Position Summary: Under the supervision of the nursing department?s management, the RN assumes the responsibility for the nursing processes of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation needed to deliver safe, evidence based care within their scope of practice.
Collects and assesses initial and on-going data about the health status of the patient.Initiates and/or revises an individualized plan of care that includes immediate and long-term outcomes for the patient/family and reflects the plan of the entire health care team.Carries out interventions safely and in compliance with policy to facilitate achievement of expected outcomes.Evaluates patient response to intervention/therapy based upon expected outcomes.Provides patient education by explaining procedures, medications and giving instructions at a level the patient can understand; addresses patient?s questions and concerns; verifies patient informed consent when indicated.Documents and communicates all required components of patient care on chart forms, birth certificates, and computer.HIPAA: This position will have access to the following Protected Health Information in order to carry out the duties related to their position at Hays Medical Center based on the following criteria:
Primary ? required (routine) to do the job;
Secondary ? required for the job, but mostly be exception; and
None ? no approved access
Description of Information
Patient Demographic Information (information used to identify a person): Name, Date of Birth, Address, Race, Marital Status, Religion
Financial Information/Insurance (information related to insurance, billing and payment): Billing Information, Payer Name, Payer ID, Account Balances, Plan Elements Covered, Payment Information, Payment Rates
Clinical Information (information that describes a patient?s health status): Diagnosis, Reports/Medical Notes, Test Results, Problem List, Procedures, History and Physical
Coding Information (clinical information that is in (alpha) numeric format): ICD-9 Codes, Rev Codes, CPT Codes
Education/Experience: Graduate of an accredited school of nursing (BSN required or must obtain within 4 years of employment); knowledge of general nursing theory and practice required. Knowledge of principles, methods and techniques involved in performing general nursing services and adapting or modifying standards of nursing practices for care of specific medical cases.
Certificates and Licenses: Current RN licensure in the State of Kansas or has work permit from the State Board of Nursing; BLS certification required or must complete BLS certification with in the first two weeks of employment; Neonatal Resuscitation (NRP) required within six months of employment.
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