Registered Nurse Medical / Surgical Unit
About the Role
We are seeking a Registered Nurse (RN) to join our Medical-Surgical team. In this role, you will coordinate and deliver comprehensive, standards-based nursing care to a diverse adult and geriatric patient population. You will apply the nursing process, ensure patient safety and comfort, manage pain, administer medications, and provide clinical leadership to the care team.
Responsibilities
- Assess patient condition, nursing needs, and pain levels upon admission and throughout the shift, with attention to adult and geriatric age-specific needs
- Develop, implement, and revise individualized nursing plans of care daily
- Provide direct professional nursing care and conduct hourly rounds focused on patient safety (fall prevention, restraint reduction) and pain management
- Perform fall assessments on admission and each shift; follow hospital protocols to minimize restraint use
- Initiate, plan, implement, and document patient and family health teaching
- Administer medications, including IVs, in strict adherence to hospital policy, Patient Safety Goals, and procedures (e.g., Pyxis usage, documentation of wasted narcotics)
- Ensure compliance with documentation standards for blood administration and central line care
- Assist physicians during patient rounds, procedures, and exams
- Monitor, recognize, and report patient observations, changes, and reactions to appropriate staff (physician, manager, charge nurse)
- Document all observations, interventions, and teaching accurately and concisely in the patient record
- Communicate patient condition clearly during shift changes
- Transcribe physician orders accurately and document oral orders appropriately
- Complete transfer forms and provide call reports to receiving facilities
- Direct, supervise, and evaluate care provided by team members (new staff, students, volunteers)
- Maintain nursing care standards and participate in unit quality assurance and nursing service councils
- Demonstrate fiscal responsibility by using supplies cost-effectively, maintaining equipment, and adhering to hospital policies regarding overtime and patient charges
Qualifications
Active PA or Compact RN licenseMinimum 2 years of Med / Surg RN experienceStrong computer and EMR proficiencyCurrent BLS certification