The Registered Nurse is responsible for the delivery of coordinated nursing care for a patient or an assigned group of patientswithinapatientcareunitandfortheday-to-daymanagementandsupervisionoftherelatedclinicalactivities.The Nurse is responsible for supervising and responsibly directing the activities of various levels of assigned nursingpersonnel utilizing both professional and supervisory discretion and independent judgment. Uses the nursing skills of assessment, planning, implementation, and evaluation in their patient care delivery. Primary function is the delivery of competent, compassionate, and cost-effective nursing care. To utilize the nursing process in the direction and administration of the medical and nursing plan of care. This performance is in compliance with established policies, procedures and protocols under the supervision of the Nurse Manager, Director,Vice President of Clinical Services, and or designee.
·Performs and documents accurate initial assessment per unit standard which may include: initial observation, obtaining andinterpretinginformationintermsofthepatients'needs,safety,dischargeplanning,psych/social/cultural,familyneeds, multi-systemphysicalassessment,patient/familylevelofknowledgeandreadinesstolearnaboutdiseaseprocessandcare requirements. Reports appropriate information in a timely manner to responsible physician.
·Performsanddocumentsongoingpatientassessmentwhichaccuratelyreflectspatients'physicalandmentalstatus ranging from child to geriatric according to unit standards and patient condition.
·Initiates use of restraints per hospital policy and procedures. Demonstrates commitment in the use of safe and appropriatealternativespriortotheapplicationofanypatientrestraintdevice.Maintainscompetencyintheapplication, monitoring and care of the patient in restraints.
·Develops,prioritizes,anddocumentsaplanofcarethatisindividualizedandinvolvespatient,family,and/or significant other in goal setting per unit standards.
·Providesindividualizedgoaldirectednursingcaretopatientsinthenursingunit,utilizingthenursingprocessand standards of nursing care.
·Documents physical assessments in on the electronic medical record.Assesses patients for desired and undesired changesintheirmental/physicalconditionaccordingtounitstandards.Reportsappropriateinformationinatimely manner to responsible physician and obtain appropriate intervention.
·Provides the necessary and appropriate education to the patient and family from admission through discharge.This includes, but is not limited to, the patient's know medical and nursing plan of care, medications, tests and procedures, diseaseprocess,anddischargeinstructions.Initiatesanddocumentstheeducationprovidedincludingthepatientresponse and outcomes on the patient/family education record.Initiates referrals to health care providers as necessary.
·Demonstratesabilitytoadministermedicationsasordered:PO,SQ,IV,IVPUSH,IVPB,IM,SL,PR,topical,and intradermal accurately and appropriately.
·Respondsandparticipatesinunitandhospitalcodesituations.Utilizesknowledgeandexperiencetotreatthepatient according to the standards of BLS and ACLS protocols.
·Demonstratesabilitytoadminister,adjustandmonitorresponsetoIVmedicationinfusionsandIVmedicationsina safe, competent and independent manner.
·Assists the physician with the various bedside procedures performed on the unit including, but not limited to CVP placement,hemodialysiscatheterinsertion,thoracentesis,paracentesis,bonemarrowbiopsy,chesttubeinsertion,andso (per Unit Specific).
·Current AHA Advanced Life Support (ACLS) and/or Pediatric Advanced Life Support (PALS) and/or EmergencyNursesTraumaNursingCoreClass(TNCC) and/or NIH Stroke Scale (NIHSS).Certificationsmayberequireduponhireforcertain departments. Refer to facility policy.
·Nationalcertificationinareasofpractice. Refer to facility policy.
·Memberofnationalprofessionalorganization. Refer to facility policy.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
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