Staff Nurse - 4 Medical (Med/Surg/Tele) - FT Night
Job Description: Overview : Contributes to the provision of high-quality, cost-effective healthcare as a provider of direct and indirect patient care and by effective of the health care team. Functions as a competent member of the health care team. Clinical Decision Making/Judgment Demonstrates clinical nursing knowledge and skill in the specialization of the unit. Demonstrates the ability to apply the nursing process effectively in the care of culturally diverse patients and families. Demonstrates the ability to utilize all applicable laws, policies, standards, guidelines and evidence-based practice in the provision of patient/family care. Organizes and reprioritizes patient care activities based on subtle and overt and/or environmental changes. Consistently and thoroughly assesses patients to collect data and identify learning needs according to established standards and policies. Utilizes a systematic, continuous and complete analysis of assessment data to develop individualized problem lists for assigned patients. Develops and individualizes a plan of care for each patient in accordance with established standards, appropriate prioritization of problems/needs, and mutually agreed upon goals. Efficiently implements the patient's plan of care in accordance with applicable standards, policies, procedures and guidelines. Demonstrates proficiency in medication administration, pain management and other unit or initiative specific skills. Continuously evaluates the effectiveness of the plan(s) of care, making revisions and recommendations based on analysis of patient responses to interventions. Nurse-Patient Family Relationships Demonstrates the ability to assess the patient's/family's learning needs, readiness to learn, learning style, and presence of barriers to learning. Demonstrates the ability to develop, implement and evaluate teaching plans for patient populations in unit specialty in accordance with applicable standards. Demonstrates the ability to apply knowledge of growth and development across the life span to the care of patients. Provides direct patient care to patients and families in a culturally, developmentally and ethically appropriate manner. Plans of care address the physical, psychosocial, spiritual and learning needs of the patient/family. Clinical Scholarship Participates in QI, CPI and risk management activities at the unit, department or organizational level. Demonstrates the ability to effectively perform and improve all processes in order to achieve excellence with regard to AAMC 's quality standards and benchmarks. Supports the use of evidence based guidelines and organizational policies and procedures to promote safe patient care and a safe practice environment. Clinical Leadership Participates in unit shared governance according to departmental standards. Participates in the education and orientation of new staff. Delegates patient care activities as appropriate; evaluates delegated activities for expected patient care outcomes. Employs real time computer documentation when completing patient record. Unit Specific Responsibilities Provide nursing care to the adult medical patients ranging in age from 18 years to the elderly. Demonstrates the ability to utilize telemetry as an assessment tool and manage the patient care during a dysarrythmic episode. Identifies and treats the following nursing diagnoses that frequently occur in the medical population:Activity intoleranceImpaired adjustmentImpaired physical mobilityPainSelf care deficitAlteration in eliminationPotential for impaired gas exchanges in pulmonary systemOther diagnosis as identfiedRisk for: peripheral neurovascular dysfunction; ineffective coping: impaired skin integrity; for infection. Helpful: Telemetry experience highly desirable. Competency in telemetry monitoring will be required within 6 months of hire. Training and testing will be provided. Required Education: Graduate of an accredited school of nursing. Preferred Education - Bachelors Nursing Required Certification - American Heart Association HealthCare Provider BLS Required Licensure - Registered Nurse license Required Minimum Experience/Qualifications : Current licensure as a registered nurse by the Maryland Board of Nursing. Adherence to the credentialing requirements of AAMC as stated in the nursing bylaws. Physical Requirements: Very heavy work: Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. If serving as a bilingual/multilingual interpreter, certification in Medical Interpretation is required to perform the duties of a qualified interpreter.