Registered Nurse

2 weeks ago


Loma Linda, California, United States Veterans Health Administration Full time
Uses the nursing process (assessment, diagnosis, outcome identification, planning, implementation, evaluation) in delivering safe care
Accurately documents care of patients
Safeguards patient privacy and confidentiality
Provides care in a non-judgmental, non-discriminatory manner, respecting the values of members of all cultures
Provides care in a safe and cost-effective manner
Seeks opportunities to acquire and develop basic skills
Participates in appraisal of own performance
Communicates with the patient and health care providers regarding patient care
Establishes professional relationship with peers
Seeks out colleagues for mutual information sharing
Describes the quality improvement process, roles, and responsibility, and identifies quality improvement activities on the unit
Assists in identifying problem areas in nursing practice

IV. CAREER PATHS

Clinical

Direct Care Nurse/Staff Nurse:
Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age-specific components.

Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction.

Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences.

Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team.

Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs.

Practice:
Uses the nursing process (assessment, diagnosis, outcome identification, planning, implementation, evaluation) in delivering safe care. Accurately documents care of patients.


Delivers safe care to assigned patients, while developing technical competencies based on the ANA Standards of Nursing Practice, VHA Directives, and local policies.


Safely and effectively uses patient care equipment. Reports equipment in need of repair.
Correctly and safely performs nursing procedures or seeks help when needed.
Recognizes overt abnormal signs and symptoms and/or changes in patients' condition and responds appropriately.
Responsible for timely implementation of orders and nursing interventions.
Requests assistance from co-workers when needed; knows when to ask for help.


Formulates a plan of care based on nursing assessments, using the nursing process, based on the ANA Standards of Nursing Practice.


Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed.
Includes the patient and family/significant other in developing the initial plan of care and establishing goals.
Updates plan of care with assistance as needed.
Assesses patient's learning needs, learning preference and readiness to learn.

Develops and implements a plan to meet learning needs, instructing patients and families in basic health teaching and discharge planning.

Documents the nursing process.

Documentation is consistent, accurate, concise, and timely.
Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes.
Revises plan of care according to evaluations of patient's responses and outcomes.
Uses the Computerized Patient Record System (CPRS) and the Bar Coded Medication Administration (BCMA) software per policy.

Demonstrates appropriate and consistent critical thinking skills.

The nurse can recognize the patient has a problem and involves the appropriate team members.
The nurse manages the problem safely and effectively within his/her scope of practice.
The nurse has a relative sense of urgency.
The nurse takes the right action for the right reason (del Bueno).

Maintains role-specific competency checklist complete and is rated competent in all measured areas.

AND MANY MORE NOT LISTED ABOVE

Work Schedule:

Financial Disclosure Report:
Not required
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