Independently assesses, plans, implements, and evaluates the nursing care of patients from admission through discharge. In collaboration with the patient and family, provides theory-based professional nursing care and coordinates care delivery with the physician and other members of the healthcare team.
EDUCATION: Valid RN license in the State of Maryland.
Experience: 3 years operating room experience; 1-year surgical experience in a required specialty.
LICENSE/CERT/REG: CPR certification.
SKILLS: Demonstrated ability to precept. Demonstrated high level of clinicala competence. Effective interpersonal skills, including verbal and written communication. Basic math skills. Basic computer skills preferred.
Primary Duties and Responsibilities
Communicates patient's clinical information clearly and accurately in verbal and written format. Clearly and accurately documents pertinent information in the patient's medical record. Consistently demonstrates effective documentation practices and develops strategies to ensure complete documentation of patient care.
Completes timely initial and on going patient assessments, considering the physiological, psychosocial, spiritual, cultural, and developmental needs of patients and families. Serves as resource in planning care for complex patients. Consistently demonstrates effective leadership behavior.
Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Seeks opportunities to participate in developing, revising standards of practice to meet changing patient population requirements.
Contributes to the preparation and monitoring of budget specific to assigned area. Selects, assembles, and maintains an appropriate inventory of instrumentation and specialty items with a general regard for budget and usage. Monitors the recommended usage and care of specialty equipment and instrumentation.
Evaluates the patient's response to treatment and progress toward identified goals and revises plan of care as appropriate. Facilitates collaboration among other health team members fostering effective communication with other disciplines.
In collaboration with the patient and family and other members of the health care team, systematically develops, revises, and coordinates the patient's plan of care. Formulates nursing diagnosis as necessary.
Assists others in developing, revising, and coordinating patient's plan of care.
In coordinating the delivery of patient care, delegates activities to unlicensed staff in accordance with MedStar/facility policies, principles of Patient-Centered Care, and the Maryland Nurse Practice Act.
Supervises the performance of the delegated nursing task by the unlicensed staff. Assists staff in delegation/time management skills. Identifies ways to facilitate working relationships among all levels of staff.
Participates in multidisciplinary quality and service improvement teams.
Provides for continuous updating and evaluation of educational needs and staff competency within a specialty area. Demonstrates expert knowledge and skill in the area of specialty/specialties. Collaborates with CEU to incorporate surgical experience into clinical paths.
Provides for smooth day-to-day operation within specialty service(s).
Updates physician preference cards to reflect current practice and expedite patient care. Demonstrates knowledge of ORSOS and scheduling practices.
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.