The Registered Nurse provides professional nursing care to a group of patients within an assigned Immediate Care unit of the hospital in support of medical care directed by physician(s). S/he is responsible to be clinically competent; deliver care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation; and effectively interact with patients, family members, and other healthcare staff while maintaining standards of professional nursing.
Duties & Responsibilities:
- Provide the initial individualized patient care based on standards of nursing care for patients through a written nursing care plan.
- Assess each patient on admission and on an on-going basis to determine patient needs.
- Note normal vs. abnormal data to recognize life threatening factors; biophysical needs and the patient’s ability to participate in his/her care; psychological, spiritual, and environmental needs; and risk and/or safety factors, limitations, and capabilities.
- Follow policy related to patients in restraints.
- Teach and learn needs in relation to the patient’s health status in anticipation of discharge.
- Administer prescribed medications and treatments in accordance with approved nursing techniques.
- Prepare equipment and aid physicians during treatment and examination of patients.
- Maintain awareness of comfort and safety needs of patients.
- Observe patients and record significant conditions and reactions. Notify supervisor or physician of patient’s condition and reaction to drugs, treatment, and significant incidents.
- Take temperature, pulse, blood pressure, and other vital signs to detect deviations from normal readings and assess the condition of the patient.
- Have 1:1 sessions with assigned patients and document meeting.
- Follow policy related to narcotic count.
- Respond to life saving situations based upon nursing standards, polices, procedures, and protocol. Remain calm and resourceful during crisis and emergency situations.
- Document nursing history and physical assessment for assigned patients.
- Initiate a patient education plan, as prescribed by the physician and/or hospital policy, considering the individualized needs of the patient, including patient and family instructions.
- Develop an individualized written plan of care as a measure of organizing patient care and as a communication tool.
- Identify measurable goals, share plan of care and goals with the patient, family members, and staff.
- Update and maintain the written plan of care via written instructions identifying nursing interventions required.
- Incorporate available services which are required to meet individual needs of the patient.
- Carry out physicians’ orders; make appropriate assignments and follow-up; set priorities; and perform basic nursing skills.
- Perform advanced nursing skills based on competency in practice determined by the skills inventory.
- Give shift reports.
- Any other duties as requested
Graduate of an accredited school of Nursing.
Licensed Registered Nurse in the state of Illinois.
Associates Degree in Nursing or related field. Bachelor's Degree a plus!
New RN graduates welcomed! One to two (2) years of experience in a medical/surgical unit a plus!
Registered Nurse Certified
Patient Health Questionnaires