Registered Nurse - Nursing

Responsibilities

• Perform patient assessments, be thorough and accurate in documentation of patient complaints, vital signs, current medication, and allergies.
• Document medications administered. Observe and record patient behavior.
• Perform physical examinations and diagnostic tests. Collect patient health history.
• Utilizes the nursing process to adapt interventions to meet age-appropriate care, including physical, psychosocial, and spiritual needs, in collaboration with other members of the health care team.
• Absorb and document patient information, make treatment decisions when appropriate.
• Assist provider (MD, PA, NP) in procedures such as wound dressings, pelvic exams, laceration repairs, and care for other treatment options.
• Attend to the needs of patients and visitors. Answer questions and allay fears as necessary.
• Exhibit cooperation and positive attitude toward other clinical and medical departments.
• Complete incident and error forms when appropriate. Follow procedure for authorized medication administration and narcotic control.
• Communicate questions about the appropriateness of medical care through chain of command as needed.
• Perform treatments and procedures as directed, which are within the individual's training and capabilities with diagnostic exam and procedures, including cardiac monitoring and care of patient using IV medications as directed by physician.
• Assure that patients are seen in an orderly and fair manner, and that delays and waiting times are explained. Acutely ill and injured patients are triaged and seen first.
• Initiate evaluation and care of the patient prior to the physician's arrival according to standing orders.
• Consult with supervisors and doctors to decide on the best treatment plan for patients.
• Prepare patients for examination and assist, as necessary. Arrange for follow-up care or referral.
• Complete necessary forms and logs, documents medications and patient care in a timely and accurate manner.
• Arrange for the transfer of patients to other departments or facilities (i.e. Emergency Dept.).
• Be able to assist the provider on duty (MD, PA, or NP) with BLS, ACLS or PALS algorithms and to contact 911 to transfer patients to the Emergency Department.
• Counsel and educate patients and their families on treatment plans.
• Research ways to improve healthcare processes and improve patient outcomes.
• Other duties as assigned are to maintain and enhance the operation of the department.

Qualifications

High school diploma or equivalent required. Associate’s degree in nursing preferred. Current license to practice as a Registered Nurse in the state of [State].