Under the direction of the Charge Nurse, Patient Care Manager, Director, and Vice President of Patient Care, the Clinical Nurse (I - V) administers individualized age-appropriate patient care to the neonate, pediatric, adolescent, geriatric and adult patient according to the established nursing standards and Nurse Practice Act of Missouri.
Assesses Clinical and Psychosocial Patient Needs - • Accurately and thoroughly completes assessments. • Accurately reconciles and documents medications during care transitions. • Uses health information from a variety of appropriate resources. • Assesses safety needs based on age.
Establishes Patient Goals and Tracks Progress - • Provides problems for immediate attention. • Collaborates/consults with other members of the health care team and ensures that a collaborative care plan is up-to-date and based on assessment. • Documents patient progress toward goals/effectiveness of interventions.
Provides Patient-Centered, Outcomes-Focused Care - • Provides direct patient care within interpreted guidelines of the Practice Act of Missouri. • Incorporates new technologies to provide safe care. • Adheres to Medical Center policies/procedures for care. • Evaluates age specific/appropriate motor skills and psychological development. • Uses interview and communication techniques appropriate for age. • Uses equipment appropriately based on age and size of patient. • Identifies any unique physical and or emotional needs and determines what other support systems are required for care. • Practices evidence based nursing. • Is knowledgeable about the nursing quality scorecard and practice is based on understanding any initiatives/processes related to reach benchmarks. • Actively participates in the time out and "WHO" checklist. • Completes quarterly competency/education updates.
Educates and engages patients and their families - • Develops education plan based on patient/family knowledge deficits, diagnosis, treatment regimen and community support/resources. • Communicates with family/significant other during the surgical procedure and upon completion of the procedure.
Coordinates care with inter-professional caregivers - • Participates in clarifying and communicating medical information to patients, family and staff. • Is prepared and organized when discussing plan of care with the physician either by phone or in person.
Facilitates safe patient transition to next care setting - • Consistent with POC, plans for safe community transition in collaboration with appropriate inter-professionals. • Provides for a thorough verbal handoff to receiving entity. • Provide for accurate medication reconciliation.
Provides a Clean and Safe Patient Environment/Work Area - • OR Room organized, all equipment removed and stored in proper place to include x-ray aprons, positioning devices, etc. • All equipment/instruments stored in appropriate places in center core.