RN FT Nights

About the Role

Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family, and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in the discharge planning process.

Responsibilities

• Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department.
• Directs, supervises, provides, and evaluates nursing care provided to patients.
• Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated.
• Assigns nursing care team members in accordance with patient needs, team member’s capabilities, and qualifications.
• Documents patient admission assessment and reassessments, patient care plans, and other pertinent information completely in the patient’s medical record according to nursing standards and policies.
• Performs assessment on all patients on admission and reassessments as per policy; makes referrals to other disciplines based on assessment.
• Develops and updates nursing care plans, ensuring coordination with patient, family, and other team members.
• Assesses and reassesses pain; utilizes appropriate pain management techniques and educates the patient and family regarding pain management.
• Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness.
• Performs patient care responsibilities considering needs specific to the standard of care for the patient’s age.
• Receives and transcribes physician’s orders accurately, ensuring documentation and completion.
• Administers medication utilizing the five rights of medication administration to reduce potential for medication errors.
• Formulates a teaching plan based on identified learning needs and evaluates effectiveness of learning; includes family in teaching as appropriate.
• Assists physicians with examinations, treatments, and special procedures; performs services requiring technical and manual skills within scope of practice.
• Treats patients and their families with respect and dignity; identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs.
• Functions as liaison between administration, patients, physicians, and other healthcare providers.
• Interacts professionally with patient/family and involves them in the formation of the plan of care.
• Interprets data about the patient’s status to identify age-specific needs and provide appropriate care.
• Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors.
• Initiates or assists with emergency measures for sudden adverse developments in patients’ conditions.
• Answers telephone, paging system, and patients’ call lights; anticipates patients’ needs and makes rounds of assigned patients.
• Consults other departments as appropriate to provide an interdisciplinary approach to patient care.
• Provides end-of-shift report to oncoming nurse; ensures narcotics are counted, documentation is complete, and physician orders are signed off.
• Communicates appropriately and clearly to management, co-workers, and physicians.
• Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding in-hospital and post-discharge needs.
• Participates in orientation, instruction, and training of new personnel.
• Manages and operates equipment safely and correctly.
• Performs other related duties as assigned.

Requirements

• Graduation from an accredited Bachelor of Science in Nursing, Associate Degree in Nursing, or Nursing Diploma program.
• Current state licensure as Registered Nurse.
• BCLS certification required; ACLS certifications preferred.
• Minimum six months’ Medical/Surgical experience in an acute care setting preferred.
• Knowledge of medications and their correct administration based on age of the patient and their clinical condition.
• Basic computer knowledge.
• Able to organize tasks, develop action plans, set priorities, and function under stressful situations.
• Ability to maintain a good working relationship both within the department and with other departments.
• Must read, write, and speak fluent English.
• Must have good and regular attendance.

Skills

• Planning and delivery of direct and indirect patient care.
• Assessment, planning, intervention, and evaluation in nursing care.
• Development and coordination of nursing care plans.
• Communication with interdisciplinary teams, patients, and families.
• Pain management and patient education.
• Emergency response and patient safety.
• Equipment management and operation.