IMC - RN - Med Surge - ProMed Staffing Resources

POSITION SUMMARY The Registered Professional Nurse is responsible and accountable for prescribing, delegating and coordinating all nursing care as defined by The New York State Nursing Practice Act. Comprehensive Medical/Surgical nursing care focuses on helping each patient to achieve their optimum health potential. This is achieved within the framework of the nursing process. The Medical/Surgical Registered Professional Nurse is responsible and renders services to Adult Medical/Surgical patients ranging from 18 years and older. DUTIES AND RESPONSIBILITIES In accordance with professional nursing standards and practices, the Medical/Surgical nurse will provide nursing care to all patients with medical and surgical diagnoses. The Medical/Surgical Nurse is responsible and accountable for the nursing care of the patients. Perform other duties as required. Assessment: · Assesses patient’s physical, social and behavioral, mental status through direct observation, interview, and medical record review. · Utilizes observational skills to assess patient’s needs. · Documents a nursing assessment to include psychosocial, environmental factors, educational level and needs. · Obtains and reviews available data base and any data collected by other members of the health team (medical/surgical/other history, physical exam mental status, therapist reports and community referrals). · Identifies medical problems resulting from mental illness and use of medications. · Communicates findings with other members of the health team. (Social Worker, Case managers, therapist, physician). Planning · Identifies and addresses needs for admission based on acute medical/surgical diagnoses and presenting physical/psychological symptoms · Identifies and addresses patient level of education, learning needs. · Formulates a goal directed individualized plan of care. · Makes appropriate referral to other disciplines and documents same. Intervention/Implementation: · Management of clinical skills in the provision of nursing care and management of the patient including but not limited to: o Identification of symptoms o Management of the disease entity o Treatment modalities o Administration of medications · Intervenes appropriately in medical/surgical and critical emergencies utilizing non-violent crisis intervention. · Utilizes critical thinking in assessment of patients and in interventions. · Utilizes infection control procedures; collaborates with the infection control department in preventing and controlling infection control. · Practices infection control: personal hygiene; hand washing; and dress code · Provides for psychosocial and educational needs of all medical/surgical patients / families. · Provides health teaching and medication instructions. · Ensures that all procedures are performed based on established standards of care · Demonstrates competency in performing all procedures within the scope of practice and in accordance with Interfaith Medical Center. · Investigates and communicates all required information regarding unusual occurrences or patient care incidents. · Acts as a patient advocate. · Performs other duties as required. Evaluation: · Revises the patient’s plan of care based on evaluation of the interventions and expected outcomes in collaboration with other members of the health care team.

Language: · Ability to communicate effectively in English both verbally and in writing Physical Demands: · Involves standing, walking, sitting, talking, hearing and bending. · May include some repetitive motions. · Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.