Medical Surgical Registered Nurse Resume Example

>Interviews patient and/or family to obtain data for nursing assessment, records and reports data

> Utilizes assessment data to formulate nursing diagnosis;

>Applies knowledge of normal parameters; identifies deviation from normal, obvious patient problems, symptoms, and/or behavioral changes. Reports these to the appropriate authority

>Makes observations about physical, psycho-social, cultural, learning needs and response of patient and families; documents in a clear, concise manner.

>Identifies patient care problems and establishes priorities for care based on nursing and medical diagnosis

>Understands goals and plans of care, for the usual patient population; >Initiates a patient care plan and collaborates when appropriate; >Contributes to the revision of the initial patient care plan dependent upon the changing needs of the patient

>Contributes to the development of unit standards of care

>Plans patient teaching activities.

>Establishes priorities and gives nursing care based on the patient care plan

>Implements the patient care plan

>Seeks supervision and guidance in further developing nursing skills, in performing procedures not yet mastered and/or in functioning in unfamiliar situations

>Accepts accountability for all nursing care provided

>Monitors compliance with safety standards and care protocols for self and others

>Records nursing care given and patient's response to care

>Assists in coordinating the activities needed to implement the patient care plan

>Participates in implementation of patient discharge plan

>Teaches patient and families

>Compiles with external and internal regulations pertaining to nursing practice; recognizes legal and ethical duties and responsibilities of registered nurses.

>May participate in research projects. Evaluation •Evaluates the patient's response to care provided

>Communicates evaluation outcomes

>Evaluates teaching provided by self and others.