The Registered Nurse utilizes the nursing processes based on research and evidence based outcomes to meet patient care needs. Participates in maintaining a safe patient care environment. Demonstrates leadership skills by directing personnel and establishing collegial relationships with others. Provides quality nursing care to all patients in accordance with the California Nurse Practice Act, and professional regulatory standards. Projects an image of professionalism in communication, appearance and conduct. Supports the mission of the Patient Care Services Division. Participates in the continuous quality improvement process. Maintains a working knowledge of departmental and hospital standards, policies and procedures.
The patient population served is the adolescent, adult, and geriatric patient with medical and surgical patients including GYN, Urology and GYN Oncology. Performs other duties as assigned.
Demonstrates competent knowledge, based on hospital policies, procedures and standards, in the following:
- Demonstrates an ability to organize and incorporate new routines, procedures and skills.
- Demonstrates skill in the use of equipment and devices pertinent to treatment, procedures and practices.
- Demonstrates the use of the nursing process as documented on the admission assessment, patient Plan of Care, focus charting and discharge plan.
- Assesses and documents a complete physical assessment, nursing interventions, teaching and discharge needs for the patients assigned to each shift.
- Documents in the patient record utilizing documentation guidelines, Standards of Care and Pathway goals.
- Communicates changes in the patient’s condition to the Charge Nurse/supervisor and the physician directing the care of the patient as well as pertinent information at shift report using the patient Plan of Care.
- Follows procedure in the identification of patients prior to implementing any procedures, interventions, etc.
- Provides appropriate information for all patient procedures and ensures patient/significant other understanding prior to start of procedure.
- Responds to emergency situations in a timeframe appropriate to the needs of the patient.
- Administers medications and intravenous therapy with the ability to assess the indication appropriate dosing and effects of the medication administered for the patient.
- Initiates IV therapy and documents accurate information on the patient record.
- Correctly collects, handles, and labels specimens utilizing Standard Precautions, as well as documenting in the patient record.
- Adheres to Infection Control policies and procedures, follows Standard Precautions and specific isolation precautions for the prevention and spread of bloodborn pathogens and other communicable diseases
- Appropriately assesses and implements prescribed interventions to ensure pain management for the patient.
- Recognizes that ethical/legal/medical dilemmas exist in the nursing practice and confers with the appropriate resource personnel when making ethical nursing decisions.
- Implements and documents teaching discharge plan for each patient.
- Assesses the educational ability and level for the patient population. Incorporates available educational material into patient/significant other teaching and documents understanding in patient record.
- Provides ongoing assessment of the nutritional status for the patient. Implements dietary consult when indicated to provide/maintain adequate nutritional intake. Communicates to physician nutritional needs/problems for the patient.
- Provides continuity of care through implementation/utilization of the Plan of Care for the patients
- Appropriately assesses, intervenes and cares for the adult/geriatric patient, family and significant other requiring emotional support, coping support and care for significant life changes and end of life issues. Coordinates support services with Social Services, Pastoral Care, Case Management, etc.
- Clinical Care: Ensure patient care is delivered and the unit is maintained in accordance with professional regulatory standards. Demonstrate the knowledge and skills necessary to provide care appropriate population as outlined in the job description and competencies
- Active, Current California RN License
- BLS Certification
- Successful completion of an EKG course or equivalency
- Demonstrates effective communication, interpersonal skills, organizational ability, knowledge of proper body mechanics, safety measures and infection control, ability to follow instructions, knowledge of age of population served, and additional skills and knowledge of equipment may be required for hire into some patient care departments
- If BSN has not been obtained upon hire then the Clinical Nurse I must begin the BSN program within one year of the hire date and obtain their BSN within two years of starting the program
- Medical/Surgical, GYN/Urology experience
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