R.N.-Urgent Care in Geneseo, New York at Noyes Memorial Hospital

MAIN FUNCTION:

Provide nursing care to patients using the nursing process and current standards of nursing practice.

REPORTS TO: Clinical Nurse Manager or Clinical Nurse Director

DUTIES AND RESPONSIBLITIES:

Practice:

1. Practice the philosophy, policies, procedures and quality standards of the Patient Care Service Line and Unit according to the Mission, Vision, and Values of Noyes Health.
2. Utilize the elements of the nursing process with a holistic approach in the provision of patient care throughout the patient’s healthcare experience. This includes, but are not limited to;
3. Formulate a goal-directed plan
4. Evaluate the progression toward the goals and revise the plan accordingly
5. Consider the discharge planning needs and initiate the appropriate consultations
6. Assure the implementation of safety practices
7. Promote patient advocacy
8. Assure a customer-focused culture by anticipating the needs of both internal and external customers.
9. Deliver service that meets or exceeds the customer’s expectations and needs
10. Collaborate with the physician to establish a multidisciplinary plan and approach, ensuring the physician’s orders are carried out an evaluated
11. Plan and prioritize nursing interventions and interpret the nursing care plan for others caring for the patient.
12. Supervise the LPN and/pr PCP/CNA while promoting team spirit.
13. Assure infection control standards are met through the use of standard precautions and adherence to pertinent policies and procedures.
14. Administer and record all medications according to policies and procedures.
15. Respond to emergencies according to protocols. Assure emergency equipment is readily available and in working order by performing shift checks.
16. Complete the unit and role-specific competencies.

Performance Improvement:

1. Assist with identifying, analyzing, implementing, and evaluating quality improvement activities for the department by being involved with problem solving, conducting PI studies, and committee involvement, as needed and as assigned.
2. Promote communication and information dissemination regarding quality improvement changes (e.g.: unit meetings, annual competencies).
3. Assist in the review and revision of policies and procedures ( In collaboration with the Quality department, Infection Control, Unit Leaders, and the VP for patient Care, maintain constant readiness for the Joint Commission and New York State Department of Health Surveys.
4. Initiate the completion of incident reports, occurrence reports, and investigations. In collaboration with the Manager, Director and VP of Patient Care, implement corrective action.
5. Report Patient complaints to the appropriate individuals and participate in the resolution of the problems.

Communication:

1. Always communicate in a professional manner.
2. Obtain and interpret patient information and communicate with all members of the healthcare team as appropriate. Report pertinent observations, symptoms and changes in condition to the Charge Nurse, Supervisor, Provider, and/or Manager/Director as appropriate.
3. Documentation to policies in multidisciplinary medical records. The record must include, but is not limited to
4. Observations and Problems*
5. Actions and Treatments*
6. Patient’s Response/Results*
7. Patient Teaching and Discharge Planning*
8. *All entries must be dated and timed with signatures or initials, per policy.
9. Report all aspects of patient care to subsequent healthcare team members when shifting care to another provider (e.g.: transfers and shift changes).
10. Attend and participate in staff meetings on a regular basis.

Education/Professional Growth:

1. Teach the patient and family/SO, both formally and informally, regarding the disease process and therapeutic regime(s). Assess patient’s underlying knowledge, barriers to learning and learning support system. Adapt teaching methods to best meet the learning needs of the patient and family/SO.
2. Assume responsibility for own clinical competence and professional growth by attending related in-services, workshops and conferences. Share knowledge gained to promote the use of new ideas and skills learned. Complete unit and role specific mandatory requirements (e.g.: ACLS, PALS, NRP).
3. Participate in unit-based professional growth/development and orientation of new staff.
4. Serve as a professional role model for nursing students.

Resource Utilization and Efficiency:

1. Participate in economical utilization of supplies.
2. Assure safe use of equipment by following the manufacturer’s instructions for use. Remove malfunctioning equipment from service and report to initiate repair/replacement process.
3. Strive to enhance personal organizational skills and unit-based efficiency to optimize constructive use of resources.
4. Perform additional duties as assigned.
5. Respond to hospital codes as assigned.

EDUCATION: Graduate of an approved School of Nursing with a permit or license to practice in New York state required. Specialty certification per unit requirements or completion within one year of employment.

EXPERIENCE: Previous staff nursing experience desirable.

CONTACTS: Frequent with patients, families, physicians, and other hospital personnel. Regular with clergymen and visitors.

PHYSICAL DEMANDS: Standing and walking most of the day, pushes, pulls, reaches and lifts medium and heavy weights. Frequent physical effort with weights greater than 25 pounds.

WORKING CONDITIONS/HAZARDS: Exposed intermittently to disagreeable odors and bodily wastes, psychological stresses of caring for seriously ill or dying patients. Exposure to communicable diseases, back strain and minor injuries from cuts, possibility of being injured by disoriented patients.