Administers culturally sensitive nursing care to assigned patients that is in accordance with ANA standards, the NJ Practice Act, Joint Commission, professional standards and established hospital and Nursing Department policy and procedures in accordance with evidence based nursing practice. Utilizes the Nursing Process in providing patient centered care. Evaluates the effectiveness of nursing care through the analysis of nurse sensitive indicators and patient outcomes. Orientation will include satisfactory completion of IV Course and CPR Certification. A patient focused care model utilizing a multidisciplinary approach is used as the method to deliver patient care.
Provides considerate respectful care focused upon the patient's individual needs to ensure patient satisfaction. Affirms the patient's right to make decisions regarding his/her medical care, including the decision to discontinue treatment, to the extent permitted by law. Successfully completes life-span education as appropriate. Obtains a complete nursing history and baseline assessment that is systematic, consistent and continuous. This assessment is communicated effectively utilizing Hand-off policy and documented.Documents results of patient assessment, nursing diagnosis, care plan nursing interventions and evaluation and patient progress in medical record according to hospital/nursing policy and the Nursing Standards of Care/Practice for the specific patient type. Appropriately analyzes patient information /assessment to determine nursing diagnosis and needs for appropriate nursing care, medical intervention or services of other clinical professionals.Identifies patient problems and formulates nursing diagnosis according to physical, psychological, spiritual/cultural and educational needs in conjunction with a multi-disciplinary approach. Consistently includes patient and family in the development of an individualized plan of care. Administers medication as needed following CSHS policies and manufacturer's instructions. Takes immediate and appropriate actions in the event of a medication variance occurrence. Recognizes changes in patient condition and/or emergencies situations and takes immediate and appropriate actions.Participates in unit conferences to discuss quality issues and quality improvement strategies.Delegates components of care to non-professional caregivers as appropriate. Follows up on any delegated components of care and assignments given. Make decisions that demonstrate knowledge of nursing practice; utilizes sound nursing judgment in clinical and patient care management situations. Demonstrates critical thinking skills in the care of patients and in the coordination of care to assure the best patient outcomes. Follow CSHS Pain Assessment policy. Successfully functions as a Resource Nurse, making decisions in the absence of the Clinical Leader and/or the Nurse Manager. Supports cost containment through efficient use of equipment, supplies and other pertinent resources. Recognizes adverse reaction to medications and takes immediate and appropriate action.Evaluates the patient's needs for discharge and accesses appropriate resources for the patient and/or family. Consistently provides written and verbal education to patients and/or families. Successfully functions as a preceptor/mentor to students and new staff members. Consistently promotes teamwork within the unit and between departments. Consistently adheres to hospital policy regarding the insertion, maintenance and removal of foley catheters.
Education:Bachelors Degree in Nursing preferred.Work Experience:Related experience preferred.Licenses and Certifications:RN license/NJ required.BLS certification required.ACLS certification to be achieved within First Year then maintained thereafter.Successful Completion of Basic Dysrhythmia course to be achieved with First Year.CSMC IV Certification to be achieved within First Year.Stroke Education requirements to be achieved within First Year then maintained thereafter.Specialty professional nursing certification preferred.Required Knowledge and Skills:Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team.
Working Conditions:Works in a normal hospital environment with frequent exposure to sick or injured patients.Exposure:Daily potential for exposure to blood and/or body fluids.Physical Demands:Sitting - RarelyStanding/Walking Continuously Kneeling/Stooping - Occasionally Bending/Climbing - OccasionallyReaching above shoulder, at waist or below waist - OccasionallyLifting/Pushing or Pulling up to 40 pounds - OccasionallyLifting/Pushing or Pulling over 40 pounds - RarelyTyping/Filing - FrequentlyReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.