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Overview
JOB SUMMARY:
Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established clinical nursing care for patients the medical surgical services based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Serves as the Resource nurse role when oriented and as directed. Supports the organization vision and mission. Utilizes knowledge of patient's age, developmental status, spiritual and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.
Responsibilities
Sets priorities according to patient care needs
Completes initial assessments & re-assessments of patient care needs, based on hart review and/or direct observation.
Documents care on patients according to diagnosis and established standards of practice.
Reassess as patient condition warrants and prepares transfer and discharge as appropriate.
Recognizes signs and symptoms of potential emergencies to include behavioral and physical changes. Initiates appropriate actions and timely interventions.
Recognizes indicators and proper reporting of abuse.
Practices National Patient Safety Goals (NPSG), see JCAHO Reference.
Utilizes appropriate methods to access risk and prevention patient falls & skin break down on intact skin.
Assessment/alternative for management of restraints.
Performs and documents legibly/timely and accurate nursing interventions to meet patient care needs.
Coordinates total nursing care to the patient using the plan of care to provide continuity of care.
Assumes the responsibility for teaching and documenting patient education appropriate and consistently.
Assures complete follow-up instructions are given with demonstration or verbalized understanding by the patient prior to discharge and documented in the medical record.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
Graduate of an accredited school of professional nursing.
One year acute experience.
Current California RN license required
BLS (AHA) certifcate required
ACLS (AHA) certificate Preferred)
NIHSS certification required.
Proficiency in both written and oral English communication skills.
Ability to practice leadership, interpersonal skills, communication skills, teamwork, quality improvement and professionalism.
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