Job Summary
Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient/family centered care. Demonstrates clinical competency utilizing evidence-based practices/research in all areas of the nursing process: assessment, planning, implementation, evaluation, and outcomes. Incorporates knowledge of safety protocols, cost containment, and quality improvement throughout the nursing process. Identifies patient, unit, and organizational priorities and incorporates them into the nursing process.
The acute inpatient setting usually requires staff to be scheduled for a significant amount of shift, weekend, holiday, and on-call work.
Prisma Health Richland Hospital Orthopedics Unit
Orthopedics provides post-surgical care for patients with total hip and total knee replacements. The unit also cares for patients with various other orthopedic injuries, spinal surgeries, and patients requiring care post-traumatic injury.
Bonus Eligible
This position is bonus eligible, follow this link for details.
Accountabilities
Assessments:
Planning/Outcomes:
Develops an individual plan of care based on the age and assessed needs of the patient. Develops the plan in collaboration with the patient and/or family, the physician, and other members of the interdisciplinary healthcare team. Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team. Identifies realistic and measurable goals and outcomes to be attained prior to discharge. Validates these with the patient and/or family. Demonstrates respect for the patient's/family cultural, spiritual, and belief system in planning for care. Includes planning for discharge to assure continuity of care and a smooth transition post-discharge from one level of care to another (to include appropriate referrals).
Implementation:
Provides direct care to assigned patients consistent with the established nursing plan. Performs specific tasks based on organizational, departmental and/or unit policies and procedures within the RN scope of practice. Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate) and ensures completion of assigned tasks. Monitors quality of care delivered on a continual basis; ensures appropriate surveillance of assigned patients. Provides care based on patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing known resources internal and external to the unit. Incorporates cost containment principles into nursing care. Assumes responsibility for patient safety by maintaining a safe environment to include awareness of safety procedures, protocols, and adherence to patient care standards. Utilizes appropriate technology in daily practice. Utilizes performance indicators to collect data, monitor quality and effectiveness while providing nursing care. Completes assigned hospital/unit performance improvement monitoring (audits).
Evaluation:
Based on assessment/reassessment of patient response to interventions, evaluates the plan of care for effectiveness, documents progress toward expected outcomes, and revises the plan of care as needed. Reports changes in patient condition and refers unresolved problems to appropriate healthcare team members. Discusses outcomes with peers (via shift to shift report) and with other healthcare team members. Evaluates opportunities for quality improvement; based upon evaluation, incorporates performance improvement recommendations into the plan of care as appropriate.
Patient Family Education/Teaching:
Identifies/assesses patient/family learning needs and teaches accordingly by: using language and terminology that the patient/family is familiar with, providing examples to clarify ideas, implementing and evaluating teaching plan (encourages patient/family involvement/participation), Micromedex utilization, Computer resources. Communicates the patient/family's need for education/teaching to others in the healthcare continuum.
Professional Accountability:
Evaluates own nursing practice in relation to professional practice standard guidelines, state statutes, policies, procedures, rules/regulations, and current specific knowledge. Takes personal accountability for maintaining competency through education and professional activities to promote the healthcare of the community. Maintains professional licensure and completes required mandatory education in a timely manner. Reflects on identified areas of strength that offer opportunity for improvement. Ensures that written documentation and oral communication focus on pertinent information to support meeting patient/family care needs. Serves as the patient's advocate and coordinator of care, working collaboratively with the physician(s) and other members of the healthcare team.
Minimum Requirements
Associate's Degree in Nursing. BSN preferred. One year experience as a registered nurse.
Required Licensure/Registrations/Certifications
Licensed to practice as a Registered Nurse in South Carolina
In Lieu Of The Above Minimum Requirements
- In lieu of 1 year of registered nurse experience, will accept successful completion of the Prisma Health Nurse Residency Program or successful completion of a comparable residency from another organization.
- In lieu of 1 year of registered nurse experience, will accept 1 year of licensed practical nurse (LPN) experience.
Work Shift
Night (United States of America)
Location
5 Medical Park Rd Richland
Facility
1510 Richland Hospital
Department
15106509 8E - Orthopedics
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