Registered Nurse - Full Time, Days - Inpatient Psych

1. Assessment: The registered nurse collects patient health data.

Performance Expectations:

· Collects patient health data by involving the patient, family and other health
care providers

· Performs initial assessment based on patient's presentation

· Records relevant data on the nursing component of the Interdisciplinary
Admission Assessment

· Demonstrates awareness of the special needs of each age group or culture |
served as well as those patients with disabilities

· Ongoing assessments are performed as established by department policy
and as warranted by the patient's response

· Incorporates discharge planning into the admission process

2. Assessment Analysis and Outcome Identification: The registered nurse
analyzes the assessment data in determining problem identification.
Identifies expected outcomes individualized to the patient.

Performance Expectations:

· Demonstrates the ability to combine theoretical knowledge and clinical
expertise to anticipate and plan for the identified patient and family care
needs

· Analyzes the assessment data and identifies actual or potential problems that
are validated with the patient, family and other health care providers

· Identifies any cultural, ethnic, and spiritual aspects of patient/family dynamics
related to the patient's care

· Recognizes the patient's comfort/pain management needs that may impact on
the plan of care and desired outcome

· Identifies actual or potential knowledge deficits for the patient and/or family

· Communicates expected outcomes to the patient, family and other health
care providers to promote continuity of care

3. Planning: The registered nurse develops a plan of care that prescribes
interventions to attain expected outcome.

Performance Expectations:

· Collaborates with the patient, family and appropriate healthcare providers in
developing the plan of care

· Formulates a family centered plan of care consistent with the assessment of the
patient's needs and the physician's treatment plan

· Integrates identified cultural, ethnic and spiritual aspects of care into the plan

· Incorporates teaching and learning principles in the plan of care based on the
identified learning needs and developmental level

· Assists the patient and family in identifying and securing services to address health
related needs

· Communicates the plan of care to the patient, family and other health care providers
to promote continuity of care

· Documents the initial plan of care and provides updates as required

· Establishes realistic goals, sets appropriate priorities and uses time efficiently

4. Implementation: The registered nurse implements the interventions identified in
the plan of care.

Performance Expectations:

· Implements the plan of care for each patient and performs appropriate patient
monitoring

· Adapts nursing procedures to meet the needs of the individual patient

· Provides education to the patient and family utilizing the educational assessment

· Recognizes hazards to patient safety and takes action to maintain a safe environment

· Works collaboratively with other team members to implement interventions

· Assigns or delegates tasks as defined by the state nurse practice act and according to
the knowledge and skills of the caregiver

· Demonstrates knowledge regarding drug administration, incompatibilities,
contraindications and adverse effects. Seeks out appropriate resources when uncertain
regarding an aspect about medication administration

· Complies with medication policy and procedure for order transcription/verification,
drug administration and documentation

5. Evaluation: The registered nurse evaluates the patient's progress toward
attainment of outcomes.

Performance Expectations:

· Documents the patient's response to interventions and revisions to the plan of care

· Ongoing assessment data is used to revise expected outcomes and the patient plan of
care as needed

· Identifies barriers to achieving desired patient/family outcomes and utilizes resources
to diminish the negative impact on the patient/family

· Communicates with and includes the patient, family and other health care providers
in the evaluation process

6. Collegiality and Professionalism

Performance Expectations:

· Provides care that demonstrates ethical beliefs and respect for patient's rights

· Demonstrates and participates in activities that support customer satisfaction

· Participates in the evaluation of the quality and effectiveness of nursing practices and
supports measures to improve practice

· Demonstrates the ability to maintain effective interactions with the staff on the unit
and in other departments

· Interacts with and contributes to the professional development of peers and other
health care providers

· Demonstrates the ability to act as a facilitator when dealing with other staff members
regarding issues concerning patient care and/or functioning on the unit

· Seeks out and utilizes the Nurse Manager or Nursing Administrative Supervisor to
address issues that require their assistance to resolve

· Accepts feedback from peers and management for the purposes of improved patient
care and/or unit functioning

· Engages in performance appraisal identifying areas of strength as well as areas where
professional development would be beneficial

· Works collaboratively with management to improve the environment of care for
patients, families and personnel

· Demonstrates a working knowledge of the principles, policies and procedures specific
to the assigned nursing service

· Maintains knowledge base through participation in learning situations such as
departmental meetings, educational programs, professional association membership,
journal review or committee participation

· Complies with staff meeting attendance requirement

Professional knowledge of nursing theory and practice acquired through completion of a two year training at an accredited School of Nursing

Current New York State license or Permit as a Registered Professional Nurse

Interpersonal skills necessary to effectively interact with patients and their families that demonstrate recognition of cultural diversity

Practice reflects customer service excellence

Ability to clearly communicate in verbal and written format

Analytical ability to assess and develop solutions to clinical situations or unit problems.