POSITION TITLE: Registered Nurse RN

DEPARTMENT: Nursing

REPORTS TO: RN Nurse Supervisor/Unit Manager/ADON/ADON-Unit/Center Nurse Executive

POSITION SUMMARY:

Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. He/she operates within the scope of practice defined by the State Nurse Practice Act and delegates aspects of patient care to LPNs and CNAs consistent with their scope of practice. The RN manages patient care by performing nursing assessments and collaborating with the nursing team and other disciplines, patients, and families to develop effective plans of care.

RESPONSIBILITIES/ACCOUNTABILITIES:

1.      Assessment:

• Collects, validates, synthesizes, and records objective and subjective
• Prioritize data collection based on patient
• Analyze all
• Identifies actual or potential problems or needs based on data

2.       Care Planning:

• Establishes realistic and measurable short- and long-term goals for the identified health problems and needs.
• Develop individualized interventions to achieve goals.
• Determines timelines within the care
• Conducts a systematic and ongoing evaluation of patient
• Reviews and revises plan of care as

3.       Implementing Care:

• Performs nursing functions and provides care within scope of
• Coordinates and delegates care as
• Verifies that medical orders are accurately
• Administers medications and performs treatments per physician
• Communicates and documents interventions and patient

4.       Managing patient care:

• Delegates care to staff considering:
  • Complexity of
  • Competency of
  • Center
  • State’s practice
• Supervises staff to ensure that delegated tasks and interventions are implemented appropriately and per
  • Evaluates and adjusts the plan of care to achieve patient goals and minimize re-
  • Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning:
    • Communicates team’s recommendations for discharge to the attending physician, patient, and family.
    • Prepares patient/family for discharge including patient and family

5. Communicates patient information with assigned staff during and between
6. Participates in shift-to-shift communication between incoming and outgoing nursing
7. Uses Point Click Care (PCC) according to the Business
8. Performs drug count when beginning and ending shift and whenever
9. Collaborates with physicians in rounds and examination of patients, as needed.
10. Collaborates and coordinates with other departments to provide timely effective care consistent with individual’s needs, choices, and preferences.
11. Contributes to an environment that is respectful, team-oriented, and responsive to the concerns of staff, patients, and families.
12. Enhances nursing practice by attending all mandated in-service programs and other GHC and outside professional education
13. Assists with the orientation of newly hired nursing staff.
14. Promotes a culture of safety to ensure a healthy practice and living
15. Maintains confidentiality and always protects sensitive Protected Health Information (PHI).
16. Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of patients.
17. Performs other duties as requested