RN Registered Nurse Med Surg Float Pool FT Nights

Job Description Summary

Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures

Job Description

1 - ASSESSMENT / REASSESSMENT

Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients by :

a - Initiating admission assessment within 8 hours of admission, identifies and documents patient / family / significant other teaching needs upon admission anf throughout hospitalization.

2 - PLAN OF CARE

Develops, discusses, and communicates a prioritized problem list / plan of care for each patient, in collaboration with designated support persons in order to address all identified needs.

a - Develop, evaluate and update individualized plan of care for patients and documentsd outcomes.

b - Actively communicates plan of care with the primarynure assigned to care for the patient

c - Facilitates dischasrge / transfers by goal of 12 : 00 pm, communicating barriers utilizing the Chain of Command.

d - Documents all patient care follwoing the department of nursing policies, unit based standards and nurse sensitive indicators (falls, skin pain).

e - Assessess / re / assesses and documentsd patient's level of comfort utilizong the appropriate pan scale and the patient's response to each intervention both pharmacoligical and non-pharmacological per South Shore Hospital Policy.

f - Works on behalf of patient / family. Seeks help to repersent patient / family when they are unable to represent themselves.

g - Raises ethica questions and concerns with clinica team. Seeks available resources to help formulate and understand ethical decisions.

3 MEDICATION ADMINISTRATION

a - Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications.

b - Demonstrates proper porcedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepency.

c - Initiates and maintains IV access according to SSH policy and procedure.

6 SAFETY

Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.

a - Verifies patient identification with two idenitifiers prior to the start og any invasive procedure, including "time out