PDN Overnight

Position Description:

The Registered Nurse (RN) is responsible for providing and documenting skilled nursing care in accordance with the care plan developed for each individual patient and within the physician’s orders. The Registered Nurse is also responsible for providing services, as directed by contract and/or program, while under the supervision of a contract/program clinical designee. The RN provides service in accordance with Maxim’s philosophy, standards and policies.

Essential Duties and Responsibilities:

• Assesses and evaluates patient nursing needs regularly

• Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or

services provided to client(s) receiving contracted services, as required

• Initiates the plan of care when directed and requests from prescriber any necessary revisions

as patient status and needs change

• Incorporates therapeutic, preventive, and rehabilitative nursing actions based on patient

diagnosis and established goals

• Intervenes as applicable in response to changes in patient/client condition and reports such

changes to appropriate physician or supervisor

• Administers medications and treatments as prescribed, as well as, monitors and documents

effectiveness of intervention

• Assures patient/client safety at all times

• Monitors the safety and effectiveness of the care/services environment and equipment used,

including universal precautions

• Reviews plan of care and program protocols and identifies areas for healthcare teaching/education,

care coordination, goal setting and discharge planning needs, as applicable

• Documents all physician collaboration/coordination of care in the medical record and

communicates this information as needed

• Adheres to the following professional practice standards:

o Nurse Practice Act

o Standards of Nursing Practice

o Standards of Patient Care

o Standards of Accrediting Body

o State and Local Laws

o Patient Bill of Rights

o Policies and procedures of contracted customers

• Adheres to Maxim policy, procedure and applicable protocols

• Attends case conferences, team meetings and education in-services, as required

• Performs other duties as assigned/necessary