Responsible for providing safe and reliable patient care, under the direction and supervision of a Registered Nurse (RN). Assists in the monitoring, observing, and reporting reactions to the patient’s plan of care.

Clinical Excellence

• Collaborates with healthcare team to provide patient care.

o Consults with supervisory RN and/or other healthcare team members, as appropriate.
o Obtains instruction and supervision, as necessary, when implementing new or unfamiliar nursing practices or techniques.

• Contributes to the admission assessment process by collecting, reporting and recording objective and subjective data in an accurate and timely manner. Data collection is limited to:

o Patient history
o Screenings
o Home medication review

• Assists in the identification of appropriate patient care interventions to maintain comfort, support human functions and responses and maintain an environment conducive to safety and well-being.
• Implements measures to promote a safe environment.
• Assists the healthcare team to achieve the patient care outcomes and goals of care.
• Administers medications, including IV fluids, and performs tasks within scope of practice.
• Integrates multidisciplinary approach to maintain comfort, support human functions and responses, and maintain an environment conductive to safety and well-being. Implements measures to promote a safe environment.
• Collaborates with the patient/family to anticipate steps needed to ensure safe transitions in care.

Effective Communication

• Informs supervisory RN of any changes in patient condition in a timely manner.
• Collaborates with the RN and other healthcare team members to communicate progress towards agreed upon goal of care. Assists in updating the plan and goals of care to reflect changes in needs, under the direction of the supervisory RN.
• Multidisciplinary patient charting is completed in real-time to assure that goals of care and patient outcomes are being achieved.
• Completes hand-offs with attention to detail and with safety as a priority.
• Communicates with providers during routine rounding and as needed.

Patient Education

• Integrates patient/family teaching throughout the hospitalization, including the overview of the plan and goals of care, pre- and post-operative procedures, diagnostic procedures and discharge teaching.
• Integrates preventative health maintenance into the education plan.
• Assess and chooses teaching strategies appropriate to the patient’s and their families’ age specific needs, culture, readiness to learn and level of comprehension.
• Consults appropriate resources within the hospital to provide specialized education.