Nurse (Pediatrics In-Patient Unit)

Job Title

Registered Nurse

Duties

Applies professional nursing judgment and evidence-based practice to assess, plan, implement, and evaluate care; coordinates interdisciplinary services; and ensures culturally and age appropriate, patient-centered care.

Performs comprehensive and ongoing assessments to identify actual and potential health problems. Develops and modifies individualized nursing plans based on patient assessment, provider orders, and response to therapy. Provides direct bedside care for a full range of medical and surgical diagnoses, including pre-and postoperative management. Administers medications, IV fluids, blood products, and treatments per provider orders and nursing protocols.

Monitors patient status recognizes clinical changes, and initiates appropriate nursing interventions, including emergency measures. Uses critical-thinking and prioritization skills to manage multiple patients with varying acuity levels.

Collaborate with physicians, advanced practice providers, pharmacists, therapists, social workers, and other staff to coordinate care. Participates in interdisciplinary rounds, contributing nursing assessments and recommendations to treatment planning.

Accurately documents assessments, interventions, and outcomes in the electronic health record (EHR). Communicates changes in condition and critical information using standardized reporting tools. Ensures documentation meets professional, legal, and regulatory requirements. Responds to and corrects documentation deficiencies within established timeframes and participates in quality improvement efforts related to EHR accuracy and completeness.

On-call hours or standby duty may be required. Rotating shifts, weekends, holidays, and on-call duty may be required based upon patient care needs.

Department of Health and Human Services