Registered Nurse - Neuro - Weekend Program

Registered Nurse - Neuro - Weekend Program

SSM Health

The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach.

• Performs comprehensive nursing assessment and reassessment.
• Performs age‑appropriate admission or transfer assessment, obtaining input from family/guardian when appropriate.
• Accurately and completely documents findings.
• Performs assessment of post‑op/post‑invasive procedure patients.
• Assesses and documents educational and discharge needs of patient and family at admission and throughout hospitalization.
• Provides patient reassessment, documenting pertinent observations according to the patient plan of care, changes in condition, status, or diagnosis, response to care, procedures, etc., and standards of care.
• Establishes, coordinates, and evaluates a plan of care based on assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols, standards of care, and other relevant information.
• Identifies short‑ and long‑term goals based on patient care needs.
• Formulates nursing interventions to achieve desired patient outcomes.
• Incorporates disease‑specific evidence‑based practice into nursing care plan and other documentation.
• Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status.
• Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients.
• Provides, coordinates, and communicates patient care, including accurate handoff communication reports.
• Administers and documents medications accurately according to policies and procedures.
• Monitors, maintains, and documents accurate IV fluids and parenteral nutrition according to policies and procedures.
• Completes referrals as indicated by assessment data.
• Requests consultation for special needs, equipment, or information for patient and/or family.
• Provides patient/family education and discharge planning per documentation guidelines and protocol.
• Clarifies all physician orders as warranted and acknowledges and implements them accurately and timely.
• Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate.
• Documents readback for all telephone/verbal orders and takes telephone/verbal orders only in emergency situations.
• Recognizes changes in patient’s condition and takes appropriate nursing actions, involves family/guardian when providing care and decision‑making as appropriate, and recognizes risks for patient and takes appropriate action.
• Incorporates use of infection control practices in daily care.
• Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments, and procedures.
• Evaluates effectiveness of patient/family education and plan of care, modifying as indicated.
• Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.
• Reports variation from care/treatment following the occurrence reporting policy and procedures.
• Provides specialized care to patients at high risk for injury, including restraint care, pain management, and abuse assessment.
• Adheres to all quality and performance standards, policies, procedures, and protocols when implementing clinical and technical aspects of care.
• Participates in learning experiences that increase professional competence and demonstrates appropriate technical and cognitive skill for area of practice.
• Maintains currency in all hospital/unit information, communication, policies, and procedures, attends staff meetings/reviews minutes when absent, and participates in committee(s), shared governance, and work team(s).
• Assists or leads performance improvement teams and contributes to data collection, analysis, and implementation of action plans.
• Provides confidence, empathy, and respectful communication, ensuring patient…