Registered Nurse - Med Surg Urology

Job Overview

This position applies the nursing process in providing direct and indirect holistic care to patients and their families. The position also collaborates, in a collegial manner, with physicians and other health care team members in meeting the patient’s needs. This position may delegate certain aspects of care to those under their direct supervision, within the scope of nursing practice.

Nurses in this position are:

• newly licensed RNs in specialty areas where the Vizient PNR Program is a requirement and
• RNs with less than 1 year full time acute care RN experience prior to entering their RN role at Tri Health or
• RNs with less than 2 years part time acute care RN experience prior to entering their RN role at Tri Health
• RNs are enrolled in and required to complete the Vizient Professional Nurse Residency program.
• RNs will be moved to the Registered Nurse - Staff position upon completion of all PNR program requirements.

Shift: Full Time/Nights (.9 FTE; 36 hrs/week)

14AB is a medical unit with 22 beds. Our patient population consists of adult and geriatric patients with varied medical diagnoses including complications from diabetes, pneumonia, cellulitis, encephalopathy, and remote telemetry. We also care for renal and urology surgery patients including those who have had a nephrectomy, prostatectomy, transurethral resection of the prostate (TURP) and those with continuous bladder irrigation (CBI).

Any patients admitted to the hospital who require peritoneal dialysis (PD) treatments, have PD care managed by a trained 14AB nurse. This unit supports the growth and learning of new grads. 14AB provides the opportunity to master time management, and a variety of skills such as suprapubic catheter exchange, continuous bladder irrigation, vascath removal and peritoneal dialysis

• Associate's Degree
• Required to complete all elements of the Tri Health Vizient Professional Nurse Residency Program within 1 year
• New hires to obtain their BSN within 5 years of hire
• BLS/CPR (Basic Life Support for Healthcare Providers)
• Registered Nurse
• Knowledge, judgment and skills derived from the Principles of Biological, Physical, Behavioral, Social and Nursing sciences to meet complex health care needs at various stages of the life cycle
• Preferred membership in related professional organization
• Up to 1 year experience Clinical Nursing

Performs initial and ongoing assessment of patient and family. Completes initial assessment tool. Documents ongoing assessment per unit/Tri Health guidelines. Communicates assessment findings to other health care providers as appropriate. Includes health counseling and health teaching needs in assessment.

Plans care for patient and family based on assessment, standards of care, and optimal specific outcomes. Initiates and individualizes appropriate patient care guidelines/plan of care or clinical pathways. Updates current plan of care as needed based on patient/family input and healthcare needs. Develops both short- and long-term goals with patient/family and healthcare team including discharge planning. Communicates plan of care to others.

Provides a safe, therapeutic environment, maintains patient’s autonomy, dignity, and rights, and is sensitive to patient diversity. Seeks resources to help formulate ethical decisions. Balances priorities of the patient's needs and those of the unit/facility. Recognizes emergency situations and takes appropriate action. Completes patient assignment including documentation within scheduled timeframe. Bases interventions on clinical data and desired outcomes and documents accordingly.

Trains/educates other staff and acts as an expert resource in specialty area through abilities in existing and newer knowledge and skills. Effectively communicates and understands/executes physician orders.

Evaluates the plan of care for patient based on optimal specific patient outcomes. Documents the patient/family response to care including teaching. Collaborates with the patient/family and with other members of the health care team, including physicians, to revise plan of care as needed. Supervises the care that was delegated…