Registered Nurse
2 weeks ago
Title: Registered Nurse – Medical Surgical Unit
Department: Medical/Surgical
Reports To: Director of Medical/Surgical Services
Direct Reports: None
Classification: Non-exempt
Role Summary
The Registered Nurse is tasked with employing the nursing process to assess, plan, direct, administer, and evaluate patient care that is evidence-based and outcome-oriented within the Medical/Surgical and Special Care Unit. This role necessitates ongoing assessment of patient requirements and the implementation of necessary interventions to support care plans. The RN supervises the quality of care delivered by Certified Nursing Assistants and other assigned staff, while actively participating in decision-making processes related to nursing practices and responding promptly to changes in patient conditions or treatment responses.
Key Responsibilities
- Conduct thorough and accurate patient assessments, including initial admission evaluations and interdisciplinary screenings, ensuring assessments are culturally and age-appropriate.
- Develop and adjust care plans based on patient needs and outcomes, including formulating educational plans for patients and families regarding treatment and discharge instructions.
- Make informed nursing decisions based on factual interpretation and patient outcome evaluations; assist physicians during procedures and collaborate with other departments for comprehensive care.
- Administer medications and start intravenous lines as necessary, taking into account the patient's age and clinical condition.
- Evaluate the effectiveness of pain management strategies and modify care plans based on patient responses.
- Ensure all documentation is accurate, complete, and timely, maintaining patient records in both electronic and paper formats.
- Perform duties in a manner that prioritizes patient safety and minimizes the risk of healthcare errors, adhering to established communication protocols.
- Respond promptly to patient call lights and address needs before exiting the room, monitoring and reporting any changes in patient conditions.
- Adhere to safety protocols to maintain a secure environment for patients, visitors, and staff.
- Engage in performance improvement initiatives.
- Carry out additional responsibilities as assigned.
Certification and Licensure
- Current Illinois RN License is required.
- BLS Certification is mandatory.
- ACLS Certification must be obtained within the first year of employment.
- PALS Certification is required within two years of employment.
Experience
- Preferred: Minimum of two years as a Registered Nurse.
Technical Skills
- Proficient in navigating Electronic Medical Record (EMR) systems.
Additional Qualifications
- Ability to manage multiple tasks, prioritize effectively, and work autonomously within a team setting.
- Strong capability to perform under pressure and adapt to changing assignments.
- Exceptional communication and customer service skills.
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