1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the LPN scope of practice. Performs complete admission evaluation. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type. Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions. Responds to patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding for all patient assignments. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions within the scope of practice for LPN-C. 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Works effectively with ancillary areas as part of the team approach to patient care. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Nurse Manager regarding patient care issues in a timely and appropriately manner. Completes patient and family education throughout the patient’s visit. 3. Performs emergency treatment as required in accordance with LPN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at end of appointment. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, patient satisfaction needs and recommendations for meeting identified outcomes. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for disposal of sharps and hazardous materials. 7. Performs other duties as assigned.
1. Utilizes the nursing process for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice. Performs complete admission assessment. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type, which may include: Acute, Observation, ER, SNF and Outpatient. Reviews, discusses and implements health care provider orders appropriately and acts appropriately if there are questions. Responds to call lights and patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding for all patient assignments. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions . 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care. Works effectively with ancillary areas as part of the team approach to patient care. Directs patient support team members effectively and appropriately. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Lead Nurse or Nurse Manager regarding patient care issues in a timely and appropriate manner. Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit. Collaborates with the interdisciplinary team. Completes patient and family education throughout the patient’s stay and at discharge. 3. Performs emergency treatment as required in accordance with RN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type, which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge. Completes shift end check prior to leaving duty. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. Follows approved shift report format when communicating patient information. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately, reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer and lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials. 7. Performs in a Lead Nurse capacity, as assigned or requested by department leader. Oversees care delivery and staffing needs and assignments on the nursing unit. Provides secure pharmacy coverage. Demonstrates knowledge of treatments, policies/procedures, and equipment. Responds to Patient/Family concerns and provides immediate interventions when possible. Adapts to changes in workload and completes assignments while maintaining quality care. Initiates and performs duties that need to complete although not directly assigned. 8. Performs other duties as assigned.
1. Utilizes the nursing process for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice. Performs comprehensive nursing assessments in an efficient and effective manner. Reviews, discusses and implements health care provider orders appropriately and acts appropriately if there are questions. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions . 2. Collaborate with health care providers to coordinate medical and nursing management of patient care. Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care. Works effectively with ancillary areas as part of the team approach to patient care. Directs patient support team members effectively and appropriately. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Nurse Manager regarding patient care issues in a timely and appropriate manner. Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit. Collaborates with the interdisciplinary team. Completes patient and family education throughout the patient’s stay and at discharge. 3. Performs emergency treatment as required in accordance with RN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type, which may range from newborn to geriatrics. Follows policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Document all aspects of patient care accurately and comprehensively, adhering to hospital protocols. Complete all documentation in regard to surgical implants, specialized equipment, and capturing all case charges (as applicable). 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. Follows approved hand off report format when communicating patient information to other staff. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately, reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments prior to surgical procedure. Utilizes proper body mechanics, transfer and lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials. 7. Performs operating room specific tasks, as assigned. Prepare and maintain the operating room environment, ensuring all necessary instruments, equipment, and supplies are sterile and ready for use. Collaborate effectively with surgeons, anesthesiologists, and surgical team members to ensure seamless patient care. Assist in patient positioning, ensuring that all pressure points are padded, and patient is secured throughout the procedure. Demonstrates knowledge of treatments, policies/procedures, and surgical equipment. Responds to Patient/Family concerns and provides immediate interventions when possible. Provide emotional support to patients and their families throughout the surgical process, communicating with family during procedures as needed. Adapts to changes in workload and completes assignments while maintaining quality care. Initiates and performs duties that need to be completed although not directly assigned. Participate in quality improvement initiatives and maintain compliance with hospital, and regulatory standards. 8. Performs post-anesthesia Phase 1 recovery care, as assigned. Completes a thorough assessment upon entry to the recovery area, this includes but is not limited to: Vital signs, including pulse oximetry, heart rhythm/rate, BP, and pain assessment to ensure safety and comfort. Respiratory system: airway patency, breath sounds, oxygen saturation, and presence of artificial airway (as applicable). Cardiac system: heart sounds, peripheral pulses, capillary refill (monitor for hypotension, hypertension, and dysrhythmias. Neurologic function: LOC, ability to follow commands GI: bowel sounds (as applicable). Extremity sensation, muscular strength, and mobility (as applicable). Skin integrity Surgical site, including dressing and drains. All invasive lines and IV sites, and drainage tubes (as applicable). Administer medications and manage intravenous (IV) lines. Communicates care provided in recovery to RN completing Phase 2 care after surgery, per hospital policy. 9. Performs other duties as assigned.
1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the LPN scope of practice. Performs complete admission evaluation. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type. Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions. Responds to patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding for all patient assignments. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions within the scope of practice for LPN-C. 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Works effectively with ancillary areas as part of the team approach to patient care. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Nurse Manager regarding patient care issues in a timely and appropriately manner. Completes patient and family education throughout the patient’s visit. 3. Performs emergency treatment as required in accordance with LPN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at end of appointment. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, patient satisfaction needs and recommendations for meeting identified outcomes. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for disposal of sharps and hazardous materials. 7. Performs other duties as assigned.
1. Provide professional medical services and treatment of patients within the area of medical specialty of anesthesia supervision and management activities in accordance with prevailing standards of care. Ensure anesthesia coverage for the Hospital 24/7. Administer general anesthetics to render patients insensible to pain during surgical, obstetrical and other medical procedures. Takes necessary remedial action to aspirate secretions from throat larynx and trachea as required. Establish and maintain an airway and ventilation utilizing mask, LMA and nasal/oral endotracheal intubation. Monitor vital signs during course of procedure. Take necessary action to insure a near normal physiological status of the patient. Assist in moving patient from operating room to recover area. Check patient periodically and takes remedial measures to alleviate unfavorable post anesthesia effects as required. Maintain responsibility for the preoperative and postoperative evaluation of patients treated. Monitor acute pain management. Order and interpret labs, pulmonary, vascular and cardiac studies. Monitor all patients in the OR with all noninvasive and invasive monitors, anesthesia machines, gas delivery systems, patient/fluid warming devices and IV/Epidural drug administration pumps. 2. Determine, set up and prepare necessary drugs, supplies and equipment for the administration of anesthetics. Assemble gas machine and tests to ensure proper functioning. Ensure availability of proper type of blood for emergency use. Study patient records to determine probably effects of anesthetic on patient. Consult with the physician regarding “high risk” factors that are evident in the medical history. Assess and monitor functionality of all equipment. Disassemble equipment and cleans work area. Report equipment repairs and adjustments to proper personnel. 3. Maintain patient confidentiality and compliance with policies/procedures/regulatory requirements. Ensure compliance with regulatory, JCAHO/CMS, and State of Iowa requirements. Maintain compliance with Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other professional and Hospital standards. Comply with all departmental and organizational policies and procedures in addition to regulatory requirements (such as OSHA, CMS, Joint Commission, etc.) and participates in corporate/departmental safety and quality activities. Adhere to all applicable regulatory and compliance authorities at a national, state and local level and will adhere to appropriate prevailing standards of care. 4. Performs and maintains documentation. Document accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge. Complete shift end check prior to leaving duty. Ability to work with electronic medical record system, including billing. 5. Communicates effectively. Communicate and collaborate effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. Follow approved shift report format when communicating patient information. Identify and recognize abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 6. Promote and ensure patient and staff safety in all aspects of responsibilities. Administer medications, treatments and procedures in a timely and safe manner according to healthcare provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilize proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Implement infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves. Follow proper procedures for wasting narcotics and disposal of sharps and hazardous materials. 7. Performs other duties as assigned.
