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RN II


AHMC Healthcare


Location

Whittier, CA | United States


Job description

Responsibilities

 

Performance Standard

Assessment:

§ Performs appropriate nursing history and physical upon admission and ongoing basis.

§ Collects and documents patient data.

§ Interviews patients and significant others and completes a history documentation.

§ Documents signs and symptoms that indicate actual and potential problems.

§ Incorporates information in the written assessment from families/significant others and members of the health care team.

§ Assesses safety of the patient care environment.

§ Documents patient/family teaching needs in the patient care plan.

Planning:

§ In conjunction with the patient and family, develops individual patient care plan.

§ Identifies short and long term goals, including discharge planning consistent with established patient care.

§ Documents patient problems and goals requiring intervention, including teaching needs and discharge planning.

§ Provides continuity of care by communicating the plan of care and diagnostic data through the shift report, in accordance with the unit’s guidelines.

§ Involves family members and other health care team members in the development of the plan of care as able and appropriate.

§ Revises the initial patient care plan to the changing needs of the patient.

Implementation:

§ Provides direct nursing care based on the plan of care and established priorities.

§ Sets priorities and gives nursing care based on the patient’s needs.

§ Implements the medical care plan as delegated.

§ Follows through with care plan established by other health team members (i.e., P.T., O.T., Speech, etc.).

§ Writes patient discharge plan and makes appropriate referrals.

§ Delegates and guides aspects of care to appropriate personnel based on level of acuity and individual patient needs.

§ Coordinates the activities of other disciplines of the health team to implement the individual care plan.

Evaluation:

§ Evaluates and documents the patient/family response to nursing interventions related to the stated goals and the overall effectiveness of the care plan.

§ Revises plan of care based on evaluation.

§ Documents the response of the patient to the medical care plan.

§ Documents the response of the patient to nursing interventions.

§ Recognizes alterations in physiological and psychosocial status.

§ Collaborates with other members of health care team to revise the patient care plan according to changing needs of the patient.

§ Documents revision of the goals and plan of care to meet the changing needs of the patient.

Customer Service

§ Consistently strives to implement the unit’s customer service standards and to exceed the expectations and satisfaction levels of patients, families, physicians and other customers.

§ As observed, all interactions are conducted in a professional manner; is supportive and consistently demonstrates the Target 100 standards.

§ Unit surveys consistently meet or exceed hospital benchmark.

§ Verbal and written feedback from patients, family members/significant others, medical staff, visitors and co-workers indicates behavior conducive to positive guest relations.

§ Consistently exhibits appropriate phone protocol (e.g., answers phone promptly, is courteous and helpful).

§ Interacts with other departments for problem resolution and quality patient care.

§ Maintains a quiet, therapeutic environment in the immediate patient care areas, including at the nursing station.

§ Makes rounds to assigned patients; anticipates patients’ needs and answers/responds to the patients’ call lights or paging promptly.

Performance Improvement

§ Serves as a role model in implementing the PDCA (Plan, Do, Check, Act) methodology.

§ Consistently works to improve identified unit-specific problems.

§ Consistently works to improve identified hospital-wide system problems.

§ Uses established systems to document occurrences.

Professional conduct

 

§ Employee has the willingness and ability to perform additional duties and responsibilities in different areas of the unit on an as-needed basis or as determined by management.

§ Follows attendance and all other established hospital and department policies.

§ Demonstrates the philosophy of the team concept.

§ Participates in staff meetings with suggestions that enhance the work environment and increase productivity.

§ Communicates well with supervisor, reporting problems with equipment, supplies or procedures.

§ Requests assistance as appropriate.

§ Complies with all safety and infection control standards.

§ Maintains confidentiality as related to job responsibilities.

§ Exhibits willingness to resolve problems as they arise.

§ Consistently projects positive professional image through appearance and behavior.

§ Attends 75% of staff meetings or reads and initials minutes.

§ Completes assigned work within shift.

§ Complies with time and attendance policy (i.e., KRONOS).

Professional growth and development

§ Completes Annual Updates and Ethics Training within established time frames.

§ Completes general and departmental orientation within established time frames.

§ Attends 80% of unit staff meetings and inservice programs.

§ Maintains licensure/certification as appropriate.


 

Qualifications:

 

A. Minimum Education:

B. Minimum Experience: One year acute care RN experience preferred.

 

C. Required Certification/Registration: Current California R.N. license, BLS and PALS required.



Job tags

Full timeTemporary workImmediate startShift work


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