providers to assess, plan, intervene, evaluate and document care in an individualized and age appropriate
manner which promotes patient safety and healing and according to hospital policy.
ASSESS: Collaborates with patient, significant other and interdisciplinary health care
providers to assess, plan, intervene, evaluate and document care in an individualized
and age appropriate manner which promotes patients safety and healing and
according to hospital policy. Completes initial assessment and screenings. Reassesses
patient condition upon "handoff" and after therapeutic interventions. Assesses learning
needs, readiness to learn and actual or potential barriers to learning.
EVALUATE: Interprets and utilizes clinical data and history in the plan of care.
Evaluates patient progress towards goals. Communicates patient "handoff" with
appropriate detail (i.e. shift report guided by the plan of care or any other pertinent
documents). Follows through that patient care issues are addressed following chain of
command. Recognizes changes in patient condition, communicates to appropriate
health care personnel.
INTERVENE: Promotes and maintains a safe, clean and orderly environment. Acts as
a patient advocate and upholds patient rights. Delegates work to care team. Responds
effectively in emergency situations. Documents accurately in a legible and timely
manner. Provides medical and nursing therapeutic interventions. Maintains a
therapeutic relationship with patients and family while providing care. Incorporates
education into daily patient activity (i.e. medication, equipment, food-drug interactions).
PLAN: Prioritizes and organizes work assignment and adjusts priorities based on
changing situations. Recognizes and integrates patient special needs and
individualizes care. Develops measurable plan of care goals congruent with evidenced
based standards (e.g. core measures). Plans delivery of care according to patient
acuity and staff competencies. Individualizes educational plan based on age,
diagnosis, cultural and spiritual values. Consults and collaborates with other Health
Care professionals. Anticipates potential length of stay or discharge problems and
2 year / Associate's Degree: Nursing (Required)
4 year / Bachelor's Degree: BS in Nursing and/or active pursuit of advanced degree or specialty certification.(Preferred)
Certification / Licensure / Registration
BLS Certification (Required)
State Registered Nurse License (Required)
Certification in Specialty Area (Preferred)
Experience and Skills
Strong Verbal Communications Skills, Strong Written Communications Skills, Excellent
Interpersonal Skills, General Clerical Skills, Basic Computer Skills, Excellent Organizational Skills, Strong
Customer Services Skills, Proven Analytical Skills
Physical Requirements and Physical Demands
Adequate hearing to perform job duties in person and over the telephone. Hears alarms/telephone/tape
recorder/normal speaking voice.
Must be able to accurately document pertinent information either by writing or typing.
Must be able to communicate clearly in person and over the telephone.