Registered Nurse Medical-Surgical

Job Summary

Required Qualifications

• •Current FL Nursing License
• •Current Basic Life Support
• •Current Advanced Cardiac Life Support
• •Non-Violent Crisis Intervention Certificate
• •Level II: Min 1 year RN
• •Successfully challenges EKG I test upon hire, if previously trained or successfully completes EKG I program within 90 days of hire
• •Successfully interprets life-threatening dysrhythmia and subsequent treatment
• •Demonstrates safe and correct defibrillation
• •Administers anti-dysrhythmic therapy as ordered
• •Successfully completes ACLS training and maintains current status within 90 days of hire
• •Consistently cooperates with rotation of assignments and floating
• •Demonstrates safe and correct care of the patient with internal cardiac devices
• •Demonstrates understanding of patient multi-system complications, evidenced by identification and reporting of abnormal findings to appropriate physician in a timely manner and implementation of nursing interventions
• •Monitors hemodynamically unstable patients, assesses, reports, and intervenes appropriately
• •Assessment of chief complaint and notification of physician within 15 minutes of arrival to unit
• •Obtains and documents a complete nursing admission assessment, including physiological and psychological factors to develop an interdisciplinary plan of care within eight hours of admission
• •Performs and documents an accurate systems assessment at the beginning of each shift
• •Responds to diagnostic data and initiates appropriate action or intervention
• •Assesses patient education needs on admission and daily
• •Assesses psychosocial needs specific to patient's age, growth, and development
• •Initiates an interdisciplinary plan of care within eight hours of admission
• •Establishes priorities for patient care based on patient needs as evidenced by completion of assigned duties within shift
• •Verbalizes understanding of patient diagnosis and interdisciplinary plan of care
• •Safely and correctly initiates and documents nursing interventions in emergency situations
• •Performs 24-hour chart check at the beginning of each shift
• •Administers, observes, and documents intravenous therapy according to hospital policy
• •Administers medications within 30 minutes of scheduled time
• •Observes and documents effectiveness, recognizes and reports adverse reactions immediately
• •Provides individualized instructions each shift to patient/significant other regarding the plan of care
• •Demonstrates safe and correct use of unit specific equipment
• •Ensures that each patient's general hygiene needs are met daily
• •Performs pre-operative and post operative care and instruction for each assigned surgical patient during shift
• •Adheres to standard precautions, including hand hygiene guidelines at all times
• •Documents specific patient valuables on designated form when received and immediately arranges for appropriate storage
• •Performs dressing changes using aseptic technique
• •Collects and labels specimens per policy when ordered by physician
• •Performs bedside glucose monitoring according to policy
• •Administers internal feedings via ng tube, g tube, and/or j tube
• •Reports all abnormal findings immediately to physician
• •Initiates wound and skin protocol upon identification of risk
• •Performs ostomy care to include irrigation, appliance usage, and reinforcement of teaching
• •Inserts intermittent or indwelling urinary catheter using aseptic technique
• •Administers oxygen therapy according to physician order
• •Transfers patients in/out of the unit in an efficient manner, by obtaining a complete and correct set of physician's orders
• •Completes documentation of patient transfer summary and ensures appropriate completed referral forms accompany intra-facility transfers, including giving/receiving of report
• •Demonstrates safe and correct use of restraints
• •Documents/reports patient responses or outcomes resulting from: nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education
• •Evaluates and documents patient's progress towards established goals/objectives every shift
• •Updates/revises patient care problem list and individualized patient care standards based on patient/family responses, progress towards goals, and/or change in medical status every shift
• •Evaluates patient length of stay and related transfer/discharge planning needs based on anticipated problems, internal or community resources, and support systems
• •Obtains 100% of mandatory hospital and unit specific inservices annually, prior to evaluation date
• •Plans, presents, and documents unit inservice as required by level
• •Documents competency in clinical skills annually
• •Attends staff meetings as required
• •Attends 75% staff meetings
• •Functions as a Charge Nurse, possesses clinical knowledge of all patients on the unit, triage and assign beds to promote patient flow
• •Attends a Charge Nurse course
• •Serves as a preceptor/clinical resource
• •Actively participates in unit based PI