Provides professional nursing care (as defined by the Nurse Practice Act for the State of Texas ) within an assigned unit; coordinates care planning with other disciplines.
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Utilizes the nursing process to provide individualized, goal directed nursing care.
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Institutes appropriate nursing interventions which might be required to stabilize a patient's condition and/or prevent complications.
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Knows rationale for the effects and proper administration of the medications and/or treatments s/he administers.
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Consults with the appropriate licensed practitioner to clarify any order or treatment regimen that the nurse has reason to believe is inaccurate and/or contraindicated.
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Reports and documents the patient's symptoms, responses, progress, medications, and/or treatments.
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Promotes and participates in patient education and counseling based on health needs.
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Collaborates with members of health disciplines in the interest of the patient's health care.
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Consults and utilizes community agencies and resources for continuity of patient care.
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Documents completely and in an organized and timely manner.
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Verifies, dates, times, and signs off medical orders.
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Charts all medications given on MAR, documenting response, if appropriate.
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Updates and maintains current Kardex.
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Performs all required skills competently. Functions independently with complex treatments, procedures, and equipment required by unit's patient population.
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Complies with policies regarding narcotics/controlled substances.
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Utilizes supplies and equipment in a cost-effective manner.
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Troubleshoots equipment independently.
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Seeks guidance when using unfamiliar equipment.
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Gives a comprehensive shift report.
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Gives report on patients when leaving an assignment.
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Presents a positive unit and nursing image when communicating with other departments, nursing units, physicians, patients/families.
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Acts as a patient advocate in accordance with the ANA Code of Nursing.
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Participates in the problem solving process.
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Provides care in an organized and time-efficient manner.
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Complies with attendance standards.
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Contributes to formulation and attainment of unit goals.
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Participates in quality improvement and monitoring activities.
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Recognizes and suggests cost-effective and cost-saving measures.
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Suggests/plans/presents educational programs for the unit.
