Registered Nurse (RN) FT - Nights 3:3 Shift - ECMO

DHR Health - US:TX:Edinburg - Nights - 3x3

Summary:

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 required
  2-5 years ICU clinical experience
  ECMO experience preferred
  Completion of or eligibility for national ECMO certification within 1 year of meeting required hours.
  Sensitivity to cultural and language differences
  Good written and verbal communication skills
  Ability to read, write and speak English
  Spanish proficiency preferred
  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.
  Critical thinking skills
  Proficient in handling and troubleshooting patient monitoring equipment
  Proficient with computer documentation systems
  Effective communicator
  
  
  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.
  • Delivery of family-centered evidence based nursing care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation.
  
  
  Critical thinking skills
  • Cognitive and technical knowledge in ECMO concepts and equipment
  
  
  Proficient in handling and troubleshooting patient monitoring equipment
  Proficient with computer documentation systems
  Effective communicator
  • Ability to work effectively in a collaborative team environment

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.
  Critical thinking skills
  Proficient in handling and troubleshooting patient monitoring equipment
  Proficient with computer documentation systems
  Effective communicator
  Assesses, utilizing age specific data, the patient's physical, psychosocial, and spiritual status in a comprehensive manner.
  Utilizes critical thinking skills, scientific judgment, delegation, and leadership in providing quality, safe, best practice patient care delivery of the ECMO patient.
  Monitors and adjusts ECMO circuit settings (e.g. heat exchanger temperature, pump flow, sweep gas) to maintain parameters established by the ECMO physician.
  Maintain current knowledge of ECMO procedures, techniques and research
  Adhere to DHR Health, ECMO Program policies, procedures, standards of care and continuous quality improvement activities under the direction of the ECMO Clinical Coordinator and Medical director
  Function independently and collaboratively as an expert clinician in extracorporeal membranous oxygenation (ECMO) care
  Coordinate the care of patients requiring ECMO and their families across the continuum of acuity to ensure consistent family-centered care
  Active participation with ECMO cart and safety checks
  Specialist must attend monthly simulation lab and other educational opportunities as assigned.
  Demonstrates accurate assessment skills, appropriate to the age of the patient, based on scientific facts and principles.
  Performs initial assessment and completes required documentation within organizational standards.
  Performs and documents ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention.
  Participates in the identification and clarification of patient needs, as evidenced by participation in multidisciplinary care planning, to achieve optimal patient outcomes.
  Incorporates patient teaching/discharge planning to promote optimal patient outcomes.
  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.
  Performs bedside shift report (hands off report)
  Administers medication and therapies within the scope of safe nursing practice.
  Formulates, modifies and implements goal oriented patient care plans according to facility policies.
  Delegates appropriate tasks to non-licensed nursing staff
  Builds a positive work environment by guiding employees to support the mission of the hospital and encouraging teamwork.
  Flexibility in schedule to meet unit needs and weekend/holiday requirements.
  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.
  Accept duties as assigned.
  • Delivery of family-centered evidence based nursing care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation.
  
  
  Critical thinking skills
  • Cognitive and technical knowledge in ECMO concepts and equipment
  
  
  Proficient in handling and troubleshooting patient monitoring equipment
  Proficient with computer documentation systems
  Effective communicator
  • Ability to work effectively in a collaborative team environment
  
  
  POSITION RESPONSIBILITES:
  
  
  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.
  
  
  Assesses, utilizing age specific data, the patient's physical, psychosocial, and spiritual status in a comprehensive manner.
  Utilizes critical thinking skills, scientific judgment, delegation, and leadership in providing quality, safe, best practice patient care delivery of the ECMO patient.
  Monitors and adjusts ECMO circuit settings (e.g. heat exchanger temperature, pump flow, sweep gas) to maintain parameters established by the ECMO physician.
  Maintain current knowledge of ECMO procedures, techniques and research
  Adhere to DHR Health, ECMO Program policies, procedures, standards of care and continuous quality improvement activities under the direction of the ECMO Clinical Coordinator and Medical director
  Function independently and collaboratively as an expert clinician in extracorporeal membranous oxygenation (ECMO) care
  Coordinate the care of patients requiring ECMO and their families across the continuum of acuity to ensure consistent family-centered care
  Active participation with ECMO cart and safety checks
  Specialist must attend monthly simulation lab and other educational opportunities as assigned.
  Demonstrates accurate assessment skills, appropriate to the age of the patient, based on scientific facts and principles.
  Performs initial assessment and completes required documentation within organizational standards.
  Performs and documents ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention.
  Participates in the identification and clarification of patient needs, as evidenced by participation in multidisciplinary care planning, to achieve optimal patient outcomes.
  Incorporates patient teaching/discharge planning to promote optimal patient outcomes.
  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.
  Performs bedside shift report (hands off report)
  Administers medication and therapies within the scope of safe nursing practice.
  Formulates, modifies and implements goal oriented patient care plans according to facility policies.
  Delegates appropriate tasks to non-licensed nursing staff
  Builds a positive work environment by guiding employees to support the mission of the hospital and encouraging teamwork.
  Flexibility in schedule to meet unit needs and weekend/holiday requirements.
  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.
  Accept 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 REPSONSIBILITES:


(Chain-of-command)


1. (ECMO Clinical Coordinator → 2. ICU Director → 3. Vice President of Critical Care → 3. Chief Nursing Officer


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: ________________________.