Description
Summary:
Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and assists physicians/healthcare providers in the treatment of patients.
Responsibilities:
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
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Addresses psychological, emotional, cultural, and social needs of patient and families.
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Administering medications and treatments; monitoring for side-effects and effectiveness of the treatment prescribed; documenting patient history, symptoms, medication, and care given.
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Assess learning needs and provide education to patients, family members and/or care givers; identifying issues and resources.
Utilizes the Nursing Process
- Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, Spiritual, and development needs of patient and families
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Communicates findings to appropriate healthcare team members
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Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals
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Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Performs timely reassessment and documentation
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Must be able to perform unit specific competencies based on the specific patient care need for designated unit's patient population
Patient Throughput & Patient Flow Process
- Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow
Unit Operations
- Demonstrates good stewardship in proper use and maintenance of equipment and supplies
Safe Practice/Quality Care/Regulations
- Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes
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Demonstrates accountability for nursing research and quality improvement activities
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Provides evidence-based nursing care
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Communicates patient information effectively across the continuum of care
Leadership
- Serves as a leader of patient care
Clinical Policies and Standards
- Follows a specific set of standards and associated clinical procedures
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Analyzes policy and standards documentation and ensures organizational compliance
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Provides feedback for improvement of procedures
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Assists in the development and implementation of specific procedures
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Works with control and monitoring mechanisms, tools and techniques
Health Information Documentation
- Shares experiences with maintaining paper and electronic patient documentation
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Walk through the steps and procedures for receiving, validating and updating patient records
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Describes the flow of information between various stations or units
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Discusses the functions, features and document flow of electronic documentation
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Transcribes verbal orders; explains techniques for ensuring their accuracy
Medical Equipment
- Describes experience with basic medical equipment used in own unit or facility
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Uses standard diagnostic tools and techniques to resolves common equipment problems
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Educates patients about the appropriate use of home medical equipment
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Ensures that all equipment and related supplies are in proper working order prior to use
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Inspects, troubleshoots and evaluates incoming equipment
Medical Order Processing
- Shares experiences with processing medical orders for one or more groups of patients or conditions
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Describes functions and features of the system used to enter, validate, update and forward medical orders
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Discusses common errors, their sources and procedures for correcting
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Explains considerations for entering and following standing orders
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Differentiates between standing orders and preprinted orders and considerations for each
Patient Chart Reading and Interpretation
- Describes experiences in reading and interpreting patient charts for patients under own care
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Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions
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Recognizes unexpected readings and alerts nursing or medical staff
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Relates examples of mis-readings or misinterpretations and lessons learned
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Reviews, discusses and validates own interpretation with others
Patient Safety
- Shares experiences with ensuring safety for one or more patient groups or settings
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Explains key features of safety guidelines and procedures for those groups and settings
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Listens and responds to safety inquiries from patients and family members
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Recognizes and addresses physiological and psychological signs of problems
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Describes considerations for patients who can cause to harm to self, versus harm to others
Requirements:
Education/Skills
- Graduate of a Registered Nursing program, Bachelor’s Degree preferred
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Excellent written and verbal communication skills
Experience
- Completion of Nurse Residency Program
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Six (6) months’ to one (12) months clinical patient care experience in a relevant setting
Licenses, Registrations, or Certifications
- RN license in good standing in state of employment or a compact state , if applicable
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American Heart Association Basic Life Support
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
