Registered Nurse
2 weeks ago
PRACTICE:
Demonstrates proficiency using the nursing process in providing care for patients with complex nursing care needs. Guides and directs others who provide care.
1. Independently plans and delivers technically competent care to patient/residents with complex needs.
1.1. Safely and effectively uses equipment required for patient/resident care. Reports equipment in need of repair.
1.2. Recognizes subtle abnormal signs and symptoms and/or changes in patient/resident's condition and responds appropriately.\
2. Makes assignments and directs activities of other unit staff, (RNs, LPNs, students, PSAs, other team members).
3. Formulates and implements a plan of care based on the ANA Standards of Nursing Practice.
3.1. Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed.
3.2. Includes the patient/resident and family/significant other in developing the initial plan of care, establishing goals, and discharge planning
3.3. Updates plan of care as needed based on patient responses.
3.4. Assesses patient/resident's learning needs, learning preference, and readiness to learn.
3.5. Develops and implements a plan to meet learning needs, instructing patient/residents and families in educational needs and discharge planning.
4. Documents the nursing process.
4.1. Documentation is technically informative, consistent, accurate, concise, and timely manner.
4.2. Evaluates and documents patient/resident response to interventions and progress towards attainment of expected outcomes.
4.3. Revises plan of care according to evaluations of patient/resident responses.
4.4. Uses the Computerized Patient Record System (CPRS) and the Bar Coded Medication Administration (BCMA) software per policy. (if applicable)
5. Manages nursing care of patients.
5.1. Functions as charge nurse/team leader in providing direction to staff in meeting patient/resident care needs.
5.2. Ensures that assigned delegated tasks are completed by team members.
5.3. Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary.
5.4. Organizes and prioritizes in order to meet changing patient/resident care needs and staff assignments.
5.5. Assigns patient care responsibilities based upon patient needs and competencies of staff.
6. Demonstrates grade-appropriate and consistent critical thinking skills
.6.1. The nurse can recognize the patient/resident has a problem.
6.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice.
6.3. The nurse has a relative sense of urgency.
6.4. The nurse takes the right action for the right reason (del Bueno).
7. Role-specific Competency Checklist is complete and is rated competent in all measured areas.
8. Ability to recognize EKG changes.
9. Assess non-scheduled patients using Ambulatory Care Policy/NSM and utilizes WAVE guidelines
10. Place consults and order lab/ diagnostic testing per Ambulatory Care Policy/NSM
11. Provide immunomodulating biologic or Kenalog IM injections.
12. Practicing common nursing care procedures in respective clinical areas.
13. Team leading for the flow of the Clinic
14. Answer view alerts/secure messages within 24-48 hours.
15. Perform reminders as appropriate (influenza, audit-c, depression, PTSD, etc.)
16. Perform daily huddle with team
17. Promote non-face to face visit support (MHV/secure messaging, telephone access/ appointments, VVC)
18. RN to cover duties of Case Manager upon absence
18.1 Track and manage patient's paperwork
18.2 Use database resources for chronic care management (i.e., Dashboard, etc.)
18.3 Case management of the patient (e.g., follow-up with patient for continuity of care purposes/assessment, coordinating with external departments for care benefit of the Specialty Clinic)
19. Ensure daily clinic opening and closing duties have been completed (e.g. collect lidocaine syringes for dermatology clinic, EKG check, hand hygiene, Accu-chek controls, fridge temperature checks, EOC room checks, expired supplies, clean rooms, Safe Patient Handling equipment checks, clean and dirty utility room checks, specimens have been sent to the lab, rooms stocked with supplies, rooms locked upon clinic being closed for the day, verify no patients are remaining in the clinic)
20. There is an expectation that clinic nurses and case managers will be expected to cover for each other as needed.
and many more not listed above
Work Schedule: Mon-Fri To bet determined
Financial Disclosure Report: Not required
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