Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction.
Requirements
- Collects, validates, synthesizes, and records objective and subjective data.
- Prioritizes data collection based on patient needs.
- Analyzes all data.
- Identifies actual or potential problems or needs based on data analysis.
- Establishes realistic and measurable short and long term goals for the identified health problems and needs.
- Develops individualized interventions to achieve goals.
- Determines timelines within the care plan.
- Conducts a systematic and ongoing evaluation of patient outcomes.
- Reviews and revises plan of care as indicated.
- Performs nursing functions and provides care within scope of practice.
- Coordinates and delegates care as appropriate.
- Verifies that medical orders are accurately transcribed.
- Administers medications and performs treatments per physician orders.
- Communicates and documents interventions and patient response.
- Delegates care responsibilities to staff considering complexity of care, competency of staff, center policies, and State’s practice act.
- Supervises staff to ensure that delegated tasks and interventions are implemented appropriately and per policy.
- Evaluates and adjusts the plan of care to achieve patient goals and minimize re-hospitalizations.
- Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning.
- Communicates patient information with assigned staff during and between shifts.
- Participates in shift-to-shift communication between incoming and outgoing nursing staff.
- Uses Point Click Care (PCC) according to the Business Processes.
- Performs drug count when beginning and ending shift and whenever necessary.
- Collaborates with physicians in rounds and examination of patients, as needed.
- Collaborates and coordinates with other departments to provide timely effective care consistent with individual’s needs, choices and preferences.
- Contributes to an environment that is respectful, team-oriented, and responsive to the concerns of staff, patients and families.
- Enhances nursing practice by attending all mandated in-service programs and other GHC and outside professional education programs.
- Assists with the orientation of newly hired nursing staff.
- Promotes a culture of safety to ensure a healthy practice and living environment.
- Maintains confidentiality and protects sensitive Protected Health Information (PHI) at all times.
- Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of patients.
- Performs other duties as requested.
- Complies with applicable legal requirements, standards, policies and procedures including but not limited to those within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA.
- Participates in required orientation and training programs.
- Promptly reports concerns and suspected incidences of non-compliance to supervisor, Compliance Liaison or to the Compliance Officer via the Integrity Hotline.
- Cooperates with monitoring and audit functions and investigations.
- Participates, as requested, in quality assurance and process improvement activities.
Benefits
- Health insurance
- Retirement plan
- Paid time off
- Life insurance
- Disability insurance