RN Inpatient - Dayshift - PTI

CIHA, CHEROKEE, NC, US

The incumbent performs nursing procedures to patients of all ages independently within the framework of established policy within the Inpatient Department at the Cherokee Indian Hospital, Cherokee North Carolina. The Registered Nurse is a licensed professional nurse responsible for assessment of patients, development, implementation and evaluation of a patient plan of care; administration of therapeutic measures; teaching and counseling of patients and families;

and participating in the development of nursing policies and procedures and quality assurance standards. The Registered Nurse is responsible for the delivery of comprehensive health care to patients of all ages, utilizing standards of care and practice, policies, protocols, and procedures. The purpose of the work is to perform the full range of the nursing process from assessment to evaluation.

The work affects the physical and psychosocial wellbeing of the patients and their families.

• Performs nursing care in accordance with established nursing care standards. Provides nursing care to patients on telemetry monitored inpatient department. Participates in emergency care, routine, curative, rehabilitative, and preventive nursing care. The nurse will function in the Inpatient Department under the supervision of the Inpatient Nurse Manager or his/her designee to insure patient care is provided in a safe and efficient quality manner.
• Demonstrates ability and willingness to adapt to special circumstances, such as patient emergencies, fluctuations in census and acuity level of patients, and disasters.
• May be required to rotate between nursing departments including outpatient and the emergency department. Participates in cross training of services within the nursing department. The Inpatient Nurse Manager or his/her designee will schedule cross training.
• Works on a regularly assigned or rotational basis to provide continuity of services during evenings, nights, weekends, and holidays. May be required to rotate shifts and be subject to on-call and callback.
• The Nurse will be evaluated annually on his/her ability to identify, assess, analyze, and evaluate data and solve problems.
• Performs ongoing assessment by actively participating in the determination of meeting the nursing care needs based upon collection and interpretation of data relevant to the health status of the client.
• Collects data from relevant sources regarding the biological, psychological, social and cultural factors and determines the influences these factors have on the health status of the individual.
• Collects data through observations of appearance and behavior, measurements of physical structure and physiological function, and information regarding available resources.
• Interprets data, recognizes existing relationships between data collected and the client’s health status and treatment regimen, and determines the client’s need for immediate nursing interventions.
• Reviews the patient’s health records and health summary, interviewing patients and family members, documenting the chief complaints, medical history, physical and clinical findings, identifying learning needs of the patient and family, and determining priority of care required. Assessment for health prevention, health promotion, restorative, and health maintenance needs is emphasized.
• The nurse will plan patient care according to individual assessed patient needs and established hospital policies and procedures.
• Functions as charge nurse when assigned by the Inpatient Nurse Manager or his/her designee; assigns nursing staff according to staff competency and patient complexity and provides technical supervision for staff members, including reviewing procedures; anticipates problems and acts to resolve problems.
• Initiates plan of care based on assessment of the patient for specific illnesses, injuries, and diseases and human behavior and appropriate standards of care.
• Develops expected patient outcomes that are observable and within an adequate period, and are congruent with the patient’s present and potential physical capabilities and behavioral patterns.
• Plans for care to provide for the basic needs of patients including health prevention, health promotion, protection, comfort, nutritional, fluid and electrolyte balance, physiological functions, activity, rest, and sleep, hygiene, oxygenation, management of health, growth and development, and coping.
• Implements nursing care according to the established healthcare plan.
• Detects changes in the patient’s condition and takes appropriate action.
• Recognizes, identifies and interprets serious situations and immediately decides proper action.
• Initiates appropriate resuscitative measures in an emergency.
• Initiates appropriate action when safety measures are required to protect patients.
• Documents observations, nursing interventions, patient progress, needs, treatments, diagnoses, possible side effects of treatment, teaching, patient response,…