The Registered Nurse is responsible for the ongoing assessment, health and well-being of patients assigned to their care. The Registered Nurse provides critical care assessment, intervention and evaluation of acutely ill patients while offering emotional support to both patients and families by performing the following duties in accordance with Community Hospital policies and procedures. The Registered Nurse works under the supervision of the Float Pool Director or House Supervisor during their assigned shift, as related to their scope of responsibility.
1. Uphold Nursing “Code of Ethics” (ANA)
2. Availability to float to three units based on competency and experience. Must be available to pick up shifts in all three units as needed.
3. The Registered Nurse will provide general patient care by:
a. Reviewing the patient’s chart becoming familiar with the orders for the patient including but not limited to medications, lab orders and results, radiology orders and results, activity, diet, consultation orders etc and utilize these tools to provide initial and ongoing patient assessment and care planning activities.
b. Is knowledgeable regarding discharge plan for patients.
c. Assures basic patient care activities are completed on all patients. This includes am care (bathing, linens changed, fresh water, daily weights, etc.) or pm cares (face washed, teeth brushed, back rub, etc.)
d. Explains procedures, treatments to patient to allay apprehension, verify understanding and gain cooperation, being conscious of patient’s rights and responsibilities.
e. Explains procedure, treatment and medication delays to patients and families as soon as possible after notification of delay.
f. Serves as a patient advocate by clarifying and confirming communications from hospital personnel.
g. Follows all Universal Precautions and Blood-borne Pathogen protocols as outlined by hospital policy.
h. Initiates Isolation precautions as appropriate for safety of patient, staff and visitors.
i. Provides for the emotional/physical comfort and safety of patients through the development, implementation, and revision of the nursing care plan.
j. Responds to life saving situations based upon nursing standards, policies, procedures, and protocol.
k. Provides appropriate individualized teaching regarding medical/surgical or critical condition, treatment, pertinent lab/x-ray results, medications, diet, pain management, and potential food, drug and herbal interactions.
l. Begins the shift by attending and receiving report from the staff who have worked the proceeding shift. Asks questions for clarification of the staff that have been caring for the patient.
4. The documentation of patient information will be completed in the electronic record, in a timely manner, by:
a. Documenting patient assessment, noting any changes in condition, vital signs, weight, level of consciousness, etc., and notifying physician as appropriate.
b. Reviews chart to verify Medication orders, lab requests, radiology orders, consults, etc. are properly transcribed and ordered.
c. Verifies and notes medical providers’ orders, including but not limited to, 12 and 24 hour chart checks.
d. Completes and documents on each new patient: including admission information, signed consents, complete history and assessment, health screenings, patient belongings list, orientation to room and ICU routine.
e. Utilizes admission and daily assessment data to initiate and update appropriate plan of care.
f. Gives a report on assigned patients to the oncoming shift that includes: patient identifiers, diagnosis/surgical procedure(s) and date, pertinent treatments, mental status, diet, activity, ability, abnormal assessment findings, skin issues, pain management, safety issues, significant events and plan/goals.
g. Insures that timely, accurate, and complete billable supply charges are placed on patient charge sheet located in patient room.
5. Completes Medication Administration responsibilities as demonstrated by:
a. Review of Medication Administration Record to plan assigned patient medication and treatment administration times.
b. Administers prescribed medications and treatments in accordance with approved nursing techniques.
c. Observes patients for therapeutic and/or adverse reactions to medications or treatment. Reports adverse reactions to medical provider responsible for patient.
d. Wastes narcotics immediately or as soon as possible with a second nurse to prevent diversion activity.
6. The adult or pediatric patient will be assessed (See Assessment & Reassessment policy) by:
a. Performing a complete physical assessment on each assigned patient within a minimum of one hour after receipt of report.
b. Reassessment determines the patient’s response to care and treatment. It is completed every four hours or more frequently as indicated by the patient's condition or when there is a transfer of accountability between nurses. Reassessment is documented in the medical record under Nursing Interventions or Narrative Notes.
c. Assess patient’s room for safety issues or needed equipment such as bedside commode, riser on toilet, water glass, holder for dentures or glasses, etc.
d. Creates or follows Nursing Care plan including patient education plan.
7. The Registered Nurse will provide clinical expertise to the remainder of the staff by:
a. Sharing knowledge with other staff and students as appropriate. Assists with the orientation and education of staff and students.
b. Demonstrating ability to use critical thinking skills by assessing situation and knowing how decision making will impact patient, family, staff and others involved in patient care. This includes assessing how decisions will impact the oncoming shift.
Quality Improvement and Management
Promote and participate in quality improvement activities and organizational accreditation processes
Participate in relevant committees, meetings and service activities as required and provide relevant feedback and dissemination of appropriate information
Participate in critical incident debriefings as required
Actively pursue opportunities to advance own professional knowledge and skill development.
Demonstrate a commitment to professional development through membership of professional organizations/associations, including relevant participation in special interest groups.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE:
Bachelor’s Degree in nursing (or its equivalent) from accredited Registered Nurse Program with at least two (2) years of acute care experience.
Current, unrestricted licensure as a Registered Nurse in Colorado
PALS (within 6 months of hire for ICU/SOU/PACU/IR/ED)
TNCC/TCAR (within 1 year of hire for ED/ICU)
Internal Number: 1
About Community Hospital
Community Hospital in Grand Junction, Colorado, is a full-service, acute-care hospital licensed for 60 beds. As part of the Colorado West Healthcare System, we offer full outpatient diagnostic services and inpatient care for the Western Slope region of Colorado, and eastern Utah. Community Hospital brings together expert staff and world-class technology in a healing, family-centered environment. We provide a full range of medical services, including inpatient and outpatient surgery,and emergency care. We have comprehensive diagnostic capabilities: state-of-the-art ultrasound, CT (Philips Ingenuity 128 MDCT), digital mammography and cardiac testing. Community Hospital proudly partners with University of Utah Heath Care and Huntsman Cancer Institute to provide world-class medical and radiation oncology right here at home. Community Hospital is Joint Commission accredited. Our laboratory is College of American Pathologists-accredited. For those lab tests that we don’t conduct on site, the Mayo Clinic is our exclusive partner for reference laboratory services. We pride ourselves on delivering personalized care to our patients, and in working closely with our medical-care providers in t...reating the whole person. This approach has resonated with our patients, and we are growing to meet our community’s demand. On October 15th, 2014, Community Hospital broke ground on a new four-story, 140,000 square foot, state-of-the-art facility. Our NEW hospital opened Thursday, March 17th, 2016! Where We LiveGrand Junction is located in beautiful Western Colorado and is the largest city in between Denver and Salt Lake City. An outdoor lovers paradise with hundreds of miles of mountain biking and hiking right out your front door. Fantastic winter and summer activities including skiing, snowmobiling, snowshoeing, camping, hiking and 4-wheeling on the Grand Mesa located just 45 minutes away. Enjoy the numerous lakes and rivers taht supply abundant opportunites for boating, rafting, paddleboarding, and fishing. Avoid the traffic with easy access to world class skiing in Aspen, Telluride, Vail, and Crested Butte.Come and tour one of the valley's 24 unique wineries and explore downtown Main Street with numerous unique shops and several delicious cafe's and restaurants. Journey through the awe-inspiring Colorado National Monument or catch an event at Colorado Mesa University or a Grand Junction Rockies baseball game. Your activity options are endless in Western Colorado. What do you want to do today?