Community Hospital RN-Procedure Center, PRN in Grand Junction, Colorado
ESSENTIAL DUTIES AND RESPONSIBILITIES: (The following statements are illustrative of the essential functions of the job and do not include other non-essential or marginal duties that may be required. Community Hospital reserves the right to modify or change the duties or essential functions of this job at any time. All responsibilities may not be performed by all incumbents.)
- The Registered Nurse will provide general patient care by:
a. Upon admission to the Procedure Center, completes medical history, takes vital signs, check for allergies, start IV?s, etc.
b. Under the direction of the Physician, completes outpatient procedures on assigned patients.
c. The Registered Nurse will review the patient?s chart becoming familiar with the orders for the patient including but not limited to medications, lab orders and results, radiology orders and results, activity, diet, consultation orders etc.
d. Is knowledgeable regarding discharge plan for patient.
e. Explains procedures and treatment to patient to allay apprehension, verify understanding and gain cooperation.
f. Serves as a patient advocate by clarifying and confirming communications from hospital personnel.
g. Follows all Universal Precautions and Blood-borne Pathogen protocols as outlined by hospital policy.
h. Initiates Isolation precautions as appropriate for safety of patient, staff and visitors.
i. Assures needed supplies and equipment are available and are cleaned and maintained per department standards.
j. Provides for the emotional/physical comfort and safety of patients and visitors
k. Responds to life saving situations based upon nursing standards, policies, procedures, and protocol.
l. When the procedure is completed, the sedation nurse and the recovery room nurse coordinate the transfer of the patient care.
m. Upon discharge, prepares patient to be transported to the unit or home, explains the discharge instructions, and verifies that a responsible adult will transport the patient to his/her home.
- The documentation of patient information will be completed by:
a. Documents patient assessment in patient chart. Especially notes any changes in condition, vital signs, level of consciousness, etc.
b. Reviews chart to verify Medication orders, lab requests, radiology orders, consults, etc. are properly transcribed and have actually been ordered.
c. Verifies and notes medical providers? orders.
d. Completes appropriate paper work on new admissions including signed consents, complete history, patient belongings clearly documented, and clarifies plan of care.
e. When the procedure is completed, document in the patient report the patient status, including Patient identifiers, assessment, the situation including code status recent changes and response to treatments, safety issues including allergies, alerts, falls isolations etc., any actions needed, what is planned next ? what is the plan.
f. Insures that timely, accurate, and complete billable supply charges and billing information are forwarded to the HRIS.
- Medication administration will be completed by:
a. Reviews Medication Reconciliation Case Report related to patient home medications for assigned patients
b. Administers prescribed medications and treatments in accordance with approved nursing techniques.
c. Assures accurate narcotic count and the beginning and end of each shift
- The patient will be assessed by:
a. At the beginning of the procedure will form an assessment on each assigned patient. Notes any changes in patients? condition, notifying the medical provider of changes as necessary. Including vital signs, etc.
b. Monitors the patient per department standards for any changes in condition. Maintains awareness of comfort and safety needs of patient. Responds to the direction of the physician.
- The Registered Nurse will provide clinical expertise to the remainder of the staff by:
a. Shares knowledge with other staff and students as appropriate. Assists with the orientation and education of staff and students.
b. Demonstrates ability to use critical thinking skills by assessing situation and knowing how decision making will impact patient, family, staff and others involved in patient care. This includes assessing how decision will impact on coming shift.
EDUCATION and/or EXPERIENCE:
Requires current, unrestricted licensure as a Registered Nurse in the State of Colorado; Associates or Bachelor?s degree in nursing. One to two years of general nursing and critical care courses are preferred. OR equivalent combination of education and experience.