REGISTERED NURSE
3 weeks ago
Demonstrates nursing clinical skills necessary to make pertinent and accurate assessments of the physical, psychosocial, spiritual, and educational needs of the patient.
* Demonstrates knowledge base of normal age- specific, physiological, and psychosocial functions of the clinic's population.
* Performs a basic physical assessment
* Understands signs and symptoms and data related to the patient's presenting problems and potential problems.
* Reassess and evaluates patient needs each visit as indicated.
* Assesses patient and environmental safety continuously.
* Notifies physician, NP and transplant coordinator of pertinent changes in patient condition.
* Recognizes and appropriately reports basic abnormal data and subtle changes in patient condition.
* Collaborates with other health team members to collect and share pertinent data regarding patient's psychological and physiological condition.
* Assesses need for referral to other health care professionals.
Planning:
Utilizes collected data to establish and prioritize a list of actual and potential, individualized age specific patient problems and/or needs.
* Prepares, revises, and coordinates interdisciplinary plan of care for each patient in collaboration with other transplant team members and disciplines.
* Includes patient and family in developing goals that are mutually agreed upon.
* Assures plan of care is consistent with therapy prescribed by the medical practitioner and standards of care.
* Communicates formulated plan of care, as appropriate, to all levels of associates involved in the patients care.
* Reviews and modifies plan of care based on changing patient needs.
* Demonstrates ability to establish priorities of care.
* Updates computerized patient profiles each visit and incorporates changes in plan of care
and status as indicated.
Implementation:
Implements plan of care and interventions to provide quality care based on assessed needs, established standards or care and according to policy and procedures.
* Implements nursing actions, either by direct care or delegation of responsibility, based upon patient's plan of care and skill level of personnel.
* Implements plan of nursing care in collaboration with the patient, significant others, and other health care team members.
* Provides ongoing individualized holistic patient and family education based on needs and plan of care.
* Demonstrates critical thinking in review of physician orders and accountability for appropriate implementation of physician orders.
* Demonstrates responsibility for medication administration as allowed by licensure and institution policy.
* Responds to emergency and other situations requiring immediate attention in a controlled precise and skilled manner.
* Makes appropriate referrals to the other health care team members in a timely manner.
* Implements safety interventions to maintain patient / family/staff safety.
* Reports actual and potential patient safety issues.
* Implements measures to prevent contamination and / or transmission of disease
* Utilizes appropriate protective devices and equipment to prevent injury.
Evaluation:
Continuously evaluates nursing practice in relation to the standards of care and individual plan of care.
* Evaluates the effectiveness of nursing interventions.
* Involves patient and other health team members in the evaluation process when appropriate.
Documentation:
Nursing process is accurately and concisely documented, including evaluation of treatment.
* Documents timely and according to policy and procedure.
* Completes forms accurately and completely.
* Documents patient / family teaching and response appropriately
Professional Development- Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others.
* Participates in 75% of staff meetings
* Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital
* Completes all educational requirements to maintain competency related to specific population of patients and / or regulatory agencies (Online education 100% on time completion). Submits required tests and paperwork in a timely manner without management intervention.
* Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis
* Evaluates and participates in performance improvement initiatives
* Participation in community service activities is encouraged
* Participation in conferences and educational workshops in relation to current field is encouraged.
Productivity:
Considers factors related to cost and effective outcomes when planning patient care.
* Manages workload effectively.
* Initiates care in a timely manner.
* Abides by the Time and Attendance policy.
* Supports effective use of staff and supplies.
* Places charges accurately and timely as indicated.
* Obtains signed ABN from patient as appropriate and scans into EPIC
* Collaborates with and supports management as indicated.
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