1. STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment The registered nurse collects pertinent data

1. Performs comprehensive clinical record reviews of start of care, resumptions of care, re certifications, and discharge for complete and accurate clinical documentation to ensure the OASIS and /or assessment accurately reflects the patients current health status 1.1 Completes reviews within designated time frames. 2. Educates on OASIS requirements, clinical documentatio

1. Under the supervision of the Clinical Education Administrator, obtains records from Epic, collates documents , and completes accurate clinical documentation to support diagnosis in accordance with regulations and guidelines. 2. Reviews charts for clinical documentation and abstracts patient data to support closing gaps in care according to HEDIS guidelines. 3. Submits

1. Patient Throughput Ensures all required information obtained from referring physicians and providers in clinical areas are provided to the third party payers to ensure reimbursement for services delivered within the outpatient setting. 1.1 Accurately schedules patient follow up physician appointments in the appropriate scheduling system using guidelines and requirement

1. Interviewing/Demographic Information Obtains and accurately records all patient demographic fields within the patient's Electronic Medical Record (EMR) for both clinical and financial use. Adheres to the Patient Identity/Red Flag procedures when preforming the arrival and interview processes. For additional patient identity security measures, obtains a digital photo im

1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.

1. Evaluation of the quality of performance of these responsibilities will be evaluated based on measurements or observations of the Nurse Manager, other Patient Care Team members, and self assessment. 1.1 Responds to emergency situations by obtaining supplies and equipment as needed. 2. Performs housekeeping tasks to ensure the sanitary conditions of all areas. 2.1 Corre

1. Works under the general direction of the accepts assignments and changes in schedule as necessary. 2. Assembles the required cleaning equipment and supplies needed for the assigned work. Prepares cleaning solution, and uses detergents, soap, germicides and other cleaning agents in accordance with established standard practice or instructions. Operates power buffing equ

1. a. follows established standards of nursing practices and implements facility policies and procedures. b. interprets existing policies and procedures to other licensed staff, nursing assistants, residents, families and physicians. c. assumes responsibility for compliance with Federal, State and local regulations within the assigned unit. 2. a. obtains report from nurse

1. a. follows established standards of nursing practices and implements facility policies and procedures. b. interprets existing policies and procedures to other licensed staff, nursing assistants, residents, families and physicians. c. assumes responsibility for compliance with Federal, State and local regulations within the assigned unit. 2. a. obtains report from nurse

1. a. follows established standards of nursing practices and implements facility policies and procedures. b. interprets existing policies and procedures to other licensed staff, nursing assistants, residents, families and physicians. c. assumes responsibility for compliance with Federal, State and local regulations within the assigned unit. 2. a. obtains report from nurse

1.Conducting diagnostic evaluations and treatment planning for newly referred patients 2.Provision of individual, group, and family behavioral health interventions 3.Collaboration with physicians and other multidisciplinary staff for direct patient care 4.Collection of outcome data related to clinical care 5.Engagement in community outreach 6.Participation in departmental

1. Shadow Planning Regulatory staff, and participates in planning team meetings and regulatory planning activities, as appropriate, to learn about the planning function. 2. Certificate of Need gathers and analyzes data including internal financial data and volume related data, and external data. Assists in coordination of CON preparation, including drafting documents and

1. Exhibits Ability To Prioritize Activities. 2. Assists Others In Obtaining And Sharing Pertinent Information. Notifies Appropriate Rn Or Department Of Stat Orders. Coordinates Desk Communication Activities During A Code Or Other Emergency Situation. 3. Knows Protocol Requirements And Sequences For Lab Tests, Radiology Procedures, The O. R. And Their Checklist Which Incl

1. Responsible for daily operation of the General Ultrasound Departments. 2. Achieves and maintains all necessary paperwork and policies for accreditations, Joint Commission, and State requirements. 3. Gathers statistics, completes reports, and performs other duties as scheduled or requested. 4. Schedules staff to provide adequate staffing in all areas of the departments.