RN-Med Surg PER DIEM

Job Title:

Registered Nurse Department:
Med/Surg

Reports to:

Revision Date: 7/31/2023

Job Summary:

The Registered Nurse works under the direction of the Clinical Nurse Manager, or their designee, in accordance with the objectives, policies, and procedures of the nursing department and established professional standards. Provides total nursing care to patients of all ages, newborn through geriatrics. Effectively interacts with patients and healthcare members, while maintaining standards of professional nursing.

• Plans, provides, and evaluates patient care as a member of the health care team, strictly adhering to principals of asepsis and infection control guidelines when performing patient care.
• Assess individual patient learning needs, and institutes teaching methods in preparation for discharge.
• Regularly assess nursing care, identify potential problems, develop nursing interventions, and direct implementation of nursing interventions to all health care team members.
• Delegate staff assignments and responsibilities effectively; assume responsibility for leadership position within department; identify and appropriately use chain of command to resolve unit, staff, and patient problems.
• Transcribe correctly and implement appropriately all physician orders per policy and procedure.
• Accurately, clearly and concisely record all pertinent information on the patient’s medical record, according to policy and procedure.
• Identify and correlate abnormal diagnostic data with patient status; report and record appropriately.
• Use computer programs, including Order Entry, per policy and procedure as assigned.
• Prepare and administer medications via all acceptable routes, including appropriate documentation with knowledge of all medications administered in accordance with policies, procedures, and standards of care.
• Properly identify patients with allergies; document the presence of reaction or absence of known allergies per policy and procedure.
• Maintain proper level of stock and emergency supplies as unit requires.
• Regularly check equipment and emergency crash cart per unit-specific policy.
• Correctly identify reactions to drugs; record and report reactions appropriately.
• Routinely provide for patient safety through preventive measures (i.e. siderails, restraints as per physician order, low bed position and safe transport to other areas).
• Record all pertinent information on the patient’s medical records, according to policy and procedure in a clear, accurate and concise manner.
• Identify and correlate abnormal diagnostic data with patient status, report, and record appropriately.
• Correctly identify patient by name and  for all direct care, procedures, and treatments.
• Communicate respectfully with patients and promptly respond to patient needs or requests.
• Maintain confidentiality in all patient, hospital, and physician-related information; demonstrate complete discretion when discussing patient information.

• Ability to create superior patient experiences while generating positive guest relations in an office setting is required.
• Ability to work effectively and communicate effectively in a team environment; continuously looking for solutions to improve patient care.
• Proficiency in medication administration and practiced phlebotomy skills.
• Professionalism and business acumen appropriate for working with guests, physicians, employees and volunteers.
• Ability to cost-effectively awareness in use of resources/supplies.

• Graduate from an accredited school of nursing.
• RN
  - Current licensure in NYS.
• Current certification in CPR.
• Unit specific orientation.

• Requires frequent walking, standing, bending, lifting, pushing and pulling beds, wheelchairs and recliners in excess of approximately 50 pounds with assistance. Requires lifting, carrying, repositioning, and transferring patients using proper body mechanics.
• Position requires attendance, as scheduled, to ensure requirements are met.
• Exposure to blood and body fluids, communicable diseases, chemicals, and infectious/hazardous materials.
• Occasionally requires assembling, operating, checking, and…