Registered Nurse RN

Job Purpose & Mission To improve the quality of life of patients and families by coordinating patient care processes of assessment, planning, implementation and evaluation in collaboration with the patient, family, physician, and appropriate support services for the age population served, as defined in the department's scope of service. Responsibilities Coordinates patient assessment through collection of patient's health data. Prioritizes data collection based on the patient's immediate condition or needs. Performs ongoing and systematic comprehensive physical and psychosocial assessments. Involves the patient, significant others and health care providers as appropriate. Performs functional, nutritional and other screenings and ensures triggers are complete. Identifies and coordinates the need for further assessment by discipline. Documents patient care assessments in the medical record. Analyzes patient assessments to determine nursing diagnoses and identifies expected outcomes. Determines nursing diagnoses using assessment data. Identifies patient outcomes based on the nursing diagnoses. Outcomes are prioritized based on the patient's condition and needs. Nursing diagnoses and outcomes are documented in the medical record. Triage assessment on all patients and follows protocols according to established department guidelines and policies. Demonstrates ability to proficiently assess patients in every age group. Coordinates an interdisciplinary plan of care that prescribes interventions to attain expected outcomes. Collaborates with appropriate disciplines and integrates various assessments to formulate an individualized plan of care based on patient needs and current nursing practice standards. Reviews and updates the plan of care as the patient condition changes, at least every day. Documents the plan of care in the medical record. Implements the interventions identified in the plan of care. Collaborates with the interdisciplinary health care team to deliver direct patient care utilizing nursing practice standards, and universal blood and body fluid precautions. Uses interventions that are consistent with the patient's plan of care. Maintains patient rights. Ensures that patients receive the appropriate treatments and medications in a timely manner. Delegates patient care to other members of the health care team; ensures the delegated task(s) are within the scope of practice of the assigned individual and maintains oversight and accountability. Coordinates direct patient care from appropriate support services. Provides individualized patient education to patient and families. Collaborates with the interdisciplinary team to plan patient discharge. Documents all treatments, medications, patient/family education and ongoing assessments. Evaluates the patient's progress toward attainment of outcomes. Performs ongoing and systematic reassessment according to department standard or more frequently based on patient condition. Revises nursing diagnoses, outcomes and plan of care based on reassessments. Involves the patient, significant others and healthcare team in the evaluation and update of plan of care as appropriate. Evaluates the effectiveness of treatments, medications and patient teaching. Accepts and rapidly adapts to a variety of nursing unit assignments related to organizational requirements. Demonstrates proficiency in assessment and management of various patient types according to nursing unit assignment. Appropriately maintains quality patient care delivery to all patient types. Demonstrates ability to build rapport and communicate effectively with patients, co-workers, and physicians for various nursing unit assignments. Implements a variety of interventions according to unit specific policy and procedure guidelines. Demonstrates the ability to acknowledge, adapt and follow department specific policy and procedure guidelines. Performs all other duties as assigned. Experience Required: 1 year of nursing experience. Additional Requirement: 2 years ER experience. Education Required: None. Certifications & Licensure Required: Current Louisiana RN licensure. Preferred: Advanced Cardiac Life Support (ACLS). Other certifications: BLS, PALs. Special Skills or Knowledge Required: None. HIPAA & Safety Requirements HIPAA: Maintains knowledge of and adherence to all applicable HIPAA regulations including medical records, patient demographics, lab and radiology results, surgical information, billing, complaints, patient location, religious beliefs, and public health records. Safety: Maintains knowledge of and adherence to all applicable safety practices including incident reporting, waste handling, sharps and linen, PPE, exposure control, hand washing, environment of care, patient identification, medication administration, infusion pumps, and clinical alarms. Performance Criteria & Standards Everyday Excellence Values Demonstrates courtesy and caring to patients, families, physicians, and the community. Takes initiative in living our values and vital signs. Takes initiative in identifying customer needs before the customer asks. Participates in teamwork willingly and with enthusiasm. Demonstrates respect for dignity and privacy. Keeps customers informed, answers questions, anticipates information needs. Corporate Compliance Practices diligence in fulfilling regulatory and legal requirements. Maintains accurate and reliable records. Communicates honestly, behaves fairly, and maintains nondiscriminatory relationships. Personal Achievement Uses accepted procedures and practices to complete assignments. Uses creative solutions to achieve objectives under high workload. Adheres to high moral principles of honesty, loyalty, sincerity, and fairness. Upholds ethical standards of the organization. Performance Improvement Optimizes talents and skills for excellence. Initiates or redesigns continuous improvement. Contributes ideas to improve work processes. Participates willingly in quality initiatives. Cost Management Effectively manages time and resources. Utilizes resources efficiently. Looks for and uses resource-saving processes. Patient & Employee Safety Communicates effectively and emphasizes safety. Proactively reports errors, potential errors, injuries. Demonstrates department-specific safety standards at all times. Uses proper safety techniques, equipment, and follows policies. #J-18808-Ljbffr