RN - ER

Registered Nurse

The RN implements professional nursing practice centered on the patient as a whole person and the creation of a caring environment focused on healing and wellness. Nursing practices are based on evidence and current research, as well as hospital and department policies and procedures, regulatory standards, and professional guidelines. Clinical decision-making incorporates all four phases of the nursing process, critical thinking, and creativity. Nursing excellence is promoted through helping relationships among nursing staff and across other disciplines. Coordinates, ensures, and provides direct patient care activities through provision of nursing rounds, assessments, and treatments. Facilitates admission, transfer, and discharge activities. Provides patient and family-centered education, care coordination, and individualized treatment planning as applicable. Performs and documents a comprehensive assessment in accordance with RN scope of practice and hospital policies/procedures. Considers the patient's culture, age, and developmental level. Identifies patient risk factors and presenting complaints. Obtains patient health information from family or others as necessary. Collects objective/quantitative and subjective/qualitative data. Verifies initial admission assessment, if obtained by other members of the healthcare team. Develops a problem list, prioritizing patient needs based on input from the inter-professional team as appropriate. Designs actions and interventions relevant to the patient's culture and age. Determines desired outcomes in coordination with patients and families in accordance with the medical plan of care. Fully implements patient care therapies and procedures with empowerment and clinical autonomy within scope of practice in accordance with established policies, procedures, professional guidelines, culture, and age of patient served. Explains procedures, treatments, and processes to patients and families. Initiates actions to alleviate patients' stress and discomfort. Recognizes, responds to, and communicates changes in patient conditions appropriately. Conducts and documents ongoing assessments and responses to procedures and therapies using nursing process according to hospital policy, established standards, culture, and age of patient served. Delegates tasks appropriately and oversees team members in the performance of activities regarding patient care. Monitors accuracy and completeness of delegated patient care provided by team members in implementation of the plan of care. Identifies and addresses educational needs of patients related to prioritized problems according to their level of comprehension. Facilitates the patient discharge process by executing discharge orders in a timely manner, identifying potential discharges, assuring the performance of discharge teaching, and coordination of plans with case management and others as indicated. Provides input into patient/nurse assignments in consideration of available staffing, unit activity, and patient acuity. Demonstrates active participation in unit-based activities in support of organizational values and priorities. Promotes a positive group dynamic and healing environment through words and actions. Assures nursing excellence in accordance with accepted standards, evidence-based practice, current research, and caring philosophy. Actively participates in department and/or unit quality improvement activities and core measures such as patient satisfaction, patient falls, pressure ulcers, auditing, and monitoring of documentation. Uses a holistic perspective regarding patient care.