RN - LDRP

Site:
Nantucket Cottage Hospital

36 hours per week, Rotating shifts

This is a Registered Staff Nurse position with responsibility for reasonable and comprehensive care for all obstetrical patients. Accountable for the delivery of quality patient care, utilizing the nursing process for all patients.

• Collects and documents all data pertinent to each patient’s actual and potential needs within twenty-four (24) hours of admission.
• Documents and reports significant findings of ongoing patient assessment.
• Formulates the patient plan of care based on acceptable standards of practice.
• Communicates the patient plan of care (written/verbal) through shift reports and other established procedures.
• Plans individualized patient care using nursing theory in collaboration with patient and other health care providers.
• Initiates patient plan of care, using assessment data upon admission based on age-specific needs.
• Incorporates in the patient plan of care the:
  • Nursing diagnosis specific to the patient’s actual problems/needs.
  • Nursing Diagnosis which reflects complex etiology.
  • Individual teaching plans using identified teaching needs.
  • Nursing interventions consistent with nursing diagnosis and etiology.
• Implements patient’s plan of care in collaboration with patient, family members and significant others.
• Communicates the initial plan of care and revision (written/verbal) through shift reports and other established procedures.
• Formulates discharge plans within twenty-four (24) hours of admission and as part of the revision process.
• Implements discharge plans by:
  • initiating and completing discharge screening tool upon admission,
  • completing appropriate referrals to other care services,
  • implements individualized teaching plan based on actual discharge needs.
• Implements and documents teaching plan in the patient record.
• Evaluates outcome of patient care.
• Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome, documentation in the patient record and revision of the plan of care.
• Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.
• Demonstrates proficiency in administering treatments, procedures and equipment appropriate to the unit/department as demonstrated by the skills checklist.
• Administers safely and documents medication regimen according to established procedures with no more than three (3) documented errors per year.
• Uses standard precautions as outlined in the Nursing Department Infection Control Manual.
• Participates in performance improvement activities by evaluating standards of care and initiating revisions as necessary.
• Demonstrates competency in the following areas by physical demonstration, verbal or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, medication administration, initiation of telemetry, etc.), as may be required in the performance of job duties and responsibilities.
• Participates in activities designed for professional growth.
• Attends all mandatory Hospital/Nursing Department in-service training sessions and meetings.
• Reviews and signs all in-service updates.
• Presents one (1) patient care conference and one (1) in-service training session relevant to the unit per year.
• Actively participates in 75% of staff meetings and Maternal Child Health Committee Meetings.
• Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues.
• Identifies and meets individual annual goals that are congruent with the Nursing Department’s long- and short-term goals. Participates in decision‑making process in one committee or one department‑based project.
• Actively participates in own performance appraisal.
• Demonstrates leadership skills.
• Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate time frames.
• Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing…