Registered Nurse - Icu; Prn

Position: REGISTERED NURSE - ICU (PRN)

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Description

The Special Care Unit RN is responsible and accountable to a group of patients for a designated time frame and provides care to the patients via therapeutic use of the nursing process, in collaboration and integration with other health care team members. S/he demonstrates the knowledge and skills necessary to provide care relevant to the patient(s) under his/her care, applying principles of growth and development over the life span.

S/he assesses and interprets patient data needed to identify each patient's requirements relative to his/her age-specific needs. S/he functions in the role of a primary RN. .

Description

The Special Care Unit RN is responsible and accountable to a group of patients for a designated time frame and provides care to the patients via therapeutic use of the nursing process, in collaboration and integration with other health care team members. S/he demonstrates the knowledge and skills necessary to provide care relevant to the patient(s) under his/her care, applying principles of growth and development over the life span.

S/he assesses and interprets patient data needed to identify each patient's requirements relative to his/her age-specific needs. S/he functions in the role of a primary RN. .

Essential Functions

Standard I. Assessment: The Registered Nurse Collects Health Data

Rationale: GRMC nursing practice is characterized by a high degree of autonomy and requires a broad-base of subjective and objective data.

• Measurement Criteria
• The priority of data collection is determined by the patient's immediate condition or needs.
• Pertinent data is collected by using appropriate assessment techniques.
• Data collection involves the patient, significant others, health care providers, and other GRMC personnel, when appropriate.
• The data collection process is systematic and ongoing.
• Relevant data is documented in a retrievable form.

Standard II. Diagnosis: The Registered Nurse analyzes the assessment data in determining diagnoses.

Rationale:
The Registered Nurse at GRMC uses independent judgment and available data to formulate a nursing plan of care.

• Measurement Criteria
• Plans of care are derived from assessment data.
• Plans of care are validated with the patient, significant others, health care providers, and records maintained by other departments, when needed.
• Plans of care are documented in a manner that facilitates the determination of expected outcomes and care plan.

Standard III. Outcome Identification: The Registered Nurse identifies expected outcomes individualized to the patient.

Rationale:
The Registered Nurse at GRMC identifies outcomes based on unique factors that affect the Registered Nurse's ability to provide services.

• Measurement Criteria
• Outcomes are derived from the diagnoses.
• Outcomes are documented as measurable goals.
• Outcomes are mutually formulated with the patient and health care providers, when possible.
• Outcomes are realistic in relation to the patient's present ant potential capabilities.
• Outcomes are attainable in relation to resources available to the patient.
• Outcomes include a time estimate for attainment.
• Outcomes provide direction for continuity of care.

Standard IV. Planning: The Registered Nurse develops a care plan that prescribes interventions to attain expected outcomes.

Rationale:
Effective planning is essential for appropriate interventions.

• Measurement Criteria
• The plan is individualized to the patient's condition or needs.
• The plan is developed with the patient, significant others, health care providers, and other GRMC personnel, when appropriate.
• The plan reflects current nursing practice.
• The plan is documented.
• The plan provides for continuity of care from the time of entry into the healthcare system, through transfers to other departments, to final discharge from GRMC, when appropriate.
• The plan provides for discharge follow-up based on the patient's need for health care, when appropriate.

Standard V. Implementation: The Registered Nurse implements the interventions identified in the care plan.

Rationale:
The Registered Nurse is the most appropriate health care provider at GRMC for ensuring that actions are taken to meet the physical, mental, and health education needs of the patient.

• Measurement Criteria
• Interventions are consistent with the established care plan.
• Interventions are implemented in a safe, appropriate, and timely manner.
• Interventions are documented.

Standard VI. Evaluation: The Registered Nurse evaluates the patient's progress toward attainment of outcomes.

Rationale:
The Registered Nurse at GRMC uses the nursing process to evaluate the outcome of nursing actions, interventions, and patient education. The Registered Nurse may alter the care plan, expand the database, introduce new…