Registered Nurse - Main Cardiovascular Stepdown Nights

Position: Registered Nurse - Main Cardiovascular Stepdown - Full Time - Nights
Job Description

The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an ongoing partnership between patients and families and the team of healthcare providers.

The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act.

Responsibilities

The Nursing Process

Assessment

Demonstrates the nursing skills to complete a holistic assessment of the patient's physical, psychosocial, spiritual, and educational needs utilizing The Christ Hospital Professional Practice Model.

Understands signs and symptoms and data related to the patient's presenting needs and actual or potential nursing diagnosis.

Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient's condition.

Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient's physiological and psychological data.

Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives.

Diagnosis and Planning

Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs.

Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set.

Communicates the plan of care utilizing SBAR and handoff processes with all team members.

Establish priorities of care, discusses plan of care during shift report, and participates in care conferences.

Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay.

Implementation

The method of providing evidence-based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals.

Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation.

Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team.

Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals.

Responds to emergency situations that require an immediate, controlled precision in a skillful manner.

Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment.

Evaluation

Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals.

Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response.

Maintains continuity of care by continuous evaluation during "handoff" report, rounding, and upon transfers to other specialty units and post care facilities.

Documentation

Nursing process is accurately and concisely documented in the patient's electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team.

Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients' and family response to care.

Leadership and Professional Development

Demonstrates leadership…