JOB SUMMARY:
The Registered Nurse demonstrates competence by integrating theoretical knowledge with clinical experience in the care of assigned patients and families by independently assessing, planning, and evaluating patients and families utilizing the systematic approach of the Nursing Process. The RN utilizes patterns of patient responses to guide practice and provides nursing care as defined by the ANA Scope and Standards of Practice, in accordance with the objectives, policies and procedures of MHVS, the NY State Nurse Practice Act and our Philosophy of Nursing.
RESPONSIBILITIES:
Clinical Skills and Knowledge:
aCompletes a thorough patient assessment addressing all pathophysiologic and psychosocial needs.
aIdentifies key nursing diagnosis from the assessment data.
aPrioritizes nursing diagnoses with consideration of cultural/religious/spiritual needs.
aEstablishes data-driven individualized plan-of-care.
aImplements individualized plan-of-care/discharge plan including coordination with other disciplines utilizing clinical experience as a guide.
aUtilizes critical thinking skills in adapting plan-of-care in response to changes in patient needs.
aEvaluates outcomes of plan-of-care and alters plan as needed.
aRecognizes and intervenes in situations related to patient safety.
aOrganizes and prioritizes work assignments based on the patient needs and acuity.
aDemonstrates ability to make effective nursing judgments.
aDocuments patients progress legibly and in a timely manner.
aDocuments nursing interventions and patient responses in accordance with hospital policy.
Communication /Collaboration:
aAdvocates for patient well being (i.e., religious /culture preferences, privacy, etc.)
aCommunicates patient data in clear, concise and timely manner both in written and verbal form.
aIndividualizes communication based upon assessment of patient/family.
aIdentifies and evaluates the patients and familys learning needs, abilities and readiness to learn teaches and documents appropriately.
Management of Care/Leadership:
aDelegates and supervises patient care appropriately.
aFunctions as a charge nurse according to protocol. Assists nurse manager in performance appraisals.
aParticipates in unit based QI projects. Initiates a unit specific project related to clinical care of the patients.
aManages patient care within assigned time frames.
aActively participates in coordination of care on the unit. Willingly floats to other areas of hospital.
Professional Development:
aFunctions and upholds the professional standards of the registered nurse role via evidence-based practice, interactions and appearance. Identifies potential areas of nursing research. Assists with Nursing Research projects. Helps participate in orientation and precepting of staff as needed.
aAccepts accountability for own practice. Identifies potential learning needs of staff.
Quality Improvement and Safety:
aAdministers medications safely including: preparation, pre and post assessment, and monitoring of patients responses.
aPromotes a culture of safety by fostering an attitude of trust, participation and collaboration among colleagues.
aIdentifies potentially dangerous situations to his/her manager which could cause medical error/patient or staff harm and takes action, where appropriate to minimize risk of injury.
aReports errors, documents appropriately.
Performs other related duties as required
QUALIFICATIONS/REQUIREMENTS:
EXPERIENCE:
Graduate Nurse considered
EDUCATION:
Graduate of an accredited school of nursing.
LICENSES/CERTIFICATIONS:
aCurrent licensure in New York State as a Registered Professional Nurse.
aCertified in Basic Life Support.
aOther certifications as required in specialty area.
OTHER:
aIf applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
aMust possess excellent customer service skills.
aMust demonstrate ability to communicate effectively verbally and written.
aMust demonstrate ability to form effective working relationships with hospital personnel of all levels, to include the multidisciplinary team and both patients and families.
SPECIAL REQUIREMENTS:
N/A
Associated topics: care, care unit, coronary, domiciliary, intensive, intensive care, nurse rn, recovery, staff nurse, tcu