Description

Essential Duties and Responsibilities


+ Supports nursing care standards through adherence to existing policies and procedures.

+ Obtains and documents nursing history from patients and/or significant others that is comprehensive of present condition and prior problems. Performs basic assessment of patients, indicating adequate knowledge of anatomy, physiology, and pathology. Records vital signs, notes changes, and pursues more-specific investigations as needed. Identifies abnormal diagnostic data and shows a fundamental understanding of its implications by reporting information to the physician and others caring for the patient, and by incorporating information in the nursing care plan.

+ Uses Electronic Medical Record (EMR) system to enter and document orders.

+ Uses assessment information to develop a care plan before the end of duty time that communicates enough information for incoming staff to adequately care for the patien...