Overview
Job Summary
Coordinates the assessment, planning, implementation and evaluation of nursing care to provide optimal, quality patient care. Prescribes, delegates, and coordinates nursing care based on nursing diagnoses consistent with the patient’s age, health/illness status, and physiological/psychosocial needs.
Education
- Associates Nursing Required
- Bachelors Nursing Preferred
Certifications, Licensures and Registrations
- Registered Nurse with current North Carolina license, North Carolina Board of Nursing- Required
- BLS required per policy guidelines.
- Clinical Specialty certification preferred.
Experience
- 1 year of Nursing experience Required
Job Specific Duties
- Patient Care: Gathers and assesses data on the patient. Identifies and communicates physical and psychosocial needs/problems of the patient on admission and throughout hospitalization. Plans and individualizes an age-appropriate plan of care in collaboration with the patient, family, and healthcare team. Sets priorities in planning and organizing patient care based on nursing assessments. Implements nursing care interventions based on the patient/family needs and situational/procedural complexities. Directs and implements teaching of the patient/family. Evaluates the patient's response to nursing interventions.
- Patient Discharge & Referrals: Participates in multidisciplinary discharge planning and referrals to hospital and community resources as needed.
- Documentation: Documents pertinent patient data (assessment, interventions, evaluation) per policy. Updates patient care profile, multidisciplinary plan, and medical page to provide accurate patient information and documentation.
- Safety & Emergency Response: Practices safety. Identifies barriers to safety and plans and implements changes to resolve safety barriers. Recognizes Code Blue emergencies and implements Code Blue procedures.
- Communication: Communicates in a clear, concise, and accurate manner pertinent patient data to all members of the healthcare team. Keeps Charge Nurse, Unit Coordinator, Supervisor, Manager, and/or Director informed of pertinent patient care, nursing personnel, and nursing unit problems and needs, and submits written documentation. Collaborates effectively with the healthcare team. Identifies communication barriers and implements/facilitates plans to resolve barriers to communication.
- Teamwork: Serves as a resource for nursing staff, nursing instructors, and students in planning care assignments and educational experiences. Guides and supervises other nursing personnel in implementing nursing care based on patient needs, staff competencies, licensure, and situational/procedural complexities. Seeks assistance from Charge Nurse, Unit Coordinator, Manager, and/or Supervisor when needed in assessing complex patient situations, interpreting physician orders, and consulting physicians.
- Charge Nurse: Functions as Charge Nurse as needed.
- Preceptor: Serves as a preceptor.
- Process/Performance Improvement: Demonstrates operational knowledge of current procedures, performance improvement, and treatment modalities. Participates in unit performance improvement monitoring when selected or requested.
- Policy, Procedures & Standards: Identifies locations of policies, procedures, and standards and knows resources. Holds others accountable for complying with policies, procedures, and standards. Serves as a resource for peers for questions regarding policies, procedures, and standards. Contributes towards making revisions to policies, procedures, and standards.
- Professional Development & Growth: Completes mandatory educational requirements and CBLs without prompting. Attends a minimum of 12 hours of continuing education programs. Identifies needs for self-improvement and growth.
- Meetings & Committees: Attends and participates in a minimum of 75% of unit staff meetings. Attends and participates in a minimum of 75% in nursing department committees when selected or requested.
- Professionalism: Upholds a professional working relationship at all times and adheres to department rules. Practices teamwork and adheres to Standards of Behavior.
- Other Duties: Performs other duties as assigned by management.
Physical and Behavioral Requirements
- Lifting 40 pounds from floor to waist
- Holding 12 pounds and lifting 6 pounds from waist to crown
- Lifting or carrying 55 pounds horizontally for 2 feet
- Pushing 80 pounds
- Pulling 100 pounds
- Front carrying 25 pounds a distance of 150 feet
- Dynamic push of 40 pounds minimum force over a distance of 160 feet
- Low work positioning at an occasional frequency
- Gripping 50 pounds with each hand
- Forward bending in standing for 5 minutes
- Rotation in standing
- Repetitive squatting
- Standing for 5 minutes
- Walking frequently
- Visual acuity required for accurately reading and documenting patient charts and observing patients
- Sense of smell required for safety issues
- Sense of touch is required to evaluate patient’s vital signs
- Ability to speak and hear is required to effectively communicate with patients, family members, physicians, and staff
- Manual finger dexterity for writing, equipment operation (maneuvering wheelchairs/beds), and positioning and moving patients
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