The competent Nurse in the same or similar clinical setting practices independently and demonstrates awareness of relevant aspects of a situation. The role provides routine and complex care, supports long-range goals or plans, and continues to develop the ability to manage clinical nursing contingencies. The Nurse makes appropriate assignments and delegates to other care providers to help manage the clinical situation. Consistent with the ANA Scope and Standards of Practice, the Nurse provides care using the nursing process, including assessment, diagnosis, planning, intervention, and evaluation for assigned patients. The role addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families in accordance with the Nurse’s level of practice. The Nurse administers medications and treatments under appropriate protocols, monitors treatment effects and side effects, documents patient histories, symptoms, medications, and care, and assesses learning needs to educate patients, families, and caregivers and identify issues and resources. Newly hired experienced RNs must attend New Nurses Orientation within the first 30 days. New hires are precepted by a designated trained staff member and must complete organizational entry competency validation and MedSurg-specific competency validation. Newly licensed RNs may participate in a residency program or other specific orientation. Skills and competencies are completed with a preceptor at the bedside and documented through program tracking software. Annual competency verification requirements must be completed.
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Career Level
Mid Level