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External Description: General Summary: The Registered Nurse (RN) assesses, plans, implements, evaluates and provides nursing care to assigned patients utilizing the nursing process to facilitate the patient’s progression toward optimal health. The RN provides, directs and guides patient/family teaching and readiness for discharge to prepare the patient for self, home or further professional care. The RN is actively involved in department activities, transdisciplinary team activities, and LifeCare activities to ensure individualized, patient-centered health care for all patient populations admitted to LifeCare Hospital. Patient Population: Has contact with patients in a clinical setting; understands and demonstrates appropriate behavior when interacting with patients in the adult (18-65 years of age) and geriatric (65 and older) populations. Essential Functions: 1. Assesses needs of patients in basic and complex situations, identifies potential or actual needs, and communicates changes in patient status, needs or condition to the supervisor and physician when applicable. Documents the assessment. 2. Plans the care of patients and their families in response to identified needs, throughout the continuum of care, in collaboration with the transdisciplinary team. Documents the plan and revisions. 3. Implements the plan of care by providing nursing interventions directly and/or appropriately delegating care to others, demonstrating competent and proficient nursing practice. Responds appropriately and assists others in responding to emergencies in a calm and effective manner. 4. Initiates and coordinates the evaluation of care provided and documents the patient’s response to care provided by nursing and other members of the transdisciplinary team. 5. Facilitates the identification and resolution of patient’s admission, transfer and discharge needs throughout the course of care in collaboration with the transdisciplinary team. Identifies individual learning needs of patients and families and provides education in a manner that meets their special needs. 6. Communicates with the Charge Nurse or Nursing Supervisor on changing patient needs or acuity for appropriate staffing. Facilitates the admission and transfer of patients including appropriate patient placement. 7. The knowledge and skills necessary to perform the position requirements are demonstrated through the successful completion of competencies established for the position, to include population served and other special needs of patients or customers, served by the department. 8. Adheres to LifeCare policies, procedures, all safety plans and all standards imposed by regulatory organizations. 9. Regular attendance and timeliness is required. Job Description Registered Nurse - This description is a general statement of required essential functions performed on a regular and continuous basis. It does not exclude other duties as assigned. Experience: Two (2) years of experience in an acute or LTACH setting is preferred. Education: Graduate of an approved Registered Nurse program is required. Licensure/Certification: Current Registered Nurse license in the state where practicing is required. Current BLS certification is required upon hire and ACLS certification is required within six (6) months of hire. All Registered Nurses must maintain current licensure, BLS and ACLS certifications while employed with LifeCare Hospitals. Physical Requirements: 1. Ability to lift, move, transport and position patients, equipment or supplies/materials up to fifty (50) pounds without assistance; or over fifty (50) pounds with the aid of mechanical assistance or assistance of personnel. 2. Range of motion and mobility of self by positioning or moving around hospital to include sitting, standing, walking, bending, squatting, stooping, kneeling, crawling, climbing and reaching. 3. Ability to communicate with patients, families, physicians, co-workers and visitors to be able to exchange accurate information regarding patient condition and health status. Ability to exchange and express information by means of language and communicate information effectively. 4. Ability to hear the nature of sounds. Ability to detect clinical alarms and conversation. Ability to give full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. 5. Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. 6. Ability to monitor/assess performance of yourself or other individuals to make improvements or take corrective action. 7. Ability to see things at close range and match and/or detect differences between colors, including color and brightness. 8. Ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble small objects. 9. Ability to keep your hand steady while moving your arm or while holding your arm and hand in one position. 10. Ability to understand the implications of new information for both current and future problem solving and decision making. Ability to use scientific rules and methods to solve problems. 11. Ability to identify problems and review related information to develop and evaluate options and implement solutions. 12. Ability to respond to emergency or crisis in a calm and professional manner as a team member or team leader to resolve the crisis or emergency. 13. Ability to work independently and perform routine and detail-oriented tasks. Ability to manage one’s own time and the time of others. 14. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. 15. Ability to collect and analyze numerical, written data and verbal communication to reach logical conclusions and ability to determine the time, place and sequence of operations or action. 16. Ability to review, assess, record or type data quickly and accurately. 17. Ability to observe and recognize or identify changes in patient’s health status or condition. 18. Ability to perform mathematical equations. 19. Ability to view and operate required equipment. 20. Ability to determine resources needed in order to provide quality patient care. 21. Ability to make independent judgments and decisions 22. Ability to respond or make adjustments to a modality of therapy, as appropriate, when a deviation from routine care is required. 23. Ability to handle physically aggressive patients if working in a behavioral setting. 24. Ability to motivate, develop and direct people as they work. Environmental/Working Conditions: 1. Category 1 - Infection exposure due to required tasks which routinely involve a potential for mucous membrane or skin contact with blood, body fluid tissues or potential spills or splashes. 2. Ability to work alone or with minimal supervision. 3. Contact with patients, families, co-workers, physicians and visitors. 4. Ability to work under and handle stress in an appropriate manner. 5. Ability to handle multiple tasks. 6. Ability to work long hours between breaks and meals may be required. 7. Exposure to high, medium, or low noise intensity. Machinery/Tools/Equipment Requirements: 1. Ability to operate nursing call system, telephone, fax machine, copy machine, computer, printer and calculator.
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