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Under the supervision of the nursing department's management, the RN assumes the responsibility for the nursing processes of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation needed to deliver safe, evidence based care within their scope of practice.
Job Responsibility:
Collects and assesses initial and on-going data about the health status of the patient
Initiates and/or revises an individualized plan of care that includes immediate and long-term outcomes for the patient/family and reflects the plan of the entire health care team
Carries out interventions safely and in compliance with policy to facilitate achievement of expected outcomes
Evaluates patient response to intervention/therapy based upon expected outcomes
Provides patient education by explaining procedures, medications and giving instructions at a level the patient can understand
Addresses patient’s questions and concerns
Verifies patient informed consent when indicated
Documents and communicates all required components of patient care
Provides care to acutely and critically ill patients, in a highly technical and ongoing monitoring environment
Pre Op/PACU GB: Assess patient’s physical, psychosocial, cultural and spiritual needs through observation, interview, review of medical records & clinical data. Evaluates patient’s response and intervenes to ensure optimal patient outcome
Performs airway management
Identifies physical symptoms changes and provides appropriate treatment
Demonstrates established techniques of safe administration of medications and parenteral fluids, according to hospital policies and procedures
Develop and implement patient plan of care and observe outcomes in accordance with nursing standards and in collaboration with the interdisciplinary team
Demonstrate competency in a variety of therapeutic/diagnostic interventions including but not limited to IV’s, incision/wound care, medication administration, catheterization and specimen collections
Demonstrates knowledge of anesthetic drugs, actions, and side effects. Demonstrates ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques
Promote, advocate and collaborate to protect the health and safety and rights of each patient
Provide patient/family education through assessment of patient/family learning readiness, needs, and ability. Provide teaching and evaluate effectiveness of teaching
Delegates to non-RN personnel in accordance with State Board of Nursing and hospital policy
Effectively uses time, personnel, equipment and supplies to provide high quality, cost effective patient care
Manages resources and patient flow through matching nursing competencies with individualized patient’s and unit needs
Uses standards of care, hospital policies/procedures and regulatory guidelines to guide practice
Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care
Precepts/mentors new staff or nursing students as needed
Seeks out learning opportunities and continuing education. Seeks experiences that reflect current practice in order to maintain skills and competence in clinical practice or role performance
Use current healthcare research findings and other evidence to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues
Maintains professional records that provide evidence of competency and lifelong learning
Adapts to rapidly changing technology as evidenced by competency in technology and equipment used in the patient care setting
Thorough and confidential maintenance of patient charts and records. Document ongoing status, interventions, patient response and outcomes in accurate, timely manner. Use information technology to communicate, manage knowledge, mitigate error, and support decision-making
Utilizes initiative
strives to maintain a steady level of productivity
self motivated. Organizes and manages activities reflecting due consideration for the needs of the department and staff
Inpt Nursing GB: Demonstrates applied knowledge base in areas of medical/ surgical patient care, pain assessment and actions of pharmaceuticals and anesthetic agents, laboratory values, safety and legal issues and all emergency equipment
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department as outlines in the unit orientation checklist
Performs assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychologic and cognitive status
Formulates a goal directed plan of care, which is prioritized and based on determined nursing diagnosis and patient outcomes
Implements care in a knowledgeable, skilled, consistent manner in reaching the desired patient outcomes through nursing processes
Establish priorities of patient care based on essential patient needs and available center resources of time, personnel, equipment and supplies
Coordinates care delivery and education through collaboration with patient, family and all health care team providers to ensure safe, effective and quality patient care
Performs documentation on the floor and in the patient record, in a timely, accurate and concise manner
Reviews and carries out physician orders in an appropriate professional manner
Performs efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons and documenting events
Follows organizational policies & procedures in providing safe patient care
Attends all mandatory in services and participates in staff meetings
Requirements:
Associate Degree Nursing from an accredited college or university
Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) within 180 Days
Licensed Registered Nurse (LRN) - Single State - State Board of Nursing in the State of Kansas
Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA) within 14 days
Graduate of an accredited school of nursing
Knowledge of general nursing theory and practice
Knowledge of principles, methods and techniques involved in performing general nursing services and adapting or modifying standards of nursing practices for care of specific medical cases
Nice to have:
Bachelor Degree Nursing from an accredited college or university
Emergency Nursing Pediatric Course (ENPC) - Emergency Nurses Association (ENA)
Trauma Nurse Core Course (TNCC) - Emergency Nurses Association (ENA)
Neonatal Resuscitation Program (NRP) - American Academy of Pediatrics (AAP) within 180 Days
Fetal Heart Monitor (AWHONN, ETC.) - Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) within 1 Year
Pediatric Advanced Life Support (PALS) - American Heart Association (AHA) Required for placement in Labor & Delivery, Emergency Department, Pre-op/PACU, Pain Clinic units