone who has reached the proficient level, but competence is characterized by a feeling of mastery and the ability to cope with and manage contingencies of practice.
Stage 4: Proficient
This is someone who perceives a situation as a whole rather than in terms of parts. With holistic understanding, decision-making is less labored since the professional has a perspective on which of the many attributes and aspects present are the important ones. The proficient performer considers fewer options and hones in on the accurate region of the problem.
Stage 5: Expert
The expert professional is one who no longer relies on an analytical principle (rule, guideline, and maxim) to connect an understanding of the situation to an appropriate action. With an extensive background of experience, the expert has an intuitive grasp of the situation and focuses in on the accurate region of the problem without wasteful consideration of a larger range of unfruitful possibilities. (Adapted from Benner, 1984, pp. 13-34)
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: Graduate of an accredited school of Nursing.
License/Certifications: Current license in the State of Maine as a Registered Professional Nurse. Certification in BLS, ACLS and PALS. PICC training/certification within one year of hire.
Experience: Two years acute care and/or outpatient services experience preferred. Two years IV experience.
Independently uses clinical and testing equipment, including ultrasound for PICC insertions
Demonstrates competency to perform venipunctures and other forms of central venous access
Demonstrates use of sound judgement and critical thinking skills in the management and provision of patient care. Maintains knowledge of computerized information systems such as the CIS and RIS systems
Demonstrates knowledge of PICC insertions, maintenance and utilization for IV therapy
Articulates elements of professional practice and demonstrates:
Knowledge of Evidence Based Practice and Patient and Family Centered Care
Understanding of teamwork and collaboration
Effective verbal/written communication skills
Knowledge of process improvement and sound safety strategies
Competence with computer applications
Committed to being the trusted source for quality care – and careers.
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