Registered Nurse
3 months ago
Job Location
Amberwell Hiawatha - Hiawatha, KS
Education Level
2 Year Degree
Job Category
Nursing - Hospital
Description
Registered Nurse - Med/ Surg Inpatient Care: PRN (as needed)
BASIC FUNCTION:
The Med-Surg Registered Nurse provides professional, direct nursing care to patients of all age groups admitted to the Med-Surg unit by following the physician-prescribed regimen and hospital policies and procedures, and by utilizing the nursing process.
SHIFT DAYS/HOURS:
Days: 6 am - 6 pm, Nights: 6 pm - 6 am, days dependent upon individual schedule. Subject to change on business necessity.
#HIALP
Qualifications
QUALIFICATIONS:
Education: Must hold a valid diploma or degree from an Accredited School of Nursing and must have a
current, valid license as an RN in the State of Kansas.
Experience: One year of Med-Surg experience, preferred.
Certificates, License,
Registrations: Maintains a current certification in BLS, ACLS, and PALS. Valid Registered Nursing License to practice in the State of Kansas is required. House Supervisors must also maintain current certifications in TNCC, NRP, and STABLE.
Knowledge,
Skills and Abilities: Must have comprehensive, current knowledge of nursing theory and practice and must be able to apply this knowledge in various situations, ranging from routine to emergent. The RN must also possess the ability to communicate with persons of various backgrounds in a professional and courteous manner. Maintain compliance with HIPAA and patient confidentiality.
Physical: Medium Work: Exerting 20 to 50 pounds occasionally or 10 to 25 pounds frequently, or up to 10 pounds constantly. Physical demand requirements are in excess of those for Light Work.
INTERPERSONAL RELATIONSHIPS:
Supervision Received: Director of Nursing, Med/Surg Nurse Managers, Shift Charge Nurse
Supervision Exercised: Licensed Practical Nurses, Nursing Assistants, Unit Secretary, other assistive
personnel assigned to the Med/Surg unit
Other: Patients, families, visitors, other hospital personnel, medical staff, other medical
facility personnel, community program personnel, mortuary personnel, EMS
personnel, members of the general public
EXPOSURE TO HAZARDS:
To reduce job hazards, this position is responsible for wearing PPE during job functions as required. PPE can include: gloves, gown/coat, mask, shoe covers, head/face, and eye and ear protection. Each job function requires a different level of PPE, individuals receive initial and annual training to identify the appropriate level of PPE required. This position is classified Class I by OSHA and is exposed to odors, infectious microorganisms, and bodily fluids.
EQUIPMENT USED:
Including but not limited to: sit-to-stand lifts, SLIIPPS, standing scales, electronic beds with alarms, mobile bed and chair alarms. The RN must also be able to utilize and complete patient monitoring utilizing various devices such as pulse oximeter; vitals sign equipment, telemetry, various oxygen devices, alarm systems, as well as general office equipment. The RN must be able to utilize the PYXIS system to obtain medications needed for the medication administration process. The RN will complete training and maintain competency of the current EMR system and be proficient in accessing and utilizing the electronic medical record for basic navigation in order to complete the registration process, admission process, process orders, enter clinical documentation, utilize order management, medication administration, patient supply charging and all other processes as required.
ESSENTIAL FUNCTIONS:
- Accurately assess patients across the lifespan:
- Demonstrates knowledge of human growth and development, assessment, range of treatment, and care of patients appropriate to the ages of patients served.
- Analyzes assessment data to determine diagnosis/patient care priorities.
- Modifies and implements patient's plan of care based upon continuous evaluation and use of best practices.
- Be accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence based quality care to patients and families, based on individual physical, emotional and spiritual needs, and appropriate care strategies throughout the lifespan.
- Completes comprehensive patient assessment per hospital policy.
- Timely and accurate documentation of patient care, observations, procedures, test results, assessments and interdisciplinary communication:
- Documents all aspects of care thoroughly.
- Completes and documents all patient care activities: assessments, interpretation of vital signs, admission/discharge of patients, hourly rounding, care plan review, and patient education.
- Critically think in order to trend and interpret outcomes:
- Evaluates effectiveness of interventions and revises plan of care on an ongoing basis.
- Uses critical thinking to evaluate the overall patient condition and uses nursing judgement to
- Responds quickly to changes in patient condition and effectively communicates changes and patient needs to providers.
- Perform admission assessments:
- Completes initial assessment upon patient admission and develops appropriate plan of care in accordance with the unit standards and that is based on patient and family needs. Implements plan of care, nursing interventions, and patient care procedures.
- Reviews and implements physician orders:
- Launch the application from the EMR to receive and carry out physician orders following hospital policy and procedures and in accordance with Kansas State Board of Nursing guidelines.
- Demonstrates teamwork and collaboration with the nursing team and interdisciplinary team to promote the highest effective patient care:
- Receives as well as delivers Bedside Shift Report from previous or oncoming shift nurse, ensuring the inclusion of the patient input, visual validation of a safe patient room environment at the time of shift change and updating the patient communication board found in the patient room. Independent verification of IV lines, drains etc. should be performed to ensure correct doses, patient condition, drains etc. have been properly maintained.
- Delegates nursing tasks as appropriate and safe, but retains accountability for patient care.
- Communicate aspects of the nursing plan of care including assessment, planning, implementation, evaluation, and revision to appropriate staff, including other nursing personnel, medical staff, and ancillary departments.
- Dispense medication as ordered:
- Follows policies, procedure and in accordance with Kansas State Board of Nursing as they relate to the safe administration, charting and wasting of medication.
- Provide patient medication utilizing the patient 8 rights: Right Patient, Right Medication, Right Route, Right Dose, Right Time, Right Reasons, Right Frequency, Right Site.
- Assist in discharge planning:
- Promotes patient's independence by establishing patient care goals and teaching patients and families to understand conditions, medications and self-care skills required for a safe discharge.
- Collaborate with the Patient Care Coordinator in developing and implementing discharge planning.
- Proficiency in performing technical skills within the RN scope of practice:
- IV insertion, oxygen/respiratory equipment, suction, etc.
- When necessary, performs tasks of assistive personnel, including LPN's, nursing assistants, and unit secretaries.
- Patient/Family education:
- Involves patient/family in identification of expected outcomes and goals.
- Integrates patient and family teaching in daily routine.
- Assists with orientation of new Med-Surg employees.
- May be required to float to other nursing areas when proper orientation to those areas has occurred.
- Adheres to standards of safety and infection control, in the delivery of patient care:
- Maintains patient safety as the highest priority level: ensuring safety measures compliance such as fall precautions, pressure ulcer prevention, isolation precautions and patient ambulation safety.
- Routine hand hygiene in accordance with infection prevention policies and procedures.
- Utilize resources in an efficient, cost-effective manner:
- Correctly and routinely scans chargeable items used per patient into EHR inventory system.
- Routinely at the end of each shift ensures that charges per patient are correct and reconciles each patient's charges to ensure fiscal stability of the organization as it relates to patient supplies/inventory.
- Continual surveillance and proactive participation in ongoing Infection Prevention and Control measures in accordance with policies located in the Infection Control Manual on MCN.
- Other Duties as Assigned.
HOUSE SUPERVISOR:
- Be responsible for obtaining pertinent patient information from previous shift House Supervisor by arriving at least 15 minutes prior to their scheduled shift.
- Assess for adequate and safe staffing levels by interpreting acuity models for current shift and next shift on an ongoing basis and adjust staffing levels according to each Nursing Department's policies and procedures. Find additional staff to meet the needs of the nursing units.
- Assist with nursing tasks in departments experience high volumes of work or emergency situations.
- Other duties as assigned.
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