Newbridge Health & Wellness
Location
Paramus, NJ | United States
Job description
Assessment, treatment and patient care responsibilities are delivered with a knowledge of patient growth and development and are appropriate to the ages of the patients served.
Identifies and documents initial observation and assessment of the patient's/resident’s needs for immediate nursing action within twenty-four hours of admission. Systematically and accurately assesses nursing needs of the patient in order to detect pertinent changes in the clinical picture. Identifies appropriate foci. Develops, plans, evaluates, and documents care based on this assessment. Assesses, intervenes, and documents appropriately to meet patient's educational, psychosocial, and discharge planning needs with other disciplines. Initiates appropriate referrals to other departments, services, and/or outside agencies for patient care. Gives comprehensive patient/resident care. Initiates and follows through with patient and family teaching. Consults with unit Nursing Leadership regarding significant changes in patient's condition. Collaborates with all members of the health care team to complete MDS/care planning in compliance with regulatory agency requirement. Communicates relevant patient care information on shift to shift report. Utilizes patient care standards in clinical practice. Documents pertinent information regarding patient's response to treatment, progression toward goals in patient's chart. Revises Plan of Care as indicated. Completes Admission/Transfer Summary Sheet and/or Discharge Summary. Transcribes physician's orders in patient chart accurately and timely. Seeks clarification of physician's orders that are unclear or inappropriate. Interprets clinical data, notifies the physician promptly if immediate changes in management are indicated. Administers intravenous medications in compliance with policies and procedures. Titrates medicated infusions as per physician's prescriptives, protocols, standard. Completes checks to ensure that emergency equipment is on hand and in good working order. Recognizes reports malfunction/failure of equipment used in the area to Biomedical Engineering takes appropriate action to repair/replace such equipment (e.g., ventilators, cardiac monitors, defibrillators, suction apparatus, pumps, Doppler, O2 tank, NIPP, & pacemaker). Checks that all monitoring equipment, ventilator alarms are set according to standards. Participates in patient care rounds by presenting findings on patients. Applies principles of infection control and safety. Assists in the orientation of new personnel. Provides clinical supervision of LPNs, CNAs, and other ancillary staff. Customer Service: respect, flexibility, knowledge, confidence, professionalism, pleasant attitude, patience, helpfulness. All responses should be timely, professional, caring, & respectful in accordance with Customer Service Performance expectations Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards. Assesses gaps in policies and procedures, and create necessary policies and procedures to fulfill these gaps. Understands and adheres to the Medical Center’s Code of Conduct. Familiar with the Medical Center’s Mission, Vision, and Values Statements. OTHER JOB DUTIESJob tags
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