The competent Nurse practices independently in the same or a similar clinical setting and demonstrates awareness of relevant aspects of the situation. The Nurse provides routine and complex care, works toward long-range goals or plans, develops the ability to manage clinical contingencies, and makes appropriate assignments and delegations to other care providers. Consistent with the ANA Scope and Standards of Practice, the Nurse uses the nursing process to assess, diagnose, plan, intervene, and evaluate care for assigned patients. The role addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families according to the Nurse’s level of practice. The Nurse administers medications and treatments using the appropriate protocol, monitors side effects and treatment effectiveness, documents patient history, symptoms, medication, and care, and assesses learning needs. The Nurse also educates patients, family members, and caregivers and identifies issues and resources. Newly hired experienced RNs must attend New Nurses Orientation within the first 30 days. New hires receive preceptorship from a designated trained staff member, and onboarding requirements are validated through organizational entry competency and Emergency Department-specific competency validation. Newly licensed RNs may participate in a residency program or other specific orientation. Skills and competencies are completed with a bedside preceptor and documented through program tracking software. Annual competency verification requirements must be completed.
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Career Level
Mid Level