The competent Nurse in the same or similar clinical setting practices independently and demonstrates awareness of relevant aspects of a situation. Provides routine and complex care, works toward long-range goals or plans, and continues developing the ability to manage clinical contingencies. Makes appropriate assignments and delegates to other care providers to help manage the clinical situation. Provides nursing care consistent with the ANA Scope and Standards of Practice, using the nursing process of assessment, diagnosis, planning, intervention, and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families in accordance with the nurse’s level of practice. Administers medications and treatments using appropriate protocols and monitors for side effects and effectiveness. Documents patient history, symptoms, medications, and care provided. Assesses learning needs, 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 of hire. New hires are precepted by a designated trained staff member, and onboarding requirements are validated through organizational entry competency validation and Critical Care Department-specific competency validation. Associates must complete annual competency verification requirements.