General Summary

The Registered Nurse is responsible for performing individualized and age-specific nursing assessment of assigned patients using advanced assessment skills and other medical data to formulate nursing diagnoses.  Develops individualized care plans and provides and coordinates comprehensive nursing care.  Instructs patients and significant others in care provided, disease and/or illness, expected outcomes and home care.

The Registered Nurse will consistently demonstrate support of the SRAlab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.

The Registered Nurse will demonstrate SRAlab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and SRAlab Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties.

Principal Responsibilities

The Registered Nurse will:

1. Assessment – Utilize appropriate evidence-based techniques and instruments to collect pertinent physiological, psychosocial, and functional data to formulate nursing diagnosis. 
2. Safety – Incorporate factors related to safety into delivery of patient care as directed by the registered nurse.
3. Interpret data from all health team members and integrate it into written assessment and formulates a nursing diagnosis based on available assessment data.
4. Continue assessment process on a continuous basis to anticipate possible changes in patient status based on clinical experience; establish priorities for patient care and identifies crisis situations.
5. Planning – Develop a plan that prescribes strategies and interventions to attain expected outcomes and is consistent with interdisciplinary plan of care and patient/family goals.  Demonstrate respect, courtesy, understanding and tolerance while accomplishing shared goals.
6. Implementation/Evaluation – Implement interventions consistent with the established plan of care, interdisciplinary treatment plan, and available resources; evaluate progress toward goal attainment, modifying the plan of care as indicated.
7. Provide comprehensive nursing care for assigned patients by maintaining a current care plan and adjusting it to the patient's changing needs.  Nursing care includes performing specializing treatments, administering prescribed medications, delegating duties to appropriate persons and coordinating patient care with other departments. 
8. Demonstrate competency in understanding the growth and development of infant, child, adolescent, young adult, middle-aged adult and geriatric patients as measured by specific performance standards and as described by department/unit policies and procedures.  Demonstrate the ability to interpret growth and development related information to assure patient needs are met.
9. Meet learning needs of patients and significant others by providing accurate information regarding care during hospitalization including expected outcomes, home care instructions and referrals to appropriate health agencies and resources.
10. Responsible for establishing and maintaining learning environment by working effectively with health team members, assisting with care and documentation and initiating and conducting patient care conferences with staff.
11. Communicate patient care plan to health team members on a continuing basis which includes completing and updating assignment sheets, giving report, providing explanation of plan of care to be given, acting as resource person and completing necessary documentation on various nursing forms.
12. Collect and report pertinent physiological, psychological, and functional data based on patient plan of care or patient need.
13. Utilize the current computer system appropriately to document functional care, procedures and quantitative values.
14. Document medication, administration, functional care, intake and output, vital signs and other measure in RICIS or utilize downtime procedures.
15. Assume team leader/MOD leader responsibilities as assigned which include working effectively with team members and resolving interdepartmental problems and barriers to provision of necessary services to patients.
16. Safety – Incorporate factors related to safety risk reduction into planning and delivery of care.
17. Professionalism and Development – Evaluate own performance in relation to institutional practice standards, quality improvement initiatives, and institutional policies and procedures.
18. Review, evaluate and make recommendations regarding Institute policies and procedures related to patient care to ensure comprehensive patient care.
19. Participate in other professional activities such as contributing to learning experience of nursing student, participating in inservices and continuing education programs and assisting in research projects to ensure continued growth within profession.
20. Perform all other duties that may be assigned in the best interest of SRAlab.

Reporting Relationships

1. Reports directly to the Nurse Manager or designee.