Under the general supervision of the Nurse Manager or Clinical Director, provides direct nursing care to patients.

Assessment, treatment and patient care responsibilities are delivered with a knowledge of patient growth and development and are appropriate to the ages of the patients served.

Identifies and documents initial observation and assessment of the patient's needs for immediate nursing action.

Systematically and accurately assesses nursing needs of the patient in order to detect pertinent changes in the clinical picture.

Selects, plans, evaluates, and documents care based on this assessment.

Assesses, intervenes, and documents appropriately to meet patient's educational, psychosocial, and discharge planning needs.

Initiates appropriate referrals to other departments, services, and/or outside agencies for patient care.

Gives comprehensive patient care.

Initiates and follows through with patient and family teaching.

Consults with unit nursing leadership regarding significant changes in patient's condition.

Communicates relevant patient care information on shift to shift report.

Utilizes patient care standards in clinical practice.

Collaborates with all members of the health care team.

Documents pertinent information regarding patient's response to treatment and progression toward goals in patient's chart.

Completes Admission/Transfer Summary Sheet and/or Discharge Summary.

Transcribes physician's orders in patient chart accurately and timely (when Ward Clerk is not available).

Seeks clarification of physician's orders that are unclear or inappropriate.

Interprets clinical data and notifies the physician promptly if immediate changes in management are indicated.

Administers intravenous medications in compliance with policies and procedures.

Titrates medicated infusions as per physician's prescriptives, protocols, and standards.

Transports patients to operating room and from post anesthesia care unit.

Checks to ensure that emergency equipment is on hand and in good working order.

Recognizes and reports malfunction or failure of equipment used in the area to Biomedical Engineering; takes appropriate action to repair/replace such equipment (e.g. ventilators, cardiac monitors, defibrillators, suction apparatus, pumps, Doppler, oxygen tank, and pacemaker).

Checks policy and procedures on proper handling of sharps.

INDIRECT PATIENT CARE ACTIVITIES

Participates in interdisciplinary patient care rounds by presenting findings on patients.

Applies principles of infection control and safety.

Assists in the orientation of new personnel.

Provides clinical supervision of Certified Nursing Assistants, Ward Clerks and other ancillary staff.

Orients patient's family to new environment; develops rapport with patient's family.

Relieves the Nurse Manager/ Clinical Director as required.

Assists in data collection and analysis of Quality Assurance/CQI monitors; participates in implementation of follow up action.

Effectively utilizes the hospital computer system as it pertains to job responsibilities and in accordance with hospital policy.

Participates actively on Quality Improvement committees as assigned.

Assists other personnel as needed.

Keeps up-to-date with current trends pertinent to area of assignment.

Participates in continuing education activities; attends mandatory scheduled inservice programs; shares information gained at conferences with colleagues.

Responds to hospital codes (Code Blue, Rapid Response, etc.,) as assigned.