RN - Med/Surg - R7

Carle Health•Urbana, IL

About The Position

The staff Registered Nurse (RN) is a professional caregiver responsible for a group of patients during a designated time frame. The RN provides care using the nursing process, current nursing practices, technology, and available financial and human resources, consistent with the institution’s philosophy. The RN performs unit-specific responsibilities, implements procedures and theories relevant to the practice area, and maintains accurate documentation. The role includes assessing patients on admission, developing and implementing individualized plans of care, evaluating and modifying those plans, and coordinating care with patients, families, and the healthcare team. The RN also supports patient and employee safety, delegates and validates care tasks, provides patient education and medication administration, and contributes to a positive, healing environment.

Requirements

Licensed Registered Professional Nurse (RN) through the Illinois Department of Financial and Professional Regulation (IDFPR).
Basic Life Support (BLS) certification from the American Heart Association (AHA) within 30 days.
College diploma.

Responsibilities

Perform responsibilities and duties required by the unit and scope of service.
Implement procedures and theories related to the specific area of practice.
Maintain accurate, current documentation of nursing care to support information sharing with the healthcare team.
Complete an initial patient assessment upon admission and develop a plan of care based on patient and family needs and unit standards.
Implement the plan of care, nursing interventions, and patient care procedures, and modify the plan based on ongoing evaluation.
Promote patient and employee safety by reporting or correcting safety hazards and incidents.
Communicate directly and privately when necessary to resolve issues.
Provide constructive feedback to peers, confer with colleagues to expand knowledge, and identify and address personal learning needs.
Fulfill departmental competency requirements.
Receive bedside shift report from an RN at the beginning of each shift, including patient input, visual validation of room safety, and updating the patient communication board.
Delegate patient care tasks to assigned HCTrsquo;s and validate completion throughout the shift.
Complete and document patient assessments, interpretation of vital signs, physician orders, admission and discharge activities, hourly rounding, care plans, and patient education.
Meet Carle Med/Surg RN documentation standards for each assigned patient.
Administer medications using the five rights: right patient, medication, route, dose, and time.
Prioritize patient safety by following fall precautions, pressure ulcer prevention, isolation precautions, and safe ambulation practices.
Maintain a positive attitude that promotes a healthy work environment and a healing patient environment.
Respond promptly to patient call lights and triage and address requests and medical needs.
Use critical thinking and nursing judgment to assess overall patient condition and identify and act on changes in status.
Communicate effectively with the healthcare team to support interdisciplinary collaboration, care coordination, and patient safety.