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CHRN

Job Title: Certified Hyperbaric Registered Nurse

Employee:

Date:

Reports to: Program Director/Clinical Coordinator

Status: [   ]  Exempt    [X]  Non-exempt

JOB SUMMARY

The Certified Hyperbaric Registered Nurse (CHRN) authority, responsibility, and accountability is as follows:

  1. Education: Accountable for teaching patients new information. Accountable for maintaining professional competencies. Supports unit education through a variety of activities, such as precepting, unit in-services, and may also assist in organizational educational programs.
  2. Communication: Is accountable for effective communication with patients/family, care team members and physicians regarding the patient’s progress on the plan of care and response to treatment.
  3. Staff Development: Participates in the orientation of new employees. Oversees care assigned to paraprofessionals on the patient care team. Works in partnership with members of the team.
  4. Quality: Implements plan of care/Clinical Pathways assuring progression toward quality outcomes. Participates in the development and monitoring of action plans to ensure performance improvement and regulatory compliance.
  5. Collaboration: Consults with physicians and team members regarding changes in patient’s condition and revises the plan of care utilizing input of team members. Supports roles of all co-workers. Acts as a resource to the interdisciplinary team members for coordination of the plan of care, pathway and discharge planning. Maintains effective relationships with primary and consulting physicians.

PERFORMANCE EXPECTATIONS

Organizational Responsibilities

  1. Displays leadership by: Modeling behaviors in support of the Mission Statement, Service Standards and Values Related Behaviors of <facility>; using effective interpersonal skills to develop positive working relationships; participation in educational opportunities for personal and professional growth; contribution to organizational and departmental goals.
  2. Supports quality improvement by: Striving to do the right things the right way the first time; using quality tools and techniques as appropriate; demonstrating flexibility and resilience in response to change.
  3. Demonstrates individual effectiveness by: Maintaining a positive, open-minded and team-oriented attitude; following through on commitments; performing job responsibilities in a manner consistent with organizational policies; communicating effectively with others; using resources effectively and efficiently; making suggestions and supporting the implementation of strategies to increase revenue and/or reduce operational expenses.
  4. Focuses efforts to provide services that exceed the expectations of our customers by: Anticipating and responding to customer needs; seeing customer satisfaction as a key measure of success; integrating service focus into daily routine.
  5. Models teamwork by: Participating actively as a team member on a departmental and organizational level; fostering collaboration among members of the team; and recognizing the efforts and successes of other individuals and teams.

Job Specific Responsibilities

  1. Primary Responsibilities
    1. Assisting in the coordination of hyperbaric patients.
    2. Assisting in the day-to-day operation of the hyperbaric facility.
    3. Maintaining competencies, continuing education, and certifications as appropriate to the position.
    4. Performing nursing assessments, developing, and implementing and evaluating nursing plans of care
      and instructing patient and significant others in appropriate discharge instruction.
    5. Keeping complete and accurate patient records as they pertain to assessment, treatments and documentation of care.
  2. Secondary Responsibilities (essential functions as defined in the Americans with Disabilities act.)
    1. Demonstrates technical and professional competence in procedures.
    2. For designed employees: Applies knowledge of various developmental stages in the planning and implementation of care for each patient/client/resident. 
      • Age Group(s) of patients served in this job:
        [X] Infant/Toddler (0-36 months)                              
        [X] Child (3-12 years)
        [X] Adolescent (12-18 years)
        [X] Adult (19-60 years)
        [X] Older Adult (60+ years)
    3. Assessment
      • Assesses the patient’s level of functioning on admission, transfer and discharge. Differentiates findings from defined limits of normal.
      • Uses professional judgment in day to day problem solving and decision making. Seeks assistance from Clinical Coordinator and peers as needed. Assists others.
      • Assesses patient’s educational needs and develops a plan to meet these needs.
      • Assesses discharge needs and communicates to team members.
    4. Planning
      • Initiates the plan of care in collaboration with the patient care team.
      • Prioritizes care in consideration of length of stay and patient/family needs.
      • Reviews discharge care with patient/family/physician and other team members.
    5. Intervention
      • Administers medications and treatments according to patient needs, physician orders and policies.
      • Participates in patient/family conferences as a member of the patient care team.
      • Utilizes patient teaching to provide new information to patient/family. Utilizes patient teaching according to policy.
      • Collaborates with Program Director, Clinical Coordinator, physician, and other caregivers to provide effective patient care.
      • Makes rounds regularly on assigned patients.
      • Documents care on appropriate forms.
      • Assures patient and family care award of team members roles and introduces care team on admission.
      • Delegates tasks appropriately to team members.
    6. Evaluation
      • Evaluates patient’s response to treatment utilizing knowledge of disease process and patient’s story.
      • Evaluates patient’s progress on plan of care and revises as indicated.
      • Evaluates patients continued learning needs and revises education plan as indicated.
    7. Other
      • Handles narcotics according to policy.
      • Demonstrates flexibility in meeting staffing needs of department.
      • Utilized staffing and scheduling guidelines to identify staffing needs.
      • Verifies the accuracy of order transcription.
      • Participates in new employee orientation.         
      • Performs other duties as assigned.
      • Maintains clinical expertise in area of specialty.
      • Participates in performance improvement activities.

Department/Unit Specific Responsibilities

  1. Primary Responsibilities (essential functions as defined in the Americans with Disabilities Act.)
    1. Attends or gives input for care as needed.
    2. Utilizes professional/nursing standards of nursing practice and the nursing process in daily practice.
    3. Participates in organizational committees and task forces as requested.
    4. Participates in professional organization.
    5. Demonstrates competence in critical care assessment of identifying normal level of function versus alterations from normal parameters.
    6. Demonstrates knowledge in utilization of complex technical patient care equipment.
    7. Prioritizes within a critical care environment involving high bed turnover.
    8. Acts as a resource to the team, facilitation patient care activities and interdepartmental communication and collaboration.
  2. Secondary Responsibilities
    1. Promotes services of <facility> to patients and community.
    2. Is involved in or serves on the following: Unit Based Meetings, Department Education planning and implementing, acts as a preceptor to new staff and students.

MINIMUM REQUIREMENTS

Education/Training

[X]  High School Diploma

[   ] Associate Degree in Nursing required

[   ] Bachelor Degree in Nursing

[   ] Graduate Degree in __________

[X] Technical/Professional Training/Degree in Nursing RN

[   ] ACLS- preferred/ recommended.

[X] Certified Hyperbaric Registered Nurse

[X] Must hold a current nursing license in the state in which the nurse is practicing (certain government agencies may be exempt).

[X] Must have documentation of successful completing of at least a 40 credit hour National Board of Diving and Hyperbaric Medical Technology (NBDHMT) – approved Hyperbaric Medicine Introductory Course.

[X] Must hold current (BLS).

[X] Should have an interest in learning, practicing, and maintaining competency in the field of hyperbaric nursing.

[X] Should be a Certified Hyperbaric Registered Nurse (CHRN), basic level (when eligible).

[X] Complete forty hours (40) of continuing education credits per previous four years, with at least twenty (20) of those credits in the field of hyperbaric oxygen therapy – Category A.

[   ] ACLS is preferred/ recommended.

[X] Must hold CHRN, basic level; advanced level strongly recommended.

[X] Should have at least 12 months of recent practical experience in clinical hyperbaric medicine, after meeting the entry-level qualifications and training requirements as delineated in this document for entry-level hyperbaric nurse.

[X] Should have a working understanding of the codes and regulations that govern the operation of a hyperbaric medicine facility.

[X] Should participate in professional organization.

[X Should be an active participant in education and leadership activities.

Skills and Experience (with minimum requirements indicated as appropriate)

Five (5) years of experience in defined specialty area.

Two (2) years employment full time, part-time or PRN (worked 1000 hours/year for 2 years)

Certificates and/or Licenses

Current licensure as R.N. by the state board of nursing in which you practice.

PHYSICAL AND MENTAL REQUIREMENTS

Lifting Up To Pushing on Wheels Up To Manual Dexterity
[   ] 5 Lbs [   ] 25 Lbs [   ] Low
[   ] 20 Lbs [   ] 50 Lbs [   ] Medium
[   ] 40 Lbs [   ] 150 Lbs [   ] High
[   ] 60 Lbs [   ] 250 Lbs  
[   ] Over 60 Lbs [   ] Over 250 Lbs  

Indicate the average percentage of time during regular shift devoted to each of the following activities.

  0-20% 21-40% 41-60% 61-80% 81-100%
Standing [   ] [   ] [   ] [   ] [   ]
Walking [   ] [   ] [   ] [   ] [   ]
Squatting [   ] [   ] [   ] [   ] [   ]
Sitting [   ] [   ] [   ] [   ] [   ]
Bending to waist level [   ] [   ] [   ] [   ] [   ]
Bending to the floor [   ] [   ] [   ] [   ] [   ]
Reaching to shoulder level [   ] [   ] [   ] [   ] [   ]
Reaching above the shoulder [   ] [   ] [   ] [   ] [   ]
Driving a car [   ] [   ] [   ] [   ] [   ]
Driving a van [   ] [   ] [   ] [   ] [   ]
Driving other: [   ] [   ] [   ] [   ] [   ]

Hearing: Adequate to perform the essential functions of the job such as listening for heart tones, assessment
of breath sounds; interacting with patients, physicians, family and other health team members; responding
to alarms and patient request.

Speaking: Adequate to perform the essential functions of the job such as communicating instructions to patients
and communicating information to other health team members.

Vision: Adequate to perform the essential functions of the job such as physical assessment of patient, based on observation of physical appearance of patient and information obtain from patient charts; instrument reading;
reading medication labels.

Mental (such as problem solving, cognitive reasoning, communication skills, attention and memory, reading, writing and arithmetic): Adequate to perform the essential functions of the job such as reading, writing, reacting calmly and effectively in emergency situations, critical thinking, problem solving and conflict resolution.

Other: none.

UNIQUE ASPECTS OF THE JOB REQUIREMENTS

In relation to blood borne pathogen exposure determination, this job is assigned to:

[X] Category I

[   ] Category II

[   ] Category III

ORGANIZATIONAL RELATIONSHIPS

  1. Employees Reporting to this Job
    1. Approximate number of FTEs reporting to this job: None
    2. Job titles of employees reporting to this job: None
  2. Primary Customers Receiving Services or Goods from this Job
    1. Internal
    2. [X] other team members

      [X] other departments within the facility

      [X] other entities within the health system

      [X] physicians

      [X] volunteers

      [   ] other:

    3. External
    4. [X] patients and families

      [X] visitors

      [X] community organizations

      [   ] payers

      [X] vendors

      [   ] other

APPROVALS

Program Director                                                 Date

Clinical Coordinator                                             Date


Policy Effective Date:

Reviewed Date:

Revised Date:

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