Organizational Expectations
Behavioral Attributes:
The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking
Essential Functions
- Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals.
- Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures.
- Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard.
- Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning.
- Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary.
- Appropriately delegates and supervises nursing interventions performed by others.
- Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.).
- Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards.
- Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care.
- Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.).
- Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents).
- Identifies ethical issues in care and develops plan to address.
- Safely administers and demonstrates understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of unit specific drips in accordance with provider's orders, protocols, policies and guidelines..
- Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale.
- Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication.
- Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the attending provider.
- Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols.
- Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner.
- Utilizes pain management devices and other techniques to ensure proper pain relief.
- Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc.
- Institutes appropriate measures in life threatening situations.
- Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner.
- Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care.
- Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on provider orders.
- Evaluates and takes appropriate action for patients with chest pain or other cardiac related symptoms
- Performs assessment of psychiatric and physical needs on each patient upon admission and uses data collected to create and/or revise nursing plan of care.
- Performs pre-admission screenings and appropriate insurance procedures.
- Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors.
- Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient.
- De-escalates volatile situations and/or individuals using non-violent techniques.
- Creates and updates the Master Treatment Plan, coordinating with hospital and community providers and significant others.
- Participates actively in multi-disciplinary treatment team in planning, coordinating, implementing and evaluating patient care.
- Meets with families and significant others and residential providers in planning appropriate disposition and discharge.
Statement of Other Duties
This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.
Organizational Expectations
Behavioral Attributes:
The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking
