RN- Med/Surg - R4

Carle Health•Urbana, IL

About The Position

The staff Registered Nurse (RN) is a professional caregiver responsible for a group of patients during a designated time frame. The RN provides care through the nursing process and uses relevant nursing practices, technology, financial resources, and human resources in accordance with the institution’s philosophy. The role includes assessing patients, creating and implementing individualized plans of care, delivering and documenting nursing interventions, evaluating patient progress, administering medications, and coordinating care with the healthcare team. The RN supports patient and employee safety, delegates tasks to assigned healthcare technicians, and contributes to a positive and healing work environment. For Observation status patients, the RN helps manage timely admissions, testing, and discharge processes.

Requirements

Licensed Registered Professional Nurse (RN) through the Illinois Department of Financial and Professional Regulation (IDFPR).
Basic Life Support (BLS) certification from the American Heart Association (AHA) within 30 days.
College diploma in Nursing.

Responsibilities

Perform responsibilities and duties required by the unit and within the scope of service.
Implement procedures and theories relevant to the specific area of practice.
Maintain accurate, up-to-date documentation of nursing care for integration into the healthcare team’s information.
Complete an initial patient assessment upon admission and develop a plan of care based on unit standards and patient and family needs.
Implement the plan of care, nursing interventions, and patient care procedures, modifying the plan based on ongoing evaluation.
Promote patient and employee safety by reporting or correcting hazards and incidents.
Communicate directly and privately when necessary to resolve issues.
Offer constructive feedback to support peers’ professional development and confer with colleagues to expand knowledge.
Identify personal learning needs and take initiative to address them.
Fulfill departmental competency requirements.
Receive bedside shift report from an RN at the start of each shift, including patient input, a visual check of room safety, and an update to the patient communication board.
Delegate patient-care tasks to assigned HCTs and validate completion throughout the shift.
Complete and document patient-care activities, including assessments, vital-sign interpretation, physician-order completion, admissions and discharges, hourly rounding, care plans, and patient education.
Meet Carle Med/Surg RN documentation standards for assigned patients.
Administer medications using the five rights: right patient, medication, route, dose, and time.
Prioritize patient safety and ensure compliance with safety measures, including fall precautions, pressure-ulcer prevention, isolation precautions, and safe ambulation.
Maintain a positive attitude that supports a healthy work environment and a healing patient environment.
Answer patient call lights promptly and triage and complete patient requests and medical needs.
Use critical thinking and nursing judgment to assess overall patient condition and identify and respond to changes in patient status.
Communicate effectively with the healthcare team to support interdisciplinary collaboration, care coordination, and patient safety.
Manage time effectively to support timely admissions and discharges for Observation status patients and completion of testing to facilitate discharge decisions.