|Date Posted||December 18, 2020|
4CD is a 14 bed department dedicated to the care of COVID + patients. With this population comes a variety of acute and chronic illnesses. This RN may also have an opportunity to float to the sister unit - 4EF - where we care for medical and respiratory patients as well.
Performs the nursing process to deliver safe, therapeutic, and quality patient care through assessment of patients, establishment and implementation of the nursing care plan, and evaluation of clinical outcomes within an inpatient environment. Integrates theoretical knowledge with clinical experience in the care of patients and families. Consistently makes sound clinical decision and delivers care utilizing a deliberate, systematic approach, and increases awareness of patterns of patient responses in recurrent situations.
Provides ongoing patient centered nursing care. Completes initial assessment of patient including obtaining vital signs and gathering pertinent health information while following decision trees and protocols. Provides triage and consultation to patient, family, and/or significant others according to protocol and established guidelines.
Initiates and implements a nursing plan of care individualized to the needs of each patient. Assesses patient/family readiness for participation and involves them in planning and implementing care. Seeks consultation as needed.
Recognizes significant changes in patient's condition, status and need for care. Provides ongoing assessment of patient and takes appropriate nursing actions when changes occur. Evaluates and implements changes of the plan of care as needed and collaborates with other health care team members to coordinate patient centered care.
Communicates with physicians and other members of the health care team. Provides patient status updates to physicians on a regular basis. Documents, maintains and updates accurate patient records according to agency, state, and federal guidelines.
Administers medications, under physician/provider orders, which may include: antibiotics, narcotic pain medications, vitamins, topical agents, insulin, blood thinners, and allergy antigens. Initiates, maintains and discontinues IV therapy; performs mixing of medications according to protocols.
Monitors the patient's medication needs and response to treatment. Adjusts medication as appropriate within scope of practice and utilizing protocols established by the physician. Performs laboratory procedures and assists the physician/provider with procedures and surgeries using principles of aseptic technique and standard precautions/infection control guidelines
Assists the physician/provider with procedures and/or surgeries. Performs advanced clinical tasks or skills such as complex wound care, hickman/port-a-cath/PIC line, central line care, conscious sedation, hyperalimentation, venipunture, etc., with demonstrated competency and under clinical supervision.
Coordinates the discharge planning process by utilizing the interdisciplinary approach with the patient/family, physician, social worker, and other staff members as appropriate. Assesses and provides patient education and counseling to the patient, family, and/or significant others.
Completes routine maintenance and quality monitoring of equipment using appropriate technique when cleaning, sterilizing and caring for instruments and other equipment.
Participates in at least one initiative to impact quality with demonstrated results. For example: conducts chart audits, collects data, implements performance improvement interventions, and/or offers suggestions for performance improvement. Participates in professional activities which contribute to personal professional development and the development of others.
.9 FTE with a combination of 8 and 12 hour shifts
This position is days with night rotation and requires a weekend and holiday commitment.