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Position Summary:
The Registered Nurse (RN) is a professional practitioner who manages and directs nursing care activities during the patient's hospital stay and coordinates care planning with other disciplines utilizing a patient / customer driven approach.
Position Accountabilities
-Performs comprehensive nursing assessment / reassessment.
-Performs age-appropriate assessments of new admissions or transfers immediately in the -Critical Care areas and within one hour in Acute Care units which includes input
from family / guardian. Behavioral, developmental, cognitive, educational, social and
self-care are assessed as required by the patient's condition.
-Documents patient assessment findings including the physical, psychosocial,
spiritual, and cultural needs.
-Performs an assessment of post-op / post-invasive procedure patients immediately.
-Assesses and documents education and discharge needs of patient and family on
admission and throughout hospitalization.
-Provides timely ongoing patient reassessment documenting pertinent observations
according to the patient plan of care.
-Establishes and coordinates a plan of care based on analysis on the initial assessment data, patient diagnosis, physician orders and established standards of care.
-Identifies short and long term goals based on patient care needs.
-Formulates nursing interventions to achieve desired patient outcome.
- Identifies and initiates individualized educational and discharge plan.
-Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient condition.
-Collaborates with appropriate health team members for coordination of daily plan of
care for assigned patients.
- Provides, coordinates and communicates patient care, including accurate change of
shift report.
-Provides patient / family education and discharge planning per documentation
guidelines and protocol.
-Transcribes and implements physician orders in an accurate and timely manner.
-Documents the effectiveness of nursing care and modifies plan of care as patient progresses toward expected outcomes.
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Minimum Education: RN licensure in the State of NY
Working Conditions: May be exposed to the risk of blood borne diseases.
Exposure to unpleasant elements (accidents, injuries, and illness).
Subject to varying and unpredictable situations.
Handles emergency and crisis situations. |
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