RN - Acute Care; per diem

Position Specifications

Title: Registered Nurse – Acute Care

FTE: 0.0 FTE (per diem)

Schedule: 12-hour shifts, 6:45am/pm - 7:15am/pm

Holiday Rotation: None

Weekend Rotation: None

On Call Requirements: None

We are committed to supporting your nursing practice through our Clinical Ladder Program, which recognizes and rewards professional growth, advanced competencies, and leadership in nursing practice. This program offers financial incentivies for achieving higher levels of clinical expertise.

Provide quality, professional, general nursing care to patients. Responsible for assessing, planning, implementing, documenting, and evaluating patient care for a group of patients on the unit. Must adapt appropriately to changes in daily assignments, patient status changes, and unit needs. Responsibilities include following all standards, practices, policies and procedures of unit and SPH.

Use and perpetuate the nursing process (assessing, planning, implementation, and evaluation) throughout the patient’s stay. Ensure that patient care is individualized to meet the patient’s unique needs and situation.

• Initiate, develop and document patient plan of care based on patient assessment and medical diagnosis and set priorities for nursing action in accordance with unit policy. The plan of care will be reviewed/revised every 24 hours at a minimum.
• Within the framework of unit requirements, physician orders, and policy and procedures, provide care independently with minimal supervision.
• Respond to life threatening situations based upon nursing standards, policies, procedures, and protocol.
• Maintain a comprehensive understanding of procedures and treatments and have the ability to explain them to patients at their level of understanding.
• Perform or assist with procedures per approved unit policy and procedure.
• Observe, record significant condition change, and any reaction for patients. In a timely manner, notify supervisor or physician of change in patient’s condition, reaction to drug, treatment, and significant incidents.
• Monitor, record and communicate patient condition as appropriate utilizing computerized documentation systems.
• Via the electronic medical record (EMR), acknowledge physician’s orders by the process of review and verification. Once order is acknowledged, follow through on order or delegate in a timely fashion.
• Be proficient in medication administration, including IV therapy, as evidenced by lack of medication errors.
• Initiate patient/family education plan and discharge needs according to the individualized needs of the patient/family, as prescribed by physician and/or hospital policy.
• Delegate to and collaborates with other health team members in planning and providing care based on patient needs.
• Learn and maintain skills and equipment competencies as needed.
• Safely care for multiple patients. Maintains a safe environment for patients and uses safety precautions appropriately.
• Demonstrate understanding and utilization of Universal Precautions, asepsis and infection control procedures.
• Ensure proper handling of specimens.
• Float to other units as necessary.
• Participate in department or unit quality improvement activities.
• Attend 75% of Unit Meetings.

• Apply and monitor medical equipment and devices such as cardiac monitors, mechanical ventilators and alarms, external pacemakers, oxygen delivery devices, transduce/pressure lines and central lines.
• Recognize the signs and symptoms of cardiopulmonary emergencies and initiate the standardized interventions to stabilize the patient and prepare for transfer to a higher level of care.
• Interpret arterial blood gas analysis and communicate findings.
• Recognit…