RN - Med-Surg​/Inpatient - PRN - AVALA Hospital - RH

Position: RN - Med-Surg./Inpatient - PRN DAYS - AVALA Hospital - RH433
Summary

Provides directand indirect patient care on the Med/Surg unit. Communicates with Physicians/Nurse Manager/co-workers, as appropriate about changes in patient's clinical condition, including results of diagnostic studies and symptomology. Able to respond quickly and accurately tochanges in condition or response to treatment. Able to perform general nursingduties in all departments with adequate supervision. Participates in performance improvement and CQI activities. May also function in the role of Charge Nurse under the supervision of the Director of Inpatient Services.

Communicates on behalf of the patient (patient advocate); care providedreflects the mission, ethics and goals of the facility, as well as the focusstatement the department.

Essential Duties and Responsibilities

• Monitors and supervises patient care, includingdiet and physical activities. Communicates appropriately and clearly to departmental charge nurse or director, co-workers, and physicians.
• Prepare patients for and assists withexaminations or treatments or procedures to assist physicians.
• Performs a head-to-toe assessment on all patients and reassessments as per policy. Able to interpret data about the patient's status in order to identify the care needed.
• Adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and families regarding pain management.
• Perform waived testing (point-of-care testing),draw blood for lab testing as needed, interpret results and take appropriateactions per Clinical Laboratory's and the patient care unit's policies and procedures.
• Makes decisions reflecting knowledge of facts,knowledge of diseases/surgical conditions, care required and good judgment.
  
  Identifies physical symptoms and changes, reports changes to surgeon/ physician,and initiates appropriate actions.
• Knowledge of medications and IV fluids andtheir correct administration, based on age of the patient and the patient'sclinical condition. Administers medications safely using the five medicationrights and reduces the potential for medical errors.
• Knowledge in maintenance and care of central /PICC line.
• Knowledge of cardiac monitoring and canidentify dysrhythmias, notifies physician of changes, treat appropriately basedof facility protocol.
• Able to perform the techniques ofcardiopulmonary resuscitation accurately and effectively.
• Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health careerrors.
• Ability to formulate an individualized plan ofcare, modify patient treatment plans as indicated by patients' responses and conditions and evaluate overall plan daily for effectiveness. Involvespatient/family in plan of care.
• Keeps abreast of changing techniques in nursing and maintains a high level of expertise in patient care.
• Ability to be flexible, organized, and functionunder stressful situations.
• Assists in emergency nursing proceduresnecessary for prompt control of changes in patient's physical condition.
• Treats patients and their families with respect and dignity, maintains an environment that provides the patient and familyfeelings of safety and security, practices good guest relations.
• Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Consults other departments as appropriate toprovide for an interdisciplinary approach of meeting patient needs.
• Ensures completion of documentation, including but not limited to, H/P, consents, handoff communications tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form,and allergies.
• Practices economical use of equipment andsupplies, informs proper authority of discrepancies.
• Provides education to staff on performance improvement. Ability to provide in-service training for unit staff members,participates in guidance and educational program.
• Demonstrates ability to perform treatments and provide services to level of licensure.

Charge Nurse Responsibilities

• Updates Table for Inpatient Log Census.
• Completes Patient Classification Form to assureefficient staffing levels and patient assignments.
• Verifies that temperature logs completed.
• Oversee all staff on the Med Surg Unit.
• Follows protocol for admitting a patient andactivation of call team.
• Initiates emergency response protocol.
• Effectively communicates pertinent issues with
  
  Med/Surg Director.
• Supervises dietary after hours.
• Follows up on consults and outstanding orders.
• Follows protocol for patient transfers.
• In charge of room assignments, assists withadmits and discharges and ensures minimal delays in patient treatment.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates aresults-oriented environment, and follows through on actions.

Communications
- Communicates well both verbally and in writing. Effectively conveys andshares information and ideas with others.…