Conducts comprehensive assessments of patients' physical, psychosocial, and emotional needs•Utilizes appropriate tools to gather relevant data to inform patient care decisionsDIAGNOSIS/ANALYSIS•Analyzes assessment data to determine actual or potential diagnoses, problems, and issues•Verifies the diagnoses, problems, and issues with the healthcare consumer and interprofessional colleaguesOUTCOMES IDENTIFICATION•Identifies expected outcomes for a plan individualized to the patient or situation•Collaborates with the patient/family to define outcomes integrating culture, values, and ethical considerations•Works collaboratively with other healthcare team members which may include other RNs, Licensed Vocational Nurse (LVN), Advanced Practice Nurse Practitioners (NP), Physician Assistants (PA), Physicians and Medical/Nursing Assistants and administrative support staff to address patient needs promptlyPLANNING•Develops, prioritizes, implements, and modifies an individualized evidence-based plan of care in partnership with the person, family and healthcare team•Contributes to creating an environment that is patient focused, family centered and is designed to provide continuation of care and patient transition management•Advocates for compassion, responsible, and appropriate use of interventions IMPLEMENTATION•Administers medications and therapeutic treatments using appropriate devices per clinical guidelines and orders•Recognizes and intervenes to address abnormal responses to medication therapy and initiates corrective therapy•Escalates patient care concerns or changing status until resolution is achievedCOORDINATION OF CARE•Initiates appropriate referrals to the healthcare team based on assessed patient needs•Communicates with the patient/family, interprofessional team, and community-based resources for safe transitions in continuity of care•Ensures continuity of care by communicating effectively with patients, families, and healthcare providers•Acts as a liaison between specialties and sub-specialties, coordinating referrals and follow-up appointments as needed to support the patient continuity of care between inpatient and outpatient care•Performs phone triage, manages prescription renewals, and coordinates follow-up appointments and care plans tailored to patients’ needs if working in an ambulatory settingHEALTH TEACHING AND HEALTH PROMOTION•Identifies barriers to learning, develops and implements education plan based on assessed patient/family needs•that reflects the patient/family values, beliefs, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture and socioeconomic status•Uses health promotion and teaching methods, including technologies to communicate health promotion and disease preventionEVALUATION. Completes required ongoing development and education/competency/certifications as RESOURCE STEWARDSHIP•Ensures the correct functioning of equipment, identifies deficits and reports appropriately•Integrates connected health technologies into practice to promote positive interactions between patients and care providers•Submits required tasks and documentation to support chargeable and billable care activitiesENVIRONMENTAL HEALTH •Creates a safe and healthy workplace and professional practice environment void of abusive, destructive or oppressive behaviorsAdditional Job ResponsibilitiesStaffing to Demand & Floating•Demonstrates flexibility in staffing, scheduling and traveling as needed to meet unit and the hospital system staffing needs for the greater good•Willing to float between various care areas, departments, subspecialty clinics or ambulatory clinics as directed by supervisor and according to scope and competency•Nurses may be floated, flexed off or to stand-by according to policy based on schedule, volume and patient care needs and/or work activity demands to optimize resource allocation and maintain quality of care•Supports staffing needs as deemed necessary by each individual Department or Service line.