Description
Duties and Responsibilities
- Perform comprehensive physical and psychosocial assessments for assigned patients.
- Complete admission assessments within 8 hours and shift assessments within 2 hours.
- Complete outpatient assessments prior to initiation of treatment.
- Document all assessments in appropriate systems.
- Demonstrates ability to apply patient/family education principles through assessment, instructions, evaluations and documentation.
- Monitor patient condition and identify changes in status; intervene appropriately and escalate when necessary
- Assess, manage, and document patient pain using approved pain management techniques. Educate patients and families on pain management strategies.
- Identify, prioritize, and address patient care problems based on assessment findings.
- Collaborate with patients, families, and interdisciplinary team members to develop and implement realistic, measurable care plans
- Implement, document, and evaluate nursing interventions consistent with the plan of care and clearly document all actions
- Administers medications and IV fluids following established policies and procedures.
- Demonstrates proper use of patient care equipment / pumps.
- Demonstrates knowledge of dosage, route, action, side effects, contraindications, and adverse reactions of medication.
- Executes provider’s orders in accordance with policy.
- Appropriately utilizes/operates all equipment required to provide nursing care to assigned patients.
- Practice within scope of licensure and perform ongoing patient assessment and reassessment and consult appropriate healthcare team members when needed and seek guidance for unfamiliar tasks
- Perform other duties as assigned by the office manager or provider.
Requirements
Regulatory Requirements
- Completes annual educational requirements within the assigned time frame.
- Maintains regulatory requirements, including all state, federal and Joint Commission regulations related to their department and, as appropriate, to the hospital.
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