The registered nurse is accountable for the coordination of nursing care, including direct patient care, patient/family education and discharge planning. The RN practices professional nursing across practice settings and across the continuum of care to meet the needs of the patient and family. The RN is accountable for assessing, planning, implementing, evaluating, and communicating all phases of nursing care for assigned patients. The RN provides leadership through roles such as preceptor and team leader, and through committee work.
The licensed practical nurse participates as a member of the healthcare team by providing nursing care under the supervision of the nurse or physician. The LPN collects data through observation and provides information to assist the physician and/or nurse in patient assessment and care planning, according to the standards of care. The LPN participates in research when appropriate and supports the community through community involvement.
The nurse technician I is a nursing position open to student nurses who have completed a nurse extern program from a recognized healthcare organization. Nurse techs are paid positions, and they can work up to 12 hours per week in a flexible schedule of their choosing. The nurse techs, working with their unit managers and educators, create a learning experience that meets their individual needs. Skills may be performed similar to the nurse extern. Nurse techs are not considered in staffing for patient care delivery so experiences can be diverse and flexible. The nurse tech role may be continued while the student is in nursing school.
The nurse technician II has graduated from a school of nursing, but is not yet licensed. This new graduate may perform designated tasks that have been taught in an academic program or orientation and where the individual has demonstrated competence to a designated R.N. For new graduates, Mayo Clinic in Arizona also offers the Nurse Residency Program, a one-year program that assists recent graduates in transitioning to fully competent, professional nurses at Mayo Clinic.
The unit-based educator (UBE) is responsible for assessment, planning, implementation, and evaluation of educational activities at the unit level. The UBE acts as a resource to the healthcare team with regard to new policies, procedures, equipment and healthcare information and facilitates unit-level orientation, education, and tracks unit-based clinical competencies of the nursing staff.
The clinical nurse specialist works collaboratively to improve the quality of patient care and promote desired patient outcomes in a designated specialty practice. The CNS functions as a leader in the roles of care provider, educator, consultant, and evidence-based practitioner, and is an active participant in the collaborative practice framework.
Nurse practitioners provide basic health care for infants, children, and adults in a wide range of settings at Mayo Clinic. The primary role of an NP is to perform physical exams, diagnose and treat illness, and manage chronic disease. NPs participate in health promotion as team members in the provision of medical and health care, collaborating with professional colleagues to provide comprehensive care.
The CRNA takes care of patients' anesthesia needs during surgical procedures with the assistance, advice and supervision of the anesthesiologists. Duties include but are not limited to: conducting a physical assessment of the patient, preparing the appropriate anesthetic for surgery, administering the anesthetic, monitoring and maintaining anesthesia during the operation, and overseeing a patient's recovery from the anesthetic after surgery is complete.
Other expanded nursing leadership opportunities available to nurses include: nurse manager, informatics nurse, case manager, wound ostomy continence nurse, nursing quality manager, and nurse administrator.
The nursing education specialist (NES) is responsible for collaborative assessment, planning, implementation and evaluation or consultation on educational activities to develop, maintain and enhance clinical, educational and leadership skills of nursing and allied health personnel. The NES serves as a resource to the unit-based educators (UBE) on educational issues and projects, and partners with the UBE to provide education to the nursing staff.
The informatics nurse participates in multidisciplinary strategic planning to help evaluate system solutions that support patient care. Informatics nurses are the primary liaison between the Information Technology Division and the Division of Nursing Services, and coordinate activities related to development and testing of nursing systems applications.
The clinical research nurse works collaboratively with the healthcare team as well as external pharmaceutical and/or medical device companies to coordinate clinical research studies, ensuring that all protocol requirements are met, including screening and recruitment of eligible patients, patient education and follow-up, preparation of case report forms, accurate protocol documentation and drug accountibility.
The transplant coordinator works collaboratively with the healthcare team to coordinate the delivery of patient care to the transplant patient before, during, and after transplant. The transplant cordinator assesses and plans in collaboration withthe patient, significant others and the interdisciplanary healthcare team to meet educational and discharge needs.
In addition to nursing roles, Mayo Clinic in Arizona also has roles that support the operation of the patient care unit. These roles include:
Provides urinary catheterizations, irrigations, bladder instillations, reinforcement of self-catheterization education, ultrasonic bladder scanning, and postoperative care related to urinary drainage tubes.
Helps patient care unit staff with direct and indirect patient care under the supervision of a registered nurse, performing activities specified by law for unlicensed nursing personnel.
Supports the operating room team in the care of the surgical patient, under the supervision of the core supervisor and in collaboration with the operating room team.
Provides organizational, receptionist, and clerical support for patient care units. The unit secretary supports patient care by maintaining an efficient, well-organized unit and keeping supplies and equipment available and properly stored. The unit secretary communicates information with patients, visitors, nursing and medical staff, and other departments. The unit secretary is a resource to members of the health-care team in matters pertaining to nondirect patient care and is familiar with resources.