RN- Emergency Department- PRN

Summit Hospital
2200 E Show Low Lake Road
Show Low, AZ 85901, USA

Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at the Summit Healthcare Association. The nursing process, critical thinking and problem solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span.

Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position.

Standard 1:
Assessment

• Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care.
• Integrates knowledge from environmental factors into the assessment process.
• Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes.
• Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process.
• Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations.
• Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data.
• Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication.
• Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status.

Standard 2:
Diagnosis

• Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle.
• Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues.
• Corroborates the diagnoses with the patient, family, group or community.
• Prioritize diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community.
• Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan.

Standard 3:
Outcomes Identification

• Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team,
• Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care.
• Documents expected outcomes as measurable goals.
• Evaluate the actual outcomes against the expected outcomes.

Standard 4:
Planning

• Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum.
• Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following:
  Promotion of health, prevention of illness or injury, healing, and supportive care.
• Prioritizes nursing interventions to achieve patient outcomes and goals.
• Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes.
• Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum.

Standard 5:
Implementation

• Establishes and maintains a therapeutic relationship with patient or…