Overnight Rn Observation Unit Jobs in Columbia, SC

Provides operational shift oversight, delegates care to staff and facilitates timely patient admission, transfer and discharge. Provides ongoing leadership, support and guidance to all staff and presents a positive image and attitude. Promotes and restores patients' health by completing the nursing process and collaborates with other healthcare team members Uses a systematic critical-thinking approach to guide data gathering, assessment, nursing judgement, intervention and evaluation of human responses to actual and potential health problems through activities such as health teaching and the provision of care, supportive and restorative care and or support of a peaceful death. All responsibilities are carried out in accordance with the mission, vision, strategic imperatives and standards of Lexington Medical Center (LMC), American Nurses Association Standards and in accordance with the provisions/statues set forth by the South Carolina Nurse Practice Act.

LexPlan is a staffing schedule designated for patient care staff that work weekends only. Work 24 hours and get paid for 36, eligible for Full-time benefits, plus applicable clinical differentials.

Minimum Education: Bachelors of Science in Nursing
Minimum Years of Experience: 2 Years of experience in areas of specialty within the past 5 years
Substitutable Education & Experience (Optional): Consideration will be given to those with an ADN or Diploma nursing degree who are presently enrolled in a RN to BS in Nursing or RN to MS in nursing program with the expectation that the degree be completed within 12 months of hire/promotion into the Clinical Coordinator role.
Required Certifications/Licensure: National nursing certification in specialty at time of hire/promotion or must obtain within 6 months of hire/promotion into role;

Current RN license to practice in the State of South Carolina;

**Refer to Mandatory Certification Requirements P&P for required education/certification for various nursing specialties.
Required Training: None.
 

• Establishes positive rapport with patient and family.
• Promotes patient's independence by establishing patient care goals; provides education to patient, and family in a manner they can understand their condition, medications, and self-care skills, etc. and provides them ample opportunity to ask questions.
• Serves as patient/family advocate.
• Maintains continuity among nursing teams by documenting accurately and timely; communicating actions, irregularities, and on-going needs.
• Uses a systematic critical-thinking approach to guide data gathering, assessment, nursing judgement, intervention and evaluation of human responses to actual and potential health problems.
• Identifies, synthesizes, and interprets sources of data using reasonable clinical judgement to respond to dynamic situations in a timely and effective manner.
• Maintains patient confidence and protects operations by keeping information confidential.
• Uses ethical decision making processes and advocates for acceptable patient outcomes.
• Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
• Resolves patient problems and needs by utilizing multidisciplinary team strategies.
• Participates in process/performance improvement activities and initiatives utilizing evidence based practice to maintain and/or improve quality of care and safe patient care systems and processes.
• Maintains safe and clean working environment by complying with procedures, rules, and regulations; calling for assistance from health care support personnel.
• Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
• Documents all patient care activities accurately and timely.
• Provides safe, appropriate, quality of care and support to patients and family members.
• Holds team members accountable for standards of care, policy and procedures, bedside reporting, etc.
• Serves as a teacher, coach and mentor to staff.
• Contributes to the development and revision of unit standards.
• Efficient conflict resolution and problem solving skills.
• Serves as staff leader related to process/performance improvement activities/initiatives utilizing evidence based practice to maintain and/or improve quality of care and safe patient care systems and processes.

• Fosters interdisciplinary communication and collaboration.
• Supports shared governance activities by serving on a unit or hospital based committee.
• Positive rapport with health care team and demonstrates strong collaboration skills.
• Collaborates with instructors from affiliating agencies to assure continuity of patient care as well as positive learning experiences for students.
• Provides feedback and insight regarding unit operations and employee performance to the Nurse Manager.
• Serves as a resource and role model to all members of the patient care team for patient care and professionalism.
• Recognizes and responds appropriately to complex situations.
• Participates in and provides input for patient care conferences and discharge planning conferences.
• Coordinates timely patient throughput (admissions, discharges, transfers) and facilitates smooth transitions of care throughout hospitalization.
• Negotiates for nursing resources to adequately meet the patient care needs.
• Ensures patient care assignments are based on acuity of patients and skill level of nurse.
• Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.
• Appropriately utilizes all nursing supplies and equipment.
• Demonstrates effective teamwork skills and maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods.
• Promptly responds to all communication devices in order to meet patient needs.
• Assists in performing and documenting environmental checks as required by LMC policy and regulatory agencies.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
• Maintains required certifications. Earns a minimum of 20 hours of continuing education annually within specialty.
• L&D Only: A nurse must have documented competency and completion of department orientation to complete a medical screening exam (EMTALA). Nurses will have 3 consecutive medical screenings reviewed and signed off by their preceptor prior to independently completing screenings.
• Ensure Hazardous Waste or Hazardous Waste Pharmaceuticals are discarded, stored, and managed with other compatible waste streams in containers that are properly labeled and closed prior to being shipped offsite for proper disposal.  Initial RCRA training is received within 6 months of the hire date and continuing with annual RCRA training.
• Performs all other duties as assigned.