Medical Surgical Nurse (Monticello)

Shift Information - 3 12 hour shifts 6:30p-7a. No required OT.

Job Summary :

The Medical-Surgical Registered Nurse (RN) provides comprehensive, patient-centered nursing care to patients across the lifespan in a Critical Access Hospital setting. The RN utilizes the nursing process to assess, plan, implement, coordinate, and evaluate patient care for medical, post-surgical, observation, swing-bed, hospice, and custodial patients, as assigned. The RN functions independently within the scope of practice while collaborating with physicians, advanced practice providers, and interdisciplinary team members to deliver safe, effective, and compassionate care. The RN is responsible for recognizing changes in patient conditions, initiating appropriate interventions, and assisting with stabilization and transfer of patients requiring a higher level of care.

Safety Sensitive classification:

This position performs duties that directly impact patient care and the patient care environment. Patient safety is the organization's highest priority. Therefore, the employee must remain free from the influence of drugs and alcohol while on duty. This position is designated as Safety Sensitive and, in accordance with organizational policy and applicable law, may not test positive for THC or any other prohibited substance while employed in this role.

Essential Duties and Responsibilities:

Direct Clinical Patient Care-

· Provides direct and indirect nursing care utilizing the nursing process.

· Performs comprehensive nursing assessments and ongoing reassessments of patients across the lifespan.

· Develops, implements, updates, and evaluates individualized patient care plans.

· Recognizes and responds appropriately to changes in patient condition.

· Accurately documents patient assessments, interventions, outcomes, and responses to treatment within the electronic medical record.

· Administers medications and treatments safely in accordance with provider orders, nursing standards, and hospital policy.

· Demonstrates knowledge of medication indications, contraindications, adverse effects, and safe administration practices.

· Maintains competency in IV therapy, medication administration, blood product administration, and infusion monitoring.

· Performs specimen collection and diagnostic testing as ordered.

· Provides wound assessment and wound care management.

· Assist patients with activities of daily living and promotes patient independence whenever possible.

· Provides patient and family education regarding disease processes, medications, treatments, discharge instructions, and health maintenance.

· Utilizes appropriate pain assessment tools and evidence-based pain management strategies.

· Performs other duties as assigned.

Critical Access and Rural Healthcare Responsibilities-

· Provides care for a diverse patient population, including medical, post-surgical, observation, swing-bed, hospice, and custodial patients, as assigned.

· Functions effectively with various patient census volumes and high-acuity environment requiring flexibility, critical thinking, and independent clinical judgment.

· Assists with stabilization and transfer of patients requiring a higher level of care.

· Participates in emergency response, trauma stabilization, campus response events, and disaster preparedness activities.

· Collaborates with Emergency Department personnel during periods of increased patient volumes or emergency situations.

· Assists with behavioral health patient monitoring and safety interventions as appropriate.

· Supports patient care across departments based on hospital operational needs and competencies.

Patient Education and Care Conference Coordination-

· Educates patients and families regarding diagnoses, treatment plans, medications, self-care, and discharge instructions.

· Collaborates with physicians, pharmacy, therapists, dieticians, case managers, and other healthcare professionals in ancillary departments.

· Identifies psychosocial, cultural, spiritual, and financial needs impacting patient care.

· Facilitates safe discharge planning and transition of care activities.

Quality and Safety-

· Adheres to evidence-based nursing practice standards.

· Participate in quality improvement, patient safety, and performance improvement initiatives.

· Follows infection prevention and control practices and adheres to hand hygiene program.

· Reports patient safety events, near misses, and quality concerns according to policy.

· Maintains compliance with CMS Conditions of Participation, Critical Access Hospital regulations, state regulations, and accreditation standards.

Professional Requirements:

· Maintains current licensure and required certifications.

· Completes all required orientation, education, annual competencies, and mandatory training.

· Maintains a neat and clean professional appearance and personal conduct consistent with organizational standards.

· Adheres to organization’s dress code and wears department assigned scrub colors.

· Wears required employee identification badge while on duty.

· Reports to work on time and as scheduled and complies with attendance expectations.

· Attends at least 75% of scheduled staff meetings annually,

· Actively participates in committees to promote

· Promotes a positive work environment through teamwork, accountability, and respectful communication.

· Maintains effective working relationships with physicians, coworkers, patients, families, ancillary staff, and community partners

· Promotes a positive and professional image of the organization.

· Protects and maintains patient confidentiality in compliance with HIPAA regulations.

· Serves as a professional role model and mentor to peers, students, and new employees.

· Demonstrates responsibility for ongoing professional development and continuing education.

· Maintains compliance with all applicable federal, state, accreditation, and organizational requirements.

· Communicates organizational goals, mission, values, and strategic initiatives to department personnel.

· Demonstrates ethical conduct and compliance with all corporate compliance standards and reporting requirements.

· Demonstrates the C.A.R.E.S. core values adopted by facility outlined below.