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JOB TITLE: Registered Nurse JOB CODE: 5203, 5204, 5238, 5249, 5217 DEPARTMENT: Nursing PAY GRADE: 425 IMMEDIATE SUPERVISOR: Nurse Manager DEFINITION: Develop and implement total nursing care for patients by assessment, nursing diagnosis, patient care plans, provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice in the clinical setting. Develop systems to provide care to a population including infants, children, adolescents, adults and geriatrics. EDUCATION: As required by the State Board of Nursing. REGULATORY REQUIREMENTS (IF APPLICABLE): Current Basic Life Support. As required by the State Board of Nursing. MINIMUM QUALIFICATIONS: Graduate of a Registered Nurse Program with current Oklahoma Registered Nurse license. PREFERRED QUALIFICATIONS: BSN. Experience, school attendance record and performance record may be considered. PRINCIPLE RESPONSIBILITIES: Participates and implements age specific care and interaction. Employee has attended departmental orientation (training) and annual inservice education for age specific training. Implements age specific training. Collaborates with the healthcare team (RN, LPN, NA, Physician and ancillary disciplines) in the assessment of the patient/family. Performs a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, geriatric and the patient population. Adequately assesses and reassesses pain. Utilizes appropriate pain management techniques. Interprets data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Collaborates with the healthcare team to develop a plan of care to meet the physiological, spiritual, emotional, mental, social and developmental needs of the patient. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Acts appropriately to address requests for additional resources or issue resolution. Identifies and addresses psychosocial needs of patients and family. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning. Family is included in teaching, as appropriate. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Coordinates and supervises patient care as necessary. Collaborates with the healthcare team in the implementation of the patient’s plan of care. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age and clinical condition. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Demonstrates an ability to be flexible, organized and function under stressful situations. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services within scope of practice. Administers medications accurately and safely. Knows medications and their correct administration based on age of the patient and their clinical condition. Follows the five medication rights and reduces the potential for medication errors. Accurately and consistently evaluates patient/family responses to interventions to determine the patient’s progress and revise the plan of care. Revises plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Educates the patient and family regarding pain management. Communicates (verbal and written) effectively, accurately and professionally with patient/family and all members of the healthcare team. Communicates appropriately and clearly to patient, family, co-workers, physicians and nursing supervisors. Documents to current standards and policies. Communicates with health care team members regarding both in hospital and post-discharge needs. Appropriately utilizes available technology to facilitate communication and enhance patient safety. Participates in the education/development of staff and students. Facilitates the orientation of new employees and professional development of members of the healthcare team by providing instruction and demonstration of skills, principles and practice of nursing. Fosters healthy relationships with students and faculty. Complies with professional requirements, organizational and departmental policies and procedures. Maintains patient confidentiality at all times. Uses computerized punch time system correctly. Completes work within designated time. Completes annual educational requirements and monthly inservices in a timely fashion. Adheres to dress code. Wears identification badge while on duty. Attends at least 75% of staff meetings annually. Reads all monthly staff meeting minutes. Actively participates in performance improvement. Participates in Magnet Recognition preparation activities. Legally complies with all regulatory agencies including, but not limited to, the Oklahoma Nurse Practice Act. SPECIFIC UNIT/AREA RESPONSIBILITIES: WORKING CONDITIONS: Exposure to diseases and foul odors. Exposure to hazardous chemicals. Exposure to sharp objects. PHYSICAL REQUIREMENTS: HAND AND ARM USE: Must possess sufficient dexterity to initiate IV’s, to prepare medications and to give injections. Must be able to operate and handle medical equipment and technologically complex devices, including but not limited to, keyboards, monitors and IVAC’s. Must be able to write neatly and legibly. LIFTING AND CARRYING: Requires lifting of adult and pediatric patients. Requires lifting of monitors, oxygen tanks, backboards, boxes of supplies and other equipment on a daily basis. Must obtain assistance when weight exceeds individual ability. PUSHING AND PULLING: Requires transfers and transports of patients and/or various equipment including but not limited to: beds, wheel chairs, patients. Must obtain assistance when weight exceeds individual ability. STANDING/WALKING/SITTING/CLIMBING: Required to stand, walk, reach or stoop more than 75% of the working day. Required to work in a cramped position while assisting with medical procedures such as casting, splinting, suturing, lumbar punctures and other required procedures. May be required to run or climb during emergency situations. SENSE OF TOUCH: Must possess sense of touch in order to palpate pulses, veins, body temperature and for assessment of possible physical abnormalities. Ability to determine different degrees of temperature and textures. HEARING: Must be able to hear patients speak to obtain history and to complete physical assessment, including but not limited to, auscultation with a stethoscope. Must be able to hear to obtain physician orders verbally and per telephone and to hear various ringing alarms while performing other job duties. Ability to hear and understand through mask and personal protective equipment. VISION: Must be able to see to assess patient condition and to perform various procedures, including but not limited to, initiating IV’s, preparing and giving medications, evaluate monitor tracings, blood pressure and pulse oximetry reading. Must have accurate color perception to evaluate skin color, circulation, abrasions and body fluid color. MENTAL REQUIREMENTS: MATHEMATICS: Must be able to count, add, subtract, multiply and divide, to record information such as patient’s intake and output, as evidenced by successfully passing medication test. MEMORY: Must be able to remember activities related to the care of the patient. LANGUAGE ABILITY: READING: Must have reading skills in the English language to comprehend all materials regarding all aspects of patient care within the limits of the essential performance standards identified in the appropriate job description. WRITING: Must be able to write in English neatly and legibly with a high degree of accuracy. SPEAKING: Must be able to speak clearly and be able to verbally communicate in English all aspects of patient care which includes, but is not limited to, physicians, patients, family and other healthcare workers. REASONING: Must be able to assimilate complex data concerning patient diagnoses and in all unit procedures. Must be able to utilize inductive and deductive reasoning in the care of the patient. REQUIRES BLS AND ACLS CERTIFICATION. Job Description Approval: This job description has been reviewed and approved as current by the Department Director.
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