registered nurse telemetry full time nights - Fountain Valley, CA , USA, United States - UCI Health

Description

• Interviews patient, family, significant others to formulate a nursing history.
• Observes, identifies and collects data to identify nursing care needs of the patient and family.
• Correlates the medical plan of care with the nursing plan of care
• Identifies and reports to the appropriate person(s) abnormal diagnostic data and clinical changes in the patient's condition.

• Develops and/or updates individualized nursing care plan on each patient.
• Documents patient problems and nursing care needs of the patient and family/significant others.
• Actively involves patient and family/significant others in planning patient's care.
• Develops short- and long-term goals for the patient and family/significant others. Identifies the need to involve other disciplines in the patient's care.
• Initiates discharge planning upon admission.

• Performs common nursing procedures as defined in Policy and Procedure Manual.
• Implements changes in physicians' orders in a timely manner.
• Explains treatments and procedures to patient and family/significant others.
• Provides patient and family teaching.
• Provides for the safety, cleanliness and comfort of the patient.
• Initiates emergency procedures as needed within the scope of practice and hospital policy.

• Evaluates the patient's response to nursing care.
• Updates and revises care to be delivered as patients' needs change.
• Appropriately communicates changes and care given to other members of the health care team.

• Assumes leadership role and delegates nursing care.
• Assigns tasks appropriately and guides team members based on their skills and abilities.
• Maintains awareness of legal aspects of hospital nursing.
• Conducts patient care conferences.
• Updates skills and knowledge and attends peers' patient care conferences.
• Assists in orientation and/or acts as a preceptor for new personnel.
• Sets goals and objectives with target dates.
• Participates in patient care Quality Assurance programs.

• Manages patients as a team leader or primary care giver.
• Demonstrates ability to assess patients' signs and symptoms with impending CVA, Pulmonary Edema, MI, CHF, PE, respiratory distress.
• Assures and teaches patient's pre/post open heart surgery, heart catheterization, PTCA.
• Assesses neurological status (including cognitive levels) in post head injured patients.
• Maintains all intravenous lines and fluids (i.e., CVP, Hickman catheters, mini infusers hyperalimentation, dialysis catheter, etc.).
• Clearly documents effectiveness of nursing care (i.e., pain management and response to treatments such as wound care).
• Demonstrates basic computer entry skills.
• Demonstrates knowledge and skills in application of various types of monitor leads.
• Demonstrates knowledge and skills in recognizing and acting accordingly to life threatening arrythmias.
• Point of care testing