Registered Nurse (RN)-Acute Care, Surgical Telemetry, FT, Night

Prisma Health•Greenville, SC

7d•Onsite

About The Position

Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient/family centered care. Demonstrates clinical competency utilizing evidence-based practices/research in all areas of the nursing process: assessment, planning, implementation, evaluation and outcomes. Incorporates knowledge of safety protocols, cost containment and quality improvement throughout the nursing process. Identifies patient, unit and organizational priorities and incorporates into the nursing process. Adheres to all compliance and policy/procedures of the organization including, but not limited to licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration. Demonstrates knowledge of regulatory agency requirements (TJC, SC DPH, CMS). Provides care within the scope of the Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work. The Surgical Telemetry Unit (STU) is a 30-bed unit caring for a diverse, adult patient population. Patients on the Surgical Tele have health issues primarily requiring surgical interventions but there is also a subset of medical diagnoses. Diagnoses include but are not limited to the treatment for bowel obstruction, GI bleed, Cancers in need of surgical intervention, traumatic injuries, general surgery populations as well as medical diagnoses of sepsis, Cardiac telemetry needs, renal failure, and diabetic emergencies. Strong collaboration and teamwork between physicians, nurses, nursing assistants, therapy, case management and social work is encouraged to optimize patient care. All nursing staff on Surgical Telemetry must be trained in telemetry monitoring, stroke care, and must be or obtain ACLS certification upon hire.

Requirements

Associate degree in Nursing.
One (1) year experience as a registered nurse.
Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.
All nursing staff on Surgical Telemetry must be trained in telemetry monitoring, stroke care, and must be or obtain ACLS certification upon hire.

Nice To Haves

Bachelor's degree in Nursing preferred.
In lieu of one (1) year of registered nurse experience, will accept successful completion of the Prisma Health Nurse Residency Program or successful completion of a comparable residency from another organization.
In lieu of one (1) year of registered nurse experience, will accept 1 year of licensed practical nurse (LPN) experience for internal candidates within the same service line.
In lieu of Associate degree in nursing, will accept nursing diploma with licensure to practice as a registered nurse.

Responsibilities

Collects data and completes nursing assessment utilizing appropriate area and/or age specific standards/policies and tools.
Completes appropriate forms.
Assesses and recognizes subtle or actual changes in patients' status and patient response to intervention.
Identifies nursing priorities for patient plan of care based on nursing assessment and other data as appropriate.
Validates these priorities with healthcare team members and documents appropriately.
Develops an individual plan of care based on the age and assessed needs of the patient.
Develops the plan in collaboration with the patient and/or family, the provider, and other members of the interdisciplinary health care team.
Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team.
Identifies realistic and measurable goals and outcomes to be attained prior to discharge.
Validates these with the patient and/or family.
Demonstrates respect for the patient's/family cultural, spiritual, and belief system in planning for care.
Includes planning for discharge to assure continuity of care and a smooth transition post discharge from one level of care to another including appropriate referrals.
Provides direct care to assigned patients consistent with the established nursing plan.
Performs specific tasks based on organizational, departmental and/or unit policies and procedures within the RN scope of practice.
Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate) and ensures completion of assigned tasks.
Monitors quality of care delivered on a continual basis; ensures appropriate surveillance of assigned patients.
Provides care based on patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing resources internal and external to the unit.
Incorporates cost containment principles into nursing care.
Utilizes appropriate technology in daily practice.
Assumes responsibility for patient safety by maintaining a safe environment to include awareness of safety procedures, protocols and adherence to patient care standards.
Utilizes performance indicators to collect data, monitor quality and effectiveness while providing nursing care.
Completes assigned hospital/unit performance improvement monitoring (audits).
Based on assessment/reassessment of patient response to interventions, evaluates plan of care for effectiveness, documents progress toward expected outcomes, and revises plan of care as needed.
Reports changes in patient condition and refers unresolved problems to appropriate healthcare team members.
Discusses outcomes with peers (via shift-to-shift report) and with other healthcare team members.
Evaluates opportunities for quality improvement; based upon evaluation, incorporates performance improvement recommendations into the plan of care as appropriate.
Identifies/assesses patient/family learning needs and teaches accordingly by using language and terminology that the patient/family is familiar with providing examples to clarify ideas, implementing and evaluating teaching plan (encourages patient/family involvement/participation).
Computer resources and Micromedex utilization
Communicates the patient/family's need for education/teaching to others in the healthcare continuum.
Evaluates own nursing practice in relation to professional practice standard guidelines, state statutes, policies, procedures, rules/regulations and current specific knowledge.
Takes personal accountability for maintaining competency through education and professional activities.
Maintains professional licensure and completes required mandatory education in a timely manner.
Reflects on identified areas of strength that offer opportunity for improvement.
Ensures that written documentation and oral communication focuses on pertinent information to support meeting patient/family care needs.
Serves as the patient's advocate and coordinator of care, working collaboratively with providers and other members of the healthcare team.
Performs other duties as assigned.