Overview

· The Registered Professional Nurse is
responsible and accountable for prescribing, delegating and coordinating all
nursing care as defined by The New York State Nursing Practice Act.
Comprehensive Medical/Surgical nursing care focuses on helping each patient to
achieve their optimum health potential. This is achieved within the framework
of the nursing process. The Medical/Surgical Registered Professional Nurse is
responsible and renders services to Adult Medical/Surgical patients ranging
from 18 years and older.
 

Responsibilities
 

· In accordance with professional nursing
standards and practices, the Medical/Surgical nurse will provide nursing care
to all patients with medical and surgical diagnoses.
 

· The Medical/Surgical Nurse is responsible and
accountable for the nursing care of the patients.
 

Assessment
 

· Assesses patient’s physical, social and
behavioral, mental status through direct observation, interview, and medical
record review.
 

· Utilizes observational skills to assess
patient’s needs.
 

· Documents a nursing assessment to include
psychosocial, environmental factors, educational level and needs.
 

· Obtains and reviews available data base and any
data collected by other members of the health team (medical, surgical or other
history, physical exam mental status, therapist reports and community
referrals).
 

· Identifies medical problems resulting from
mental illness and use of medications.
 

· Communicates findings with other members of the
health team. (Social Worker, Case managers, therapist, physician).
 

Planning
 

· Identifies and addresses needs for admission
based on acute medical and surgical diagnoses and presenting physical or psychological
symptoms.
 

· Identifies and addresses patient level of
education, learning needs.
 

· Makes appropriate referral to other disciplines
and documents same.
 

Intervention
and Implementation
 

· Management of clinical skills in the provision
of nursing care and management of the patient including but not limited to:
 

· Identification of symptoms  

· Management of the disease entity  

· Treatment modalities  

· Administration of medications  

· Intervenes appropriately in medical and surgical
emergencies utilizing non-violent crisis intervention.
 

· Utilizes infection control procedures;
collaborates with the infection control department in preventing and
controlling infection control.
 

· Practices infection control: personal hygiene;
hand washing; and dress code
 

· Provides for psychosocial and educational needs
of all medical and surgical patients.
 

· Provides health teaching and medication
instructions.
 

· Ensures that all procedures are performed based
on established standards of care
 

· Demonstrates competency in performing all
procedures within the scope of practice and in accordance with Interfaith
Medical Center.
 

· Investigates and communicates all required
information regarding unusual occurrences or patient care incidents.
 

· Acts as a patient advocate.  

Evaluation

· Revises the patient’s plan of care based on
evaluation of the interventions and expected outcomes in collaboration with
other members of the health care team.
 

Qualifications Education 

· Bachelor’s degree in Nursing.  

Experience

· Minimum three (3) years' medical-surgical
nursing experience preferred.
 

Knowledge and Skills 

· Ability to communicate effectively in English
both verbally and in writing
 

Licenses and Certifications

· Current NY State RN License required.  

· Basic Cardiac Life Support (BCLS) required.  

Physical Requirements

· Involves standing, walking, sitting, talking,
hearing and bending.
 

· May include some repetitive motions.  

· Reasonable
accommodations may be made to enable individuals with disabilities to perform
the essential functions of the position without compromising patient care.
  

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