· Assess the patient’s physical and psychosocial condition on an ongoing basis throughout the continuum of care. · Develop a plan of patient care reflecting significant nursing diagnosis and interventions to achieve desired patient outcomes, involving the patient/family and healthcare team in this process. · Implement the patient plan of care in collaboration with the healthcare team. · Evaluate patient outcomes, effectiveness of plan of care, and readiness for discharge. · Revise as needed and make referrals when indicated. · Complete required documentation in an accurate and timely manner. · Utilize manual and automated information systems to improve efficiency and effect productivity. · Demonstrate a current working knowledge of equipment, instrumentation, and medications. · Adhere to the standards, policies, procedures, and goals of the Hospital District. · Act as a liaison in coordinating patient care activities with nurses, physicians, and allied health professionals. · Communicate patient’s plan of care and significant changes to all members of the interdisciplinary team and to the patient, family, and significant others. · Participate in and support performance improvement and risk management activities. · Provide education as indicated after assessing the learning needs of the patient, family, staff members and students. · Demonstrate cost effectiveness by using supplies judiciously, anticipating needs for special supplies and equipment, and making recommendations for change. · Complete required continuous training and education, including department specific requirements. · Comply with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, asbestos, and other hazardous substances. · Attends meetings and in-service sessions, as directed. · Requires regular attendance and punctuality. · Performs other assigned duties. Emergency Room Coverage · Initiates assessment based on the patient's presenting problems or needs, the physician's medical diagnosis and within 5 minutes of admission. · Collects key information from patient, family, laboratory, and other medical reports. Implements T-System and documents assessment, including nursing diagnoses or other clinical judgments. · Completes ongoing assessments as determined by patient condition. · Performs therapeutic nursing interventions as ordered by the Provider consistent with primary and population-specific standards of care and practice. · Determines the impact of nursing interventions on the patient's condition and recognizes the patient's progress towards meeting desired outcomes. · Documents care based on standards of care and practice and/or clinical priorities for documentation including assessment and ongoing assessment findings, updated clinical priorities for documentation and therapeutic nursing interventions with special attention to patient education and discharge planning interventions. · Demonstrates ability to manage the care of patients with conditions in the Emergency Room. · Interacts with patients/families with a variety of developmental and sociocultural backgrounds. · Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity, and caring. · Maintains professional relationships and conveys relevant information to other members of the health care team. · Relays information appropriately over telephone, pagers, and other communication devices. Supervisory Responsibility: This position directly supervises licensed practical nurses, certified nurses’ aides, and ward clerks |