Registered Nurse (RN) - Extended Care

Shift: Days

Hours:

Job Type: Full Time

Up to $15,000 Sign-On bonus based on experience!

The Clinical Nurse assumes principal responsibility for the total nursing care, assessment, planning, implementation, evaluation of each assigned patient. The staff nurse initiates teaching and educates the patient and family/or significant other to attain optimal health.  Access to all Patient Health Information for treatment purposes only.

• Performs and documents accurate comprehensive and daily assessments per policy and standards for specific unit.
• Demonstrates knowledge associated with specific unit disease processes.
• Demonstrates knowledge of commonly used drugs for specific unit.
• Initiates interdisciplinary communications and incorporates recommendations.
• Acts as a liaison between patient, physician, family/significant other, and other health disciplines.
• Develops, implements and updates an individualized teaching and discharge plan.
• Initiates and documents progressive patient and family/significant teaching.
• Facilitates the discharge process ensuring all goals are addressed prior to discharge.
• Utilizes current theories and knowledge for accurate assessments and evaluations
• Completes acuity evaluation on all assigned patients according to unit protocol.
• Consistently performs proficiently on nursing unit. Including but not limited to:
• Manages an average caseload specific to unit.
• Adapts to altered work patterns, sets priorities, and modifies assignments to meet patient needs utilizing available resources and staff ability and availability.
• Administers medications prescribed by physicians according to policy, including IV’s, blood and blood products.
• Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient.
• Verifies medical record against eMAR for accuracy on an ongoing basis.
• Scans patient prior to administering medications to ensure accurate identification.  Verbally checks patient name if patient alert and oriented.
• Establishes or assesses proper identification prior to delivery of care.
• Consistently recognizes, evaluates and intervenes appropriately in life-threatening situations.
• Consistently checks for new patient orders throughout the shift and implements them in an                                              appropriate timeframe.
• Completes an end of shift review of physician orders.
• Consistently recognizes variances of diagnostic tests, vital signs and assessments. Notifies the physician in timeframe appropriate to the variance.
• Functions as a charge nurse as assigned.
• Supports changes in clinical practice as evidenced by the plan of care for the patient and subsequent documentation.
• Ensures compliance with Departmental and Hospital policies and procedures. 
• Assume responsibility for       knowledge and implementation of policy, procedure, practice, CPG, changes.
• Maintains competence in nursing practice through in service education and participation in ongoing continuing education. 
• Monitors resource utilization and charge completion.
• Suggests and monitors methods of clinical practice that demonstrate cost effective measures
• Follows appropriate chain of command for problem resolution approaching problem solving         with a positive attitude and suggestions.
• Consistently demonstrates accountability for supervision and communication when assigned with LVN’s , CNA’s, and float personnel.
• Reports, documents, and takes appropriate action (by the end of shift) for incidents and/or quality care issues that may affect the patient’s or staff well being.
• Consistently assesses patients for risk of injury and takes appropriate action to reduce risk and promote safety.
• Uses restraints according to policy and consistently explores other options less restrictive.
• Accurate documentation demonstrated in medical record.
• Serves as advocate for patient/family by providing information and assists in utilization of available resources and or alternatives for making health care decisions (i.e. advanced       directives, ethics consult etc.)
• Requests clarification of Physician orders as necessary

Required:

1yr of SNF RN experience required 

• Current CA Registered Nurse License
• BSN
• Current American Heart Association BLS certification (maintain current at all times)
• Effective verbal and written skills to communicate with people on all levels and able to maintain positive working relationships with parents, families, and co-workers
• Possess active listening skills
• Compassionate and non judgmental care giver and advocate
• Able to independently manage multiple priorities
• Must comply with Respiratory Fit Testing Protection Policy

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