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Responsibilities
- Assess and Diagnose Nursing Care Needs
- The priority of data collection is determined by the patient’s immediate condition of needs.
- The pertinent assessment data is collected using appropriate assessment techniques (interview, observation, inspection, palpation, and review of reports and records).
- Validation of patient problems and data collection involves the client, significant others, family, and healthcare providers as appropriate.
- Prescribes, Delegates, Supervises, and Evaluates Patient Care
- Nursing interventions reflect current nursing practice and are based on scientific knowledge and documented on the record.
- Delegates responsibility for nursing interventions according to the support staff level of education, orientation, experience, and scope of practice as mandated by the Nurse Practice Act.
- Frequency of reassessments is appropriate to the patient's condition. Documents patients’ response to nursing interventions on the medical record.
- Provides concise reports to receiving units, including necessary information related to patient care and progress during transfers.
- Accurately transcribes and implements medical orders, ensuring communication to all affected staff.
- Demonstrates knowledge of sterile/aseptic techniques and recognizes cardiac arrhythmias, following appropriate protocols.
- Demonstrates knowledge and skills of all patient procedures and pain management.
- Teaching
- Identifies learning needs of self and assists in developing and implementing learning opportunities.
- Provides on-the-spot coaching in a constructive manner and in privacy.
- Determines patient learning needs, provides instruction, or makes appropriate referrals, using suitable methods and materials.
- Documents instruction content, type, and patient responses in the medical record.
- Maintains Safe and Therapeutic Environment for Patient Care
- Accounts for all drugs, including Schedule II drugs, according to hospital policy.
- Knows the location, care, and use of all equipment and supplies.
- Seeks to reduce waste, follows procedures for faulty equipment, and assists in evaluating care products.
- Properly completes incident reports, responds to emergency codes, and uses good body mechanics.
- Reports safety or infection hazards and checks emergency equipment regularly.
- Ensures patient safety during duties.
- Upholds Standards of Nursing Practice and Code of Ethics
- Meets nursing practice standards and performs procedures according to policies.
- Maintains licensure, supports patient rights, and adheres to infection control policies.
- Follows hospital policies, participates in quality improvement, and maintains accessibility when on duty.
- Professional Self Development
- Attends required CE and in-services, participates in staff meetings, and maintains competency.
- Accepts supervision constructively.
Minimum Requirements
- Current RN license in Kentucky or a work permit issued by KBN (licensure in a compact state acceptable).
- Graduate of an accredited nursing school; BSN preferred.
- BLS certification; ACLS within 6 months; PALS strongly recommended.
- Basic keyboarding skills.
Additional Details
- Seniority level: Entry level
- Employment type: Other
- Job function: Health Care Provider
- Industries: Hospitals and Healthcare
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