The Registered Nurse will be clinically competent while delivering care to patients utilizing the nursing process of assessment, planning, intervention, implementation and evaluation. RNs will effectively interact with patients, significant others and other health team members while maintaining all standards of professional nursing.
ESSENTIAL JOB FUNCTIONS:
Use the nursing process by demonstrating appropriate assessment, planning, implementation and evaluation of the patient's care, as evidenced by client/staff observation.
Assess the patient: collect and document the patient's current health status and medical history. Complete and/or review Admission Data Record as defined by policy. Make accurate and ongoing assessment of patient's status and respond appropriately.
Plan/implement: set priorities for nursing action in a logical sequence according to patient's needs and formulate a plan of care by the appropriate selection of
Nurse Practice Standards. The plan of care is initiated on patient admission based on all aspects of the initial assessment. Plan includes physiological, psychosocial and environmental factors: patient/significant other education and patient discharge planning.
Evaluate: perform ongoing assessment and revise plan of care based on new data and patient's condition.
Document accurate and ongoing assessment of patient status: Document patient care, including nursing intervention, patient response to care provided, patient needs, problems, capabilities, limitations, and progress toward goals.
Documentation includes evidence of appropriate patient/significant other teaching, and the understanding of these instructions is noted in the medical
Communicate with the physician regarding patient's needs, the nursing assessments and recommendations on a daily basis and as needed, as evidenced by client feedback and operations coordinator observation.
Collaborate with other nurses and health team members to ensure the patient's wellbeing as evidenced by staff/client feedback.
Teach patient/significant other appropriate health information in a timely manner and share written informational material as evidenced by client feedback and operations coordinator observation.
Perform direct patient care, using established procedures, policies and standards as evidenced by client/staff feedback and operations coordinator observation.
Administer medications and IVs according to policy and procedure.
Observe and document patient's response to pertinent medications.
Demonstrate ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders and policy and procedure (done within
a timely manner).
Demonstrate necessary skills and knowledge to provide care for patients according to policy, procedure and division/unit specific competencies.
Demonstrate ability to handle emergency situations in a prompt, precise and professional manner.
Provide personal patient care to ensure comfort and well-being to the patient, acknowledging physiological and psychological needs.
Perform indirect patient care, using established procedures, policies and standards as evidenced by client/staff feedback and operations coordinator observation.
Give a thorough, concise report at change of shift. Communicate pertinent information to the appropriate person in a timely manner.
Demonstrate accurate and timely documentation according to form guidelines.
Accurately transcribe physician orders according to policy and procedure.
Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others.
MINIMUM QUALIFICATION STANDARDS:
Education: Graduate of an accredited school of nursing.
Licensure: Must possess a current, valid RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice.
Position Type : Full Time
South Big Horn County Hospital District
388 South US Highway 20
Basin, WY 82410