Description
Job Description Responsibilities:- Involves patient and/or significant others in decisions regarding care.- Assesses and appropriately documents the educational needs and learning abilities of the patient and/or significant others during the admission and subsequent assessments in the computerized care plan.- Documents and assures that the plan of care includes identified problems, and/or nursing diagnosis, nursing interventions, and goals/outcomes with target dates with the patient/family promoting optimal health, healing or dignified end of life, when appropriate.- Performs patient handoffs utilizing patient safety tools (SBAR, Report at Bedside, etc.) both from shift-to-shift and interdepartmentally as directed.- Maintains effective communication through appropriate utilization of the chain of command- Communicates subjective and objective data about the patient/family and/or significant others withappropriate members of the multidisciplinary team.- Stays up-to-date on unit huddles, email, and other unit-based communications.- Facilitates communication of pertinent findings with and/or makes rounds with physicians.- Participates in Process Improvement activities such as data collection, in-services, and meetings as appropriate and required.- Completes Hospital and required nursing competencies, mandatory in-services/MyEducation assignments and relevant certifications (ex. BLS, ACLS, PALS, etc.) within required time frame.- Utilizes professional literature to implement evidence-based practice in decision making and shareswith other coworkers as appropriate.- Participates in programs and projects toward professional growth and development.- Maintains relevant knowledge and follows policies/procedures.- Readily accepts professional accountability to resolve issues related to patient care or operational issues.- Participates in a hospital committee, special project or service (ex. preceptor to student or new coworker, care management) as requested.- Delegates, guides and directs unlicensed health care providers & LPN's in tasks and are responsible for the care provided according to their documented competencies and/or scope of practice.- Participates in annual peer review process for self and others when requested.- Performs patient rounding, based on patient need and departmental guidelines.- Appropriately interprets and utilizes diagnostic, laboratory, and monitoring data.- If required takes call, weekend shift or alternate shifts as deemed by the department needs.- Performs other duties as assigned or requested.
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