As a member of the interdisciplinary team, contributes professional nursing knowledge and skills in the provision and management of care to patients through the application of the nursing process.
- Assesses patient's status through interview, observation and physical assessment of actual problems and outcomes.
- Develops an individualized plan of care using a collaborative approach with the patient/family and health care team.
- Uses appropriate interventions identified in the plan of care to achieve expected patient outcomes.
- Systematically evaluates and documents patient's progress toward expected outcomes/goals on an ongoing basis throughout the shift.
- Modifies plan of care based on evaluation and as needed based on changes in patient condition.
- Completes required documentation as appropriate, including patient chart and event reports.
- Demonstrates professional accountability for own practice as evidenced through seeking resources and continued self-development.
- Demonstrates technical knowledge of equipment and troubleshoots when problems arise.
- Acquires and maintains current knowledge and skills in evidence-based nursing practice.
- Promotes the professional development of self and team members.
- Shares clinical knowledge through informal teaching and in response to the learning needs of others.
- Demonstrates a practical problem-solving approach to patient moving and handling issues (as applicable).
- Demonstrates skills to promote patient and staff safety through appropriate use of lift equipment (as applicable).
- Possesses knowledge and skills necessary to obtain adequate lab specimens for testing.
- Performs patient bedside lab testing and associated quality control in compliance with medical provider's orders and hospital lab procedures/policies.
- Coordinates the interdisciplinary care of the patient through collaboration with team members and utilizes additional resources when necessary.
- Analyzes clinical situations in a systematic way and acts to obtain resources or correct problems to meet or exceed expected outcomes or patient needs.
- Recognizes need for assistance and utilizes resources, including physician and nurse to nurse (UAT) consultation in a timely manner.
- Collaborates with the health care team in the organization of tasks and activities for the patient's care from admission to discharge according to the plan of care and to meet identified expected outcomes.
- Takes cultural, age-specific, gender, and developmental factors into consideration when teaching patients about procedures, illness, hospital experience, etc.
- Ensures patient safety in the hospital environment by following policy/procedures and adhering to National Patient Safety Goals.
