Hillcrest Hospital is a 496 bed hospital located in Mayfield Heights, a Cleveland Ohio Suburb. Hillcrest is ranked in the nation's top 100 in cardiac care. It is part of the Cleveland Clinic system. The mission of the hospital is to provide nationally ranked healthcare to the surrounding community. It holds clinical excellence, safety, ethics, integrity, individual responsibility, respect for diversity and caring for others as key tenets (Hillcrest Hospital, 2012a). Its vision is to service as an example of state-of-the-art medical facility in every department that delivers consistent high quality service to Northeast Ohio (Hillcrest Hospital, 2012b). The Cleveland Clinic system is one of the best renowned systems in the nations in a number of specialties in which they operate.
Hillcrest Hospital strives to put their patients first and looks for enthusiasm in employees. They have high expectations from their employees and strive to hire those that are passionate about serving the needs of their patients. In an attempt to attract the best in the industry, Cleveland Clinic offers an excellent benefits package. They offer excellent health, dental, and vision plans. They also offer paid time off, tuition programs, and top rated pension plans (Hillcrest Hospital, 2012c).
The target job chosen will be that of an RN. Many types of RNs exist and they can specialize in an almost endless number of specialties within their general job category. Although several job characteristics are common to many RN jobs, many specialties exist within the general category of RN. The target job will be that of a general RN. The two anchor jobs will be that of an Ambulatory Care RN and that of an Oncology RN. These job categories were chosen due to the anticipated job growth in the next decade and beyond. Nursing and the healthcare industry will form an increasingly important part of the economy. Demand for nurses will grow as the population ages.
Part II: Job Description and Specification
A job analysis was conducted for the RN target job. The analysis involved general floor nurses, rather than those that operated in a specialty capacity. The analysis was conducted through a review of relevant literature including information from the U.S. Department of Labor, and existing job descriptions for the RN position from Hillcrest. This was compiled with information from other hospitals. In addition to these methods, interviews were conducted with RN floor nurses to determine the most common duties performed during their work day. SMEs chosen included supervisors and those in an administrative position regarding the nursing staff. This method produced a job description that allowed the most common job tasks to be identified. The results of the analysis are presented in the following job description.
RN Job Specification
Part A: Identification
Job Title: Registered Nurse
Relationships: Work with co-workers in a non-competitive manner. Develop meaningful relationships with the patients and their families.
Reports to: Nurse Supervisory Staff and other Administrative Staff
Supervises: Nurse Aides, LPNs, LVN, and volunteers
Internal relationships (other positions that this position regularly works with): Physicians, Nurse-Practitioners, LPNs, LVNs,. STNAs, laboratory and diagnostic personnel
External relationships (customers, vendors, etc...): Patients and their families. The RN typically does not interact with outside vendors, with the exception of contracted individuals in a specialty care position such as occupational therapy.
Part B: Job Summary
RNs treat patients according to the treatment plan, work with physicians to revise the treatment plan, educate the family and patient at their diagnosis. They take medical histories and symptom histories. They help to perform diagnostic tests and analyze the results. They educate the public on health practices. They maintain intravenous lines and operate various medical machinery. They administer medications, record observations of patients, assist with physical therapy, provide emotional support and advise patients.
Part C: Responsibilities & Duties
Duties and responsibilities of the RN vary according to specialty. The duties of the floor RN may include, but will not be limited to the following.
• Maintenance of reports and records
• Order and interpret diagnostic tests
• Modify patient treatment plans according to patient response
• Supervise less-skilled nursing personnel
• Consult and coordinate with other healthcare team members to assess and implement a treatment plan