Registered Nurse, Otolaryngology, 24 Hours (Days)

About the role

The registered nurse, under the general supervision of the Nurse Manager, Nursing Director, is primarily responsible for professional performance and direct patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum.

Responsibilities

• Consistently and effectively utilizes all steps of the nursing process in the provision of timely, safe, efficient and appropriate patient/centered care.
• Achieves timely, safe, efficient and appropriate patient/centered care through the nursing process.
• Assesses the patient and family in a systematic and ongoing manner for both overt and covert signs and symptoms in accordance with the standards of clinical nursing practice.
• Prioritizes data according to the patient’s immediate condition or needs.
• Involves the patient, family/significant others and appropriate health care providers in the collection of data when appropriate.
• Identifies emergency/crisis situations, communicates such in a timely manner to appropriate health care team members, and responds appropriately when needed.
• Analyzes the assessment data to determine appropriate nursing diagnoses.
• Derives and documents appropriate diagnoses from patient and family assessment data.
• Develops outcomes as measurable goals which include a time estimate for attainment and provides direction for continuity of care.
• Mutually formulates outcomes with the patient, significant others and health care team when appropriate.
• Develops a plan of care that prescribes interventions to attain expected outcomes.
• Develops the plan with the client, significant others and appropriate health care providers.
• Develops a plan reflective of current nursing practice standards, policies, procedures, protocols and guidelines.
• Reflects effective use of available resources and appropriate internal/external referrals in order to provide comprehensive care to patients and families.
• Implements interventions identified in the nursing and medical plan of care.
• Prioritizes patient care interventions based on fluctuating patient and unit needs.
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age groups of patients regularly served.
• Consults appropriate resources when patients outside regularly served age populations are present.
• Delegates appropriate patient care activities to co-workers with appropriate knowledge and skill level and ensures that co-workers have completed the delegated tasks in a timely manner.
• Provides for a safe, clean unit environment through use of appropriate risk management practices, e.g. labeling and removing broken/expired equipment/materials from service.
• Demonstrates safe technical competence based on patient needs, including but not limited to direct care skills, e.g., phlebotomy, IV insertion, etc., informatics, and equipment monitoring/utilization.
• Implements patient care interventions/treatments and administers medications in accordance with established practice standards, policies, and protocols.
• Educates patient and family regarding current illness, procedures, treatments, plan of care as well as health maintenance, promotion, and illness/injury prevention.
• In emergency/crisis situations, demonstrates effective decision making in accordance with standards of clinical nursing practice, re-prioritizes patient care needs, initiates appropriate response actions, and directs other team members to ensure a complete and coordinated response.
• Documents interventions according to departmental policy.
• Evaluates the patient’s progress toward the attainment of clinical and educational outcomes.
• Conducts systematic and ongoing patient reassessments and evaluations.
• Evaluates the effectiveness of interventions in relation to desired outcomes and includes the patient, significant others and appropriate health care providers in the evaluation process as needed.
• Incorporates ongoing assessment data in the revision of diagnoses, outcomes and the plan of care.
• Provides follow-up care in person via home visits and via telephone when needed and when appropriate.
• Documents patient’s response to interventions as well as revisions in diagnoses, outcomes and plan of care according to departmental policy.
• Systematically evaluates the quality, cost, and effectiveness of nursing practice.
• Participates/leads quality improvement and/or research activities as appropriate to the individual’s position, education, skills, and practice environment.
• Uses the results of patient satisfaction, quality improvement and/or research data to initiate changes in practice.
• Completes daily patient classification data and incident reports in a timely manner.
• Participates in cost containment initiatives and practices.
• When two or more practice options exist that achieve the same quality of expected patient outcome, evaluates factors related to safety, effectiveness and cost when selecting the appropriate option.
• Acts in a professional manner relative to practice standards, statutes, and regulations.
• Practices in compliance with established practice standards, policies, procedures, protocols, guidelines, statutes and regulations (example: DPH, JCAHO, Fire Code, OSHA, and DEA).
• Functions without supervision in a manner appropriate for level of experience and education.
• Responsible for seeing things through to completion and for informing appropriate staff of outcomes.
• Offers, seeks out and acts upon constructive feedback regarding professional practice to improve daily practice and to achieve goals identified during performance appraisal.
• Takes appropriate steps to effectively resolve peer conflicts or investigate questionable activities.
• Discusses such with individuals involved and seeks assistance from nurse manager when appropriate.
• Maintains accurate annual professional development record.
• Demonstrates flexibility and ability to positively adapt to changing staffing/clinical/patient census needs including but not limited to offering assistance to others, adjusting patient assignments, floating to other areas/units, etc.
• Maintains a presentable appearance in accordance with dress code requirements including wearing a visible identification badge that identifies one's self as a registered nurse.
• Acquires and maintains current knowledge in nursing practice.
• To maintain clinical competence in appropriate practice area, participates in ongoing educational activities to enhance clinical knowledge and update requisite skills.
• Independently identifies need for in-service/educational sessions and seeks experience to meet such needs and to maintain clinical skills.
• Completes the following mandatory requirements: annual BLS certification, institutional mandatory education, e.g., safety regulations, infection control standards, etc., and departmental/unit specific competencies.
• Actively participates on unit or departmental based task forces, councils, or committees.
• Contributes to the professional development of peers, colleagues, and others.
• Takes initiative to share knowledge and skills willingly with colleagues, students, and novice practitioners in a collegial manner.
• Provides peers with constructive feedback regarding their practice and professional skills.
• Acts as a resource for new employees, float staff, and other unit team members.
• Assists in the orientation and/or acts as preceptor for new employees and/or nursing students.
• Delivers care in a manner that preserves/protects client autonomy, dignity, confidentiality, and rights.
• Acts as a patient advocate in order to facilitate meeting identified patient needs.
• Delivers care in a non-judgmental and nondiscriminatory manner that is sensitive to and demonstrates respect for patient diversity.
• Seeks available resources to help formulate ethical decisions.
• Collaborates with client, significant others and health care providers in delivering client care.
• Communicates and consults with client, significant others and members of the health care team regarding required patient care.
• Works cooperatively and constructively with all departments and health care team members to establish an environment that supports the process of collaboration.
• Participates as an integral member of the health team during family/staff meetings, formal/informal shift rounds/reports, and medical/grand rounds.
• Coordinates appropriate internal and external referrals to assist patients to gain access to services, pre-approvals, etc.
• Coordinates discharge activities including arranging for home/agency referrals when necessary.
• Interprets/translates for patient/family/visitors when conversant in their native language as needed.
• Acts as a shift charge nurse when requested/needed and oriented to charge.
• Performs all other related duties as assigned.

Qualifications

• Current Registered Nurse license in the state of [State]
• Bachelor’s degree in Nursing (BSN) or higher preferred
• Current BLS certification
• Completion of mandatory education, e.g., safety regulations, infection control standards, etc.
• Departmental/unit specific competencies
• Experience in otolaryngology or related field preferred
• Ability to communicate effectively with patients, families, and healthcare providers
• Strong organizational and administrative skills
• Proficiency in computer systems and software applications

Skills

• Nursing assessment and documentation
• Emergency and crisis management
• Medication management
• Quality improvement and research
• Communication and collaboration
• Red flag symptom recognition and escalation

Benefits

Our organization offers competitive benefits including health insurance, retirement plans, paid time off, and opportunities for professional growth.

Pay

Salary range: [Insert salary range here] per year.

Schedule

24-hour schedule, days.