Registered Nurse-Medical Surgical Telemetry

About the role

Responsible for the provision of basic nursing care to assigned patients in accordance with current FMC Standards of Care. Administers and monitors therapeutic interventions proficiently. Demonstrates proficiency in applying the nursing process to assigned patients and families. Assumes accountability for the outcomes of nursing care. Collaborates with health team members, patients/families in the provision of care. Provides direct supervision to other health team members in the implementation of the patient care plan. Effectively delegates care to peers, Licensed Practical Nurses, Nursing Assistants, Orderlies and other direct care givers consistent with their level of education and expertise. Acts as an advocate for patients/families/significant others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Practices within accepted ethical and legal parameters of nursing. This description covers the essential functions of the position. Job Responsibilities: 1) Provides age-appropriate care to patients. Demonstrates knowledge of developmental stages for the following age groups and applies developmental theories and concepts when planning and implementing care for patients. 2) For each assigned patient, the nurse will proficiently perform a comprehensive nursing assessment and use professional judgment to obtain selective data to arrive at nursing diagnoses and discharge planning needs. The nurse will perform a systematic comprehensive assessment of the health needs of all assigned patients 100% of the time. Ensures that all assigned patients have a completed admission profile, health database/patient history. Elicits relevant selective data for a comprehensive nursing history, incorporating patient strengths and limitations. Integrates a variety of methods to collect relevant patient data, (e.g., nursing history, observation, examination, communication with colleagues and chart review) to formulate realistic nursing diagnoses. Anticipates appropriate health care needs beyond acute care setting. 3) Performs a proficient ongoing assessment of assigned patients recognizing subtle changes in health status 100% of time. Recognizes changes that require immediate intervention. Anticipates consistently predictable changes in patient status. Determines frequency of observation based on an ongoing assessment. Furnishes physician and appropriate health team members with pertinent assessment data. Documents pertinent assessment data in a clear and concise manner. 4) For each assigned patient, the nurse will formulate a detailed, realistic plan of care specific to each patient's identified needs. Develops and updates a realistic plan of care with measurable and achievable goals 100% of the time. Upon identification of an actual or potential problem, the nurse promptly initiates a plan of care and updates per unit specific guidelines. Reassesses priorities and makes appropriate changes in plan of care with patient/family's input. Formulates realistic and attainable goals appropriate to the hospital setting and discharge needs. 5) Analyzes the psycho-social impact of illness & hospitalization on individuals and families 100% of the time Collaborates and negotiates with patients and families to arrive at an agreed upon plan of care. utilizes and communicates with physicians and interdisciplinary team members to establish goals. Incorporates psycho-social, spiritual and cultural needs into plan of care. 6) For each assigned patient the nurse will proficiently implement the individualized plan of care. Demonstrates proficiency in clinical nursing skills 100% of the time. Independently organizes own assignment and prioritizes plan of care accurately. Delegates aspects of care to other personnel consistent with job description and skill 100% of the time. Consistently initiates interventions to maintain a safe and therapeutic environment 100% of the time as evidenced by an absence of preventable incidents. Anticipates outcomes of physician orders and nursing actions and seeks explanation when in question. Demonstrates flexibility in care without deviating from FMC standards, procedures or policies. Responds consistently, to urgent and life-threatening situations with appropriate actions. 7) Provides formal and informal teaching relevant to health care needs of patients utilizing available resources 100% of the time. Ensures patients/families are informed concerning treatments, procedures and hospital policies and routines. Documents each phase of the learning process, reinforcing teaching and implementing change as needed. Considers patient/family's level of knowledge and readiness to learn. 8) Effectively implements and revises the disch