Special Care Unit – RN 36 hrs/wk
Job Summary: Delivers quality nursing care according to the standards within the ANA Standards of Clinical Practice and Maine Nurse Practice Act. Demonstrates competence in nursing assessment, diagnosis, planning, implementation and evaluation. Exhibits leadership skills and teamwork. Promotes patient advocacy and supports learning needs of staff and students. Collaborates with other disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Supports the organization’s vision and mission. Utilizes knowledge of patient’s age and culture in provision of patient care. Maintains organizational and unit requirements. Promotes a collaborative and cooperative environment with emphasis on customer service.
- Completes admission assessment and recognizes actual and potential health problems.
- Admission assessment completed within 8 hrs. of admission (provisions made/documented.)
- Completes nursing assessment on assigned patients promptly and adequately, within an hour, to ensure patient safety and continuity of care.
- Continuously assesses patient response to illness intervention, use of critical thinking to problem solve. Document completely and accurately.
- Interprets clinical and diagnostic data with evidence of recognition of deviation from norm. (Differentiates between clinically significant and insignificant data.) Expedite intervention.
- Takes appropriate action when assessment and/or lab and diagnostic data is abnormal or significant.
- Prioritize individual patient needs, and documents care provided to patient.
- Initiates problem list and adjusts as patients needs change, within 24 hours of admission, adjust problem list as goals are met and/or new problems occur.
- Supports multidisciplinary involvement in the plan of care, communicates with case manager and other disciplines addressing patient needs, problems, and response to interventions. Document interactions.
- Demonstrates a systematic approach to care and treatment, consistently demonstrates and documents a logically planned sequence of actions and activities to expedite intervention.
- Administers care according to established nursing standards and hospital policy, actions reflect use of critical thinking, knowledge of nursing science and good judgment.
- Completes medically ordered interventions, follows orders when appropriate, withholding actions on questionable orders when seeking clarification in a timely manner. Collaborate with charge level RN/supervisor to seek clarification.
- Accountable for safe administration of medication and IV therapy according to nursing standards and hospital policy. Administered accurately, following the “5 rights” and any safe medication practices implemented. Patient response observed, reported, and documented. Site observed and site care given as per policy, document appropriately.
- Recognizes adverse/critical changes in patient condition and acts appropriately to initiate intervention. Administers supportive care until help arrives, or orders received. (Demonstrates correct use of paging and fire alarm system. Able to function (unless
- Recognizes patient Bill of Rights, treating all patients with respect, and compassion.
- Ensures that informed consent is obtained prior to procedures, evaluate patient understanding, concerns and issues relating to age, culture medically exempt) as an effective member of the code team.
- Maintain a current professional Maine registered nurse license with no lapse in re-licensing
- Maintains current BLS, and ACLS.