Registered Nurse-Medical and Surgical

Provides direct care to assigned patients. Takes the nursing history, summarizes data, and states nursing diagnoses/ patient care needs. Observes and records signs, symptoms, and behaviours, including the physiological status of patients; presents the assessment of changes, the proposed revision of interventions, and desired outcomes.

Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. Executes physician's orders for all assigned patients; safely and properly administers medications and treatments. Implements safe, competent, and efficient patient care within policies, procedures and standards, and interventions as noted on the multidisciplinary plan of care. Documents the nursing process to reflect a comprehensive and integrated approach to patient care.

Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established outcomes and consults with Medical Staff regarding clinical variances and recommended changes to the plan of care. Identifies learning needs of patients/families and teaches by adapting standard information to provide individualized and comprehensive teaching-learning. Utilizes the resources of the Teaching-Learning Center as appropriate to meet identified patient, family and/or caregiver needs.