RN CC Emergency Room

Nashville, IN - USA

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Description

Assessment

Collects and analyzes data about the patient leading to an accurate Identification of problems necessary to make a nursing diagnosis. Systematically and continuously collects records and appropriately communicates data regarding the patients health status Performs initial physiological needs assessment within established time frames Accurately and timely completes the admission assessment form to include biophysical psycho-social educational and environmental factors Derives appropriate nursing diagnosis from identified problems of the individual based on data collected Reassess and documents the patients total needs per established unit policy Routinely reviews assessment data identifies educational needs and initiates discharge planning

Clinical Competency

Possesses the knowledge and clinical skills required to deliver quality patient care. Carries out procedures appropriate to the assigned unit following established standards of care to include but not limited to: Hemodynamic Monitoring Cardioversion Transvenous Pacing External Pacing Arrhythmia Recognition

Documentation and evaluation

Evaluates and documents the appropriateness and effectiveness of the nursing care administered. Evaluates and documents patients responses to all interventions and procedures carried out both on a physical and psychological basis Consults re-evaluates and revises multi-disciplinary plan of care based on patients progress and behaviors Documents medication administration per unit policy Documents changes from baseline assessment Documents verbal orders on the physician order sheet and ensures co-signature in a timely manner per policy Accurately and legibly documents using hospital approved abbreviations appropriate signatures titles error corrections and black ink Appropriately documents and completes occurrence form in a timely manner Assures completeness of nursing documentation on the medical record at the time of discharge

Patient Education

Encourages participation and shares responsibility for providing information related to prevention maintenance and restoration of health Utilizes assessment data to develop an educational plan in conjunction with the patient significant others and/or other disciplines to effectively meet the identified needs Actively participates in patient education by appropriately utilizing available resources and adjusting it to meet the patients individual needs and level of understanding Evaluates and documents patient and/or significant others response to education given Documents discharge teaching information given Considers patients cultural and religious practices emotional barriers physical/cognitive limitations and language when planning educational interventions and documents on educational record

Planning of Patient Care

Makes decisions about priorities of care establishes goals and selects the best nursing actions to achieve desired results making adaptations as needed. Initiates plan of care reflecting the assessment of the immediate physiological needs of the patient within established time frames Develops plan of nursing care in conjunction with the individual and/or significant others and includes expected outcomes appropriate for the nursing diagnosis and unique patient/family needs Prioritizes and prescribes appropriate nursing measures to achieve the expected outcomes Evaluates modifies and updates the nursing care plan based on observable patient responses and attainment of patient outcomes within established time frames Organizes plans and documents discharge needs in the care plan

Additional Certification & Licensures details

Active Tennessee RN license or compact state.
BLS Required by start date
ACLS CPI and Chemotherapy certification required within 6 months of hire date.

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DescriptionAssessmentCollects and analyzes data about the patient leading to an accurate Identification of problems necessary to make a nursing diagnosis. Systematically and continuously collects records and appropriately communicates data regarding the patients health status Performs initial physio...