The Registered Nurse Women’s & Children’s Pavilion independently plans, implements, and evaluates nursing care in patient care situations using standards of care and policy and procedure. This position provides direct nursing care to patients and assumes teaching and leadership responsibilities. Participates in unit committee and quality improvement activities. Needs minimal supervision.

• Looks for opportunities and solutions for process improvement and seeks to improve job skills.
• Maintains the principles of confidentiality. Understands the legal/regulatory requirements related to the release of information. Able to use the information systems pertinent to the job.
• Participates in data collection on unit.
• Is able to locate and document medical and nursing patient care information in the electronic or paper medical record.
• Able to pull up lab result using order entry computer.
• Knows that the medical record is the principal source of patient related information. Is able to locate information in the medical record as evidenced by ability to perform complete chart audit.
• Performs thorough admission assessment, utilizes appropriate interview techniques to obtain history within the time frame of unit policy.
• Prioritizes assessments/reassessments as patient condition warrants.
• Assesses age-specific needs to patient population served.
• Assesses barriers to learning and utilizes findings.
• Identifies and prioritizes patient needs while evaluating data. Utilizes standards of nursing care to develop a sound functional plan of care.
• Re-evaluates and revises patient needs daily and as needed.
• Identifies standards of care common to patient population.
• Implements nursing care in an organized and efficient manner. Evaluates effectiveness and interventions using critical thinking skills.
• Delegates patient care to other team members within their scope of practice.
• Diligently checks emergency equipment and supplies when assigned.
• Delivers patient care and treatment using problem-solving skills.
• Knowledge of medication dosages for patient population served. Administers medication safely and accurately, and utilizes available resources when questions arise.
• Initiates and coordinates patient/family teaching using individualized effective teaching methods.
• Follows hospital policy regarding utilizing clinical pathways to evaluate plan of care and be aware of periodic changes in unit based and hospital policies. Attends patient care conferences.
• Evaluates outcomes of care to determine if patient needs were met.
• Addresses unresolved needs in discharge planning.
• Documents clearly and consistently in the EMR.
• Positive and effective interaction skills through verbal and nonverbal communication with patients, families, peers, superiors, and physicians.
• Provides feedback regarding problems and complaints, and offer constructive suggestions.
• Uses chain-of-command for problem-solving and conflict resolution.
• Prioritizes patient treatment to best meet patient needs.
• Completes care assignments efficiently.
• Utilizes resources. Familiar with unit specific policy and procedures.
• Progress reports are made to the Charge Nurse as indicated. Knows when to ask for assistance.
• Reports to oncoming shift the care that should be provided and/or needs that have yet to be addressed.
• Follows hospital standards related to Kronos system.
• Effective use of the supply system and efficiently dispenses patient care items. Along with effective use of equipment utilized in patient care for each specific specialty area as required
• Actively assists and support departmental activities to ensure that operational and salary expense are equal to or less than approved budget.
• Accepts responsibility for own learning needs. Attends courses and in-services offered. Maintains clinical skills specifically required on unit. Maintains knowledge of current policies.
• Utilizes Security Systems for infant and pediatric safety.