Administers culturally sensitive nursing care to assigned patients that is in accordance with ANA standards, the NJ Practice Act, Joint Commission, professional standards and established hospital and Nursing Department policy and procedures in accordance with evidence based nursing practice. Utilizes the Nursing Process in providing patient centered care. Evaluates the effectiveness of nursing care through the analysis of nurse sensitive indicators and patient outcomes. Orientation will include satisfactory completion of CPR Certification and Non-Violent Crisis Intervention Training. A patient focused care model utilizing a multidisciplinary approach is used as the method to deliver patient care.
- Provides considerate respectful care focused upon the patient’s individual needs to ensure patient satisfaction.
- Affirms the patient’s right to make decisions regarding his/her medical care, including the decision to discontinue treatment, to the extent permitted by law.
- Successfully completes life-span education as appropriate.
- Obtains a complete nursing history and baseline assessment that is systematic, consistent and continuous. This assessment is communicated effectively utilizing Hand-off policy and documented.
- Documents results of patient assessment, nursing diagnosis, care plan nursing interventions and evaluation and patient progress in medical record according to hospital/nursing policy and the Nursing Standards of Care/Practice for the specific patient type.
- Appropriately analyzes patient information /assessment to determine nursing diagnosis and needs for appropriate nursing care, medical intervention or services of other clinical professionals.
- Identifies patient problems and formulates nursing diagnosis according to physical, psychological, spiritual/cultural and educational needs in conjunction with a multi-disciplinary approach.
- Consistently includes patient and family in the development of an individualized plan of care.
- Administers medication as needed following CSHS policies and manufacturer’s instructions.
- Takes immediate and appropriate actions in the event of a medication variance occurrence.
- Recognizes changes in patient condition and/or emergencies situations and takes immediate and appropriate actions.
- Participates in unit conferences to discuss quality issues and quality improvement strategies.
- Evaluates patient progress, goal attainment and need for further services following discharge, accesses available resources to support the continuum of care.
- Delegates components of care to non-professional caregivers as appropriate. Follows up on any delegated components of care and assignments given.
- Make decisions that demonstrate knowledge of nursing practice; utilizes sound nursing judgment in clinical and patient care management situations.
- Demonstrates critical thinking skills in the care of patients and in the coordination of care to assure the best patient outcomes.
- Performs pain assessment, appropriate interventions, documents pain assessment, intervention follow-up, reassessment and patient/family education. Notifies physician for unrelieved pain as indicated.
- Successfully functions as a Resource Nurse, making decisions in the absence of the Clinical Leader and/or the Nurse Manager.
- Supports cost containment through efficient use of equipment, supplies and other pertinent resources.
- Correctly performs contraband searches per policy.
- Correctly authorizes, supervises, and monitors PCT activity during contraband searches.
- Consistently provides written and verbal education to patients and/or families.
- Documents all contraband searches per policy.
- Consistently adheres to hospital policy regarding the insertion, maintenance and removal of foley catheters.
- Able to verbalize and demonstrate proper rationale and techniques surrounding all aspects of indwelling urinary catheter care as per policy #4668.
- Fulfills the requirements for competencies and completion of annual mandatories surrounding indwelling urinary catheters.
- Bachelor’s Degree in Nursing preferred.
- Three years’ experience in Clinical Psychiatric required.
Licenses and Certifications:
- RN license/NJ required.
Specialty professional nursing certification preferred.
Required Knowledge and Skills:
Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team.
Works in a normal hospital environment with frequent exposure to sick or injured patients.
Daily potential for exposure to blood and/or body fluids.
Sitting – Occasionally
Standing/Walking – Continusously
Kneeling/Stooping – Occasionally
Bending/Climbing – Occasionally
Reaching above shoulder, at waist or below waist – Occasionally
Lifting/Pushing or Pulling up to 40 pounds – Occasionally
Lifting/Pushing or Pulling over 40 pounds – Rarely
Typing/Filing – Frequently
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
CentraState Healthcare System prohibits discrimination based on arbitrary consideration of such characteristics such as race, color, religion, national origin, ancestry, gender (including pregnancy), affectual or sexual orientation, gender identity or expression, marital status, age, physical or mental disability or limitation, medical condition, genetic information, or veteran or military status, as well as any other legally protected class of persons and acts, in accordance with applicable State and Federal laws.