Analyzes and validates data taken from interview of patients for common relationships, revises assessments based on patient behaviors and conceptual view of individuals;
Identifies common recurrent patient problems, symptoms and behavioral changes in relation to standards of care and individual patient needs;
Assesses the needs of a specific patient population by:
Making purposeful rounds
Participating in clinical conferences
Collaborating with physicians and other health team members.
Assesses the competencies of personnel assigned to a specific patient group;
Assesses the need for development of standards of care for a specific patient population;
Assesses the numbers and levels of personnel needed to provide nursing care for a specific patient population.
Planning
Identifies patient care problems, establishes priorities and develops individual patient plan of care based on nursing and medical diagnosis;
Plans strategies for solving patient care problems with other members of the health team;
Involves the patient needs within current assignment to determine amount and type of assistance needed;
Develops a plan for teaching patients and family regarding:
Implementation
Recurrent health problemsCoping mechanismsHealth practices related to maintenance of wellness/prevention of disease
Collaborates with appropriate personnel in performing new procedures and/or in functioning in unfamiliar situations;
Coordinates activities needed to implement the plan of care;
Coordinates patient and family teaching;
Coordinates discharge plans with appropriate support personnel;
Complies with external and internal regulations pertaining to nursing practice;
Recognizes legal and ethical duties and responsibilities of registered nurses;
May participate in conducting research activities.
When assigned charge responsibility makes recommendations for the unit level staffing pattern and assigns personnel to provide for patient care during an 8-hour period;
Assists in teaching students and staff;
May assume role of primary nurse with accountability to specific assigned patients;
Evaluation
Evaluates patient response to care and utilizes this information to re-assess and revise plan of care;
As a clinical partner:
Evaluates orientee, student or staff's ability to perform critical nursing procedures;
Evaluates orientee, student, staff's decision-making abilities in adapting policy and procedures to the clinical setting;
Evaluates documentation of patients response to care.
Evaluates and adapts policies, procedures and standards.