Clinical Nurse Leader

3 days ago

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

Prisma Health is seeking a highly skilled Registered Nurse to join our Neuroscience and Stroke Unit team. As a Clinical Nurse Leader, you will be responsible for providing clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient/family centered care.

Key Responsibilities:
  • Assessment: Collects data and completes nursing assessment utilizing appropriate area and/or age specific standards/policies and tools.
  • Assesses and recognizes subtle or actual changes in patients' condition and patient response to intervention.
  • Identifies nursing priorities for the interdisciplinary plan of care based on nursing assessment (and other data as appropriate).
  • Validates these priorities with healthcare team members and documents appropriately.
Planning & Outcomes:
  • Develops an age appropriate, culturally sensitive, individualized plan of care that reflects current evidence based practice, the assessed needs of the patient/family and addresses continuity of care.
  • Makes appropriate referrals based upon assessment (eg. skin, nutrition, social services).
  • Develops the plan in collaboration with the patient/family, the physician, and other members of the interdisciplinary healthcare team to derive measurable outcomes from diagnoses that are culturally appropriate, realistic and attainable.
  • Updates the plan based on changes in the patient's condition; communicates changes in the plan to other members of the team.
Implementation:
  • Provides direct care to assigned patients in a safe, timely, appropriate and cost effective manner; consistent with the established plan of care and identified patient priorities.
  • Performs specific tasks based on organizational, departmental and/or unit policies/ procedures within the nurses' scope of practice; utilizing known resources and appropriate technology internal/external to the unit (per evidence based practice).
  • Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (as appropriate); ensures completion of assigned tasks.
  • Ensures appropriate surveillance of assigned patients; monitors quality of care delivered.
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.
Patient/Family Education/Teaching:
  • Identifies/assesses patient/family learning needs and teaches accordingly by:
  • Using language and terminology that the patient/family is familiar with.
  • Providing examples to clarify ideas.
  • Encouraging patient/family involvement in implementing and evaluating teaching plan.
  • Utilizing appropriate resources (eg. written tools, computer aides, Micromedix, etc.).
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.

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