2.
Revises with the patient, family and relevant others the expected
patient outcome, priority and nursing actions as required.
Maintains appropriate documentation and records of observations,
nursing care administered and patient’s response.
Ensures continuity of patient care through effective reporting at
change of shift.
In Emergency and/or Urgent Care Department:
(a) Assessment: Complete triage within 15 minutes of presentation and
according to CTAS guidelines. Obtain history and complete ongoing
assessments.
(b) Planning: Develop plan of care which assigns priorities and prescribes
nursing actions to achieve the desired outcomes. Communicates promptly
with physician according to CTAS guidelines with a concise assessment.
(c) Implementation: co-ordinates and executes the physician’s orders,
according to medical plan of care, best practice, policy and procedure.
Performs nursing actions and care at a skill level which demonstrates the
required knowledge and expertise.
Implements a teaching plan based on the patient’s and families’ identified
needs.
Provides support to patient and family in understanding and coping with
patient illness
Provide for the safety and well-being of the individual patient, including
the environment.
(d) Evaluation: Continuously evaluates the outcomes of the nursing care of
patients and modifies nursing measures and approaches accordingly.
Revises with the patient, family and relevant others the expected patient
outcomes.
Maintains appropriate documentation and records of observations,
nursing care administered and patient response.
Ensure continuity of patient care through effective reporting at
transitions of care.