Staff Nurse

Position Summary

Utilizing the Nursing Process of assessing, planning, implementing and evaluating, the Staff Registered Nurse is responsible for delivery of patient care; managing assigned personnel, and promoting collaboration among the interdisciplinary health care team.

About the Role

Documents all patient related clinical information and assesses patient for special needs and plans appropriate intervention. Comprehensive review of the patient's medical history is performed and documented.

Responsibilities

• Assessment and reassessment are completed and changes in status are communicated to appropriate care provider.
• Plan of care is formulated and modified based on evaluation.
• Collaborates with disciplinary health care team to improve patient outcomes.
• Counsels with the RN and in collaboration with patient, families, healthcare members using established nursing diagnoses and nursing protocols.
• Prioritize nursing care needs of clients.
• Assists in the review and revision of nursing care plans with the RN to meet the changing needs of the patient.
• Assesses data related to basic, physical, developmental, spiritual, cultural, functional, and psychosocial needs of the patient.
• Collects data within established protocols and guidelines from various sources.
• Documents data collection, assessment, and communicates findings to appropriate healthcare members.
• Develops and implements care plan with health care team members collaborating to develop long and short term patient goals.
• Communicates with Physician using Situation, Background, Assessment and Recommendation format.
• Contributes to the interdisciplinary team to manage Wound Care patients.
• Patient documentation is accurate and timely and it reflects rationale for any deviation from standards of care.
• Practice is congruent with evidence based wound care guidelines.
• Observing Universal Protocol at all times provides clinical assistance to patients and notifies appropriate medical personnel of potential critical patient conditions.
• Ensures coordination and continuity of care with community and medical resources as indicated.

Requirements

• Education: Associate Degree in Nursing - Required
• Experience: 1 Year Nursing - Required
• Experience: 1 Year Wound Care Nursing - Preferred
• Licenses & Certifications: Registered Nursing License with State of Practice - Required
• Certification: Wound Nursing certification - Preferred
• Basic Life Support (BLS) - Required

Qualifications

• Comprehensive knowledge of nursing process and patient care.
• Ability to work independently and as part of a team.
• Strong communication and interpersonal skills.
• Proficient in electronic health record systems.
• Knowledge of wound care principles and practices.