Student

1. Patient Care: Oversees appropriateness of patient care of the Bone Marrow Transplant patient. 

• • Performs History and Physical  and follows care of patient throughout   

            inpatient stay and Outpatient Clinic visits

• • Writes orders and performs procedures consistent with the Collaborate Practice Agreement under the directions of the BMT Attendings.
  • Assesses, plans, intervenes, and evaluates interventions for patients. Appropriately documents this process.  (Include program development, development of educational material, etc.).
  • Functions daily as a role model to nursing staff thereby indirectly demonstrating therapeutic nursing relationships with patients and/or families. 
  • Participates with nursing and other disciplines in discharge planning, problem-solving, education and other patient-related issues, both informally and regularly scheduled meetings.
  • Maintains professional competence through weekly supervision, continuing education and other relevant learning experiences.

2. Education:  Provides education to both Nursing and ancillary staff through inservices and one-on-one education sessions.  

• Helps educate in formal (inservices, instructor for students, etc.) and informal (patient care, etc.) settings.

3. Consultation:  Provides teaching on BMT procedure to the BMT patient and care giver and obtain informed consent for BMT.

•  Serves as consultant to nursing staff, medical staff, social work, pastoral care, and ICU regarding the specialty management and care of BMT patients and families.

4. Collaboration:  Practices within the multidisciplinary team.   

•  Participates with nursing and other disciplines in discharge planning, problem-solving, education, and other patient-related issues, formally and informally.
• Makes appropriate referrals for patients.  Referrals include in-house and community services.

5. Specialized Care:  Provides specialized care to patients at high risk for injury.

• Restraint Care

• Initiates/evaluates alternatives to restraint prior to application.
• Applies restraints consistent with the approved procedure.
• Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals.
• Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis.
• Provides consultation for peers to determine alternatives to restraints and 1:1 observation.
• Documents restraint use and associated care thoroughly.

• Pain Management

• Assess patient for presence of pain on admission and during assessments/reassessments.
• Incorporates patient’s cultural/spiritual beliefs regarding pain into pain management plan.
• Implement pain management techniques.  Focus on prevention rather than treatment.
• Include patient and/or family members in developing a pain management plan.
•  Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy.

•   Abuse Assessment

• Is aware of abuse recognition criteria and incorporates it into assessments.
• Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work.
• Takes appropriate action to support patient safety when signs of abuse are noted.

6. Demonstrates accountability for own professional practice.

• Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care.
• Participates in learning experiences that increases professional competence.
• Demonstrates appropriate technical and cognitive skills for area of practice.
• Maintains currency in all hospital / unit information, communication, policies and procedures.

• Attends staff meetings / reviews minutes when absent
• Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role
• Reviews Hospital  publications
• Keeps up to date with policies and procedures
• Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information.  Contributes to requests for feedback.

• Demonstrates ability to change and adapt to changing work demands

• Responds positively to change
•  Provides assistance and support to peers, co-workers and other team members
• Adapts positively to changes in unplanned work load and job demands

7. Ability to relate to co-workers in a professional and appropriate manner.

•  Orients and/or precepts new employees when required.
• Participates in and maintains a collaborative team approach toward work.
• Functions as a resource person to co-workers, patients / families, medical staff and other members of   

         the health care team.

• Effectively assumes and delegates care and other activities to the appropriate team member.
• Redirects clinical staff when the medical plan of care is altered.
• Communicates the plan of care to be followed on each individual patient in a precise and professional   

         manner.

• Responsible for the supervision and teaching of students

8.   Safety/Infection Control:  Performs job in accordance with safety and infection control  policies.

• Practices standard precautions and disposes of hazardous wastes per established guidelines.
• Maintains a safe, clean, comfortable, and therapeutic environment for patients / families / employees in accordance to hospital standards.

• Maintains clutter free environment.
• Keeps personal conversations/background noise to a minimum.
• Adheres to dress code.

• Reports risk management concerns.
•  Reports variations from care / treatment following the occurrence reporting policy and procedure.