Job Description

Location/Department: Hospital - Med Surg

PRN

To provide nursing care to Med Surg patients for all age populations.

Supervisory Responsibilities: None

Duties/Responsibilities:

• Uses only approved abbreviations.
• Understands patient safety goals & actions taken.
• Demonstrates awareness of patient rights.
• Uses 2 patient identifiers before giving treatments, demonstrates process.
• Understands read back of verbal orders/critical lab values & can state process.
• Understands procedure to clarify physician orders.
• Uses standing orders when indicated.
• Accurately calls report to MD as warranted by condition; reports to other providers as needed.
• Reports sentinel events or adverse drug reactions or incidents as warranted.
• Uses final verification before invasive procedures & can verbalize correct process & documents in EHR.
• Reassesses patient in response to changes in condition after intervention as needed & documents in EHR.
• Communicates with & provides education to patients, caregivers, & family members in a timely manner (using respect & dignity when dealing with death & dying) & documents in EHR.
• Initiates care plans within 8 hours of admission & updates on a daily basis.
• Uses aggressive pain management by assessing for pain a minimum of every 2 hours & documents in EHR.
• Provides education to patients & family & documents in EHR in a timely manner.
• Admits patients to unit within 2 hours of arrival to include: physical, functional, skin, safety & pain assessments & documents in EHR.
• Transfers patients using the appropriate criteria & documents in EHR, includes sending the necessary forms with patient & calling report.
• Provides basic nursing care: ADLs, HS care, foley care, weights, etc. correctly & timely & documents in EHR.
• Applies physical restraints according to policy.
• Uses MET team in response to deterioration in patient condition.
• Knowledgeable of high-risk meds & can state correct process of administration.
• Knowledgeable of look alike/sound alike meds & can give examples of such.
• Administers narcotics timely as ordered & assures correct documentation & counts.
• Can indicate process of obtaining meds after hours & which meds can be given before reviewed by pharmacy.
• Understands what meds can be given by what discipline & can state examples.
• Uses appropriate techniques when administering meds which require calculations.
• Maintains security of narcotics/drugs by keeping drawers locked & keys (if applicable, in possession of staff at all times).
• Uses Omnicell to obtain, waste & return medications.
• Demonstrates proper use of bar code scanning.
• Processes instruments per protocol & can state process.
• Cleans patient care items as needed & keeps room clean & tidy.
• Knows how to check for negative pressure in isolation rooms.
• Checks crash cart according to policy.
• Places Peds sensors on correctly & documents in EHR.
• Uses IV pumps with all IVs & labels correctly.
• Aware of door alarms & security methods of MS/SCA.
• Restocks supplies when needed to PAR levels.
• Identifies patients as fall risk, follows protocol & documents in EHR.

Required Skills/Abilities:

Strong customer service skills & team player

• Effectively communicates both verbal & written
• Able to multi-task & prioritize
• Able to perform basic nursing skills
• Able to operate basic office equipment & medical equipment (IV pumps, automated medication delivery devices)
• Must be able to supervise nursing assistants

Education and Experience:

• Minimum Associate’s degree in nursing, Bachelor’s degree preferred
• No work experience required.
• Must be licensed as a Registered Nurse in the state of Indiana.

Physical Requirements:

• Constant walking, standing, talking & use of hands; frequent reaching.
• May need to lift up to 25 lbs; occasionally up to 50 lbs