Registered Nurse

5 days ago

Columbia, South Carolina, United States Prisma Health Full time
Job Summary

We are seeking a highly skilled Registered Nurse to join our team as a Clinical Director. This role will provide clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient/family centered care.

Key Responsibilities
  • Provides clinical direction for all aspects of patient care in an acute inpatient setting
  • Fosters patient/family centered care
  • Demonstrates clinical competency utilizing evidence-based practices/research in all areas of the nursing process
  • Incorporates knowledge of safety protocols, cost containment, and quality improvement throughout the nursing process
  • Identifies patient, unit, and organizational priorities and incorporates into the nursing process
  • Adheres to all compliance and policy/procedures of the organization
  • Provides care within the scope of the South Carolina Nurse Practice Act
Accountabilities
  • Collects data and completes nursing assessment utilizing appropriate area and/or age specific standards/policies and tools
  • Completes appropriate forms
  • Assesses and recognizes subtle or actual changes in patients' status and patient response to intervention
  • Identifies nursing priorities for patient plan of care based on nursing assessment
  • Validates these priorities with healthcare team members and documents appropriately
Planning/Outcomes
  • Develops an individual plan of care based on the age and assessed needs of the patient
  • Develops the plan in collaboration with the patient and/or family, the physician, and other members of the interdisciplinary health care team
  • Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team
  • Identifies realistic and measurable goals and outcomes to be attained prior to discharge
  • Validates these with the patient and/or family
  • Demonstrates respect for the patient's/family cultural, spiritual, and belief system in planning for care
  • Includes planning for discharge to assure continuity of care and a smooth transition post discharge from one level of care to another
Implementation
  • Provides direct care to assigned patients consistent with the established nursing plan
  • Performs specific tasks based on organizational, departmental, and/or unit policies and procedures within the RN scope of practice
  • Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate) and ensures completion of assigned tasks
  • Monitors quality of care delivered on a continual basis; ensures appropriate surveillance of assigned patients
  • Provides care based on patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing known resources internal and external to the unit
  • Incorporates cost containment principles into nursing care
  • Assumes responsibility for patient safety by maintaining a safe environment
  • Utilizes appropriate technology in daily practice
  • Utilizes performance indicators to collect data, monitor quality, and effectiveness while providing nursing care
Evaluation
  • Based on assessment/reassessment of patient response to interventions, evaluates plan of care for effectiveness, documents progress toward expected outcomes, and revises plan of care as needed
  • Reports changes in patient condition and refers unresolved problems to appropriate healthcare team members
  • Discusses outcomes with peers (via shift to shift report) and with other healthcare team members
  • Evaluates opportunities for quality improvement; based upon evaluation, incorporates performance improvement recommendations into the plan of care as appropriate
Patient Family Education/Teaching
  • Identifies/assesses patient/family learning needs and teaches accordingly
  • Uses language and terminology that the patient/family is familiar with
  • Provides examples to clarify ideas
  • Implements and evaluates teaching plan (encourages patient/family involvement/participation)
  • Utilizes Micromedex and computer resources
  • Communicates the patient/family's need for education/teaching to others in the healthcare continuum
Professional Accountability
  • Evaluates own nursing practice in relation to professional practice standard guidelines, state statutes, policies, procedures, rules/regulations, and current specific knowledge
  • Takes personal accountability for maintaining competency through education and professional activities to promote the healthcare of the community
  • Maintains professional licensure and completes required mandatory education in a timely manner
  • Reflects on identified areas of strength that offer opportunity for improvement
  • Ensures that written documentation and oral communication focuses on pertinent information to support meeting patient/family care needs
  • Serves as the patient's advocate and coordinator of care, working collaboratively with the physician(s) and other members of the healthcare team

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