The Registered Nurse functions under the direct supervision of the provider on duty. The RN assists Doctor and/or provider with direct patient care and assists with establishing priorities in delivery of patient care. The RN administers medication and performs limited waived laboratory tests and documents according to established guidelines. To assure competency, an organized but limited, safety/orientation skills checklist is completed within 8 hours of the first day of work.
Duties
1.Demonstrates competency and professional responsibility in the RN role
2.Personnel are competent in their job responsibilities through appropriate licensure, orientation, training, skills evaluation, annual competences and the successful completion of an annual employee evaluation. The annual competencies are based upon those specific tasks that are infrequently utilized and/or have a high potential for less than positive patient outcome:
Upon hire;
- Attends hospital-wide orientation
- Completed orientation/skills checklist (90 days)
Annually: A Satisfactory, comprehensive annual employee performance evaluation includes but is not limited to:
- Recent CPR every 2 years
- 15 C.E.’ s based on age and population served every two years
- Demonstrates competency in specific waived lab testing procedures
- Safety Education Self-study module
- Age appropriate test
- Chart review for completeness (80%)
- Demonstrates a working knowledge of P&P manual
- Attends 75% of scheduled staff meetings
3.Gathers data relevant to the patient’s individual needs and age group
Obtains and records:
- Vital Signs
- Time in/date
- Weight
- Medication profile
- Immunization Record
- Allergies
- Chief Complaint
- Interventions Recorded
- Records response to Interventions
- Signature/Initials where appropriate
4.Implements the plan of care as developed by the provider
- Follows providers orders
- Evaluates nursing interventions on Medical record
- Implements emergency response
- Complies with hospital policy for receiving doctors orders including verbal and phone
5. Provides patient/family education
- Explains discharge instructions as directed
- Hand out appropriate information sheets
6. Communicates relevant patient information
- Reports changes in patient’s status to the provider
- Documents nursing care consistent with hospital charting standards
7.Policies and Procedures
- Uses principles of body mechanics in mobilizing patient or objects
i.Asks for help when lifting heavy patients
- Complies with policies for electrical safety
- Checks the emergency medication per policy
- Incorporates infection control principles in practice
- Demonstrates skills related to the management of emergency situations
- Complies with policy for cardio-pulmonary arrest
- Complies with policy regarding risk management
i.Demonstrates appropriate use of incident reports
8.Assists with IOP studies
- Collects data
- Responds to corrective plans
- Maintains all QC logs
9.Demonstrates use of ambulance transfer policy
10.Has a working knowledge of location of specific policies in the P&P manual
- Safety Manual
- Infection Control Manual
- Administrative Manual
- MSDS Manual
- Disaster Manual
- Practice Specific Manual
- Patient/Family Education
11. Assists Medical Assistant in front office
- Uses appropriate telephone etiquette
- Documents appointments with accurate patient information
- Documents and makes physician and agency referrals
- Assists with filing as needed
- Makes follow-up telephone calls
Qualifications
- Graduates of an accredited school and currently licensed in the State of California
- Recent acute care experience and/or medical office/clinic nursing experience
- Current CPR certification
- Completion of crisis prevention training
Organizational Expectations
- Provides a positive and professional representation of the organization
- Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention
- Maintains hospital standards for a clean and quiet patient environment to maintain a positive patient care experience
- Adheres to infection-control policies and protocols
- Participates in ongoing quality improvement activities
- Maintains compliance with organization’s policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards
- Complies with organizational and regulatory policies for handling confidential patient information
- Demonstrates excellent customer service through his/her attitude and actions, consistent with the standards contained in the Vision, Mission, and Values of the organization
- Adheres to professional standards, hospital policies and procedures, federal, state, and local requirements
