The Registered Nurse is responsible for the ongoing assessment, health and well-being of patients assigned to their care. Utilizes critical thinking and decision making skills to supervise nursing staff (Nurse Aides, Tele Techs, Students, etc.) on his or her shift. The Registered Nurse provides critical care assessment, intervention and evaluation of critically 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 ICU Director or House Supervisor during their assigned shift, as related to their scope of responsibility.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The Registered Nurse will provide general patient care by:
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.
Is knowledgeable regarding discharge plan for patients.
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.)
Explains procedures, treatments to patient to allay apprehension, verify understanding and gain cooperation, being conscious of patient’s rights and responsibilities.
Explains procedure, treatment and medication delays to patients and families as soon as possible after notification of delay.
Serves as a patient advocate by clarifying and confirming communications from hospital personnel.
Follows all Universal Precautions and Blood-borne Pathogen protocols as outlined by hospital policy.
Initiates Isolation precautions as appropriate for safety of patient, staff and visitors.
Assures needed supplies are available in the various nursing areas.
Provides for the emotional/physical comfort and safety of patients through the development, implementation, and revision of the nursing care plan.
Responds to life saving situations based upon nursing standards, policies, procedures, and protocol.
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.
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.
The documentation of patient information will be completed in the electronic record, in a timely manner, by:
Documenting patient assessment, noting any changes in condition, vital signs, weight, level of consciousness, etc., and notifying physician as appropriate.
Reviews chart to verify Medication orders, lab requests, radiology orders, consults, etc. are properly transcribed and ordered.
Verifies and notes medical providers’ orders, including but not limited to, 12 and 24 hour chart checks.
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.
Utilizes admission and daily assessment data to initiate and update appropriate plan of care.
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.
Insures that timely, accurate, and complete billable supply charges are placed on patient charge sheet located in patient room.
Completes Medication Administration responsibilities as demonstrated by:
Review of Medication Administration Record to plan assigned patient medication and treatment administration times.
Administers prescribed medications and treatments in accordance with approved nursing techniques.
Observes patients for therapeutic and/or adverse reactions to medications or treatment. Reports adverse reactions to medical provider responsible for patient.
Assures accurate narcotic count and resolves discrepancies before the end of each shift.
Wastes narcotics immediately or as soon as possible with a second nurse to prevent diversion activity.
Fast facts about Grand Junction, Colorado:
Offers amazing opportunities for outdoor recreation within a 100 mile radius of its boundaries Largest city in between Denver & Salt Lake City
Offers the cultural & social benefits of a larger city without all the congestion of people & traffic a bigger city usually carries.
High desert climate offers warm days, cool nights and over 300 days of sun a year!
Graduate of accredited Registered Nurse Program. At least 6 months of critical care experience is preferred.
Current, unrestricted licensure as a Registered Nurse in Colorado.
ACLS within 6 months of hire.
PALS/PEARS within 6 months of hire.
TNCC or TCAR within 1 year of hire.
Internal Number: 4
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?