Maintains the standard of nursing
care and implements policies and procedures of the hospital and
Directs, supervises, provides and evaluates nursing care provided
Assigns or delegates tasks based on the needs and condition of the
patient, potential for harm, complexity of the task, and within
scope of practice of the staff to whom the task is delegated.
Assigns nursing care team members in accordance to patient needs,
team member's capabilities and qualifications.
Documents patient admission assessment and reassessments, patient
care plans and other pertinent information, completely in the
patient's medical record according to nursing standards and
Performs assessment on all patients on admission and reassessments
as per policy.-- Makes referrals to other disciplines based on
Develops nursing care plan of assigned patient on admission,
updates plan of care as needed and ensures plan of care is
coordinated with patient, family, and other members of the
Assesses and reassesses pain.-- Utilizes appropriate pain
management techniques.-- Educates the patient and family regarding
Revises the plan of care as indicated by the patient's response to
treatment, and evaluates overall plan daily for effectiveness.
Performs patient care responsibilities considering needs specific
to the standard of care for patient's age.
Receives physician's orders, ensures transcription is accurate and
Administers medication utilizing the five rights of medication
administration reducing the potential for medication errors.
Formulates a teaching plan based upon identified learning needs and
evaluates effectiveness of learning; family is included in teaching
Assists physicians with examinations, treatments and special
procedures and performs services requiring technical and manual
skills within scope of practice.
Performs treatments and provide services to level of licensure.
Treats patients and their families with respect and dignity.--
Identifies and addresses psychosocial, cultural, ethnic and
religious/spiritual needs of patients and their families.--
Functions as liaison between administration, patients, physicians,
and other healthcare providers.
Interacts professionally with patient/family and involves
patient/family in the formation of the plan of care.
Interprets data about the patient's status in order to identify
each patient's age specific needs and provide care needed by the
Performs all aspects of patient care in an environment that
optimizes patient safety and reduces the likelihood of
medical/health care errors.
Initiates or assists with emergency measures for sudden adverse
developments in patients' condition.
Answers telephone, paging system, patients' call lights,
anticipates patients' needs, and makes rounds of assigned patients
and responds as appropriate.
Consults other departments as appropriate to provide for an
interdisciplinary approach to the patient's needs.
Provides end of shift report to on coming nurse, narcotics are
counted, documentation is complete, and physician orders signed
Communicates appropriately and clearly to management, co-workers,
Identifies and addresses psychosocial needs of patients and family;
communicates with Social Service/Discharge Planner regarding both
in hospital and post discharge needs.
Participates in orientation, instruction/training of new
Manages and operates equipment safely and correctly.
Graduation from an accredited
Bachelors of Science in Nursing, Associate Degree in Nursing or
Nursing Diploma program.
Current state licensure as Registered
Minimum one year Medical/Surgical
experience in an acute care setting preferred