DISCHARGE RN

Job Summary

The Admission/Discharge RN(ADRN) performs under the direct supervision of the Director of Nursing Operations and is delegated an assignment by the Patient Care Supervisor. The ADRN supports efficient patient flow by facilitating timely admissions and discharges. This role is pivotal in improving bed availability, ensuring safe transition of care, and supporting bedside nurses during high volume periods. The ADRN focuses on delivering quality, patient-centered care with an emphasis on safety, education, and continuity.

The ADRN shall implement the nursing process in an organized, systematic manner to include assessment, planning, intervention, and evaluation in collaboration with the Patient Care Coordinator, Physicians, and ancillary staff, as evidenced by documentation in Patient Care Record, direct observation by Nurse Manager and patient evaluations of care. The ADRN is responsible to the Patient Care Supervisor for patient care and ultimately accountable to the Nurse Manager.

• Perform RN-level admission assessments, medication reconciliation, and initiate care plans for new Med-Surg/Telemetry patients.
• Coordinate and execute discharge processes, including discharge education, follow-up appointments, documentation in EPIC and transportation arrangements.
• Collaborate with the interdisciplinary team to identify and remove discharge barriers.
• Ensure accurate and timely communication with patients and families regarding admission and discharge processes.
• Provide real-time support to unit RNs by absorbing admission/discharges during peak periods.
• Monitor unit activity and proactively prepare for expected admissions and discharges.
• Advocate for patient safety continuity of care during transitions.
• Escalate concerns related to delays in discharge or inappropriate admissions to the Charge Nurse, Nurse Manager, and/or House Supervisor.
• Maintain documentation compliance with hospital policy.
• Trend data related to admission/discharge delays and documentation compliance.
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served, and to assess and intervene appropriately when a patient condition worsens and requires immediate attention; also demonstrates knowledge of the principles of growth and development and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his/her age specific needs, and to provide the care needed.
• Demonstrates ability to perform all technical skills required for each unit’s population by rendering professional nursing care including administering medications, starting IVs, maintenance of Intravenous lines and Foley catheters, venipuncture, administration of blood products, restraint application and monitoring, sterile dressing, and performs both complex and routine treatments as ordered by physician
• Demonstrate the technical aptitude for working and troubleshooting equipment used including but not limited to traction, wound vacuum systems, sequential compression devices, continuous passive motion machines, telemetry monitoring devices, blood glucose monitoring devices, and specialty beds.
• Demonstrates the aptitude for safely positioning and assisting patients using a variety of devices such as but not limited to abduction pillows, splints, slings, braces, neck collars, walkers, crutches and immobilizers.
• Demonstrates thorough, concise and timely documentation, bedside shift reports and verbal communication. Communicates pertinent patient information to all health care team members.
• Maintains own clinical skills staying current in skills, ongoing competencies, equipment and certifications required in specific nursing area.
• Implements a systematic and comprehensive plan of care to provide individualized care, prompt intervention when clinical changes occur, and prevention of complications in patients in need of cardiac monitoring, stroke care, and medical-surgical care.
• Communicates effectively with others in an appropriate and timely manner. Adheres to and promotes the established values…