Job Title: RN – Med/Surg
Home Department: Med/Surg
Reports To: Med/Surg Director
Direct Reports: None
FLSA Classification: Non-Exempt
PositionSummary
The RN is responsible for utilizing the nursing process to assess, plan, direct, administer and evaluate evidence based outcome oriented patient care in the Medical / Surgical department. Provides for the continual assessment of patient needs and implements interventions as necessary to support patient care plans. Oversees the quality of care performed by CNA's and other assigned personnel. Participates in decision making activities related to nursing practices and is able to respond quickly and accurately to changes in condition or response to treatment.
General Duties, Tasks and Responsibilities
Performs accurate and complete assessment of patients; performs initial admission assessment; coordinates and ensures completion of interdisciplinary screenings and assessments; assesses and reassesses pain; assessments are age, culture and psychosocial appropriate. |
Formulatesa plan of care based on patient needs, modifies the plan of care based on patient outcomes; formulates a teaching plan based on identified learning needs and evaluates the effectiveness of learning to include: educating the patient/family regarding treatment plan and providing discharge planning/instructions. |
Makescomprehensivenursingdecisions basedon the interpretation of facts and evaluation of patient outcomes; assists physicians with procedures; utilizes other departments to provide interdisciplinary care as appropriate; maintains knowledge of telemetry monitoring system; identifies arrhythmias and treats accordingly. |
Prepares and administers medications based on age / clinical condition of the patient; starts intravenous lines for medications and fluids. |
Assessesthe effectiveness of pain medications; revises plan of care as indicated by the patient's response to treatment as appropriate. |
Ensuresdocumentationis complete, accurate and timely; prepares the patient record in both electronic and chart form. |
Performs all aspects of the position in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors; utilizes established hand-off communication protocols; maintains the security of the department. |
Answerspatient call lights promptly and courteously; inquires about patient needs prior to leaving room. Observes and reports any changes in condition or behaviors exhibited by patients. |
Complieswithallestablishedsafety proceduresto ensure a safe environment for patients, visitors and staff. |
Participatesin performance improvement activities. |
Performs other duties as assigned. |
Certification/LicensureRequirements
CurrentIL RN License Required |
BLSRequired |
ACLS required within 12 months of hire |
Experience Requirements
Registered Nurse minimum 2 years Preferred |
Computer Skills
Strongcomputer skills withthe ability to navigate EMR programs |
Additional Skills
Abilityto multi-task, prioritize and work independently in a team environment |
Excellent ability to thrive under pressure and adapt to changes in assignment |
Excellent communication and customer service skills |
Statementof Understanding:
I agree to comply with the rules and regulations of all federal, state and local governments. I have read and understand the job description as stated above and accept that any of the tasks may be modified or changed. I accept responsibility for knowing the modifications and/or changes in this job description. Finally, I understand I may be assigned or required to perform unrelated work for which I have the requisite skills & qualifications during emergencies or under extenuating circumstances.
EmployeeNote:
The above is intended to describe the general content of the requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. Any revisions to this description must be approved in advance by the employee's Leader and HR. Crawford Memorial Hospital is an EOE.
Dates
Created:5/1/2016Last Revised: 11/22/2021Effective Date: 5/1/2020