RN

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

Essential 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