Registered Nurse – Medical Surgical

Job Summary: -Performs all responsibilities and duties required by unit as specific to the scope of service. -Implements procedures and theories related to the specific area of practice. -Maintains up-to-date and accurate documentation of nursing care provided to assure the integration of information for use by the healthcare team. -Completes initial assessment upon patient admission and develops appropriate plan of care in accordance with unit standards and that is based on patient and family needs. -Implements plan of care, nursing interventions, and patient care procedures. -Modifies plan of care based upon continuous evaluation. -Takes responsibility for patient and employee safety by reporting and/or correcting safety hazards and incidents. -Communicates with others directly and in private when necessary to resolve issues. -Offers constructive feedback to assist in the professional development of peers and confers with colleagues to expand knowledge base. -Identifies own learning needs and takes initiative to begin appropriate solution. -Fulfills all requirements of departmental competencies. -The RN performs or assists with the following therapies utilizing proper techniques: IV Access (Peripheral), IV Access (Central Line, PICC, and/or Infusaport), IM; SQ Injections. -(Neonatal, Pediatric, Adolescent, Adult, Geriatrics). -The RN is skilled and knowledgeable in setting up and assisting with unit procedures, equipment and therapy (Chest Tube Insertion and Management; Sequential Compression Device; Blood Glucose Monitor; PCA Machine; Thorocentesis and Paracentesis; TPN; Thrombolytic Therapy; Kangaroo Pump; Central Line Insertion). -The RN responds to emergency situations and function as an effective team member (Pediatrics, Adolescents, Adults, Geriatrics). -Focusing on patient satisfaction by utilizing patient whiteboards, patient rounding and bedside reporting. -The RN will demonstrate competency in delivery of care by reviewing, transcribing and implementing orders in a timely manner, communicate the response to treatment while involving the patient, family and significant other in decisions making. -Receives patient Bedside Shift Report from an RN at the beginning of each shift, ensuring the inclusion of the patient input, visual validation of a safe patient room environment at the time of shift change and updating of the patient communication board found in each patient room. -Delegates patient care tasks/responsibilities to assigned HCT's and validates completion of delegated tasks throughout the shift. -Completes and documents basic RN patient care activities such assessments, interpretation of vital signs, ensure physician order completion, admission/discharge of patients, hourly rounding completion on each assigned patient, care plan documentation and patient education meets documentation standards. -RN will provide patient medications utilizing the patient 5 Rights: Right Patient, Right Medication, Right Route, Right Dose and Right Time Maintains patient safety as the highest priority level: ensuring safety measure compliance such as fall precautions, pressure ulcer prevention, isolation precautions and patient ambulation safety. -Maintains a positive attitude at all times on unit that promotes a healthy work environment and a healing patient environment. -Keeps a diligent focus on prompt answering of patient call lights to ensure effective triage and completion of patient requests/medical needs. -Uses critical thinking to evaluate the overall patient condition and uses nursing judgment to identify and act on changes in patient status. -Effectively communicates within the health care team to promote interdisciplinary collaboration, effective patient care coordination and patient safety.