POSITION DESCRIPTION:
Delivery of patient care through the nursing process of assessment, implementation, and evaluation. Direct and guide patient teaching, activities, and ancillary personnel while maintaining standards of professional nursing.
TYPICAL TASKS:
Assesses physical, psychological, and social dimensions of patients and implements individual treatment programs within the health care unit and in the housing units.
Applies knowledge of available resources in obtaining a health history and in assessment process.
Provides a written assessment of patient during admission, confinement, and discharge, as requested.
Summarizes and documents assessment data and makes a triage decision
Plans an individual treatment program by utilizing available treatment protocols as written and approved by the physician, and referral process to appropriate providers as necessary.
Applies knowledge and utilizes available resources in planning care and patient teaching.
Implements clinical and technical aspects of care in accordance with established policies and procedures
Implements mental health plan by administering medication and obtaining diagnostic testing in accordance with physician’s orders.
Intervenes by administering medications and obtaining the body fluids specimens according to proper techniques and procedures
Utilizes pharmacology knowledge and available resources to include drug reaction and overdose in administering medications.
Communicates information to ancillary departments using established referral process.
Implements treatment, nutrition and therapeutic diet plans as ordered by the physician or appropriate therapist.
Intervenes with proper techniques, procedures and available resources.
Utilizes knowledge and available resources for nutrition and therapeutic diets as established by facility.
Documents nursing encounters, utilizing the narrative format of charting as required.
Communicates information to other nursing staff, physicians, medical unit supervisory personnel, correctional officers and department heads.
RESPONSIBILITY AND ACCOUNTABILITY
Personal responsibility for ensuring completion of daily tasks as well as following up on pass down log and/or delegated items with accuracy
Ensures clarity of understanding by familiarizing self with policies, procedures, and asking questions when unclear. Adheres to all policies and procedures established by SHP. It is understood that such policies and procedures are updated/revised periodically and it is my responsibly that I am familiar with and working with the most current and up to date version
Competent in performance of patient medical services including, but not limited to: Crisis Intervention, Medical Emergencies, Chronic Care, Physical Assessment, Medical Nursing Care, and Mental Health Nursing Care with or without direct, immediate supervision
Accountability for knowledge as to limits of personal ability and scope of practice; knowing and verifying understanding of receiving person when delegating or passing down tasks to others
Attends seminars, workshops, conferences and completes all training as required and/or offered by SHP
Accountability for doing what you say you will do; build self-credibility and company credibility by holding self and coworkers accountable
Listens, understands, agrees and commits to achievement of objectives as a part of Medical Team environment
Alters behaviors based on feedback, when behaviors are perceived by others as offensive or embarrassing
Respects the dignity and confidentiality of all patients
Does the right thing consistently, day in and day out, in task and relationship interactions to fulfill or further SHP’s mission and pledge as a nurse
