RN Registered Nurse IMCU PT Nights

Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures Job Description 1. Medication Administration Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications. Completes medication reconciliation process following SSH policy and procedure. Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy. 2. Plan of care/Documentation/Patient Family Centered Care/Patient Experience Develop, evaluate and update individualized plan of care for patient and documents outcomes. Initiate admission assessment within 8 hours of admissions, identify and document patient/family/significant other teaching needs upon admission and throughout hospitalization. Continue assessment/reassessment and identify care needs within established nursing practice. Document all patient care following department of nursing policy, unit based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, skin, CAUTI). Assess/reassess and document patient’s level of comfort utilizing the appropriate pain scale and the patient’s response to each intervention both pharmacological and non-pharmacological per South Shore Hospital policy. Work on behalf of patient/family. Seek help to represent patient/family when they are unable to represent themselves. Raise ethical questions and concerns with clinical team. Seek available resources to help formulate and understand ethical decisions. Actively communicate plan of day via white board updating every shift. Facilitate discharge/transfer by goal of 12:00pm, communicate barriers utilizing chain of command. 3. Safety/Quality – Foster a "Culture of Safety" through personal ownership and commitment to a safe environment Verify patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimen and documents confirming the correct patient, procedure, site, equipment and consent. Comply with current CDC hand hygiene guidelines through proper handwashing. Adhere to universal precautions, make appropriate use of personal protective equipment at all times and appropriately dispose of hazardous materials. Maintain awareness of MSDS sheets and how to access them. Ensure environment meets regulatory requirements at all times. Understand and be able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness. 4. Professional Development – Assume overall responsibility for own professional development by incorporating evidence-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice Obtain at least 5 contact hours per year in area of practice. Practice within the legal boundaries of MA Nurse Practice Act. Direct other licenses and non-licensed personnel as assigned. Display the ability to accept and respond appropriately to feedback and recommendations for change. Demonstrate professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace. Exercise critical thinking: analyze causes of problems, identify and evaluate alternative solutions, select appropriate solution, and communicate appropriately and effectively utilizing chain of command. Be accountable for being informed about changes in hospital policy and procedure. 5. Technology – Utilize technological solutions to work processes and practices Access Lotus Notes to review email, learning management and other resources as applicable to RN role. Utilize software applications required by department and unit standards. Understand how to operate in downtime. 6. Compliance Work within legal, regulatory and ethical standards relevant to the position. Comply with applicable policies and procedures. Safeguard the privacy and security of patient information. Compile policies and procedures relating to SSH’s privacy and security programs. Bring potential compliance issues to a manager, supervisor, director or VP. Comply with mandatory education requirements of the compliance, privacy and security programs. 7. Patient and Family Centered Care Convey respect for values, preferences, and expressed needs of the patient and family. Recognize the patient, and family according to patient preferences, as important members of the health care team. Collaborate with the patient, and family according to patient preferences, in planning, implementing, and evaluating care. Welcome presence and participation of family members at all times according to patient preferences, regardless of rounds, change of shift, or other events on unit. 8. Age & Culture Possess age and cultural knowledge and awareness. Consider the individual needs of each person with whom you interact. Interact with sensitivity in the delivery of care/services of diverse populations as needed. Effectively utilize resources to provide care/services – such as interpreter services and online resources. Minimum Education – Preferred Graduate of an accredited School of Nursing Minimum Work Experience Previous Acute Care RN experience preferred Required Licenses/Certifications RN – Registered Nurse Basic Life Support (BLS) Certification (Required if department) Advanced Cardiac Life Support (ACLS) Certification (Required if department) Emergency Response Training Certification (Required if department) Neonatal Resuscitation Program (NRP) Certification (Required if department) Pediatric Advanced Life Support (PALS) (Required if department) Trauma Nurse Core Course (TNCC) (Required if department) Trauma Care After Resuscitation (TCAR) Certification (Required if department) #J-18808-Ljbffr South Shore Health System