Registered Nurse Physicians Immediate Care

To improve the quality of life of patients and families by coordinating patient care processes of assessment, planning, implementation and evaluation in collaboration with the patient, family, physician, and appropriate support services for the age population served, as defined in the department's scope of service.

Coordinates patient assessment through collection of patient's health data.

Prioritizes data collection based on the patient's immediate condition or needs.

Involves the patient, significant others and health care providers as appropriate.

Documents patient care assessments in the medical record.

Analyzes patient assessments to determine nursing diagnoses and identifies expected outcomes.

Determines nursing diagnoses using assessment data.

Identifies patient outcomes based on the nursing diagnoses.

Nursing diagnoses and outcomes are documented in the medical record.

Triage assessment on all patients and follows protocols according to established department guidelines and policies.

Coordinates an interdisciplinary plan of care that prescribes interventions to attain expected outcomes.

Collaborates with appropriate disciplines and integrates various assessments to formulate an individualized plan of care based on patient needs and current nursing practice standards.

Reviews and updates the plan of care as the patient condition changes, at least every day.

Documents the plan of care in the medical record.

Implements the interventions identified in the plan of care.

Collaborates with the interdisciplinary health care team to deliver direct patient care utilizing nursing practice standards, and universal blood and body fluid precautions.

Uses interventions that are consistent with the patient's plan of care.

Delegates patient care to other members of the health care team; Coordinates direct patient care from appropriate support services.

Documents all treatments, medications, patient/family education and ongoing assessments.

Revises nursing diagnoses, outcomes and plan of care based on reassessments.

Involves the patient, significant others and healthcare team in the evaluation and update of plan of care as appropriate.

Accepts and rapidly adapts to a variety of nursing unit assignments related to organizational requirements.

Demonstrates proficiency in assessment and management of various patient types according to nursing unit assignment.

Appropriately maintains quality patient care delivery to all patient types.

Demonstrates ability to build rapport and communicate effectively with patients, co-workers, and physicians for various nursing unit assignments.

Implements a variety of interventions according to unit specific policy and procedure guidelines.

Demonstrates the ability to acknowledge, adapt and follow department specific policy and procedure guidelines.

Required: 1 year of nursing experience.

Additional Requirement: 2 years ER experience.

Required: Current Louisiana RN licensure.

Maintains knowledge of and adherence to all applicable HIPAA regulations including medical records, patient demographics, lab and radiology results, surgical information, billing, complaints, patient location, religious beliefs, and public health records.

Maintains knowledge of and adherence to all applicable safety practices including incident reporting, waste handling, sharps and linen, PPE, exposure control, hand washing, environment of care, patient identification, medication administration, infusion pumps, and clinical alarms.

Performance Criteria & Standards

Demonstrates courtesy and caring to patients, families, physicians, and the community.

Takes initiative in identifying customer needs before the customer asks.

Keeps customers informed, answers questions, anticipates information needs.

Practices diligence in fulfilling regulatory and legal requirements.

Personal Achievement

Uses creative solutions to achieve objectives under high workload.

Performance Improvement

Participates willingly in quality initiatives.

Uses proper safety techniques, equipment, and follows policies.

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