RN, Internal Medicine, PRN, First Shift

Registered Nurse (RN)

The Registered Nurse (RN) is an individual who holds a current state license to practice nursing. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social and nursing sciences to assess, plan, implement and evaluate patient care. The care is culturally based and age specific.

Responsibilities

• PATIENT POPULATION - (CLINICAL ONLY): o Engages in population appropriate communication. o Has knowledge of growth and development milestones and tasks. o Gives clear instructions to patients/family regarding treatment. o Involves family/guardian in the assessment, initial treatment and continuing care of the patient. o Identifies any physical limitations of the patient and deploys intervention when necessary. o Recognizes and responds appropriately to patients/families with behavioral health problems. o Interprets population related data and plans care appropriately. o Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. o Recognizes and responds to signs/symptoms of abuse or neglect.

ASSESSMENT: o Demonstrates nursing clinical skills necessary to make pertinent and accurate assessments of the physical, psychosocial, spiritual and educational needs of the patient. o Demonstrates knowledge base of normal age-specific, physiological and psychosocial functions of the unit's population. o Performs a basic physical assessment. o Initiates upon admission, a nursing admission history and nursing assessment including an educational needs assessment. o Initiates referrals upon admission and throughout care as based on patient assessment. o Understands signs and symptoms and data related to the patient's presenting problems and potential problems. o Reassesses and evaluates patient needs each shift and more frequently when indicated by unit standards of care or patient condition. o Assesses patient and environmental safety continuously. o Receives and gives a complete, concise and timely report on condition of assigned patients. o Recognizes and appropriately reports basic abnormal data and subtle changes in patient conditions. Incorporates into plan of care as applicable. o Collaborates with other health team members to collect and share pertinent data regarding patient's physiological and psychological condition. o Participates in discharge planning.

PLANNING: o Utilizes collected data to establish and prioritize a list of actual, and potential, individualized age-specific patient problems and/or needs. o Prepares, implements, evaluates, revises and coordinates interdisciplinary plan of care for each assigned patient in a collaborative effort with the other health care team members and patient/family within the time frame indicated by unit's standards of practice. o Communicates formulated plan of care, as appropriate, to all levels of associates involved in the patient's care. o Demonstrates ability to establish priorities of care based on patients' assessment and needs.

IMPLEMENTATION: o Implements plan of care and interventions to provide quality care based on assessed needs, established standards of care and according to policy and procedures. o Implements nursing actions, either by direct care or delegation of responsibility, based upon patient's plan of care and skill level of personnel. o Implements plan of nursing care in collaboration with the patient, family/designee, and other health care team members. o Demonstrates critical thinking and accountability in evaluating and implementing of physician. o Demonstrates competency for medication administration as allowed by licensure and institution policy o Able to recognize emergent situations and implement emergency measures. Demonstrates professional manner during emergent situations. o Based upon nursing assessment, makes appropriate referrals to other health care team members in a timely manner. o Implements safety interventions to maintain patient/family/staff safety. Reports actual and potential patient safety issues. o Demonstrates competency in infection control measures.

PROFESSIONAL DEVELOPMENT: o Assumes responsibility for personal professional development and contributes to the professional development of peers, colleagues and others. o Participates in unit or department staff meetings. o Utilizes learning opportunities on the unit for improvement of self and others. o Identifies personal strengths and weaknesses as a professional nurse. Takes initiatives in professional growth in regards to identified weaknesses. o Maintains individual competency in nursing practice. o Completes all educational, certification and regulatory requirements, submits required tests and paperwork in a timely manner. o Involved in best practice recommendations and implementation to improve patient care at the unit or department level. o Evaluates nursing practice by participating in self/peer review and performance improvement activities.

DOCUMENTATION: o Nursing process is accurately and concisely documented, including evaluation of treatment. o Documents according to UC Health policy and procedures. o Documents plan of care reflective of collaborative practice with other health care team members. o Documents patient/family/designee teaching and response appropriately.

EVALUATION: o Continuously evaluates nursing practice in relation to the standards of care and individual plan of care. o Evaluates effectiveness of nursing care interventions and revises or continues with plan of care based on patient's response. o Involves patient, family and other health care team members in evaluation process when appropriate. o Maintains continuity of care between shifts or encounter and transfers by reporting or following up on patient care needs if applicable.

LEADERSHIP: o Effectively manages care through others. o Demonstrates time management when providing patient care. o Demonstrates flexibility and a cooperative attitude to meet the needs of the unit. o Acts as a resources person and mentor for new personnel, floater, and/or supplemental staff working on the unit. o May function as a preceptor. o Appropriately delegates to ancillary staff; communicates effectively.

PRODUCTIVITY: o Considers factors related to cost and effective outcomes when planning patient care. o Manages workload effectively. o Initiates care in a timely manner. o Answers and responds to patient requests or call lights promptly when applicable o Supports effective use of staff and supplies.

Qualifications

Graduate from an accredited school of nursing.

Bachelor of Science in Nursing preferred. Current Ohio RN license.