RN Med Surg

Patient Population

3G patient population is adult/geriatric generalized Med/Surg unit. Manages a wide range of patient conditions including pre and post op care of patients undergoing surgical procedures, managing ongoing conditions of complex patients with numerous co‑morbidities and generalized medical complaints. Surgical focus includes: general surgery, respiratory and urology.

PRN one 12 hour night shift 7p-7:30a per week, mainly weekend shifts.

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.

Independently provides patient care using the nursing process and performs leadership and teaching duties necessary that supports effective patient care. Supports and participates in continuous quality improvement activities. Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies.

• Assess biophysical, psychosocial, environmental, self‑care, educational and discharge planning of patients according to nursing standards.
• Use knowledge and experience in identifying patient needs and prioritizing treatment. Recognize and accurately document and communicate subtle changes in patient assessment.
• Provide initial assessment and reassessments according to current organizational and department standards for Assessment of Patients and Nursing Assessment and document according to policy.
• Anticipate potential changes in patient’s condition and respond appropriately.
• Anticipate needs based on assessment findings and proposed procedure or course of care.
• Ensure an effective plan of care for assigned patients based upon the standards for planning and providing care.
• Initiate individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies.
• Efficiently organize and prioritize patient care and seek assistance when necessary to meet the needs of individual patients.
• Actively participate in development of standards of care according to departmental, organizational, professional or regulatory standards.
• Implement plan of care in compliance with hospital and nursing policies in accordance with all appropriate standards.
• Completely and accurately implement and document nursing interventions and patient response. Communicate pertinent information to patient and members of the health care team in a concise and timely manner utilizing an interdisciplinary approach.
• Assure that the patient/family are updated regarding the status of the patient and any changes in the patient or plan of care as they evolve.
• Demonstrate flexibility in giving and receiving patient assignments on the department and hospital‑wide based on skill mix of the staff available and patient care demands.
• Evaluate nursing care, which includes tools and equipment related to patient care.
• Review, evaluate and document effectiveness of interventions, making modifications as needed on the plan of care.
• Evaluate new and existing equipment, policies, procedures and programs.
• Anticipate patient’s response to interventions and collaborate with patient/family and health care team to revise treatment plan accordingly.
• Identify variances from expected outcomes and make appropriate recommendations.
• Provide patient/family education.
• Assess patient/family for:
• Current knowledge of health status, condition or disease process; barriers to learning; readiness, willingness and ability to learn.
• Cultural, religious, financial and patient preference implications related to learning.
• Identify learning needs and establish goals using standardized or individualized teaching plans.
• Implement the plan through direct, interactive teaching with additional use of teaching aids and materials as appropriate. Evaluate effectiveness of teaching.
• Communicate patient/family progress toward learning goals and need for follow‑up to other nurses and health care disciplines.
• Integrate…