Ward Nurse Provides direct nursing care to patients with pre & post-surgical procedures, acute/chronic medical illnesses. Take the nursing history, summarize data, and state nursing diagnoses/patient care needs. Observe and record signs, symptoms, and behaviors, including the physiological status of patients; present the assessment of changes, the proposed revision of interventions, and desired outcomes. Review and follow policy for activating an individualized plan of care for the patient newly admitted patients. Deliver designated nursing interventions to assigned patients that are consistent with the stated medical & surgical plan of care. Perform admission, discharge and transfer procedures, and assist others with patient's activities and care. Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms. Execute physician's orders for all assigned patients; safely and properly administers medications and treatments. Notify appropriate nursing and medical staff to changes in the patient's status. Independently perform duties and assume responsibility for care of assigned patients. Perform techniques and routines in the specialty service area. Perform or assist others to perform proper aseptic techniques, isolation procedures, and infection control measures. Maintain patient's privacy and confidentiality of information and records at all times. Evaluate care given including the patient response. ER Nurse
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