Admission Nurse- Full Time

Holland Hospital•Holland, MI

1d•Onsite

About The Position

The Admission Nurse is responsible for the coordination, collection, and completion of documentation requirements upon patient admission. The Admission Nurse will utilize specialty training and resources to accurately gather information regarding the patient’s health status and currently prescribed medications. The Admission Nurse will advocate for the patient by supporting the development of an appropriate and meaningful plan of care. The Admission Nurse will work cooperatively and collaboratively with the assigned RN in maintaining standards for professional nursing practice and professional nursing performance in the clinical setting. The Admission Nurse is also accountable to practice in accordance with the Michigan Public Health Code Act 368 of 1978, Article 15 (Health Occupations), Part 172 (Nursing) and the Holland Hospital Professional Nursing Practice Handbook. The Admission Nurse must be able to demonstrate the knowledge and skills necessary to provide care and service appropriate to the age of the patients served in his/her area. STANDARDS OF PROFESSIONAL PERFORMANCE: Promotes patient safety by maintaining the policies and procedures of the hospital and nursing department, including maintaining the Patient's Bill of Rights. In addition, maintains the ANA Standards of Professional Performance including: Quality of Practice: Systematically enhances the quality and effectiveness of nursing practice. Education: Attains knowledge and competency that reflects current evidence-based nursing practice. Professional Practice Evaluation: Evaluates one's own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations. Collegiality: Interacts with and contributes to the professional development and training of peers, colleagues, and students. Collaboration: Collaborates with patient, family and others in the conduct of nursing practice. Ethics: Integrates ethical provisions in all areas of practice. Research: Integrates research findings into practice. Resource Utilization: Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing service. LEADERSHIP: Provides leadership in the profession and in the professional practice setting. NURSING PROCESS: ASSESSMENT and DIAGNOSIS Using the Clinical Practice Model (CPM)/Perioperative Nursing Data Sat (PNDS) where applicable)collects and documents comprehensive data pertinent to the patient's health or the situation. Assessments are thorough, timely and accurate and include but are not limited to the physiological, socio-cultural, safety and spiritual needs of patients (including significant other). Demonstrate ability to use critical thinking skills to analyze assessment data to determine the pertinent diagnosis or issues. Responds appropriately to changing needs of patients, including response to emergency/life threatening situations. OUTCOMES IDENTIFICATION / PLANNING Identifies expected outcomes for a plan individualized to the patient or situation. Develops and documents an individualized plan of care which incorporates the patient's significant other as appropriate and that prescribes strategies and alternatives to attain expected outcomes. Identifies initial discharge planning needs. IMPLEMENTATION Functions as advocate for patient/significant other. Demonstrates ability to prioritize and adjust priorities based on patient/unit needs. EDUCATION Demonstrates ability to optimize patient learning through evaluating a patient's learning abilities in the pre-teach summary, developing an individualized teaching plan, and carrying out the education of the patient as it relates to ADT functions. ADMISSION DOCUMENTATION AND PROCESS The Admissions Nurse will assure that pertinent patient specific information is accurately collected and documented in the Electronic Medical Record. Obtains and documents historic health and medication history in a timely manner. Uses all available resources to accurately obtain medication history using available resources. Documents historic health history, vaccination status, and other requested information. Utilizes collected information to support the creation of an effective Nursing Plan of Care. Collaborates with Nursing, Medical/Advanced Practice Providers, and Ancillary staff to improve patient care Ensures safe patient care at all times.

Responsibilities

Coordination, collection, and completion of documentation requirements upon patient admission
Accurately gather information regarding the patient’s health status and currently prescribed medications
Advocate for the patient by supporting the development of an appropriate and meaningful plan of care
Work cooperatively and collaboratively with the assigned RN in maintaining standards for professional nursing practice and professional nursing performance in the clinical setting
Practice in accordance with the Michigan Public Health Code Act 368 of 1978, Article 15 (Health Occupations), Part 172 (Nursing) and the Holland Hospital Professional Nursing Practice Handbook
Demonstrate the knowledge and skills necessary to provide care and service appropriate to the age of the patients served in his/her area
Promotes patient safety by maintaining the policies and procedures of the hospital and nursing department, including maintaining the Patient's Bill of Rights
Maintains the ANA Standards of Professional Performance
Collects and documents comprehensive data pertinent to the patient's health or the situation
Identifies expected outcomes for a plan individualized to the patient or situation
Functions as advocate for patient/significant other
Optimize patient learning through evaluating a patient's learning abilities in the pre-teach summary, developing an individualized teaching plan, and carrying out the education of the patient as it relates to ADT functions
Assure that pertinent patient specific information is accurately collected and documented in the Electronic Medical Record
Obtains and documents historic health and medication history in a timely manner
Utilizes collected information to support the creation of an effective Nursing Plan of Care
Collaborates with Nursing, Medical/Advanced Practice Providers, and Ancillary staff to improve patient care
Ensures safe patient care at all times