Registered Nurse (RN) PRN - Nights - ICU-CCU

DHR Health - US:TX:Edinburg - Nights

Summary:

MISSION STATEMENT:


Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.


VISION:


Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.


POSITION SUMMARY:


Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for departmental specific patients based on established clinical nursing practice standards. Collaborates with interdisciplinary team to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Supports the organization vision and mission. Utilizes knowledge of patient's age and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.


POSITION EDUCATION/ QUALIFICATIONS:
• Graduate of accredited school of nursing required (BSN preferred)
• Current registered nurse's license in the State of Texas required.
• Current BLS certification required.
• ACLS certification within six (6) months of hire.
• NIHSS certification within six (6) months of hire
• TNCC/TCAR within six (6) months of hire
• ENLS certification preferred for NSICU
• Job requires cross training to like areas
• Willingness to be trained for charge nurse
• Willingness to become a preceptor after two years of nursing experience
• Hospital experience preferred
• Proficiency in English -verbal and written and computer skills required
• Spanish proficiency preferred


JOB KNOWLEDGE/EXPERIENCE:
• Ability to practice nursing as described by the following definition by the American Nurses Association (2016): "the essential core of practice for the registered nurse to deliver holistic, patient-focused care." Ability to utilize the best nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers and providing education to patients and/or significant others. The successful candidate will be required to pass competencies for this position.
• Abel to adjust and/or troubleshoot monitoring equipment and computer equipment.
• Must be able to interact and communicate with all levels of staff, physicians, patients and families in an effective manner.
• Exhibits tact, enthusiasm and patience.
• Must be sensitive to cultural differences


Responsibilities:

JOB KNOWLEDGE/EXPERIENCE:
• Ability to practice nursing as described by the following definition by the American Nurses Association (2016): "the essential core of practice for the registered nurse to deliver holistic, patient-focused care." Ability to utilize the best nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers and providing education to patients and/or significant others. The successful candidate will be required to pass competencies for this position.
• Abel to adjust and/or troubleshoot monitoring equipment and computer equipment.
• Must be able to interact and communicate with all levels of staff, physicians, patients and families in an effective manner.
• Exhibits tact, enthusiasm and patience.
• Must be sensitive to cultural differences


POSITION RESPONSIBILITIES:


Ensures care is delivered to each patient in accordance with the Nurse Practice Act of the State of Texas and ANA Standards of Clinical Nursing Practice.
• Performs family-centered evidence based nursing care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation.
• Implements physician's orders in a safe and accurate manner.
• Assists with admitting, discharging and transferring patients.
• Transcribes and implements new physician orders.
• Adapts to the needs of the unit by demonstrating flexibility/adaptability.
• Maintains detailed and accurate records of nursing actions.
• Participates in health/therapeutic counseling, teaching/emotional support for patients and significant others.
• Makes rounds on assigned patients and prioritizes patient's needs.
• Maintains a safe and clean environment for patients and co-workers.
• Provides and receives reports in a status of patients at the change of shifts.
• Administers medication and therapies within the scope of safe nursing practice.
• Formulates, modifies and implements goal oriented patient care plans according to facility policies.
• Assumes responsibility to report clinical limitations or the need for assistance to the supervisor.
• Performs other duties as assigned.
• Abides by the rules and regulations set forth by the Board of Nurse Examiners
• Adheres to policies and procedures that guide and support the provision of services.
• Informs the charge nurse of any anticipated and/or actual issues/problems.
• Maintains current with all new policies and procedures published.
• Provides direction to non-licensed nursing staff in the delivery of patient care.
• Anticipates potential problems situations and intervenes to offset any adverse impact.
• Contacts the organ procurement organization in order to satisfy regulatory requirements for the determination of medical suitability for organ, tissue and eye donation; completes certificate of referral/request and places same in the medical record.
• Builds a positive work environment by guiding employees to support the mission of the hospital, providing developmental opportunities and encouraging teamwork.
• Ensures the distribution and delivery of equipment/supplies as necessary.
• Flexibility in schedule to meet unit needs and weekend/holiday requirements.
• Plans and coordinates time schedule with peers to provide coverage.
• Participates in unit based council and/or hospital committees.
• Attends mandatory unit and hospital meetings/classes.
• Ensures care is delivered to each patient in accordance with the Nurse Practice Act of the State of Texas and ANA Standards of Clinical Nursing Practice.
• Other duties as assigned.


Standard I: Quality of Care


The nurse systematically evaluates the quality and effectiveness of nursing practice.


Standard II: Performance Appraisal


The nurse evaluates his/her own nursing practice in relation to professional practice standards and relevant statues and regulations.


Standard III: Education


The nurse acquires and maintains current knowledge in nursing practice.


Standard IV: Collegiality


The nurse contributes to the professional development of peers, colleagues, and others.


Standard V: Ethics


The nurse's decisions and actions on behalf of patients are determined in an ethical manner.


Standard VI: Collaboration


The nurse collaborates with the patient, significant other, and health care providers in providing patient care.


Standard VII: Research


The nurse uses research findings in practice.


Standard VIII: Resource Utilization


The nurse considers factors related to safety, effectiveness, and cost in planning and delivering patient care.


Standard IX: Practice Environment


The nurse contributes to the environment of care delivery within the practice settings.


Standard X: Accountability


The nurse is professionally and legally accountable for his/her practice. The professional registered nurse may delegate to and supervise qualified personnel who provide patient care.
• Builds a positive work environment by guiding employees to support the mission of the hospital, providing developmental opportunities and encouraging teamwork.


Other information:

LINES OF REPSONSIBILITIES:


(Chain-of-command)

1. Charge Nurse → 2. Director


CUSTOMER SERVICE:


Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.


AMERICANS WITH DISABILITIES ACT: (ADA):


A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:


Light/moderate lifting up to 20 lbs, from the floor to shoulder height.


Yes

Kneeling

Yes

Must be able to assist other employees with lifting more than 20 lbs.

Yes

Walking

Yes

Light/moderate carrying up to 20 lbs.

Yes

Standing/Squatting

Yes

Straight pulling

Yes

Sitting

Yes

Pulling hand over hand

Yes

Pushing

Yes

Repeated bending

Yes

Stooping/Bending

Yes

Reaching above shoulder

Yes

Climbing Stairs

Yes

Simple grasping

Yes

Climbing Ladders

No

Dual simultaneous grasping

Yes

Depth Perceptions needed

Yes

Ability to see

Yes

Identify Colors

Yes

Operating office equipment

Yes

Twisting

Yes

Operating mechanical equipment

Yes

Crawling

No

Ability to read and write

Yes

Ability to Count

Yes

Ability to hear verbal communication without aid

Yes

Operating Personal Vehicle

Yes

Ability to comprehend written/verbal communication

Yes

Other: Ability to deal with stress

Yes

OSHA Category

III

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.


C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.


D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3


Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.


If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________

Transfer/Hire Date Effective: ________________________.