Registered Nurse (RN) - Days
Universal Health Services
- Nevada, MO
- Permanent
- Full-time
- Communicate specific patient information through receiving and giving shift report including, but not limited to, patients diagnosis, treatment plan issues, specific behaviors, medical issues, special precautions.
- Make patient assignments considering staff capabilities and patient needs.
- Ensures the unit functions in an organized manner by:
- Assigning staff responsibility for patient education groups and topic.
- Assigning break times.
- Assigns staff to meal supervision.
- Assesses each patient daily and documents in progress notes. Reviews flow sheet and documents behaviors noted.
- Attends treatment team meetings to provide information re: medication compliance, response to medications, side effects, behavior, consequences, progress toward treatment plan goals and other pertinent data. Collaborates with the multi-disciplinary team in the planning and implementation of patient care. Documents synopsis of multidisciplinary treatment team recommendations.
- Review treatment plan daily and makes revisions as necessary.
- Interviews patient at the time of admission and completes Nursing Admission Assignment. Includes problems identified through mental status, physical assessment and nutritional screening and summarizes on Clinical Summary section.
- Utilizes assessment and clinical summary to ensure all identified problem areas are addressed on the treatment plan.
- Notes and transcribes physician orders as needed.
- Provides leadership in identifying patient needs. Role-models or directs therapeutic interventions to de-escalate and focus on patients’ behavioral self-control.
- Assess and implements restraint and seclusion when all other alternative measures have been ineffective.
- Receives report on patients.
- Notes and transcribes physician orders. Follows through with implementing orders.
- Documents new admission information on designated board for History and Physicals. Utilizes time received into Heartland care as time of admission (i.e., transportation pick up time). Notifies HIS 2 hours prior to 24-hour expiration if H&P not completed.
- Completes Admission assessments as requested.
- Transcribes and carries out the physicians’ orders, performs nursing and laboratory procedures according to facility policy and procedure.
- Supervises non-professional nursing staff in providing quality patient/resident care.
- Participates in Performance Improvement activities through:
- Performing unit documentation audits
- Monitoring designated criteria
- Performing unit safety checks
- Participation on PI teams or do-it-groups as requested
- Provides notification to other departments of patient needs (i.e., psych testing, nutritional consult, adjunctive therapy, etc.).
- Completes RN assessment and documentation as requested.
- Documents observations, treatments, interventions, patient/resident teaching and patient/resident response according to the facility and department policy and procedure.
- Serves as a role model for patients, Residents, and other nursing staff.
- Develops a therapeutic relationship with patients/residents, using good communication skills and guided by the treatment plan’s goals, objectives, and intervention. Ensures patient/resident’s rights.
- Reviews physician orders, Medication Administration Records, and medications.
- Administer medication to patients in accordance with facility policy and procedures. Provides medication teaching to patients including name, dose, times, purpose, and side effects.
- Evaluates patients prescribed psychotropic medications for EPS:
- Within 24 hours of initial dose or dosage increase.
- Weekly thereafter.
- If symptoms are present.
- Follow Service Excellence standards:
- Treats everyone as a guest
- Demonstrates Professionalism & Excellence in the things they do.
- Practices teamwork and always presents with a positive attitude.
- Other duties as assigned.
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Educational reimbursement for qualified positions
- Loan Repayment Program
- Challenging and rewarding work environment
- Competitive Compensation & Generours Paid Time Off
- Career development opportunities
- SoFi Student Loan Refinancing Program