ESSENTIAL FUNCTIONS
1 - Medication Administration
a - *Demonstrates knowledge of and follows SSH policies and procedures for administering and documenting medications.
b - *Completes medication reconciliation process following SSH policy and procedure.
c - *Demonstrates safe procedures for the safe administration of medication and vaccines.
2 -Plan of care/Documentation/Patient Family Centered Care/Patient Experience
Develops, discusses, and communicates a prioritized problem and plan of care for each patient.
a - Develops, evaluates and updates individualized plan for patient and documents outcomes.
b – Initiates patient outreach, identifies and documents patient/family/significant other needs and makes appropriate interventions, evaluating outcomes of interventions.
c - Continues assessment/reassessment and identifies care needs within established nursing practice.
d - Documents all patient care following the department of nursing policy, department-based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, safety risk, isolation, etc.)
e - Assess/reassesses and documents patient's response to each intervention both pharmacological and non-pharmacological per South Shore Health and ambulatory policies and procedures.
f - Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves.
g - Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions.
h - Actively communicates and collaborates with health team members: primary care, specialty care, and ancillary providers and departments.
i - Facilitates care across the continuum to ensure patient needs are met in the right setting and at the right time.
3 - Safety/Quality - Foster's a "Culture of Safety" through personal ownership and commitment to a safe environment.
a - Verifies patient identification with two identifiers prior to the start of any procedure, including "time out