RN-Part time in Cardiac/Pulmonary Rehabilitation

PURPOSE OF JOB:

Responsible for assessing and diagnosing nursing care needs for patients on admission; for establishing the nursing outcomes for the admission (in collaboration with patient/family/significant other); then prescribing, delegating and supervising nursing care; for teaching each patient and evaluating each patient’s response to nursing care and progress toward outcomes and collaborating with physicians / providers and other clinical disciples providing patient care to modify the plan of care as needed (in collaboration with patient/family/significant other). Assist the In-patient Manager in departmental budget planning, developing departmental policies and procedures and nursing standards of care. Active involvement in performance improvement. The Med/Surg/Swing/High Acuity RN must possess effective problem-solving techniques, use effective communications, and demonstrate decision-making abilities as well as critical thinking skills. Is responsible for assuring the care and services are delivered in accordance with hospital and nursing department’s policies and procedures, including legal and compliance policies, and in accordance with the hospital’s mission, vision, and values.

This job description reflects the general details considered necessary to fulfill the essential job functions and shall not be construed as a detailed description of all work requirements inherent in this position. Other specific job-related knowledge and skill may be required.

Assess and Diagnose Nursing Care Needs

1. The priority of data collection is determined by the patient’s immediate condition of needs.
2. The pertinent assessment data is collected using appropriate assessment techniques (interview, observation, inspection palpation, and review of reports and records).
3. Validation of patient problems and data collection involves the client significant others, family and health care providers as appropriate.

Prescribes, Delegates, Supervises, and Evaluates Patient Care

1. Nursing interventions reflect current nursing practice and are based on scientific knowledge and documented on the record.
2. Delegates responsibility for nursing interventions according to the support staff level of education, orientation experience and scope of practice as mandated by the Nurse Practice Act.
3. Frequency of reassessments is appropriate to the condition of the patient. Documents patients’ response to the nursing interventions on the surgical records. The medical record.
4. Gives a concise report to receiving unit providing necessary information relative to patient care and their progress toward resolution of identified problems when the patient is transferred to a unit.
5. Accurately transcribes and implements medical orders and assures that medical orders are communicated to all affected ancillary staff.
6. Demonstrates knowledge of sterile/aseptic techniques.
7. Recognizes cardiac arrhythmias and follows appropriate treatment protocol.
8. Demonstrates knowledge and skills of all patient procedures.
9. Pain management

Teaching

1. Identifies learning needs of self and assist in the development and implementation of learning opportunities.
2. Provides “on the spot coaching” to personnel observed in unacceptable behavior. Coaching is done in a constructive manner and in privacy.
3. Determines patient learning needs and provides teaching or makes an appropriate referral. Appropriate teaching methods and supporting materials are used for patient instruction.
4. Documentation in the medical record reflects content and type of instruction and the patients’ response to the instruction.

Maintains Safe and Therapeutic Environment for Patient Care

1. Accounts for all drugs including schedule II drugs according to hospital policy and procedures.