A five-time Magnet®-recognized health system for nursing excellence, Capital Health is the region’s leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Comprised of two hospitals (our Regional Medical Center in Trenton and Capital Health Medical Center – Hopewell), our Hamilton outpatient facility, and various primary and specialty care practices across the region, Capital Health is a dynamic health care resource accredited by DNV GL - Healthcare.
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Plans for providing traditional and individualized comfort measures. Fosters an environment to include the core mission. Serves as an advocate by providing emotional and informational support to patients and families and giving them an opportunity to participate in goal setting as they consider alternatives to care.
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Provides appropriate support for pain management, pharmacological and non-pharmacological measures. Assist patient/family in identifying individualized comfort measures.
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Initiates plan of care based on Capital Health core mission principles. Includes illness, pain, fear, anxiety and/or any other stressful emotion in plan of care. Advocates for patient when condition prohibits self-advocacy. Incorporates goal setting and consideration of alternatives in the development of a viable plan of care.
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Identifies the patient's readiness to learn, formulates and implements individualized teaching plans, documents outcomes. Provides interpretation of the patient's condition and gives rationales for procedures which are consistent with the health team. Plans for and documents discharge needs of the patient with appropriate assistance.
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Determines multiple teaching needs related to identified patient problems and documents patient readiness to learn. Provides consistently information to patients with validation through documentation, observation and staff input. Provides patient with information to meet educational needs at time of discharge.
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Identifies and documents the patient's initial condition and need for care based on a detailed assessment. Interprets and assesses changes in patient condition, plans the appropriate intervention to achieve expected outcomes and documents changes, interventions and outcomes. Anticipates problems that might arise in frequently occurring clinical situations.
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Completes independently assessment to accurately and thoroughly reflect the patient's status. Contacts independently LIP to seek out anticipated medications and/or interventions related to changes in patient's condition. Documents thoroughly and accurately clinical changes, interventions and outcomes. Identifies significant diagnostic data indicating recurring clinical problems and situations.
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Identifies emergent situations, initiates appropriate interventions and documents outcomes. Initiates use of in-house emergency response teams as appropriate for identified situation.
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Administers medications accurately and safely. Documents patient's records according to the nursing process, ANA Code for Nurses and Capital Health Patient Services Division Standards of Practice Performs, teaches and demonstrates technical skills specific to assigned nursing unit.
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Identifies problems with IV therapy and adverse drug interactions as they occur. Answers patient questions regarding medications accurately. Updates frequently care plans and teaching plans as changes in patient condition occur. Assists unlicensed assistive personnel(UAP) in understanding how actions affect outcomes during patient care activities.
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Obtains new LIP prescriptions to appropriately reflect patient care regimens. Collaborates with resources regarding problems with response from other health team members. Attends unit-based performance improvement meetings, identifies important aspects of care and responds to the changing needs of the unit. Approaches LIP's to obtain prescriptions for specific patient needs. Communicates independently patient clinical information to LIP clearly. Interprets performance improvement outcomes and relate them to unit based standards of care.
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Meets patient care needs, provides assistance to other team members and responds to the changing needs of the unit. Demonstrates a willingness and capability to assume charge and act as a preceptor when necessary. Follows established policies and procedures for attendance, punctuality and continuing education.
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Interacts in response to the changing needs of the unit and has the ability to provide assistance to other team members. Attends basic preceptor workshop. Charge nurse competency completed. Utilizes non-productive time efficiently and has not received any disciplinary action related to non-productive time.
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Performs other duties as assigned. Possesses a willingness to adapt to changing department demands. Displays flexibility in scheduling shifts based on unit/department needs.