The Registered Nurse provides nursing care in accordance with the Nurse Practice Act, incorporates critical care modalities and utilizes the nursing process based on evidence based outcomes to meet patient care needs. The patient population served is the adult and geriatric patient with orthopedic/musculoskeletal disorders. The primary responsibility of the nursing staff is to provide direct patient care and to collaborate with other disciplines of the health care team to ensure the delivery of safe, timely and appropriate quality patient care.
Participates in maintaining a safe patient care environment. Demonstrates leadership skills by directing personnel and establishing collegial relationships with others. Demonstrates competence and sensitivity in caring for multicultural patient/families by adapting the Plan of Care based on cultural needs identified. Follows evidence-based clinical standards when formulating the patient Plan of Care problem list. Demonstrates ability to work in a multicultural team environment and is respectful of the cultural diversity of the workforce and the patients we serve.
Projects an image of professionalism in communication, appearance and conduct. Supports the mission of the Patient Care Services Division. Participates in the continuous quality improvement process. Maintains a working knowledge of departmental and hospital standards, policies and procedures. Performs other duties as assigned.
Corresponds to the "novice" or "advanced beginner" in Benner's model. After the Staff RN has successfully completed the new hire six month probation period, they can then move to the Clinical Nurse I classification. The novice nurse is obtaining knowledge and experience in clinical and technical skills. Under the guidance of a preceptor, charge nurse, nurse manager and educator, this nurse collects objective data and seeks assistance in making clinical decisions. The advanced beginner nurse is guided by policies, procedure and standards. They are building a knowledge base through practice and are most comfortable in a task environment. They describe a clinical situation from the viewpoint of what they need to do rather than relating the context of the situation or how the patient responds. Advanced beginners practice from a theoretical knowledge base while they recognize and provide for routine patient needs.
Demonstrates competent knowledge, based on hospital policies, procedures and standards, in the care of the patients with orthopedic/musculoskeletal disorders:
Demonstrates an ability to organize and incorporate new routines, procedures and skills.
Demonstrates skill in the use of equipment and devices pertinent to treatment, procedures and practices.
Demonstrates the use of the nursing process as documented on the admission assessment, patient Plan of Care, focus charting and discharge plan.
Assesses and documents a complete physical assessment, nursing interventions, teaching and discharge needs for the patients assigned to each shift.
Documents in the patient record utilizing documentation guidelines, Standards of Care and Pathway goals.
Communicates changes in the patient's condition to the Charge Nurse/supervisor and the physician directing the care of the patient as well as pertinent information at shift report using the patient Plan of Care.
Follows procedure in the identification of patients prior to implementing any procedures, interventions, etc.
Provides appropriate information for all patient procedures and ensures patient/significant other understanding prior to start of procedure.
Responds to emergency situations in a timeframe appropriate to the needs of the patient.
Administers medications and intravenous therapy with the ability to assess the indication appropriate dosing and effects of the medication administered for the patient.
Initiates IV therapy and documents accurate information on the patient record.
Correctly collects, handles, and labels specimens utilizing Standard Precautions, as well as documenting in the patient record.
Demonstrates understanding and performs the following patient care tasks: gait training, transfer and ADL training under the direct supervision and direction of a Physical or Occupational Therapist.
Demonstrates annual competency for all required clinical competencies including EKG interpretation.
Adheres to Infection Control policies and procedures, follows Standard Precautions and specific isolation precautions for the prevention and spread of bloodborne pathogens and other communicable diseases
Appropriately assesses and implements prescribed interventions to ensure pain management for the patient.
Recognizes that ethical/legal/medical dilemmas exist in the nursing practice and confers with the appropriate resource personnel when making ethical nursing decisions.
Implements and documents teaching discharge plan for each patient.
Assesses the educational ability and level for the patient population. Incorporates available educational material into patient/significant other teaching and documents understanding in patient record.
Provides ongoing assessment of the nutritional status for the patient. Implements dietary consult when indicated to provide/maintain adequate nutritional intake. Communicates to physician nutritional needs/problems for the patient.
Provides continuity of care through implementation/utilization of the Plan of Care for the patients
Appropriately assesses, intervenes and cares for the adult/geriatric patient, family and significant other requiring emotional support, coping support and care for significant life changes and end of life issues. Coordinates support services with Social Services, Case Management, etc.
Clinical Care: Ensure patient care is delivered and the unit is maintained in accordance with professional regulatory standards. Demonstrate the knowledge and skills necessary to provide care appropriate population as outlined in the job description and competencies
Demonstrates competent knowledge, based on department policies, procedures and standards, in the following:
Use of specialized equipment for orthopedic patient care.
Demonstrates Clinical competence in identification, assessment and intervention for orthopedic patients.
Caring for the adult/geriatric patient incorporating age specific assessment data in the development of an individualized Plan of Care.
Providing safe and appropriate care for the orthopedic patient.
Able to identify and appropriately intervene for problems or changes in patient condition.
Education, Training and Experience
Required: Successful completion of an ECG course or equivalency required.
Preferred: Experience in the specialty of Orthopedics.
Skills or Other Qualifications
Required: Demonstrates effective communication, interpersonal skills, organizational ability, knowledge of proper body mechanics, safety measures and infection control, ability to follow instructions, knowledge of age of population served, and additional skills and knowledge of equipment may be required for hire into some patient care departments.
License and Certifications
Required: Current licensure in good standing, or interim permit as a Registered Nurse in the State of California required. Current BLS and ACLS certification is required prior to clinical rotation.
Preferred: Orthopedic Nurse Certification.