RN - Outpatient (salaried)

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.
2. Demonstrates knowledge of location, care and use of all equipment/supplies pertaining to the unit.
3. Seeks to reduce waste in the workplace.
4. Follow procedure for removal of faulty equipment from service.
5. Assist in evaluation of patient care products.
6. Correctly fills out incident reports with assistance.
7. Knows and responds appropriately to all emergency codes.
8. Knows and uses good body mechanics.
9. Properly reports any safety or infection hazards.
10. Checks emergency equipment after each use and at least once a shift.
11. Accountable for ensuring patient safety during the course of performing his/her duties.

Upholds Standards of Nursing Practice and Code of Ethics

1. Code of Ethics and Standards of Nursing practice are continuously met.
2. Performs all nursing procedures according to the established policy and procedure of Ohio County Healthcare nursing department.
3. Meets licensure requirements and maintains CE licensure.
4. Recognizes and supports the patients’ bill of rights and maintains confidentiality in all hospital manners.
5. Adheres to Blood and Bo