The Registered Nurse practices independently in the same or a similar clinical setting and demonstrates awareness of relevant aspects of each situation. The nurse provides routine and complex care and can work toward long-range goals or plans. The role continues to develop the ability to cope with and manage clinical contingencies, and includes making appropriate assignments and delegating 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. The nurse addresses patients’ and families’ increasingly complex psychological, emotional, cultural, and social needs in accordance with their level of practice. Using appropriate protocols, the nurse administers medications and treatments and monitors for side effects and effectiveness. The nurse documents patient history, symptoms, medications, and care provided, assesses learning needs, educates patients and their families or caregivers, and identifies issues and resources.
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