Registered NURSE - East Observation Unit - Night Shift

The Registered Nurse in Observation Unit – 1 East

The Registered Nurse in Observation Unit – 1 East is responsible for the care of patients requiring short-term monitoring, diagnostic testing, or therapeutic interventions who do not meet criteria for inpatient admission. This role functions within an interdisciplinary and interdepartmental team, ensuring efficient, patient-centered coordination of care. A core focus of this position is to accelerate diagnostics and expedite treatment interventions to support timely and safe discharge, or seamless transition to inpatient admission when indicated.

Nursing Diploma and/or Associate Degree in Nursing. Educational requirements per hospital certifications (Example: Stroke, Orthopedic/Spine). Current and valid Registered nurse license in the Commonwealth of Virginia or from a state that is part of a Compact agreement with Virginia. CPR, ACLS. BSN, MSN preferred.

1-year full time or 2 years part-time RN Telemetry or step down or PCU experience. Emergency Department, ICU, Observation Unit. Experience preferred.

• Unit and annual competencies to be completed each year.
• HIPPA - no breaches of confidentiality. No related complaints voiced on patient satisfaction surveys. no related complaints voiced by fellow care providers of observed incidences.
• Knowledgeable of location and content of departmental policies and procedures.
• Nurse Practice Act-Scope of Practice.
• Basic computer skills.
• National Patient Safety Goals.
• Clinical competence in all aspects of the unit.

• Completes 8 Rights with 100% compliance.
• Knowledge of medications used.
• Knowledge and use of high-risk medications.
• Ability to perform calculations for mixtures/solutions.
• Follows policy for bar code scanning with high level of compliance.

Implement clinical and technical aspects of care in accordance with established standards, policies, and practice guidelines. Observed to anticipate patient’s potential complications and need for appropriate preventive measures. Demonstrates strong clinical skills in technical aspects of care, pain management, systems assessment, and patient satisfaction. Demonstrates proficiency in starting IVs and phlebotomy and follows hospital policy and procedure. Maintains patient safety. Maintains patient confidentiality.

Provides patient education appropriate to age and knowledge level of patient. Demonstrates proficiency in computer applications necessary to perform the job. Coordinates care through use of interdisciplinary services as needed.

• Consistently uses Personal Protective Equipment including eye protection when appropriate.
• Maintains organization and safety in the physical environment of care.
• Demonstrates knowledge of proper body mechanics.
• Utilizes Safe Patient Handling devices correctly to minimize risk of injury.
• Disposes of sharps and infectious waste appropriately.
• Maintains calm and safe approach with those patients that display violent or aggressive behavior.

• Demonstrates knowledge of patient two unique identifiers.
• Utilizes SBAR approach to patient hand off communication.
• Follows policy and procedure in the administration of medication.
• Abides by policies/procedures for Isolation.
• Consistently follows CDC guidelines for hand hygiene.
• Knowledgeable of their role in patient evacuation plan.
• Utilizes Safe Patient Handling Equipment appropriately.
• Documents appropriately by not using an abbreviation from standard "Do Not Use Abbreviation List".
• Implements fall preventions.
• Assure patient rounds by policy.
• Involve family in prevention measures.
• Demonstrates appropriate use of restraints.
• Provides written plan of care based on patient problems/diagnosis.
• Assures Kardex and intervention list up to date.
• Labels…