Registered Nurse (RN) Acute Care, Emergency Department, PRN, Variable

Prisma Health•Greer, SC

4d•Onsite

About The Position

The Registered Nurse provides clinical direction for all aspects of patient care in an acute inpatient setting and fosters patient- and family-centered care. The role demonstrates clinical competency using evidence-based practices and research throughout the nursing process: assessment, planning, implementation, evaluation, and outcomes. The nurse consults with clinical advisors and peers as appropriate and complies with organizational policies and procedures, including requirements for licensure renewal, training, employee health screenings, attendance, dress code, confidentiality, infection control, and medication administration. The nurse demonstrates knowledge of regulatory requirements and provides care within the scope of the South Carolina Nurse Practice Act. Acute inpatient work may require significant shift, weekend, holiday, and on-call scheduling. The nurse assesses patients, identifies priorities, develops and updates individualized plans of care in collaboration with patients, families, providers, and the interdisciplinary team, and provides direct care consistent with those plans and the RN scope of practice. The role includes delegating and monitoring tasks, coordinating care and discharge planning, promoting patient safety, documenting care, evaluating outcomes, supporting quality improvement, and educating patients and families. The nurse is accountable for maintaining professional competency, licensure, and required education, and serves as a patient advocate and care coordinator. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

Associate degree in Nursing; a nursing diploma with licensure to practice as an RN is accepted in lieu of the associate degree.
One year of registered nurse experience, or successful completion of the Prisma Health Nurse Residency Program or a comparable residency; internal candidates in the same service line may substitute one year of licensed practical nurse experience.
Current RN compact/multistate license recognized by the NCSBN Compact State, or licensure to practice as an RN in the state where the team member works.

Nice To Haves

Bachelor's degree in Nursing preferred.

Responsibilities

Collect patient data and complete nursing assessments using appropriate area- and age-specific standards, policies, and tools; complete applicable forms.
Recognize changes in patient status and responses to interventions, identify nursing priorities, and validate and document priorities with the healthcare team.
Develop individualized plans of care with patients and/or families, providers, and the interdisciplinary team; update plans as conditions change and communicate updates.
Establish realistic, measurable goals and outcomes with patients and/or families, including goals to be achieved before discharge.
Respect patients' and families' cultural, spiritual, and belief systems when planning care.
Plan for discharge and continuity of care, including smooth transitions between levels of care and appropriate referrals.
Provide direct care consistent with the established nursing plan and perform tasks within organizational, departmental, and unit policies and the RN scope of practice.
Delegate nursing tasks appropriately, provide written assignments when appropriate, and ensure assigned tasks are completed.
Monitor care quality and patient status, coordinate and organize care according to patient and unit priorities, and use internal and external resources.
Incorporate cost-containment principles and appropriate technology into nursing practice.
Promote patient safety by maintaining a safe environment and following safety procedures, protocols, and patient-care standards.
Use performance indicators to monitor quality and effectiveness, and complete assigned hospital or unit performance-improvement audits.
Evaluate patient responses and care-plan effectiveness, document progress toward outcomes, revise plans as needed, and report changes or unresolved problems to appropriate team members.
Discuss outcomes with peers during shift-to-shift reports and with other healthcare team members; incorporate relevant performance-improvement recommendations into care.
Assess patient and family learning needs, provide and evaluate education using familiar language and examples, encourage participation, and communicate education needs across the healthcare continuum.
Evaluate personal nursing practice against professional standards, statutes, policies, procedures, regulations, and current knowledge.
Maintain competency through education and professional activities, maintain professional licensure, and complete mandatory education on time.
Document and communicate pertinent information supporting patient and family care needs.
Advocate for patients and coordinate care collaboratively with providers and other healthcare team members.
Perform other duties as assigned.