The Registered Nurse provides routine and complex nursing care in an acute medical-surgical setting. The nurse practices independently in the same or a similar clinical setting, demonstrates awareness of relevant aspects of each situation, and continues developing the ability to manage clinical contingencies and pursue long-range goals or plans. The nurse makes appropriate assignments and delegates care to help manage the clinical situation. Consistent with the ANA Scope and Standards of Practice, the nurse uses the nursing process—including assessment, diagnosis, planning, intervention, and evaluation—to care for assigned patients. The role addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families in line with the nurse’s level of practice. It also includes administering medications and treatments according to protocol, monitoring their effects, documenting patient history and care, and assessing learning needs to provide education and identify relevant issues and resources. Newly hired experienced RNs must attend New Nurses Orientation within their first 30 days. New hires receive preceptorship from a designated trained staff member and complete organizational entry and MedSurg-specific competency validations. Newly licensed RNs may participate in a residency program or other orientation. Skills and competencies are completed with a preceptor at the bedside and documented in the program’s tracking software. Annual competency verification is also required.