MAJOR RESPONSIBILITIES:
- Utilizes nursing process for the delivery and management of patient care
- Performs and documents a nursing assessment based on a systematic data collection
- Identifies with the patient and family problems/potential problems and incorporates findings on the patient care plan
- Initiates a plan of care that includes nursing diagnosis, nursing interventions/orders and outcomes within established time frames for their achievement
- Communicates assessment, identified problems and plan of care to appropriate health care providers
- Implements or delegates the implementation of the plan of care
- Evaluates the effectiveness of the plan of care and revises it as necessary
- Explains system of care delivery to patient and family and encourage their participation in the plan of care Recognizes and supports the psycho physiological needs of the patient and family
- Develops and implements an educational plan for the patient/family
- Assesses and documents actual and potential learning needs
- Develops and implements a patient education plan based upon assessment and documents progress towards outcomes
- Demonstrates clinical competency in nursing practice
- Recognizes changes in patient’s physical and mental condition and takes appropriate action
- Responds appropriately in emergency situations
- Adapts nursing care interventions to patient’s physical condition, emotional status, and developmental level Maintains a safe environment for patients and staff
- Uses equipment properly and safely
- Administers and documents medications according to Medication Policy and Procedure
- Performs and/or delegates patient treatments as prescribed by the nurse or physician
- Reviews goals and discharge plan daily and revises as needed
- Communicates plan of care and discharge plan with other health professional to provide necessary care for patient and family
- Relates pertinent information regarding patient progress toward outcomes during inter-shift report
- Participates in inter-disciplinary in-patient care rounds
- Adheres to approved nursing standards in performing all unit specific and general competencies
- Assumes responsibility for professional growth and demonstrates leadership skills
- Participates in annual performance review process
- Identifies own strengths and weaknesses
- Serves as a resource and role model to other staff nurses and health care providers
- Responsible for keeping informed of hospital policies and procedures and standards of care
- Supports activities of nursing committees
- Maintains current knowledge of relevant issues of nursing practice
- Demonstrates a commitment to promote a unit environment which supports positive public relations. image and effective communication with patients, visitors, and health team members
- Displays a positive manner in the work environment
- Responds to conflict or stressful situations in a constructive and sensitive manner
- Demonstrates a commitment to primary nursing
- Collaborates with patient and/or family and physician to identify discharge plan and ensures that discharge plan is current
- Negotiates with other nurses to determine coverage and define lines of communication and responsibility to assure continuity of care
- Maintains a therapeutic relationship with patients to individualize patient care and functions as a patient advocate
- Facilitates discharge planning
- Participates in arranging follow-up care with other facilities and documents discharge planning activities
- According to UMMC Policy and Procedure, the professional nurse will:
- Demonstrate the ability to care for adolescent psychiatric patients.
- Demonstrate the ability to care for adult psychiatric patients.
- Complete a comprehensive physical assessment.
- Admit a patient.
- Discharge a patient.
- Deliver medications.
- Deliver IV’s.
- Deliver blood and blood products.
- Prepare a patient for the operating room.
- Care for the post-operative patient.
- Assess a patient at risk for falls and implement a prevention plan.
- Assess a patient at risk for skin breakdown and implement a prevention plan.
- Assess patient’s pain and treat.
- Demonstrate ability with the following:
- Group/individual relationship skill.
- Utilize milieu and group dynamics to promote improved patient.
- Utilize safe restraints.
- Manage acting out/assaultive patients/psychiatric emergencies.
- Suicide precautions.
- Behavioral treatment contracts.
- Promote improved reality testing.
- Utilize mental health community resources.
- Performs other duties as required.