Registered Nurse- Med/Surg

Overview Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-appropriate care and education. Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. Assists physicians during procedures within the scope of documented competency and skill level. Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. Documents patient care and education thoroughly and promptly in the medical record. Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. Specialty Areas : Critical Care RN : Administers medications and other treatments as prescribed, manages complex medical equipment (ventilators, monitoring devices, life-support systems), and performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support. Emergency Services RN : Rapid assessment and triage to determine injury/illness severity; conducts emergency procedures (e.g., intubation, wound care, suturing); implements interventions to stabilize patients (medications, IVs, respiratory support). OR Services RN : Provides comprehensive perioperative care, including pre-, intra-, and post-operative assessments; scrubs in, assists with instruments, maintains sterile environment; monitors vitals and medications. Cardiac Surgery RN : Continuously assesses condition, administers medications and IV drips, operates and maintains advanced life-support equipment, and monitors recovery after surgery (chest tubes, pacing wires, wound care). Endoscopy RN : Assesses needs, reviews history, explains procedures, obtains consent, prepares patient; monitors vitals, administers medications, assists physician, and provides post-procedure care. Obstetrics/Labor and Delivery/Post Partum/Nursery RN : Educates on pregnancy, conducts prenatal screenings, assists with labor and delivery, administers medications, manages postpartum care, and educates on newborn care and breastfeeding. Oncology RN : Administers chemotherapy, manages side effects and vitals, supports patients and families, and explains treatments and resources. Orthopedics RN : Provides care for musculoskeletal conditions, includes pre- and post-operative care, peripheral/vascular assessments, immobilization devices, pain management, and patient education. PACU RN : Assesses consciousness post-anesthesia, evaluates pain, monitors for side effects, monitors post-operative complications, administers post-operative medications, manages IV fluids, changes dressings, ensures airway support, and educates on post-surgery care. NICU RN : Monitors vitals and distress signs, administers medications and respiratory support, manages feeding, performs basic care tasks, and operates NICU equipment. Telemetry RN : Tracks heart rhythms and vitals via telemetry, analyzes data, provides direct patient care, and responds to emergencies (e.g., cardiac arrest). Dialysis RN : Sets up and operates dialysis machines, monitors patients before/during/after treatment, educates on kidney disease and treatment adherence, and maintains equipment. Cath Lab RN : Pre-Procedure : Reviews history, prepares patient, starts IV, administers medications, educates, ensures consent form is signed. During the Procedure : Assists cardiologist, monitors vitals/hemodynamics, ensures equipment function, manages complications. Post-Procedure : Monitors and administers post-procedure meds. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities Strong knowledge of the nursing process and clinical nursing practices. Ability to perform thorough patient assessments and communicate findings effectively. Proficient in administering medications and monitoring for side effects. Effective communication and interpersonal skills to collaborate with interdisciplinary teams. Strong organizational skills and attention to detail in documenting patient care. Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred PALS - Pediatric Advanced Life Support preferred NRP - Neonatal Resuscitation preferred Refer to facility or unit-specific guidelines for additional requirements. #J-18808-Ljbffr