registered nurse- pcu - Poughkeepsie, United States - WMCHealth
Description
Job Summary
The Registered Nurse demonstrates competence by integrating theoretical knowledge with clinical experience in the care of assigned patients and families by independently assessing, planning, and evaluating patients and families utilizing the systematic approach of the Nursing Process. The RN utilizes patterns of patient responses to guide practice and provides nursing care as defined by the ANA Scope and Standards of Practice, in accordance with the objectives, policies and procedures of MHVS, the NY State Nurse Practice Act and our Philosophy of Nursing.
RESPONSIBILITIES
Clinical Skills and Knowledge
aCompletes a thorough patient assessment addressing all pathophysiologic and psychosocial needs.
aIdentifies key nursing diagnosis from the assessment data.
aPrioritizes nursing diagnoses with consideration of cultural/religious/spiritual needs.
aEstablishes data-driven individualized plan-of-care.
aImplements individualized plan-of-care/discharge plan including coordination with other disciplines utilizing clinical experience as a guide.
aUtilizes critical thinking skills in adapting plan-of-care in response to changes in patient needs.
aEvaluates outcomes of plan-of-care and alters plan as needed.
aRecognizes and intervenes in situations related to patient safety.
aOrganizes and prioritizes work assignments based on the patient needs and acuity.
aDemonstrates ability to make effective nursing judgments.
Documents patients progress legibly and in a timely manner.
aDocuments nursing interventions and patient responses in accordance with hospital policy.
Communication /Collaboration
aAdvocates for patient well being (i.e., religious /culture preferences, privacy, etc.)
aCommunicates patient data in clear, concise and timely manner both in written and verbal form.
aIndividualizes communication based upon assessment of patient/family.
aIdentifies and evaluates the patients and familys learning needs, abilities and readiness to learn teaches and documents appropriately.
Management of Care/Leadership
aDelegates and supervises patient care appropriately.
aFunctions as a charge nurse according to protocol. Assists nurse manager in performance appraisals.
aParticipates in unit based QI projects. Initiates a unit specific project related to clinical care of the patients.
aManages patient care within assigned time frames.
aActively participates in coordination of care on the unit. Willingly floats to other areas of hospital.
Professional Development
aFunctions and upholds the professional standards of the registered nurse role via evidence-based practice, interactions and appearance. Identifies potential areas of nursing research. Assists with Nursing Research projects. Helps participate in orientation and precepting of staff as needed.
aAccepts accountability for own practice. Identifies potential learning needs of staff.
Quality Improvement and Safety
aAdministers medications safely including: preparation, pre and post assessment, and monitoring of patients responses.
aPromotes a culture of safety by fostering an attitude of trust, participation and collaboration among colleagues.
aIdentifies potentially dangerous situations to his/her manager which could cause medical error/patient or staff harm and takes action, where appropriate to minimize risk of injury.
aReports errors, documents appropriately.
Education and Training:Graduate of an accredited school of nursing.Must possess one year of experience.
License, Certification and Registration:Current licensure in New York State as a Registered Professional Nurse. Certified in Basic Life Support from the American Heart Association. Other certifications as required in specialty area.
Other Requirements:Must possess excellent customer service skills. Must demonstrate ability to communicate effectively verbally and written. Must demonstrate ability to form effective working relationships with hospital personnel of all levels, to include the multidisciplinary team and both patients and families.