Summary
The Staff Registered Nurse provides professional and comprehensive nursing care within the scope of agency services. The target patient/client population for this position are those requiring skilled clinical care services. Activities of this position are patient/client focused and utilize the nursing process of assessment, planning, intervention, and evaluation in accordance with nursing practice standards, physician orders, and agency policies and procedures.
Responsibilities
- (20%)
- Regularly assesses patient�s/client�s needs and provides skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of nursing practice. (10%)
- Initiates plan of care for assigned patients/clients and revises and adapts as necessary. (35%)
- Provides medication management and assesses therapeutic responses. (15%)
- Coordinates patient/client care by evaluating outcomes and providing on?going feedback to others involved in care relative to patient status and changes needed on patient care plan. (15%)
- Coordinates care with the Certified Nurse Aide (CNA) and interdisciplinary team. (5%)
- Notifies physician of changes in patient/client condition and care needs and obtains new orders as needed. OTHER DUTIES AND RESPONSIBILITIES: Function as case manager for assigned case load if assigned. Implements preventative and rehabilitative nursing procedures and utilizes community and agency resources for optimum patient/client care. Utilizes documentation system to record services provided according to agency, professional, and program standards. Assists in maintenance of patient/client records. Provides patients/clients/caregivers/physicians with the necessary information to promote informed decision making leading to the achievement of optimal level of independence and as required by regulatory agencies. Establishes a care plan and supervises the Certified Nurse Aide according to guidelines. Functions as part of multi?disciplinary team in coordinating care including planning for discharge. Acts as a preceptor to provide educational visit opportunities for students and will participate in orientation of new staff as assigned. Participates in staff meetings, in?service education programs, and other opportunities for learning. Complies with documentation requirements for employee personnel and activity records as defined in policy. Carries out work according to policies and procedures in such a manner as to appropriately reflect standards for timeliness, accuracy, and productivity. Maintains confidentiality of patient/client and information. Adheres to the standards related to personal appearance and behavior. Participates in weekend and holiday rotations and on?call duties as identified in personnel policies. Participates in performance improvement process. Assists in community education activities as requested. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft� Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. In summary: Participation in the patient�s coordination of care. Development and evaluation of the plan of care in partnership with the patient, representative (if any), and the caregiver (s). Provides services that are ordered by the physician as indicated on the plan of care. Prepares clinical notes in a timely manner. Communicates with all physicians involved in the plan of care and other health care practitioners (as needed) related to the current plan on care. Participates in the organization�s quality assessment and performance improvement program. Participates in organization � sponsored in?service training. Other duties as assigned.
