Registered Nurse Telemetry

Job Responsibilities

Performs all responsibilities and duties required by the unit as specific to the scope of service. Implements procedures and theories related to the specific area of practice. Maintains up-to-date and accurate documentation of nursing care provided to assure the integration of information for use by the healthcare team. Completes initial assessment upon patient admission and develops an appropriate plan of care in accordance with unit standards and that is based on patient and family needs. Implements plan of care, nursing interventions, and patient care procedures. Modifies plan of care based upon continuous evaluation. Takes responsibility for patient and employee safety by reporting and/or correcting safety hazards and incidents. Communicates with others directly and in private when necessary to resolve issues. Offers constructive feedback to assist in the professional development of peers. Confers with colleagues to expand knowledge base. Identifies own learning needs and takes initiative to begin appropriate solutions. Fulfills all requirements of departmental competencies. Floats to various inpatient units including Medical-Oncology, Surgical-Ortho, Cardiovascular Care Unit, Progressive Care Unit, Mental Health Unit, and Acute Rehab. Provides direct nursing care and collaborates with other multidisciplinary team members to provide patient care to various patient populations. Conducts and documents assessments, nursing diagnoses, plans, implements, and evaluates patient care. Acts as a resource to staff from various units. Coordinates care to multidisciplinary team members to facilitate and provide the highest possible quality patient care. Manages care of acute and chronically ill cardiac and pulmonary patients. Collaboratively identifies patient goals of care, designs and maintains care plans with patients and families. Implements interventions as needed including medication administration and evaluation of effects. Prepares patients for procedures, provides pain management, performs IV venipuncture, blood administration, and monitors labs. Discharges patients and provides instruction for safe transition from hospital. Documents all care using EMR. Ensures team huddles are occurring and attends them. Delegates with appropriate follow-up. Answers call lights. Ensures basic care such as turning, toileting, etc. is done per standards of care. Handles conflict management and maintains professional communication with all team members. Provides post-operative care for the complex surgical population.

Skills

Ability to float to multiple units and provide care to diverse patient populations. Ability to manage care for both acute and chronically ill cardiac and pulmonary patients. Ability to develop, implement, and modify patient care plans. Skill in medication administration and evaluating medication effects. Skill in preparing patients for procedures and managing post-operative care. Skill in IV venipuncture and blood administration. Ability to document care accurately using EMR. Ability to educate patients and families on care plans and discharge instructions. Ability to provide constructive feedback and assist in professional development of peers. Ability to handle conflict management and maintain professional communication with team members. Skill in critical thinking to assess patient status and take appropriate action. Ability to collaborate effectively with interdisciplinary team members. Ability to prioritize patient safety and adhere to all safety standards including fall precautions, pressure ulcer prevention, and ambulation safety. Ability to complete patient bedside shift reports, hourly rounding, and maintain updated patient communication boards. Ability to delegate appropriately and follow up on delegated tasks. Completes and documents basic RN patient care activities such as assessments, interpretation of vital signs, ensuring physician order completion, admission/discharge of patients, hourly rounding on each assigned patient, care plan documentation, and patient education. Provides patient medications utilizing the patient 5 Rights: Right Patient, Right Medication, Right Route, Right Dose, and Right Time. Maintains patient safety as the highest priority level by ensuring compliance with safety measures such as fall precautions, pressure ulcer prevention, isolation precautions, and patient ambulation safety. Maintains a positive attitude at all times on the unit that promotes a healthy work environment and a healing patient environment. Keeps a diligent focus on prompt answering of patient call lights to ensure effective triage and completion of patient requests/medical needs. Uses critical thinking to evaluate the overall patient condition and uses nursing judgment to identify and act on changes in patient status. Effectively communicates within the healthcare team to promote interdisciplinary collaboration, effective patient care coordination, and patient safety. Assesses and intervenes appropriately to ensure positive outcomes during the post-operative phase. Assesses, manages, and educates patients and families. Receives patient Bedside Shift Report from an RN at the beginning of each shift, ensuring the inclusion of patient input, visual validation of a safe patient room environment at the time of shift change, and updating of the patient communication board found in each patient room.