New Grad RN Residency Med Surg Nurse
Hybrid-based
ONET: 29-1141.00
1
Years
103
Skills
227h
Related instructions
2000h
On-the-job training
Classroom instruction topics
- Quality Assurance & General Patient Care
- Nurse Residency Program
- Unit Orientation
- Unit-Based Continuing Education
- Advanced Clinical Skills
On-the-job training
- Unit-Based Orientation
- Demonstrates an understanding unit policy and procedure.
- Demonstrates an understanding of the physical environment.
- Demonstrates the ability to access online resources.
- Demonstrates the ability to successfully insert and care for a peripheral IV.
- Demonstrates the ability to successfully perform peritoneal dialysis.
- Demonstrates the ability to use standard equipment in the delivery of patient care.
- Demonstrates the ability to safely and accurately perform the daily duties of the Registered Nurse
- Hourly rounding
- Bedside handoff
- Unit to unit and facility to facility handoff
- Physician communication with appropriate documentation
- Participates in Multi-Disciplinary Rounds
- Delegates and supervises tasks to Nursing Technician
- Communicates effectively with patients and family
- Recognizes need for and provides emotional support
- Recognizes change patient clinical status/deterioration, responds and escalates to charge RN/physician
- Acts as an advocate for the patient and family
- Demonstrates professional and accountability for nursing practice
- Treats patient and family with dignity and respects and maintains patient safety
- Communicates professionally and respectfully with peers and members of the interdisciplinary team
- Recognizes situations that require mandated reporting and follows appropriate reporting process
- Completes ADLS/I&O in a timely manner with appropriate documentation
- Assess for and implements interventions ordered to mitigate risk for VTE
- Provides ongoing patient and family education with respect to assessed learning needs
- Minimize use of verbal/telephone orders and performs read-back
- Verbalizes the rationale for Nurse Order Review and completes for all new orders
- Accurately interprets and responds to lab values
- Demonstrates appropriate clinical alarm management
- Consistently ensures a safe environment of care and adheres to infection control measures
- Adheres to safe patient handling/patient ambulation practices
- Initiates standard fall precautions for all patients
- Assesses patient fall risk and institutes/documents appropriate fall precautions
- Evaluates patient medication list for medications that may increase fall risk and implements interventions based on this assessment
- Communicates fall risk and interventions with members of the patient care team
- Participates in post-fall huddles and ensures completion of post-fall huddle form
- Demonstrates proper infection control measures
- Follows procedure for care of re-usable instruments
- CAUTI prevention measures
- CLABSI prevention measures
- Pressure Ulcer Prevention
- Universal Protocol
- Restraints
- Influenza and pneumococcal screening and vaccination
- Reports all adverse patient safety events per policy
- Demonstrates the ability to safely manage and administer medications:
- Correctly operates Pyxis machine
- Accurately and safety administers medication per policy
- Describes how/ reports medication errors, near misses, and Adverse Drug Events
- Manages medications appropriately in response to lab values and vital signs
- Administers and titrates oxygen appropriately via standard delivery devices
- Safely manages Alaris pump
- Safely disposes of medications
- Safely stores medications
- Accurately completes and documents 2 RN check process for high-alert medications (heparin, insulin, and blood transfusions)
- Demonstrates the ability to accurately complete a patient admission, transfer, and discharge
- Admission
- Transfer
- Discharge
- Demonstrates the ability to perform and document a systems assessment
- Neurological assessment
- ENT assessment
- Respiratory assessment
- Cardiovascular assessment
- GI assessment
- GU assessment
- Integumentary assessment
- Pain assessment
- Demonstrates the ability to implement disease-specific protocols and education
- Stroke
- Sepsis
- Required discharge education with documentation
- Demonstrates the ability to provide wound care: Dry sterile and wet to dry
- Demonstrates the ability to provide wound care: VAC Dressing
- Demonstrates the ability to provide wound care: Intentionally-retained packing process
- Demonstrates the ability to provide wound care: Wound RN consult process
- Demonstrates the ability to properly assess and care for lines, tubes, and drains
- Peripheral lines/PICC
- Port-a-cath
- Central Lines
- Dialysis catheter
- Line draws for lab specimens
- Naso/Oro/Gastric tubes
- Foley catheter
- Catheter irrigation/CBI
- Chest Tube
- Surgical drains
- Ostomy drains
- Tracheostomy/laryngectomy care and emergency management
- Demonstrates the ability to provide comfort care and post-mortem care
- Verbalizes an understanding of the dying process
- Provides emotional support to families of patients on comfort care
- Completes organ donation process
- Provides post-mortem care
- Demonstrates the ability to prepare patient for a procedure/surgery
- Verification of orders and consent
- Pre-op pregnancy test
- Pre-op bath
- Pacemaker/defibrillator
- Universal protocol for bedside procedures
- CAD bundle documentation for central line insertions
- Demonstrates the ability to provide population-specific patient care
- Pregnant patients (as applicable to unit)
- Social, cultural, and religious diversity
- Patients with mental illness
- Patients with substance use disorder
- Neonatal (as applicable to unit)
- Infant (as applicable to unit)
- Pediatric (as applicable to unit)
- Adolescent (as applicable to unit)
- Adult
- Geriatric
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