What are the Major Duties of this Position?
Provides direct patient care services in accordance with legal, ethical and institution standards. Provides nursing care of a general nature to inmates in the institution hospital/clinic, and
may be provided to patients in specific areas, e.g., psychiatric,
operating room, orthopedics, geriatrics, etc.
Implements established protocols and standing orders for handling
inmate complaints during sick call and initiates emergency care as needed according to community standards.
Develops a nursing assessment for each patient, to include planning, implementing, and evaluating nursing care. May assess and identify high risk symptoms/behaviors in patients, to include suicidal risk, homicidal risk and risk for verbal and/or physical abuse. Completes nutritional screening as part of the assessment and refers patient to a dietitian for a nutritional assessment if necessary. Incumbent monitors, evaluates and revises the plan of care as needed. May also assess and document the discharge planning needs of a patient. Delegates and coordinates care based on assessments.
When part of a primary care provider team (PCPT), the incumbent serves as the coordinator for the out-patient area. Duties include managing patient flow and triage, responding to institution emergencies with the mid-level practitioner or physician back up, coordinating the workload/duties of the LPN/LVN, screening new arrivals, assessing inmates returning from consultant visits or hospitalizations, and providing patient education.
In providing nursing care, adheres to infection control policies
and procedures. Administers treatment and procedures with attention to accuracy, patient safety and comfort. Medications are administered as prescribed in accordance with BOP and institution policy and procedure. Must maintain an accurate inventory of all needles, syringes, and controlled substances. Must be able to assess a patient's condition on an on-going basis and appropriately select the standing orders to be followed, as well as refer patients to the appropriate medical practitioner. Identifies changes in their condition and takes appropriate action. Evaluates the effectiveness of interventions, monitors and documents progress toward identified goals, and reports information to the multi-disciplinary team for use in reevaluating the plan of care.
Secures a health history and records/documents findings of patient care activities on appropriate records. Must complete written medical record documentation in an accurate, well organized, legible and timely manner.
Competently utilizes specialized monitoring equipment including
but not limited to EKG machines, blood pressure machines, cardiac
monitors, traction equipment, glucometers, defibrillators, IV
infusion pumps, etc.
May assist in coordinating arrangements, as well as transporting
and escorting patients to local community health facilities. Communicates critical information to his/her supervisor or to
staff at the local hospital.
Maintains patient's privacy and confidentiality. Performs nursing
care in a manner which demonstrates respect for a patient's dignity, personal preference, or culture. Utilizes current principles of community health nursing to promote a healthful environment and reduce the incidence of communicable diseases within the correctional setting.
As assigned, may be actively involved and instrumental in programs such as, the Hospice Program, patient care clinics, wound care, PUVA, chemotherapy, and other specialized programs. May participate in quality improvement and risk management activities. The incumbent may be responsible for monitoring and evaluating the quality and appropriateness of patient care, and ensuring that nursing standards are met on a consistent basis.
Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.