Rn Physician Practices -Per Diem-Pediatrics Office

PURPOSE OF YOUR JOB DESCRIPTION:
The primary purpose of your job is to be responsible for the delivery of patient care in accordance with current applicable Federal, State, and local standards, guidelines and regulations and established policies and procedures as may be directed by the Administrator, to assure that the highest degree of quality care and safety can be maintained.
DELEGATION OF AUTHORITY:
Supervises: LPN's, CNA's, Medical Assistants. Reports to: Physician and Chief Nurse Executive.
JOB FUNCTIONS:
Every job has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position.
PERFORMANCE REQUIREMENT / DUTIES AND RESPONSIBILITIES:
Applies knowledge of illnesses, injuries and diseases and uses available resources in assessment process.
Documents assessment of patient at time of visit.
Implements clinical and technical aspects of care and nursing orders in accordance with established policies and procedures Intervenes with proper technique, procedure and safety precautions to meet individual needs of patient.
Implements physician's orders.
Functions within limits of the State Nurse Practice Act.
Documents nursing intervention, patient response, effectiveness, complications, etc.; communicates information to physician.
Consults with all available in-house resource personnel and departments for treatment.
Respects dignity and confidentiality of patient acting as an advocate.
Provides a safe and secure environment for the patient.
Performs in a calm and professional manner during crisis and/or emergency situation.

ACCOUNTABILITY: PATIENT AND FAMILY INSTRUCTION/EDUCATION
Reviews patient and family knowledge of diseases, illness or readiness to accept care for patient at home.
Identifies needs for care at home, or alternatives such as outpatient treatment, extended care facility, etc.
Sets realistic learning objectives by including patient and family in instruction planning.
Provides self care instructions.
Identifies necessary medical information to be communicated to community resources, which are utilized.
Uses individualized techniques designed to meet specific patient needs.
Initiate referrals, as necessary, to healthcare providers, other resource agencies, etc.

ACCOUNTABILITY: QUALITY OF WORK
Adheres to nursing dress code and wears identification pin.
Demonstrates organizational skills in providing nursing care by the ability to adapt to changing workloads.
Performs the following according to policy:
A. Medication administration.
B. Transcription of orders.
C. Nursing procedures.
D. Patient education.
Maintains open communication channels with all colleagues and physician(s).
Communicates factual and pertinent information in reports.

ACCOUNTABILITY: PERSONAL GROWTH AND DEVELOPMENT
Identifies own learning needs and seeks opportunities for self growth.
Uses and shares skills gained at continuing education classes.
Has attended Mandatory in-service for CPR [ ] Fire and Safety [ ] Infection Control [ ].
Has completed initial nursing competencies and attended Nursing Professional Day.

ACCOUNTABILITY: AGE-SPECIFIC COMPETENCY
Evaluates for age-appropriate behavior motor skills and physiological norms of patients.
Recognizes patient's psychological development and modifies approaches for patients.
Recognizes potential lifestyle changes resulting from illness that will interfere with the discharge plan and develops plan.
Identifies increased physical/emotional dependency needs and evaluates availability of support system.
Interview/communication techniques are age-appropriate.
Assesses patients for signs and symptoms of abuse/neglect and refers to appropriate personnel and/or community agency.

EDUCATION REQUIREMENTS:

• Graduate of an accredited school of nursing
• Registered Nurse currently licensed in the State of Massachusetts
• Basic Life Support Certification required