- Utilize the nursing process by demonstrating appropriate assessment, planning, implementation, and evaluation of the patient's care.
- Assess the patient; collect and document the patient's current health status and medical history . Complete and/or review Admission Data Record as defined by policy. Make accurate and ongoing assessment of patient's status and respond appropriately.
- Plan/Implement; set priorities for nursing action in a logical sequence according to patient's needs and formulate a plan of care by the appropriate selection of Nurse
The Plan of Care is based on all aspects of the initial assessment. Plan includes physiological, psychosocial, and environmental factors: patient/significant other education and patient discharge planning.
Communicate with the physician regarding patient needs, the nursing assessment s, and recommendations on a daily basis, and as needed, as evidenced by client feedback and Operations Coordinator observation.
- Evaluate; perform ongoing assessment and revise plan of care based on new data and patient's condition.
- Document accurate and ongoing assessment of patient status. Document patient care which reflects nursing intervention, patient response to care provided, patient needs, problems, capabilities, limitations, and progress toward goals. Documentation includes
- Collaborate with other nurses and health team members to ensure the patient's well being as evidenced by staff/client feedback.
- Teach patient/significant other appropriate health information in a timely manner and share written informational material as evidenced by client feedback and Operations Coordinator observation.
Policy and procedure:
- Perform direct patient care, utilizing established procedures, policies, and standards as evidenced by client/staff feedback and Operations Coordinator observation.
- Administer medications according to policy and procedure.
- Administer !V's according to policy and procedure.
- Observe and document patient's response to pertinent medications.
- Demonstrate ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders and policy and procedure (done within a timely manner).
- Demonstrate necessary skills and knowledge to provide care for patients.
- Demonstrate necessary skills and knowledge to provide care for patients according to division/unit specific competencies.
- Demonstrate ability to handle emergency situations in a prompt, precise, and professional manner.
- Provide personal patient care to provide comfort and well-being to the patient,
- Perform indirect patient care, utilizing established procedures, policies, and standards as evidenced by client/staff feedback and Operations Coordinator observation.
- Give a thorough, concise report at change of shift.
Communicate pertinent information to the appropriate person in a timely manner.
- Demonstrate accurate and timely documentation according to form guidelines.
- Accurately transcribe physician orders according to policy and procedure.
- Maintain a clean, neat, and safe environment for patient and staff according to policy and procedure as evidenced by staff/client feedback and Operations Coordinator observation.
- Ensure that supplies and equipment necessary for patient care are stored in an organized and efficient manner.
- Demonstrate correct and safe technique in the use of equipment according to specific product information.
- Follow appropriate procedure for obtaining and returning or cleaning/disposing.
- Performs any other related duties as required or assigned
-Assist patients, family members or other clients with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner.
- Answer and refer telephone calls or other inquires to ensure accurate and timely communications are facilitated.
- Identify yourself in a pleasant and positive manner.
- Take responsibility for helping the caller.
-This job is designated as a Category I job using OSHA definitions. This means there are tasks that involve exposure to blood or other potentially infectious materials. Use of appropriate protective measures is required for any employee engaged in Category I tasks.
HIPAA & Confidentiality:
This position will have access to confidential information, both written and oral, in the course of his/her employment and job responsibilities. In order to maintain the integrity of Protected Health Information (PHI), this information is not to be disclosed to any unauthorized individuals as outlined in the policies and procedures.
To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position.
- Problem solving-the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully
- Oral communication-the individual speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills and conducts meetings.
- Judgment-the individual displays willingness to make decisions, exhibits sound and accurate judgment and makes timely decisions.
- Planning/organizing-the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.
Physical Demands and work environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Incumbent will be exposed to virus, disease and infection from patients and specimens in working environment.
- Physical Demands: While performing the job duties of this job, the employee is occasionally required to walk; sit; stand; use hands to fingers; handle, or feel objects, tools, or controls; reach with hands and arms; balance; stoop; talk or hear. Employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
- Work Environment : The noise level in the work environment is usually minimal.
- PPE - Personal Protective Equipment : Provided if necessary (gowns, gloves, masks, headcover).
- Hazards : Infrequent contact with communicable diseases, electrical equipment, blood borne