Registered Nurse Physicians Immediate Care

Position Summary Patient Care Activities: Performs initial re‑assessment to include introduction to patient and family, vital signs, re‑assessment of chief complaint and notification of physician within appropriate time of arrival. Obtains and documents a complete nursing re‑assessment, including physiological and psychological factors to develop an interdisciplinary plan of care. Responds to diagnostic data and initiates appropriate action or intervention. Re‑assesses patient education needs. Re‑assesses psychosocial needs specific to patient's age, growth, and development.

Planning Re‑evaluates plan of care as required by physician's office standards and practices. Establishes priorities for patient care based on patient needs as evidenced by completion of assigned duties.

Implementation Verbalizes understanding of patient diagnosis and interdisciplinary plan of care. Safely and correctly initiates and documents nursing interventions in emergency situations. Performs 24‑hour chart check at the beginning of each day. Administers, observes, and documents intravenous therapy according to hospital policy. Administers medications as required by physician. Provides individualized instructions to patient/significant others regarding the plan of care. Demonstrates safe and correct use of equipment. Ensures that each patient's needs are met. Performs pre‑operative care as directed by attending physician. Adheres to standard precautions including hand hygiene guidelines at all times. Documents orders and other pertinent items as needed. Performs dressing changes using aseptic technique, as needed. Collects and labels specimens per policy when ordered by physician. Reports all abnormal findings immediately to physician. Initiates wound and skin protocol upon identification of risk. Performs and assists in procedures as needed. Documents review of crash cart on a daily basis. Is able to administer oxygen therapy following physician's orders. Demonstrates knowledge of cardiology practices.

Evaluation Documents patient responses or outcomes resulting from: nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education. Evaluates and documents patient's progress toward established goals/objectives. Updates/revises patient care problem list and individualized patient care standards based on patient/family responses, progress toward goals, and/or change in medical status. Evaluates planning needs based on anticipated problems, internal or community resources, and support systems.

Professional and Staff Development Obtains 100% mandatory hospital and physician's office specific in‑services annually, prior to evaluation date. Plans, presents, and documents in‑services. Documents competency in clinical skills annually. Attends staff meetings as required. Uses established lines of communication for resolution of problems and interpersonal conflict.

Leadership Ensures productivity daily and evaluates completion of duties assigned. Participates in PI program by identifying PI indicators of major aspects of care.

Qualifications License/Registration/Certification: Current RN Licensure in State of Florida. BLS and CPR required.

Education: Graduated from accredited school of registered nursing.

Experience Level I, II, III, IV.

Benefits Health benefits.

Life insurance.

Long‑term disability coverage.

Healthcare spending accounts.

Retirement plan.

Paid time off.

Pet insurance.

Tuition reimbursement.

Employee assistance program.

Wellness program.

On‑site housing for select positions.

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