Registered Nurse, Er Nights

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Full Time Professional Community Hospital-Fairfax, Fairfax, MO, US

Primary function.

Provides total nursing care to patients, guided by Advanced Practice Nurse and Physician orders, standards of care, policies and procedures; provides a legible, pertinent, and accurate record of the patient's course of treatment based on the patient's plan of care and disease process.

Duties and responsibilities

• Performs comprehensive nursing assessments in an efficient and effective manner.
• Conducts full body system analysis
• Performs and completes all established steps of the initial admissions process.
• Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action.
• Administers and performs nursing assessment in accordance with the applicable patient type which may include:
  Medical, Surgical, Obstetrical, Newborn, Pediatric, and or Telemetry/cardiac patient.
• Performs all aspects of blood component administration by following applicable procedures and protocols.
• Follows Lab procedure for sign out.
• Ensures identification and documentation procedures are followed.
• Monitors and responds in an appropriate and effective manner to untoward events.
• Performs intravenous therapy dynamics by following administration principles in an effective manner.
• Effectively handles the operations of various I.V. related equipment, including I.V. pumps, and P.C.A. pump.
• Performs IV access skills proficiently.
• Administers IV additives appropriately.
• Effectively performs PICC, midline, port access and maintenance.
• Utilizes assessment/observation and review of available data to develop a comprehensive nursing care plan that supports the medical plan for each patient.
• Includes patient, family, or other support system in implementation and education of interventions.
• Develops and individualized nursing interventions.
• Provides discharge instructions in an effective manner that the patient and family comprehend.
• Includes patient, family, or other support system in implementation and education of interventions.
• Collaborates with Medical Staff, managements, and other health care providers to coordinated medical and nursing management of patient care.
• Promotes team concept through effective communication regarding patient condition patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care.
• Works effectively with ancillary areas as part of the team approach to patient care.
• Directs patient support team members effectively and appropriately.
• Demonstrates initiative and flexibility in the provision of patient care.
• Informs and involves Advanced Practice Nurse or ER physician regarding patient care issues in a timely and appropriately manner.
• Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit.
• Carries out the discharge planning process.
• Initiates the process during admissions
• Collaborates with Social Services and Utilization Management.
• Utilizes available Community resources.
• Completes patient and family education throughout the length of the patient’s stay and completed in a timely manner.
• Maintains and performs all patient related documentation in a timely, factual and legible manner.
• Utilizes only approved abbreviations in all documentation.
• Accurately reflects the plan of care.
• Follows all policies and procedure related to the documentation requirements.
• Initiates or assists in patient care in an effective and responsive manner as each situation requires.
• Triages each Emergency situation appropriately and involves other resources an appropriate.
• Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics.
• Follows standards of BLS, ACLS, NRP interventions as needed.
• Follows emergency policies, procedure, and protocols in an effective manner.
• Promotes and ensures patient safety in all aspects of responsibilities.
• Follows procedures and protocol to ensure safe…