Staff Nurse (Nights) II

Summary

The Registered Nurse provides direct patient care that is guided by the American Nurses Association (ANA) scope of practice. A Registered Nurse collaborates with patients, family/significant others, peers, physicians, and other members of the interdisciplinary healthcare team in the delivery of healthcare services to patients. The Registered Nurse assesses the patient�s needs, care plans, implements, and evaluates the medical and nursing regimens in accordance with the hospital and nursing philosophy, policies/procedures, and standards. They demonstrate leadership skills and commitment to professional accountability and growth.

Responsibilities

1. Completes patient assessment and reassessment as clinically indicated: a. Documents detailed information incorporating the plan of care, interventions and outcomes reflecting the patient�s physical, mental, and emotional status. b. Ensures appropriate documentation based on the level of care the patient is receiving to include transfer/discharge documentation as indicated. Follows the five Rights of Medication Administration. Verbalize to patients/family/significant other the medication they are receiving. Assesses the patient prior to administering medications noting allergies, parameters, potential side effects, effectiveness and intervening as needed. Reassesses and documents response according to hospital policy. Coordinates and supervises the delivery of nursing care, including the delegation of tasks: Maintains accountability for care delegated. Actively works to promote a culture of safety: Assesses patients for potential safety risks. Adheres to hospital policies and procedures regarding patient safety. Initiate�s interventions related to the risk factors identified. Conducts bedside shift report and bedside rounds with peer on assigned patients at change of shift. Demonstrate quality by documenting the application of the nursing process in a responsible, accountable, and ethical manner. Ensures patient hand-off as appropriate when leaving for breaks. Assesses learning needs of patient/family/significant other. Plans and provides appropriate instruction using applicable teaching methods. Assesses and documents patient/family/significant other response to teaching. Cares for specific patient populations, despite location, as necessary. Deliver Patient Centered Care: Embrace the cultural diversity and difference of patients and team members. Respect the dignity of all individuals through the maintenance of the caring relationship. Maintains open lines of communication inclusive of actively listening. Meets accreditation, regulatory, and compliance responsibilities related to the position. Works to promote a culture of learning and growth: Seek experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge. Teach others to succeed through mentorship. Performs other duties as assigned within the state nursing scope of practice. Education Skills Experience: