Utilizing the BSWH nursing professional practice model, the registered nurse (RN) is a licensed professional who coordinates patient care delivered by the healthcare team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops/implements the plan of care and evaluates the patient's response.
During this process, the RN must:
-communicate patient data to the healthcare team
-make recommendations for patient interventions
-collaborate with other health care providers to deliver care and documents outcomes
The RN is responsible for creating a plan of care that is sensitive to diversity, age appropriate, individualized to the needs of each patient and promotes safe passage. RNs promote safe passage for their patients by using knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee.
The RN uses clinical judgment, clinical inquiry, advocacy, caring practices, collaboration and systems thinking in the provision of nursing care. The RN facilitates the learning for patients/families, staff and community through effective teaching. Using clinical reasoning, conducts accurate clinical assessments according to practice standards. Identifies and prioritizes patient/family needs. Develops, implements and evaluates the nursing plan of care. Modifies plan to meet clinical outcomes. Shares accountability for effective decision-making by acquiring necessary skills, mastering relevant content, assessing situations accurately, sharing fact-based information, communicating professional opinions clearly and inquiring actively. Systematically evaluates the quality and effectiveness of nursing practice, including, but not limited to, nursing sensitive indicators. Supports the implementation of changes. Provides evidence-based practices. Implements practice changes through research utilization and experiential learning. Participates in quality/performance improvement initiatives. Creates a compassionate, supportive, safe and therapeutic environment for patients/families and staff. Demonstrates empathy, sensitivity and patience. Develops therapeutic relationships with patient and family and maintains appropriate boundaries. Manages both emotional and physical pain with the aim of promoting comfort and healing and preventing unnecessary suffering. Recognizes, appreciates and incorporates unique differences of patient/family into an individualized plan of care.
Differences may include, but are not limited to, cultural differences, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values. Delivers care in a nonjudgmental and nondiscriminatory manner. Assesses patient and family level of understanding to provide effective communication. Preserves and protects the confidentiality, autonomy, dignity and rights of patient and family. Completes assessments and formulates an individualized plan to accurately reflect patient and family values and goals so they can be fully represented in care. Works on behalf of patients and families and represents their concerns. Identifies and helps resolve ethical and clinical concerns. Facilitates the learning for patients/families, nursing staff, other members of the health care team and community. Integrates patient and family education throughout the delivery of care. Helps patients and families learn what they need to successfully transition within the health care environment, including changes in level of care and discharge to home or other facility. Assesses and documents learning needs/learning outcomes. Collaborates with peers in establishing individualized teaching plans. Provides patient and family with appropriate information to help them participate and/or make informed decisions about their health care and treatments, including health promotion and disease prevention. Functions as a team member and works collaboratively and interdependently, involving intra- and inter-disciplinary work with colleagues and community. Open and sensitive to all team members- unique contributions. Uses resources to develop and implement an integrated plan of care. Delegates tasks/care to appropriate staff and ensures timely follow-up.
Demonstrates critical communication skills including self-awareness, inquiry/dialogue, conflict management, negotiation, advocacy and listening. Embraces true collaboration as an ongoing process and invests in its development to ensure a sustained culture of collaboration. Uses strategies and available resources for problem-solving for patient/family and staff. Assumes an active role in keeping informed about changes in hospital policy, procedures and equipment. Recognizes that resources are limited and considers factors related to safety, effectiveness and efficiency in planning and delivering patient care.
- Bachelors of Science in Nursing (BSN) required
- RN license required
- Basic Life Support (BLS) certification required
Dallas, Texas , 75264
Baylor Scott & White Health
Jan 14th, 2019