DescriptionJob Summary
The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment diagnosis planning implementation and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians nurses and other healthcare professionals to ensure effective patient care and desired outcomes while maintaining a supportive and compassionate environment for patients and their families.
Essential Functions
- Coordinates and delivers high-quality patient-centered care in accordance with organizational policies protocols and the nursing process.
- Conducts thorough patient assessments and documents findings accurately reporting changes in condition to the appropriate care team members.
- Utilizes knowledge of human growth and development to provide age-appropriate care and education.
- Administers prescribed medications monitors for side effects and documents administration in accordance with standards of practice.
- Assists physicians during procedures within the scope of documented competency and skill level.
- Collaborates with the healthcare team to develop implement and evaluate individualized care plans based on patient assessments and needs.
- Responds to medical emergencies and participates in life-saving interventions such as CPR and code team activities as appropriate.
- Advocates for the rights and needs of patients ensuring their voices are heard and respected in care planning and delivery.
- Provides patient and family education on medical conditions treatment plans and post-discharge care ensuring understanding and adherence to instructions.
- Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
- Monitors and operates medical equipment (e.g. IV pumps monitors ventilators) as needed for patient care and safety.
- Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean safe environment for patients and staff.
- Participates in audits chart reviews and compliance checks to ensure adherence to standards of practice and regulatory requirements.
- Demonstrates responsible decision-making in planning delegating and providing care based on patient needs and organizational policies.
- Documents patient care and education thoroughly and promptly in the medical record.
- Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
- Participates in performance improvement initiatives including data collection and process development to enhance patient outcomes and care delivery.
- Performs other duties as assigned.
- Complies with all policies and standards.
Qualifications
- 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required
Knowledge Skills and Abilities
- Strong knowledge of the nursing process and clinical nursing practices.
- Ability to perform thorough patient assessments and communicate findings effectively.
- Proficient in administering medications and monitoring for side effects.
- Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
- Strong organizational skills and attention to detail in documenting patient care.
- Knowledge of safety standards infection control and quality improvement initiatives.
Licenses and Certifications
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
- BCLS - Basic Life Support required
- ACLS - Advanced Cardiac Life Support preferred
- PALS - Pediatric Advanced Life Support preferred
- NRP - Neonatal Resuscitation preferred
- Refer to facility or unit-specific guidelines for additional requirements.
INDBH