SNF-Staff Nurse II FT​/Day

• Location 300 Canal Street,King City, CA, 93930,United States
• Base Pay $58.84 - $78.89 / Hour
• Job Category Nursing
• Employee Type Full-Time Regular
• Required Degree 4 Year Degree
• Manage Others No

Description

JOB SUMMARY:

Functions independently in performing the nursing process through assessment, planning, intervention and evaluation of safe therapeutic care for patient’s overt and covert needs and/or complications of treatment during his/her assigned shift. He/she will individualize patient care based upon the age appropriate and developmental needs. Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients on his/her unit.

Provides ancillary members of the healthcare team.

1 Collects and documents data about patients through the following methods:
a. Interviews the patient or other significant source and completes appropriate history/assessment information on patient’s clinical record within two hours of admission
b. Legibly documents symptoms that indicate risk on clinical record in a legible manner
c. Incorporates nursing diagnostic data into written assessment.
d. Documents information from family, other nurses and physicians in the written assessment.

2 Documents patient problems requiring nursing interaction.
a. Documents identified problems using nursing diagnosis including patient teaching needs and discharge planning on patient’s clinical record.

3 Develops and contributes to a plan of nursing action based on existing problems and obtainable patient response.
a. Develops and contributes to the nursing care plan using nursing process.
b. Incorporates medical plan of care when developing nursing care plan.

4 Utilizes resources (patient, family, nurses, physicians, and written material) to formulate the written plan of care
a. Uses resources when formulating a written plan of car and involves patient and family in care plan formation.

5 Communicates the plan of care by using methods that include action plans, goals and time frames.
a. Updates Kardex and care plans using Nursing diagnosis and outcome criteria.
b. Aware of time frames when carrying out medical/nursing plan of care
c. Uses shift report to communicate changes and response to care.

6 Implements safe therapeutic care for patients.
a. Documents and sets priorities for care of patients based on acuity, need, or patient preference.
b. Safely performs and documents nursing interventions required by the patient assignment consistent with scientific principles and hospital policy
c. Carries out and documents the medical and nursing care plans for said patients and coordinates patient care activities with
nurses and physicians and other healthcare team members
d. In response to information/data indicative of acute risk and documents the action.
e. Seeks out appropriate resources.
f. Explains tests, procedures, and disease process to patient/family. Follows through with teaching plan about information by instructing patient/family and skills essential to understanding and coping with illness and for the promotion of optimal health and as it applies to the discharge process.
g. Assesses patient/family level of understanding and documents on clinical records.
h. Participates effectively in Code procedures.
i. Ensures that patient is reassessed as status requires.

7 Participates in the evaluation and review of patient care.
a. Evaluates the effectiveness of nursing interventions in relation to intended goal.
b. Participates in patient care conferences.
c. Documents patient response to care in Nurses notes
d. Revises patient care plans based on evaluation of effectiveness of interventions.

8 Participates in staff teaching and development
a. Provides both formal and informal teaching activities to promote staff education/knowledge.
b. Communicates identified learning needs of others to resources able to meet learner’s needs.
c. Assists in the development and implementation of educational programs and learning aids for the nursing unit, such as: i In-service
ii Learning aids
iii Patient care guidelines
iv Nursing or hospital committees
d. Assists in orientation of new…