Registered Nurse THIRD

Position: Registered Nurse THIRD CENTRAL 7P-7A
Responsible for the delivery of patient care through the nursing process of assessing, diagnosing, planning, implementing and evaluating. Responsible for the directing and coordinating all nursing care for medical/surgical patients based on established nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Supports the organizational vision and mission.

Utilizes knowledge of patient's age and cultural diversity into the provision of patient care.

Minimum Work Experience

Ability to utilize the nursing process in the provision of nursing care including but not limited to administering medications and treatments, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers, and providing education to patients and/or significant others.

OSHA Category

High Potential for Direct Body Fluid Exposure

Visual and Hearing Requirements

Must be able to see with corrective eye wear.

Color vision ability required.

Must be able to hear clearly with assistance.

Other Physical/Environmental Demands

Lifting - 0-50lbs, 50lbs or more with assistance

Carrying - 0-50lbs, 50lbs or more with assistance

Pulling - up to 200lbs

Pushing - up to 200lbs

ESSENTIAL FUNCTIONS

Essential Functions - Assessment

• Performs complete & holistic health assessments on admission using a systematic, ongoing approach to collecting data about patients & documents findings.
• Assessment data includes physiological, psychological, sociocultural, spiritual, economic, and life-style factors.
• Performs focus assessments as needed, based on a specific problem identified during a previous assessment or reported by another staff or family member.
• Performs daily assessments comparing current status to baseline. Detection of changes in functioning, mental status, wound healing, or other health concerns are reported to the appropriate person and documented accurately.
• Demonstrates good communication and observation skills in completing assessments.
• Demonstrates good physical examination skills in completing patient assessments.

Essential Functions - Diagnosis

• Analyzes assessment data using sound clinical judgment about the patient's response to actual or potential health conditions or needs in determining patient problems and needs.
• Appropriately prioritizes patient needs based on assessment data.
• Formulates and documents measurable, realistic, patient focused short and long range goals based on analysis of data.

Essential Functions - Implementation

• Communicates and collaborates with other healthcare providers as needed to ensure continuity of care.
• Assigns tasks or delegates care based on the needs of the patient, taking into consideration the knowledge and skill of the patient care provider.
• Serves as a team leader for a group of nursing personnel.
• Operates and/or supervises the safe operation of patient care equipment.
• Documentation is detailed, clearly stated, objective, and accurate.
• Documentation is free of unapproved abbreviations and uses proper spelling and grammar.
• Written and verbal orders are transcribed accurately and promptly.
• Demonstrates understanding of confidentiality of patient information by using complete discretion when discussing information.
• Provides clear concise and accurate information when giving report to other healthcare workers or facilities.
• Documents interventions completely, appropriately, and in a timely manner.
• Implements and documents patient and family teaching as part of the plan of care.
• Documents complete skin assessments and prevention interventions as required by policy.
• Patient pain is assessed at intervals described in policy with interventions implemented promptly if needed.
• Assists with direct hands on patient care as needed.

Essential Functions - Evaluation

• Makes rounds on patients to determine if plan of care is appropriate or if it needs to be altered.
• Alters plan of care to meet individual needs of patient.
• Counsels and initiates corrective action for nursing employees as necessary and promptly informs the appropriate supervisor.
• Contributes to the professional development of…