Job Shift: Rotate Job Type: Per Diem The Registered Nurse coordinates and provides safe care to patients utilizing the nursing process of assessment, planning, implementation and evaluation. The nurse directs and coordinates the care of assigned personnel. Performs charge duties as assigned. • Assessment • Identifies problems & implements appropriate interventions. • Assesses skin integrity and risk for falls each shift. • Assess patient’s response to medications & treatments. • Assessment completed per unit protocol. • Medication Administration • Medicates for pain per protocol. • Administers, transcribes & documents medications as per hospital policy. • Adheres to hospital P&P related to blood & blood products administration. • Documentation • Observes, collects and accurately records data utilizing nursing process. • Documents changes in patient status, reports to physicians & documents actions taken. • Completes admission & discharge form accurately. • Care Planning/Coordination • Develops written plan of care, incorporates teaching component & collaborates with interdisciplinary team. • Sets priorities for care of patients based on acuity and/or patient preference. • Coordinates tests, treatments, etc. with ancillary departments. • Initiates appropriate Evidenced Based Medicine tool. • Patient / Family / Staff Education • Identifies the learning needs of patient and/or significant other and/or family & initiates resources to meet these needs on admission. • Explains procedures & interventions & documents on the education tool. • Provides adequate information & instructions to the patient/family/significant other through-out hospitalization & discharge according to patient/families ability & willingness to learn. • State License Required upon hire • BLS Required upon hire • ACLS 90 days post hire date or transfer date to obtain • NIHSS 90 days post hire date or transfer date to obtain • CPI 90 days post hire date or transfer date to obtain • PALS 90 days post hire date or transfer date to obtain *BLS, ACLS, and PALS must be through the American Heart Association. #LI-JP1