Registered Nurse - Trauma Unit

Registered Nurse - Trauma Unit at ScionHealth summary:

As a Registered Nurse in the Trauma Unit, I provide comprehensive patient care by assessing patients, developing nursing care plans, and coordinating with interdisciplinary teams.
I ensure safe medication administration and address the psychosocial needs of patients and their families while implementing hospital policies and procedures.
My role includes supervising nursing staff, participating in discharge planning, and maintaining clear communication with patients, families, and healthcare providers.
Description
At ScionHealth , we empower our caregivers to do what they do best.
We value every voice by caring deeply for every patient and each other.
We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.
Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary
Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation.
Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary.
Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate.
Participates in discharge planning process.

Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department
Directs, supervises, provides and evaluates nursing care provided to patients
Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated
Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications
Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies
Performs assessment on all patients on admission and reassessments as per policy.
Makes referrals to other disciplines based on assessment
Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team
Assesses and reassesses pain.
Utilizes appropriate pain management techniques.
Educates the patient and family regarding pain management
Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness
Performs patient care responsibilities considering needs specific to the standard of care for patient's age
Receives physician's orders, ensures transcription is accurate and documents completion
Administers medication utilizing the five rights of medication administration reducing the potential for medication errors
Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate
Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice
Performs treatments and provides services to level of licensure
Treats patients and their families with respect and dignity.
Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families
Functions as liaison between administration, patients, physicians, and other healthcare providers
Interacts professionally with patient/family and involves patient/family in the formation of the plan of care
Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors
Initiates or assists with emergency measures for sudden adverse developments in patients' condition
Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate
Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs
Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off
Communicates appropriately and clearly to management, co-workers, and physicians
Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs
Participates in orientation, instruction/training of new personnel
Manages and operates equipment safely and correctly
Knowledge/Skills/Abilities/Expectations Knowledge of medications and their correct administration based on age of the patient and their clinical condition
Basic computer knowledge
Able to organize tasks, develop action plans, set priorities and function under stressful situations
Ability to maintain a good working relationship both within the department and with other departments
Approximate percent of time required to travel:
0%
Must read, write and speak fluent English
Must have good and regular attendance
Performs other related duties as assigned
Qualifications
Education Graduation from an accredited Bachelor of Science in Nursing
Associate Degree in Nursing or Nursing Diploma program
Licenses/Certification Current state licensure as Registered Nurse
BCLS certification required
ACLS certifications preferred
Experience Minimum six months' Medical/Surgical experience in an acute care setting preferred
Keywords:
Registered Nurse, Trauma Unit, patient care, nursing care plans, healthcare, medication administration, interdisciplinary team, acute care, BCLS certification, patient assessment