The RN has multiple roles and functions including care-giver, decision-maker, client advocate, manager, rehabilitator, comforter, communicator, and teacher. The functions include assessment of the nursing needs of the patient, initiation of the plan of care of nurse action, implementation of the plan of care and the evaluation of the process, by use of the nursing process. The Standards of Practice set forth by the professional nursing associations provide guidelines for the competent, safe and professional practice. The RN promotes the dignity and quality of the nursing care given to the patient.
Involves the patient and family psychosocial, spiritual, emotional, population specific, and diversity needs in care assessment.
Constructs and implements the plan of care using nursing knowledge and skill. Integrates direct and indirect patient care activities related to the diagnosis and co-morbidities.
Coordinates the implementation of the interdisciplinary plan of care for assigned patients. Develops goals, treatment plans, and discharge plans that meet individual patient/family needs.
Consistently completes hourly rounds with purpose to strengthen nurse communication, improve safety, and anticipate patient needs (i.e. pain, re-positioning, toileting). Rounds with purpose including pro-actively evaluating the environment to ensure it is patient friendly and patient safe.
Collaborates with the patient’s designated care partner to meet the educational, physical, psychological, and spiritual needs of the patient.
Actively participates in bedside report (as appropriate) to ease anxiety and address important points of care, concerns, and progress with the patient/family.
Provides patients with caregiver name and contact information each shift.
Supports and informs the patient and family of hospital specific components of the Patient Centered Care Delivery model. Examples may include informing the family of open medical record policy, supports open family visitation, family presence during resuscitation and other invasive procedures and promotes a quiet environment.
Follows communication practices that minimize risks associated with handoffs among providers, and across transitions in care utilizing the SBAR process.
Empowers contributions of others who play a role in helping patients/families achieve health goals.
Demonstrates the ability to formulate questions that address clinical issues and analyzes the evidence to address these issues.
Demonstrates proficiency in completing an evidence-based practice literature search.
Demonstrates quality through accurate documentation of the nursing process, core measures and concurrent use of tools and resources to ensure high compliance is achieved (core measure checklist, double checks, etc.).
Understands and analyzes unit metrics to understand how individual practice, continuing education, and process improvement is necessary to improve the quality of practice.
Follows facility policies and procedures to promote patient safety (i.e. safe medication administration, equipment safety practices, radiation safety, fire prevention, etc).
Reports errors (facility and unit) to promote analysis of errors and design of prevention or system improvements.
Navigates the patient’s electronic health record to accurately enter and locate appropriate information.
Demonstrates sound judgment to increase or decrease the frequency of data collection based upon the patient’s clinical condition and data trends.
Incorporates patient data from multiple sources to identify problems and assure timely and appropriate intervention.
Maximizes the capabilities of the electronic clinical information system to enhance clinical decision and care planning.
Makes discretionary patient care decisions/interventions independently within the scope of practice (selects a course of action consistent with the patient’s needs and is accountable for decisions). Is self-directed and decision oriented.
Facilitates problem resolution among peers and unlicensed team members when behaviors and decisions are not within the range of expected actions.
Evaluates changes in the patient condition and reports significant findings to the physician. Involves all disciplines, patient & family to coordinate effective medical and nursing interventions including rescue to achieve positive outcomes.
Performs other duties as required and assigned.
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At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.