Interviews patient and/or family to obtain data for nursing assessment; records and reports data;
Utilizes assessment data to formulate nursing diagnosis;
Applies knowledge of normal parameters; identifies deviation from normal, obvious patient problems, symptoms, and/or behavioral changes; reports these to the appropriate authority;
Makes observations about physical, psycho-social, cultural, learning needs, and response of patient and families; documents in a clear, concise manner.
Planning
Identifies patient care problems and establishes priorities for care based on nursing and medical diagnosis;
Understands goals and plans of care for the typical patient population;
Initiates a patient care plan and collaborates when appropriate;
Contributes to the revision of the initial patient care plan dependent upon the changing needs of the patient;
Contributes to the development of unit standards of care;
Plans patient teaching activities
Implementation
Establishes priorities and gives nursing care based on the patient care plan;
Implements the patient care plan;
Seeks supervision and guidance in further developing nursing skills, in performing procedures not yet mastered, and/or in functioning in unfamiliar situations;
Accepts accountability for all nursing care provided;
Monitors compliance with safety standards and care protocols for self and others;
Records nursing care given and patient's response to care;
Assists in coordinating the activities needed to implement the patient care plan;
Participates in implementation of patient discharge plan;
Teaches patient and families;
Complies with external and internal regulations pertaining to nursing practice; recognizes legal and ethical duties and responsibilities of registered nurses;
May participate in research projects.
Evaluation
Evaluates the patient's response to care provided;
Communicates evaluation outcomes;
Evaluate teaching provided by self and others;
May be assigned as a Disaster Service Worker (DSW), as required*;
Performs other related duties, as required.
Requirements :
An active California Registered Nurse License without restrictions;
and
One (1) year, within the last three (3) years, of full-time Registered Nurse (RN) experience in an accredited acute care hospital setting.
and
One (1) year of full-time RN experience, within the last three (3) years, in the Medical Surgical nursing specialty area in an accredited acute care hospital setting.
Possession of a Bachelor of Science in Nursing (BSN) is preferred.