Overview
JOB SUMMARY:
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing
process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of
practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing
personnel while maintaining standards of care within the hospital. The Registered Nurse is directly responsible
and accountable for the care given to his/her assigned patients. He / She communicates with physician about
changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and
symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
Responsibilities
1. Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child
/Adult Protective Services. Familiar with the EMTALA Regulations.
2. Responsible for the observation and direction of patient lifts, mobilization, and shall participate
as needed in patient handling.
3. Attends and maintains mandatory training in safe patient handling, trained in safe lifting
techniques, includes but not limited to 1) Appropriate use of lifting devices and equipment, 2)
Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of
lifting devices to handle patients safely.
4. Uses professional judgment and clinical assessment in safe patient handling that are
consistent with Safe Patient Handling policies.
5. Uses two patient identifiers consistently when drawing lab, administering medications and
performing procedures. Follows medication reconciliation policy consistently.
6. Does not use unacceptable abbreviations in documentation (uses read back on all telephone
orders.) Monitors authentication and validation of telephone orders within 24 hours by the
physician.
7. Ensures consistently that all clinical alarms, i.e. cardiac monitors are set with the appropriate
parameters for the patient and are audible at all times.
8. Ensures Crash Cart, defibrillation function have been checked per protocol and after each
code, appropriate items are immediately replaced and indicated by signature on crash cart
checklist.
9. Is in compliance with information contained in the Infection Manual (i.e. OSHA blood borne
pathogen standards, CDC Guidelines), and demonstrates appropriate use of personal
protective equipment (e.g., gloves, gowns, masks, goggles) and hand hygiene techniques.
10. Gives thorough, detailed efficient change of shift report or upon patient intra-department
transfer to ensure consistency in the plan of care. Uses the SBAR communication
methodology in all reporting.
11. Assists physicians with special tests and procedures in the unit. Uses universal protocol “time
out” on all patients for any invasive/bedside procedures.Formulated: 1/2010 3 Revised: 01/2014
12. Avoids and prevents injury to self and patients by applying the principles of body mechanics.
Maintains a safe environment, functioning with an awareness and application of safety issues
identified within the unit/facility, i.e. suction and oxygen immediately available when needed.
13. Completes pain assessment and reassessment consistently within the time frame after giving
pain medications and upon discharge or transfer of patients.
14. Completes documentation of medications given to the patient on the medication
administration record (MAR) and narcotic sheet.
15. Initiates discharge and patient / family education planning with proper documentation on the
patient record in Medi-Tech.
16. Establishes priorities of patient care based on essential needs and available resources of
time, equipment, personnel and supplies.
17. Formulates, maintains and updates a goal directed plan of care on patients which is prioritized
and based on patient outcomes.
18. Detects and reports medication errors and ADR’s according to hospital policy. Safely and
accurately administers medications and documents properly on the MAR in a timely manner.
19. Complies with all regulatory requirements for clinical pathways, clinical assessments,
interventions and documentation
20. Performs all other duties as assigned or required.
#LI-ER3
Qualifications
EDUCATION, EXPERIENCE, TRAINING
1. Current and valid state RN License.
2. Current BLS (AHA) certificate upon hire and maintain current.
3. Current ACLS (AHA) certificate 30 days upon hire and maintain current preferred.
4. Previous Acute Care hospital experience preferred.
5. Ventilator Management experience preferred.
6. Bachelor of Science in Nursing (BSN) preferred.
We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law:https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf