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