Registered Nurse- 2 Main - Full-Time, Day Shift

Position Summary

The successful candidate will execute professional nursing care in accordance with physician treatment plans to provide comfort and well-being to patients and their family or support system.

Job Responsibilities

• Collections patient health data by involving the patient, family and other health care providers
• Performs initial assessment based on patient's presentation
• Records relevant data on the nursing component of the Interdisciplinary Admission Assessment
• Demonstrates awareness of the special needs of each age group or culture served as well as those patients with disabilities
• Ongoing assessments are performed as established by department policy and as warranted by the patient's response
• Incorporates discharge planning into the admission process
• Analyzes the assessment data in determining problem identification
• Identifies expected outcomes individualized to the patient
• Demonstrates the ability to combine theoretical knowledge and clinical expertise to anticipate and plan for the identified patient and family care needs
• Analyzes the assessment data and identifies actual or potential problems that are validated with the patient, family and other health care providers
• Identifies any cultural, ethnic, and spiritual aspects of patient/family dynamics related to the patient's care
• Recognizes the patient's comfort/pain management needs that may impact on the plan of care and desired outcome
• Identifies actual or potential knowledge deficits for the patient and/or family
• Communicates expected outcomes to the patient, family and other health care providers to promote continuity of care
• Develops a plan of care that prescribes interventions to attain expected outcome
• Collaborates with the patient, family and appropriate healthcare providers in developing the plan of care
• Formulates a family centered plan of care consistent with the assessment of the patient's needs and the physician's treatment plan; Integrates identified cultural, ethnic and spiritual aspects of care into the plan
• Incorporates teaching and learning principles in the plan of care based on the identified learning needs and developmental level
• Aids the patient and family in identifying and securing services to address health related needs
• Communicates the plan of care to the patient, family and other health care providers to promote continuity of care
• Documents the initial plan of care and provides updates as required
• Establishes realistic goals, sets appropriate priorities and uses time efficiently
• Implements the plan of care for each patient and performs appropriate patient monitoring
• Adapts nursing procedures to meet the needs of the individual patient
• Provides education to the patient and family utilizing the educational assessment
• Recognizes hazards to patient safety and takes action to maintain a safe environment
• Works collaboratively with other team members to implement interventions
• Sets or delegates tasks as defined by the state nurse practice act and according to the knowledge and skills of the caregiver
• Seeks out appropriate resources when uncertain regarding an aspect about medication administration
• Complies with medication policy and procedure for order transcription/verification, drug administration and documentation
• Evaluates the patient's progress toward attainment of outcomes
• Documents the patient's response to interventions and revisions to the plan of care
• Ongoing assessment data is used to revise expected outcomes and the patient plan of care as needed
• Identifies barriers to achieving desired patient/family outcomes and utilizes resources to diminish the negative impact on the patient/family
• Communicates with and includes the patient, family and other health care providers in the evaluation process
• Provides care that demonstrates ethical beliefs and respect for patient's rights
• Demonstrates and participates in activities that support customer satisfaction
• Participates in the evaluation of the quality and effectiveness of nursing practices and supports measures to improve practice
• Demonstrates the ability to maintain effective interactions with the staff on the unit and in other departments
• Interacts with and contributes to the professional development of peers and other health care providers
• Demonstrates the ability to act as a facilitator when dealing with other staff members regarding issues concerning patient care and/or functioning on the unit
• Sets up and maintains a positive work environment
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