Registered Nurse - Acute / Med Surg

## Overview **JOB RESPONSIBILITIES:** - Hardwiring Excellence – responsible to know and adhere to evidence-based leadership to achieve excellence. - Professional attitude, leadership role and team member abilities. Maintains a positive professional role throughout the facility and community. - Familiarizes self with and adheres to all facility and department safety policies and procedures. - Promotes a culture of safety to improve employee safety. · Safeguarding the privacy and security of protected health information (PHI) in any form including electronic, written, or oral. - Responsible for the management of patient care provided to assigned patients - Determines patient classification level as Team Coordinator - Communicates and works with nursing personnel in an organized manner while prioritizing and coordinating patient's needs. Reports concern on patient status to PCC. - Maintains communication with patients, families, physicians, and nursing personnel. Follows appropriate lines of authority in communication. - Displays and promotes professional behavior, reflecting a positive attitude, promoting cooperation and morale. Assists with orientation of new staff. - Maintains professional confidence concerning patient information. - Assists medical staff with rounds and procedures, providing them with accurate data in patient status. - Delegates responsibilities to acute staff when appropriate. Dependably functions as a team member by being punctual and reliable. - Is knowledgeable and contributes professionally in CQI as applicable - Transcribes and observes physician orders accurately. - Assess patient's biological, psychological, social and spiritual status/needs, completing admission assessment record. - Administer medications and IV therapy safely and appropriately. - Answer call lights promptly. - Knowledgeable regarding use of medical equipment and safety factors. - Assist with traction set-ups. - Manage/provide care for obstetric patients. - Provides thorough and appropriate cares to patients of all ages with varying diagnosis admitted to areas of acute care to include ER, ICU, Med-Surg, and Swingbed - Initiates patient plan of care by identifying needs of the patient setting goals, and listing methods of intervention utilizing kardex care plans, standards of care and critical pathways. - Updates/reviews nursing care plans every 24 hours. - Resolves nursing diagnosis by documentation or "pinking out". - Provides education to patients verbally with materials and videotape (CCTV), documents education provided. - Communicates with other departments regarding their role in meeting the patients needs as it relates to education and discharge planning. Involves patient and family as necessary. - Completes discharge plan and provides copy to the patient and/or family as appropriate - Documents thoroughly and appropriately on the patient record. - Attends 6 of 12 IDMs or in-services per year - Completes Health Care Academy yearly updating self on safety, infection control and back safety - Utilizes safety standards throughout the workplace - Validates technical skills yearly - Attends other mandatory meetings as scheduled - Supports all Heart of America Medical Center policies and procedures, maintaining a patient focused emphasis - Verifies competencies in geriatrics, pediatrics and neonates quarterly. - All other duties as assigned. **TYPICAL WORKING CONDITIONS:** Work takes place on Acute, Med-Surg, specialty areas of ER, ICU, and Swingbed. Units are staffed 24 hours per day with RNs, LPNs, nurse techs, CNAs and ward clerks. This staff is involved in the management and delivery of patient care. Will be required to follow HAMC Safety policies and procedures and use all Safety equipment correctly when applicable. **AGES OF POPULATION SERVED:** Geriatrics, Adult, Adolescent, Pediatric, Newborn **TYPICAL PHYSICAL DEMANDS:** Requires full range of body motion, standing and walking for extensive periods of time and occasional li…