Registered Nurse -ARH Advanced Care.

Appalachian Regional Healthcare View Company Profile

Overview The Staff Nurse is accountable for interpreting the plan of medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. The Staff Nurse provides clinical supervision to LPNs, Nursing Aides, and Nursing Service Clerks where applicable. Responsibilities MAJOR ACTIVITIES xc2xb7 Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. xc2xb7 Performs assessments and reassessments of patients. xc2xb7 Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. xc2xb7 Interprets plan of medical care, evaluates patients, and devises patient plan of care. xc2xb7 Maintains proper control of medicine, equipment and supplies specific to the assigned unit. xc2xb7 Plans for discharge of patient considering all available resources and continuum of care needs. xc2xb7 Refers patients to chaplain, social worker, and agencies as required. xc2xb7 Provides a safe and secure environment for the patient. xc2xb7 Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient’s responses to nursing care. xc2xb7 Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards xc2xb7 May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. xc2xb7 Performs certain special procedures for which specialized training and supervised experience has been received. xc2xb7 Plans for and provides effective patient and family education. xc2xb7 Documents pertinent findings, plan of care and evaluation of care in the medical record. xc2xb7 Assists patients in performing activities of daily living to meet the basic human needs. xc2xb7 Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. xc2xb7 May accompany patients who are transferred to another medical facility. xc2xb7 Notifies supervisor, doctor, and/or family/guardian as appropriate when patient’s condition changes. xc2xb7 Observes and evaluates work performed by LPNs, Nursing Aides, and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. xc2xb7 Participates in teaching activities for other hospital personnel and nursing students. xc2xb7 Participates in the orientation of new employees. xc2xb7 Participates in interdisciplinary team meetings xc2xb7 Participates in committee meetings as requested. xc2xb7 Attends in-service programs per contract. xc2xb7 Assumes responsibility for personal professional development. xc2xb7 Assists in the development of review and revision of Nursing policies and procedures. xc2xb7 Respects the dignity and confidentiality of all matters relating to the patients. xc2xb7 Operates crucial care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment. xc2xb7 Set-up, maintains, interprets results of cardiac and hemodynamic monitor required and takes action as indicated by nursing practice and hospital procedure. xc2xb7 Perform such special procedures as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctions; care of chest tubes and plerevac; set-up and assistance with peritoneal dialysis, paracentesis, thoracentesis. xc2xb7 Performs other related duties as required within the scope of the job classification. SPECIFIC ACCOUNTABILITIES xc2xb7 Responsible for assessment/reassessment of patients and documentation of nursing intervention. xc2xb7 Responsible for implementing the patient plan of care. xc2xb7 Responsible for determining which nursing acts can be delegated and to whom. xc2xb7 Responsible for providing direction and assistance to those supervised, observes and monitors the activities of those supervised and evaluates the effectiveness of acts performed under supervision. xc2xb7 Responsible for assuring that the individual performing delegated nursing acts has the necessary educational preparation and validation of competence in order to perform the act in a safe manner. xc2xb7 Responsible for preparing reports, charts, records, and forms required by hospital, state and federal agencies. xc2xb7 Responsible for participating in educational programs to further professional growth and development, and assisting in conducting in-service programs. xc2xb7 Perform other duties as assigned. DEFINITION: SUPERVISION The provision of guidance by a qualified nurse for the accomplishment of a nursing task with periodic observation and evaluation of the performance of the task including validation that the nursing task has been performed according to established standards of practice [ 201 KAR 20:400 Section 1 (7)]. Qualifications Education xc2xb7 Graduation from a State accredited or approved school of nursing. xc2xb7 Must maintain current licensure in state of practice. Required Skills, Knowledge, and Abilities Prior to assignment as sole RN provider, the nurse must successfully complete critical care course acceptable to the Director of Nursing and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse. Such course work shall include: xc2xb7 Cardiopulmonary resuscitation and management of an obstructed airway. xc2xb7 EKG interpretation. xc2xb7 Drug therapy, including emergency drug therapy via the I.V. route, or routes normally left to the physician. xc2xb7 Hemodynamic monitoring. xc2xb7 Critical care procedures. The nurse shall be adequately oriented to policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities Apply for this job onlineEmail this job to a friendShare on your newsfeed Job Type: Full-time Benefits: Dental insurance Health insurance Paid time off Vision insurance Medical specialties: Critical & Intensive Care Physical setting: Acute care Long term care Standard shift: Day shift Work Location: In person

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