Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing, and evaluating nursing care for patients and coordinating nurses' care activities with other health care disciplines.
Essential Responsibilities:
- Assessment: Performs accurate multi-system assessments, including biophysical, psychosocial, environmental, self-care, education needs, and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patients throughout hospitalization. Performs complete discharge assessment.
- Planning: Develops an individual nursing plan of care sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops a patient teaching plan and documents on the care plan or teaching plan. Appropriately delegates patient care activities based on the patient's condition and the scope of practice of other health care providers. Establishes priorities for patient care. Classifies the acuity level of assigned patients.
- Implementation: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for the management of each patient. Correctly carries out the physician's plan of care. Accurately documents in the EMR. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.
- Evaluation: Evaluates assessment methods, plan of care, and patients' response to treatment. Participates in unit quality assurance activities.
Basic Qualifications:
Experience: Minimum nine (9) months of RN experience.
Education: Graduate of an accredited nursing program.
License, Certification, Registration:
- Registered Nurse License (in the state where care is provided)
- Basic Life Support
Additional Requirements:
- Computer keyboarding skills.
- Must pass telemetry test within 6 months of hire or transfer to unit.
Preferred Qualifications:
- Previous health care experience.
- Bachelor's degree in nursing or related field.
- Recent experience in acute care or skilled nursing, utilizing the nursing process, effective problem-solving, and communication skills.
- Experience with insulin drips.
- Previous telemetry experience.
- Med/Surg certification.
- Demonstrated clinical judgment with inpatient orthopedic/neuro patients.
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