Registered Nurse (4604)

What you will do

Provides nursing care according to medical regimen and the nursing interventions appropriate for the patients' conditions and according to established standards, policies and procedures including care of the ambulatory practice patient.

• Initiates assessment based on the patient's presenting problems or needs, the physician's medical diagnosis and the functional health framework upon visit.
• Collects key information from patient, family, laboratory, and other medical reports. Ensures that all consents necessary for treatment/procedure have been signed and that all prescribed identification procedures have been carried out.
• Determines nursing diagnosis and priorities for care with special consideration given to patient teaching, discharge planning, and the growth and development needs of the patient.
• Determines which standards of care and practice apply to the patient.
• Documents assessment, including nursing diagnoses or other clinical judgments.
• Demonstrates knowledge, technical, interpersonal and critical thinking skills to provide care, manage clinical competency and meet age‑specific patient needs within the unit.

Completes ongoing assessments according to outpatient and nursing policy and/or as determined by patient condition

• Re-prioritizes care based on new information.
• Continues to update nursing diagnoses.
• Involves family and/or other significant individuals in assessment activities.

Assesses, plans and implements care of assigned patients

• Performs therapeutic nursing interventions as ordered by the Physician.
• Consistent with primary and population‑specific standards of care and practice.
• Considers knowledge gained from the initial and ongoing assessment of the patient.
• Consistent with nursing division policies and procedures, demonstrated competencies, and with consideration given to risk management, infection control practices and patient safety practices.
• Consistent with the nature of the unit: Completion of history and physical assessment, administration of medication, treatments and immunizations, preparation of patient for examination/procedures; positions and drapes patients, pain control interventions, assistance during examination/procedures, monitoring patient responses during treatment/procedure, initiating corrective action when monitoring shows adverse symptomatology, coordinating patient referrals, patient education.

Documents care based on standards of care and practice and/or clinical priorities for documentation

• Assessment and ongoing assessment findings.
• Updated clinical priorities for documentation.
• Therapeutic nursing interventions with special attention to patient education.
• Patient's response to interventions and progress towards outcomes noted.

Responds and/or participates with medical emergencies

• Initiates and/or assists with CPR/BLS as required.

Provides teaching to patient/family in the care of disease/condition

• Develops and implements patient teaching outlines including objectives, content, teaching strategies and evaluation of patient progress.

Maintains patient medical records

Documents patient status and care given; performs charting duties; records activities and observations. Utilizes patient computer systems to enter and retrieve data.

Confers and works collaboratively with patient/family/hospital staff

Regarding all aspects of patient needs in a customer responsive and courteous manner, in compliance with iRESPECT Standards and promoting patient/customer satisfaction.

Provides instruction, assigns and supervises LPN and other support personnel

Assigns to unit to complete the initial and ongoing assessments of patients and to provide clinical assistance as needed. Assists in the orientation and oversees the supervision of new staff members and students when they provide patient care, treatment, and services as part of their training.

Transports monitored patients, specimens, equipment and supplies to and from various areas

Collaborates with forensic team and security to provide safe environment for patients in custody

Completes required continuous training and education

• Attends staff meetings, all mandatory in‑services, and additional continuing education as required.
• Contributes to the annual review of unit‑based scope statement and determination of important aspects of care for clinical review.
• Assists in the development of indicators, thresholds, study methods, and data collection as assigned.
• Responds to problems/opportunities to improve care.
• Supports and is involved in the organization’s performance improvement initiatives.
• Participates in and maintains competencies required for the position.

Maintains a clean, orderly, safe environment for patients and personnel

Adheres to established policies, compliance/quality improvement, and safety, environment and infection control standards.

Prepares and maintains required records, reports and files for administrative and compliance purposes

Qualifications

• Graduate of an approved nursing school/program – Required.
• Bachelor's Degree in Nursing – Preferred.
• RN – Registered Nurse – State Licensure and/or Compact State Licensure to work in state of TN – Upon Hire Required.
• BCLS – Basic Life Support – Upon Hire Required.
• Experience in caring for patients in an inpatient setting.
• Qualified by education, training or experience to work with the school age, adolescent, adult and/or geriatric patient population as specialty assignment dictates – Required.

Physical Demands

• Standing – Constantly.
• Walking – Constantly.
• Sitting – Rarely.
• Lifting – Frequently.
• Carrying – Frequently.
• Pushing – Occasionally.
• Pulling – Occasionally.
• Climbing – Occasionally.
• Balancing – Occasionally.
• Stooping – Frequently.
• Kneeling – Frequently.
• Crouching – Frequently.
• Crawling – Occasionally.
• Reaching – Frequently.
• Handling – Frequently.
• Grasping – Frequently.
• Feeling – Constantly.
• Talking – Constantly.
• Hearing – Constantly.
• Repetitive Motions – Constantly.
• Eye/Hand/Foot Coordination – Constantly.

Regional One Health is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.