Per Diem Registered Nurse (RN), Medical/Surgical Float Pool

RWJBarnabas Health•Livingston, NJ

54d•$65 - $75

About The Position

The Registered Nurse (RN) organizes and administers individualized age-specific professional care to patients within an assigned unit of the hospital in support of medical care. Supports the philosophy, objectives and the mission and vision of Saint Barnabas Medical Center and the Department of Nursing. Practices in accordance with the State Nurse Practice Act, American Nurses Association Standards of Practice, Code of Ethics for Nurses, Department of Health Regulations, TJC requirements and other regulatory agencies. Participates in patient teaching and discharge planning. Participates in unit Performance Improvement evaluation activities Actively participates in discharge planning and upon discharge ensures a written teaching discharge plan has been developed for assigned patients concerning disease process, complications, medications, diet physical activity and self-care needs.

Requirements

Must be a graduate from an accredited school of nursing
Successful completion of all orientation requirements
Current Registered Nurse License in the state of New Jersey
Basic Life Support through the American Heart Association

Nice To Haves

Bachelor of Science Degree in Nursing

Responsibilities

Appropriately delegates but remain ultimately responsible
Assumes charge nurse functions as delegated by the Nurse Manager, including assessing staffing needs, organizing and delegating work assignments based on patient acuity and individual staff skill levels
Completes daily patient classification according to facility policy
Completes unit-based competencies as per JCAHO requirements and hospital policy
Attends competency day and completes all required competencies in a satisfactory manner
Remains knowledgeable on all current nursing policies and procedures
Complies with Medication Reconciliation Policy Complies with unit and departmental scheduling guidelines Delivers individualized patient care consistent with established standards of care, policies and procedures and other regulatory standards
Demonstrates positive guest relations by introducing self to patient and family
Orients patient and family to the nursing unit
Takes all appropriate measures to ensure patient satisfaction and the availability of the patient representative
Reports patient family problems to the nurse manager or her designee in a timely manner
Demonstrates proficiency of phlebotomy sticks based on established policies and procedures
Demonstrates understanding of states blood administrative hospital procedure
Complies with blood and blood product administration policy
Determines the effectiveness of patient care through patient interviews, assessment and patient compliance to the plan of care and adjusts patient care to meet changing needs
Formulates and revises plan of care for assigned patients based on patient problems, patient age, nursing intervention, and specific outcomes
Identifies the patient's significant other needs for patient education and provides education utilizing appropriate educational modalities
Uses an understanding of the principles of growth and development to assess each patients age-specific needs and provide specific treatment and care
Initiates IV sticks, maintains IV sites and monitors IV fluids
Provides IV care and documents using established policies and procedures
Initiates or participates in continuous interdisciplinary quality improvement activities for the patient or department
Maintains complete, accurate, concise documentation of patient status, nursing interventions and patient responses within tour of duty
Documents medications in accordance with nursing policy
Maintains the role of patient advocate and takes all appropriate measures to ensure patient safety
Uses good nursing judgment
Provides privacy and confidentiality and exhibits tact and compassion at all times regardless of circumstances
Activates the chain of command when appropriate, on behalf of the patient's care needs
Recognizes signs and symptoms of complication of Pain Management Therapies and intervenes appropriately PCA PCEA Epidural block States proper mechanism for activating cardiac respiratory arrest
Demonstrates understanding of code cart check and procedure for replacing items on code cart
Transmits pertinent patient information to appropriate individual MD, supervscharge planner,etc using SBAR for hand- off communication
Uses an understanding of the principles of pain management to assess each patient's individual needs and provide appropriate and specific treatment and care
Utilizes all available resources in the initial assessment of the patient, including biophysical, psychosocial, environmental, discharge planning, self-care and education and reassessment each shift, upon transfer and discharg
Participates in ongoing education as required
Demonstrates proficiency in the care of patient on mechanical vents and assist with weaning
Assisting with intubation and extubation
Demonstrates proficiency in the care of Telemetry patients and the related equipment needed to care for these patients electrode placement, arrhythmia interpretation, code care, etc.
Demonstrates proper procedure for chest tube management, including proper set-up, drainage, and dressing procedure
Demonstrates understanding of proper airway management, suctioning, ABG values, applying supplemental oxygen, and trach care