Use principles of epidemiology and community assessment to identify individuals and populations at risk. From an individual to community level, you may employ evidence-based Public Health policies and methods to provide education, screening, outreach, referral, coordination, and other services.
Sites may include: free clinics, county public health departments, health care for the homeless.
Long Term Care – Hospice
Care for patients in their living environments (home or long-term care facilities) managing symptoms, pain, and anxiety, while providing emotional and spiritual support. Implement and monitor patient care plans, serving as a primary coordinator for all disciplines on the care team, including the family. Think creatively on the resources provided in the home, provide education to the patients and their families, and learn ways to adapt care and adjust treatment plans for patients’ evolving needs.
Sites may include: residential long term care facilities, in home or inpatient hospice.
OR – PACU
OR: Communicate and coordinate Operating Room activities to facilitate efficiency in the surgical case progression and turnover between cases. Involve the Operating Room multidisciplinary team to plan for patient care in the Operating Room in a timely manner. Recognize changes in patient’s condition and risks for the patient and take appropriate nursing actions.
PACU: Assist, plan, and care for patients undergoing surgical and other invasive procedures. Closely observe the recovering patient by monitoring the patient’s vital signs, cardiac rhythm, proper oxygenation levels, ensuring a patent airway and managing their pain levels.
Sites may include: Operating Room, Pre-Post, Day Surgery or PACU.
Provide direct nursing care in settings where patients require complex assessments and intervention, utilizing invasive monitoring, ventilator and respiratory support, and hemodynamic treatments. Work alongside a multidisciplinary team at the bedside. Typically care for one to two complexly ill patients.
Sites may include: intensive care (ICU), intermediate care (IMC) inpatient units, critical care transport.
Pediatrics (ALL settings, including inpatient, outpatient, schools, and community)
Inpatient: Provide direct patient care to children and their families with varying diagnoses with an emphasis on developmentally appropriate patient-family centered care. Use the nursing process to develop and implement the plan of care, collect assessment data for each patient, implement interventions, and evaluate patient outcomes. May care for 1-4 pediatric patients depending on clinical site and patient acuity.
School Nursing: Work alongside the educational team (including teachers, administrators, families, and community organizations) to design and deliver a comprehensive, coordinated, and customized system of student supports. As a member of the pupil services team, the school nurse is an advocate for educational equity, promotes the healthy development of the whole-child, and is a leader of systemic change within their school community.
Sites may include: acute care inpatient pediatric units, PICU/NICU, Pediatric Sedation clinic, Pediatric specialty clinics, Peds OR, Peds PACU, public elementary/high schools across the state, pediatric primary care clinic, specialty camps.
Mental Health – Psychiatry
Provide direct patient care to behavioral health patients utilizing critical thinking skills and judgement to analyze patient assessment data. Assess and monitor patients and their environment for safety, and participate in the development, review and evaluation of multidisciplinary treatment plans.
Sites may include: inpatient and outpatient behavioral health/ psychiatric units or clinics.
Emergency Medicine – Urgent Care
Provide direct nursing care in settings where patients may require complex assessments and interventions. This includes triaging patients utilizing age, developmentally appropriate, and culturally sensitive practices to prioritize and optimize health care consumer flow, expediting those health care consumers who require immediate care. Work alongside a multidisciplinary team. Patient population and diagnoses are unpredictable- may care for one to five patients at a time depending on the shift and site.
Sites may include: rural or urban emergency departments or urgent cares.
Provide patient care efficiently and effectively through appropriate allocation of clinic resources. Utilize telephone triage tools, initiate treatment per clinic protocols, provide appropriate patient education, and provide case management of high-risk patients in conjunction with the providers and other health care professionals. May also provide direct patient care during clinic visits including injections, diagnostic tests and minor procedures.
Sites may include: specialty or primary care clinics, infusion centers, or dialysis.
Use standards of medical-surgical nursing practice to increase the quality of care and quality of life for the patient, family, and significant other(s) by systematically evaluating the quality and effectiveness of nursing practice. Use the nursing process to develop and implement the plan of care, collect assessment data for each patient, implement interventions, and evaluate patient outcomes. Work alongside a multidisciplinary team at the bedside. Typically care for 4-5 inpatient adult patients depending on clinical site and patient acuity.
Sites may include: Med/Surg, Orthopedics, Transplant, Neuro, Cardiac, Hematology/Oncology, etc.
Provide patient care for individuals during labor, childbirth, or postpartum. Care may include monitoring the baby and birthing individual, helping administer medications, identifying and assisting with complications, aiding in inducing labor and preparing new parents for before, during, and after pregnancy. Patient education is a key component to this care- specifically surrounding labor, breastfeeding and newborn care.
Sites may include: Labor and Delivery, OB, Postpartum, Perinatal Resource.