Registered Nurse; RN Acute Care, Emergency Department, PT, Shifts

Overview

Inspire health. Serve with compassion. Be the difference. Job Summary:
Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient/family centered care. Demonstrates clinical competency utilizing evidence based practices/research in all areas of the nursing process: assessment, planning, implementation, evaluation and outcomes. Incorporates knowledge of safety protocols, cost containment and quality improvement throughout the nursing process. Identifies patient, unit and organizational priorities and incorporates into the nursing process.

Adheres to all compliance and policy/procedures of the organization including licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration. Demonstrates knowledge of regulatory agency requirements (TJC, DHEC, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. The acute inpatient setting usually requires staff to be scheduled for a significant amount of shift, weekend, holiday, and on-call work.

• All team members are expected to be knowledgeable and compliant with Prisma Health's purpose:
  Inspire health. Serve with compassion. Be the difference.
• Collect data and complete nursing assessment utilizing appropriate area and/or age specific standards/policies and tools. Complete appropriate forms. Assess and recognize subtle or actual changes in patients' status and patient response to intervention. Identify nursing priorities for patient plan of care based on nursing assessment and other data as appropriate. Validate these priorities with healthcare team members and document appropriately.
• Develop an individual plan of care based on the age and assessed needs of the patient. Develops the plan in collaboration with the patient and/or family, the provider, and other members of the interdisciplinary health care team.
• Update the plan based on changes in the patient's condition and communicate changes in the plan to other members of the team.
• Identify realistic and measurable goals and outcomes to be attained prior to discharge. Validate these with the patient and/or family.
• Demonstrate respect for the patient s/family cultural, spiritual, and belief system in planning for care.
• Include planning for discharge to assure continuity of care and a smooth transition post discharge from one level of care to another including appropriate referrals.
• Provide direct care to assigned patients consistent with the established nursing plan.
• Perform specific tasks based on organizational, departmental and/or unit policies and procedures within the RN scope of practice.
• Delegate nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate) and ensure completion of assigned tasks.
• Monitor quality of care delivered on a continual basis; ensure appropriate surveillance of assigned patients.
• Provide care based on patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing resources internal and external to the unit. Incorporate cost containment principles into nursing care. Utilize appropriate technology in daily practice.
• Assume responsibility for patient safety by maintaining a safe environment to include awareness of safety procedures, protocols and adherence to patient care standards.
• Utilize performance indicators to collect data, monitor quality and effectiveness while providing nursing care.
• Complete assigned hospital/unit performance improvement monitoring (audits).
• Based on assessment/reassessment of patient response to interventions, evaluate the plan of care for effectiveness, document progress toward expected outcomes, and revise plan of care as needed. Report changes in patient condition and refer unresolved problems to appropriate healthcare team members. Discuss outcomes with peers (via shift-to-shift report) and with other healthcare team members.
• Evaluate opportunities for quality improvement; based upon evaluation, incorporate performance improvement recommendations into the plan of care…