Registered Nurse

Overview

RN

Job Description:

Complete admission nursing assessment per policy and as assigned. Complete nursing reassessments per policy, as assigned, and any time a change in status is observed or reported by team members. Identify the need for additional assessments and/or specialized treatment, including but not limited to: dietary, rehabilitation services, and/or infectious disease through the initial and ongoing assessment process. Communicate the identified need to the attending practitioner or the consultant, per policy.

• Assess patients for risk of danger to self or others at time of admission and ongoing through hospitalization. Document assessments and communicate concerns to the attending practitioner and team members through verbal and written methods.
• Able to adequately assess and reassess pain. Utilize appropriate pain management techniques. Educate the patient and family regarding pain management.
• Performs thorough patient psychiatric interviews.
• Conduct patient rounds on assigned patients at the beginning of the shift to ensure all patients are present and to identify if there are any immediate needs that need addressed.
• Oversee all aspects of patient care and complete assignments as assigned by the Charge Nurse.
• Perform ongoing observation of patient’s behavior, mental status and activities to ensure active treatment is provided and patients are participating.
• Respond appropriately and timely to patient requests.
• Intervene appropriately with patients experiencing a behavioral crisis situation, i.e., suicidal, threatening behavior, elopement and/or other situations. Exhibit leadership by providing clear direction to the team and communication of the patient’s status to the practitioner.
• Initiate emergency medical care when indicated. Exhibit leadership by providing clear direction to the team and communication of the patient’s status to the practitioner.
• Provide support and direct assistance to patients who are unable to attend to their activities of daily living by assisting them with meals, daily grooming, ambulation and toileting as needed.
• Performs patient care responsibilities considering needs specific to the
• Demonstrates the ability to perform crisis intervention and triage.
• Documentation meets current standards and policies.
• Coordinates and supervises patient care as necessary.
• Concurs with members of the treatment team for the benefit of the patient.
• Communicates appropriately and clearly to the Nurse Manager, co-workers and physicians.
• Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
• Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors.
• Orients new staff members and volunteers.
• Assist with research studies conducted in the department.
• Demonstrates the ability to be flexible, organized and function under stressful situations.
• Maintains a good working relationship within the department and with other departments.
• Performs patient care responsibilities considering needs specific to the standard of care for patient’s age.
• Participate with the treatment team in implementation of the individualized plan of care. Report factors that may impede successful accomplishment of the treatment plan to the Charge Nurse.
• Provides education to the patient and family concerning plans of care, compliance with the plan of care, medication and their side effect.
• Facilitate educational/activity groups as assigned or when indicated using approved materials. Recommend alternative activities based on patient functioning level and treatment plan.
• Attend and actively participate in treatment team meetings as assigned.
• Ensure compliance with infection control protocols and/or policies by patients, visitors, and staff.
• Formulates and implements patient plans of care; family is included when appropriate.
• Ability to revise plans of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness.
• Demonstrates ability to perform treatments and provide services to level of licensure.
• Review assignment sheet, and facility…