Coordinates the assessment, planning, implementation and evaluation of nursing care to provide optimal, quality patient care. Prescribes, delegates, and coordinates nursing care based on nursing diagnoses consistent with the patient’s age, health/illness status, and physiological/psychosocial needs.
Education
Associates Nursing Required
Bachelors Nursing Preferred
Certifications, Licensures and Registrations
Registered Nurse with current North Carolina license, North Carolina Board of Nursing - Required
BLS required per policy guidelines.
Clinical Specialty certification preferred.
Experience
1 year of Nursing experience Required
Job Specific Duties
Patient Care: Gathers and assesses data on the patient. Identifies/communicates physical needs/problems of the patient on admission/throughout hospitalization. Identifies/communicates psychosocial needs/problems of the patient on admission/throughout hospitalization. Plans/individualizes age-appropriate plan of care in collaboration with the patient/family/health care team. Sets priorities in planning/organizing patient care based on nursing assessments. Implements nursing care interventions based on the patient/family needs and situational/procedural complexities. Directs and implements teaching of the patient/family. Evaluates the patient's response to nursing interventions.
Patient Discharge & Referrals: Participates in multidisciplinary discharge planning referrals to hospital and community resources as needed.
Documentation: Documents pertinent patient data (assessment, interventions, evaluation) per policy. Updates patient care profile/multidisciplinary plan/medical page to provide accurate patient information and documentation.
Safety & Emergency Response: Practices safety. Identifies barriers to safety and plans and implements changes to resolve safety barriers. Recognizes Code Blue emergencies and implements Code Blue procedure.
Communication: Communicates in a clear, concise and accurate manner pertinent patient data to all members of the health care team. Keeps Charge Nurse, Unit Coordinator, Supervisor, Manager and/or Director informed of pertinent patient care/nursing personnel/nursing unit problems and needs and submits written documentation. Collaborates effectively with healthcare team. Identifies communication barriers and implements/facilitates plans to resolve barriers to communication.
Teamwork: Serves as a resource for nursing staff/nursing instructors/students in planning care assignments/educational experiences. Guides/supervises other nursing personnel in implementing nursing care based on patient needs, staff competencies/licensure, and situational/procedural complexities. Seeks assistance of Charge Nurse, Unit Coordinator, Manager, and/or Supervisor when needed in assessing complex patient situations, interpreting physician orders, and consulting physicians.
Charge Nurse: Functions as Charge Nurse as needed.
Preceptor: Serves as a preceptor.
Process/Performance Improvement: Demonstrates operational knowledge of current procedures, performance improvement, and treatment modalities. Participates in unit performance improvement monitoring when selected or requested.
Policy, Procedures & Standards: Identifies locations of policies, procedures and standards and knows resources. Holds others accountable for complying with policies, procedures and standards. Serves as a resource for peers for questions regarding policies, procedures and standards. Contributes towards making revisions to policies, procedures and standards.
Professional Development & Growth: Completes mandatory educational requirements and CBLs without prompting. Attends a minimum of 12 hours of continuing education programs. Identifies needs for self-improvement and growth.
Meetings & Committees: Attends/participates in a minimum of 75% of unit staff meetings. Attends and participates in a minimum of 75% in nursing department committees when selected or requested.
Professionalism: Upholds a professional working relationship at all times and adheres to department rules. Practices teamwork and adheres to Standards of Behavior.
Other Duties: Performs other duties as assigned by management.
Physical and Behavioral Requirements
Lifting 40 pounds from floor to waist
Holding 12 pounds and lifting 6 pounds from waist to crown
Lifting or carrying 55 pounds horizontally for 2 feet
Pushing 80 pounds
Pulling 100 pounds
Front carrying 25 pounds a distance of 150 feet
Dynamic push of 40 pounds minimum force over a distance of 160 feet
Low work positioning at an occasional frequency
Gripping 50 pounds with each hand
Forward bending in standing for 5 minutes
Rotation in standing
Repetitive squatting
Standing for 5 minutes
Walking frequently
Visual acuity required for accurately reading and documenting patient charts and observing patients
Sense of smell required for safety issues
Sense of touch is required to evaluate patient’s vital signs
Ability to speak and hear is required to effectively communicate with patients, family members, physicians, and staff
Manual finger dexterity for writing, equipment operation (maneuvering wheelchairs/beds), and positioning and moving patients