Registered Nurse - Ambulatory; Pulmonary - Part time

Overview

Job Description Performed as part of nursing care: an age-specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team.

• Conducts patient interviews, explains policies and procedures to patient/significant others, reviews patient chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition; adjusts plan of care as appropriate; assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care.
• Assesses patient’s psychosocial health status; elicits perception of medical/nursing care and expectations of care; determines coping mechanisms, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services.
• Identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment.
• Develops patient outcome statements and establishes individualized patient goals; identifies care activities and establishes priorities to achieve expected outcomes; coordinates the cost-effective use of supplies, equipment and medication; documents the plan of care and collaborates with physicians and other health team members.
• Implements the plan of care; maintains vigilance over patient care to ensure safety; administers treatments correctly; reassesses patients as needed and revises plan of care; uses documentation according to departmental policy; provides emotional support to patient and significant other; communicates with family or caretakers; participates in planning for discharge and coordinates referrals as appropriate; provides discharge instructions and evaluates care provided for patient outcome.
• Demonstrates ability to measure effectiveness of care provided and documents outcomes; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in the unit; keeps accurate documentation of patient’s treatment, activity and condition.
• Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on the patient’s plan of care.
• Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps the Patient Care Manager/designee and/or physician informed of changes in patient’s condition and/or treatments; uses clinical judgment in delegating assignments in providing patient care, ensuring timely completion.
• Performs grade I-IV Decubitus Care; performs preventive skin care measures; applies dressings maintaining aseptic technique; applies warm and cold compresses; performs irrigations following facility procedure; performs other skin care procedures as necessary.
• Administers medications correctly and safely; correctly identifies medications in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration; demonstrates preparation of local solutions.
• Participates in patient and family education; provides explanations of condition; communicates assessment data in an orderly fashion to care team members and appropriate agencies; utilizes health teaching opportunities and available resources/materials; provides for early discharge…