Registered Nurse
2 weeks ago
Job ID: 42287
Job DescriptionGeneral Purpose of Job:
The Registered Nurse provides professional nursing services for the care and treatment of patients. The Registered Nurse assesses, plans, implements, and evaluates individual patient care in a nursing department according to hospital policies, procedures, and standards of care.
Essential Duties:
- Assesses patient condition, including ongoing head-to-toe assessments, and initiates appropriate nursing and/or medical care in accordance with established guidelines.
- Coordinates and performs basic nursing care, including patient hygiene, skin care, positioning, vital signs, pulmonary hygiene, feeding, and monitoring of labs/x-ray test and results, toileting, and recording intake and output.
- Performs nursing activities in accordance with hospital policies and procedures, Michigan Public Health Code, and ANA Scope and Standards of Practice.
- Compliance with Infection Control Standards, including Standard/Universal Precautions, Hand Hygiene, and Personal Protective Equipment (PPE).
- Develops, evaluates, updates, and implements a plan of care based upon the assessment of the patient.
- Identifies goals for discharge and actions to meet goals, including a working knowledge of discharge windows and discharge plans.
- Documents assessment, plan, care provided, and response of the patient in the medical record, appropriately.
- Delegates and directs specifics of care plan to Patient Care Technician or other healthcare workers according to those caregivers' scope of practice.
- Engages in patient/family teaching.
- Reports pertinent data of patient's condition to charge nurse, physician, supervisor, and other medical personnel, as appropriate.
- Acts as liaison between members of the healthcare team, patient, and patient's family.
- Assumes preceptor role for new caregivers and/or nursing students in conjunction with the nursing instructor.
- Administers medications, performs diagnostic procedures, and treatments in accordance with hospital policies and procedures.
- Administers and monitors blood product administration.
- Maintains IV access.
- Monitors and interprets telemetry for appropriate patients.
- Assesses and monitors patient nutritional status.
- Takes telephone orders from physicians per policy using 'read back' requirement.
- Notes physicians' orders on chart per policy and checks medication administration record for accuracy.
- Responds to call lights in a timely fashion.
- Provides Telemetry monitoring.
- Passes and collects meal trays and coordinates assistance with feeding.
- Responsibility for hourly rounding.
- Maintains equipment, supplies, and environmental safety.
- Demonstrates knowledge and use of unit-specific equipment and appropriate supplies used to deliver the highest quality patient care.
- Coordinates admissions and discharges of assigned patients.
- Completes occurrence reports as necessary and reports to Charge RN or Supervisor.
- Participates in the accreditation process.
- Participates in the planning, implementation, and evaluation of quality improvement activities within department, health system, and/or community.
- Follows established HIPAA privacy procedures when using and/or disclosing protected health information.
- Maintains and protects patients' rights under the HIPAA Privacy Standards.
- Accountability for maintaining a Healthy Work Environment by adhering to the 'Commitment to my Co-workers' principles.
- Compliance with mandatory job-related requirements (i.e., staff meetings, in-services, annual competencies, and TB testing).
- Maintains knowledge of current trends in area of expertise and provides evidence of current competencies.
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