Registered Nurse Clinic - Pediatric Neurology

Description

Summary:

Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and assists physicians/healthcare providers in the treatment of patients.

Responsibilities:

Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses psychological, emotional, cultural, and social needs of patient and families.
Administering medications and treatments; monitoring for side-effects and effectiveness of the treatment prescribed; documenting patient history, symptoms, medication, and care given.
Assess learning needs and provide education to patients, family members and/or care givers; identifying issues and resources.

Utilizes the Nursing Process

Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, Spiritual, and development needs of patient and families
Communicates findings to appropriate healthcare team members
Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals
Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Performs timely reassessment and documentation
Must be able to perform unit specific competencies based on the specific patient care need for designated unit's patient population

Patient Throughput & Patient Flow Process

Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow

Unit Operations

Demonstrates good stewardship in proper use and maintenance of equipment and supplies

Safe Practice/Quality Care/Regulations

Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes
Demonstrates accountability for nursing research and quality improvement activities
Provides evidence-based nursing care
Communicates patient information effectively across the continuum of care

Leadership

Serves as a leader of patient care

Clinical Policies and Standards

Follows a specific set of standards and associated clinical procedures
Analyzes policy and standards documentation and ensures organizational compliance
Provides feedback for improvement of procedures
Assists in the development and implementation of specific procedures
Works with control and monitoring mechanisms, tools and techniques

Health Information Documentation

Shares experiences with maintaining paper and electronic patient documentation
Walk through the steps and procedures for receiving, validating and updating patient records
Describes the flow of information between various stations or units
Discusses the functions, features and document flow of electronic documentation
Transcribes verbal orders; explains techniques for ensuring their accuracy

Medical Equipment

Describes experience with basic medical equipment used in own unit or facility
Uses standard diagnostic tools and techniques to resolves common equipment problems
Educates patients about the appropriate use of home medical equipment
Ensures that all equipment and related supplies are in proper working order prior to use
Inspects, troubleshoots and evaluates incoming equipment

Medical Order Processing

Shares experiences with processing medical orders for one or more groups of patients or conditions
Describes functions and features of the system used to enter, validate, update and forward medical orders
Discusses common errors, their sources and procedures for correcting
Explains considerations for entering and following standing orders
Differentiates between standing orders and preprinted orders and considerations for each

Patient Chart Reading and Interpretation

Describes experiences in reading and interpreting patient charts for patients under own care
Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions
Recognizes unexpected readings and alerts nursing or medical staff
Relates examples of mis-readings…