GENERAL SUMMARY:

The Registered Nurse is responsible for the delivery of coordinated nursing care for a patient or an assigned group of patients within a patient care unit and for the day-to-day management and supervision of the related clinical activities. The Nurse is responsible for supervising and responsibly directing the activities of various levels of assigned nursing personnel utilizing both professional and supervisory discretion and independent judgment. Uses the nursing skills of assessment, planning, implementation, and evaluation in their patient care delivery. Primary function is the delivery of competent, compassionate, and cost-effective nursing care. To utilize the nursing process in the direction and administration of the medical and nursing plan of care. This performance is in compliance with established policies, procedures and protocols under the supervision of the Nurse Manager, Director, Vice President of Clinical Services, and or designee.

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES :

· Demonstrates effective assessment skills to ensure quality patient care is provided.

· Performs and documents accurate initial assessment per unit standard which may include: initial observation, obtaining and interpreting information in terms of the patients' needs, safety, discharge planning, psych/social/cultural, family needs, multi-system physical assessment, patient/family level of knowledge and readiness to learn about disease process and care requirements. Reports appropriate information in a timely manner to responsible physician.

· Observes and monitors patient lab work for trends and reports abnormal lab tests to the appropriate physician and obtains appropriate interventions.

· Utilizes clinical data to implement appropriate interventions.

· Performs and documents ongoing patient assessment which accurately reflects patients' physical and mental status ranging from child to geriatric according to unit standards and patient condition.

· Initiates use of restraints per hospital policy and procedures. Demonstrates commitment in the use of safe and appropriate alternatives prior to the application of any patient restraint device. Maintains competency in the application, monitoring and care of the patient in restraints.

· Demonstrates critical-thinking skills when analyzing basic and advanced cardiac rhythms in a safe, competent and independent manner (Unit Specific).

· Consistently develops an appropriate plan of care for patient from admission to discharge.

· Develops, prioritizes, and documents a plan of care that is individualized and involves patient, family, and/or significant other in goal setting per unit standards.

· Demonstrates knowledge and ability in the preparation of patients for tests, procedures and surgeries ordered.

· Establishes appropriate implementation of nursing actions to ensure competent nursing care is delivered.

· Provides individualized goal directed nursing care to patients in the nursing unit, utilizing the nursing process and standards of nursing care.

· Documents physical assessments in on the electronic medical record. Assesses patients for desired and undesired changes in their mental/physical condition according to unit standards. Reports appropriate information in a timely manner to responsible physician and obtain appropriate intervention.

· Maintains a professional rapport with physicians, patients, and families. Utilizes communication skills appropriate to age-specific needs.

· Provides the necessary and appropriate education to the patient and family from admission through discharge. This includes, but is not limited to, the patient's know medical and nursing plan of care, medications, tests and procedures, disease process, and discharge instructions. Initiates and documents the education provided including the patient response and outcomes on the patient/family education record. Initiates referrals to health care providers as necessary.

· Provides competent and compassionate care to the patient with pain according to policy.

· Maintains a safe patient care environment.

· Demonstrates ability to administer medications as ordered: PO, SQ, IV, IV PUSH, IVPB, IM, SL, PR, topical, and intradermal accurately and appropriately.

· Responds and participates in unit and hospital code situations. Utilizes knowledge and experience to treat the patient according to the standards of BLS and ACLS protocols.

· Demonstrates ability to provide safe, competent nursing care for the patient requiring oxygen supplementation or support.

· Demonstrates ability to administer, adjust and monitor response to IV medication infusions and IV medications in a safe, competent and independent manner.

· Assists the physician with the various bedside procedures performed on the unit including, but not limited to CVP placement, hemodialysis catheter insertion, thoracentesis, paracentesis, bone marrow biopsy, chest tube insertion, and so (per Unit Specific).

· Admits, transfers and discharges patients in a professional and competent manner.

· Verifies and signs off physician orders on all assigned patients.

· Obtains lab specimens as ordered and per policy and procedure.

· Accepts reassignment to a level of care deemed competent in a professional and cooperative manner.

· Accompanies patients as assigned for transport to other facilities, hospitals, or procedures as appropriate.

· Effectively evaluates the nursing plan of care to ensure safe, competent delivery of care is provided.

· Evaluates and communicates patient's response to medical nursing plan of care to appropriate team members.

· Evaluates effectiveness of care provided by other team members and reports outcomes as necessary.

Qualifications

KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED:

· Must be able to use a high level of abstract reasoning to assess patient, evaluate interventions, and revise plan of care according to patient outcomes.

· Basic computer skills – must be able to navigate Microsoft windows based programs.

· Must be fluent in English (read, verbal and written skills)

· 2 years of nursing experience in an acute hospital setting.

KNOWLEDGE AND EXPERIENCE PREFERRED:

N/A

EDUCATION AND EXPERIENCE REQUIRED:

· Associate and 0 years experience

EDUCATION AND EXPERIENCE:

• Associates Degree or Diploma in Nursing

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

· Basic Life Support (BLS) certification

· Active RN license required in the state of assignment or active Compact RN license

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

· Current AHA Advanced Life Support (ACLS) and/or Pediatric Advanced Life Support (PALS) and/or Emergency Nurses Trauma Nursing Core Class (TNCC) and/or NIH Stroke Scale (NIHSS). Certifications may be required upon hire for certain departments. Refer to facility policy.

· National certification in areas of practice. Refer to facility policy.

· Member of national professional organization. Refer to facility policy.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Nursing

Organization: AdventHealth Georgia

Schedule: Per Diem

Shift: 3 - Night

Req ID: 24028458

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.