Clinical Decisions

Registered Nurse

Works under the direction of the physician and the Arizona State Nurse Practice Act to provide nursing care to patients in compliance with nursing standards and regulations. Utilizes the nursing process to make continuing assessments of the patients total health needs implements nursing interventions based on assessment data develops and implements the nursing plan of care and evaluates the patients response. Strives to provide excellent patient care with compassion tact cheerfulness accuracy patience flexibility in scheduling calmness in emergency and ability to work well with team members receiving and applying feedback from peers and superiors. Assists with orientation of new staff to the unit as requested. All care is provided with kindness and compassion.

Key Responsibilities

Quality of Care and Nursing Process: The nurse provides evidence-based care to prevent the development of a Healthcare Acquired Condition and hospital readmissions. The nurse practices standard precautions during patient contact and while handling contaminated materials.

Assessment: The nurse collects patient health data. Nursing assessments are completed according to hospital and unit specific policies procedures and standards of nursing care. Collects pertinent data from the patient significant others and health care providers. A comprehensive patient history and physical is completed in a timely manner and includes biophysical psychosocial environmental self-care abilities educational age specific cultural and discharge planning needs.

Diagnosis / Care Needs: The nurse analyzes the assessment data to identify care needs. Nursing diagnoses / care needs are derived from the assessment data. Involving the patient and significant other as appropriate the nurse formulates a plan to provide appropriate care based on identified patient needs.

Implementation: The patients nursing care is based on identified nursing diagnoses / care needs and patient care standards and is consistent with the therapies of other disciplines. Nursing care is based on identified nursing diagnoses / care needs. Nursing care is based on standards of patient care.

Evaluation: The nurse evaluates the patients progress towards attainment of desired outcomes. Evaluation of the patients response to nursing care is evident in the ongoing assessment data. Nursing diagnoses / care needs are revised based on reassessment data.

Clinical Lead: Coordination of Nursing Personnel Coordination of Patient Care Quality and Patient Satisfaction Coordination of Nursing Process and Compliance