Clinical Nurse - Med Surg

Requirements

• Assesses and analyzes the health status of patients in assigned nursing unit in a comprehensive manner.
• Performs on-going assessments and documents according to policy and procedure, reports significant findings of admission and on-going assessments to appropriate member of heath care team.
• Initiates discharge planning process with initial admission assessment.
• Plans patient care on assigned unit in collaboration with the patient, family, and health care team.
• Formulates individualized patient plan of care based on assessment data within the designated time delineated in policy/unit standards.
• Updates plan of care based on the patient assessment within appropriate time period.
• Communicates the plan of care to other members of the healthcare team through daily worksheet conferences, verbally during the shift and shift report.
• Directs care team members in accordance with their scope of practice.
• Transcribes and directs the implementation of physician orders.
• Provides patient education based on assessed needs and evaluates understanding.
• Conducts ongoing evaluation of patient outcomes and documents effectiveness of planned and implemented interventions and strategies in relation to the plan of care within time frames per policy/unit standards.