RN

Provides general nursing care to patients in Outpatient Clinic/Ambulatory Setting by performing the following duties.

• and Responsibilities include the following; other duties may be assigned.
• Triages assessments within specified timeframe
• Analyzes patient assessment data to formulate plan of care
• Reassessment documentation includes changes in patient’s condition/response to treatment relevant to patient’s condition
• Assesses educational needs, neonates, pediatrics, adolescents, adults, geriatric patients
• Assess/Re-assess/documents patient’s comfort/pain
• Assess patient according to restraint protocol
• Assessing nursing care administered by medical assistant/unit clerk
• Assess abuse/neglect, neonate, pediatric, adolescent, adult, geriatric
• Neurological assessment/Glasgow Trauma Scale
• Prioritizes and documents patient problems based on assessed needs/problems
• Performs care according to reassessment
• Documents effectiveness of care/interventions
• Communicates patient’s needs problems to other staff
• Able to state action, usual dosage, indications and ADRs for all medications administered
• Documents patient’s responses to medications
• Verifies 5 rights of med administration
• Verifies patient allergies
• Documents start and stop times of intravenous piggybacks and intravenous push medications
• Documents the administration/non-administration of medication and the patient’s medical record
• Collects thorough patient history and documents all information collected
• Completes and documents all pain assessments
• Educates patients on medication effects
• Makes patients aware of community resources