1. Utilizes the nursing process for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice.

• Performs complete admission assessment.
• Performs comprehensive nursing assessments in an efficient and effective manner.
• Conducts full body system analysis.
• Administers and performs nursing assessment in accordance with the applicable patient type, which may include: Acute, Observation, ER, SNF and Outpatient.
• Reviews, discusses and implements health care provider orders appropriately and acts appropriately if there are questions.
• Responds to call lights and patient needs in a timely fashion.
• Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action.
• Serves as a patient advocate.
• Performs patient rounding for all patient assignments.
• Evaluates patient progress toward desired outcomes prior to discharge.
• Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner.
• Provides intravenous interventions.

2. Collaborates with health care providers to coordinate medical and nursing management of patient care.

• Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care.
• Works effectively with ancillary areas as part of the team approach to patient care.
• Directs patient support team members effectively and appropriately.
• Demonstrates initiative and flexibility in the provision of patient care.
• Informs and involves Lead Nurse or Nurse Manager regarding patient care issues in a timely and appropriate manner.
• Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit.
• Collaborates with the interdisciplinary team.
• Completes patient and family education throughout the patient’s stay and at discharge.

3. Performs emergency treatment as required in accordance with RN scope of practice.

• Initiates or assists in patient care in an effective and responsive manner as each situation requires.
• Triages each emergency situation appropriately and involves other resources as appropriate.
• Administers and performs emergent care in accordance with the applicable patient population type, which may range from newborn to geriatrics.
• Follows emergency policies, procedures and protocols in an effective manner.

4. Performs and maintains documentation.

• Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge.
• Completes shift end check prior to leaving duty.

5. Communicates effectively.

• Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes.
• Follows approved shift report format when communicating patient information.
• Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately, reports condition changes to medical provider.

6. Promotes and ensures patient and staff safety in all aspects of responsibilities.

• Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift.
• Utilizes proper body mechanics, transfer and lifting techniques to minimize fall risk to patient and injury to self.
• Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves.
• Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials.

7. Performs in a Lead Nurse capacity, as assigned or requested by department leader.

• Oversees care delivery and staffing needs and assignments on the nursing unit.
• Provides secure pharmacy coverage.
• Demonstrates knowledge of treatments, policies/procedures, and equipment.
• Responds to Patient/Family concerns and provides immediate interventions when possible.
• Adapts to changes in workload and completes assignments while maintaining quality care.
• Initiates and performs duties that need to complete although not directly assigned.

8. Performs other duties as assigned.