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RN - NICU

Integrated Resources Inc

Job Title: RN - NICU
Job Location: San Antonio, TX
Job Duration: 2-3 Months (Possibilities of Extension)
Shift: 7:00PM - 7:00AM

Summary:
  • The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
  • Provides routine and complex care, with the ability to on long-range goals or plans.
  • Continues to develop the ability to cope with and manage contingencies of clinical nursing.
  • Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
Responsibilities:
  • Consistent with the ANA Product and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
  • Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
  • Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
  • Documents patient history, symptoms, medication, and care given.
  • Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
CORE COMPETENCIES:
Standard I: Utilizes the Nursing Process:
  • Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families
  • Communicates findings to appropriate healthcare team members
  • Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice
  • Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals
  • Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)
  • Performs timely reassessment and documentation
  • Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.
Standard II. Patient Throughput & Patient Flow Process:
  • Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
  • Utilizes appropriate systems of communication and tools to facilitate the discharge process.
  • Coaches on tools and techniques for checking, cross checking and validating orders to. ensure accuracy.
Standard III. Unit Operations:
  • Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
  • Demonstrates good stewardship in proper use and maintenance of equipment and Supplies
  • Assesses departmental staffing needs; actively participates in resourcing efforts.
  • Educates and trains others on the operations, ethics, and regulations within the industry.
Standard IV. Safe Practice/Quality Care/Regulations:
  • Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
  • Demonstrates accountability for nursing research and quality improvement activities.
  • Provides evidence-based nursing care.
  • Communicates patient information effectively across the continuum of care.
  • Educates and trains others on the operations, ethics, and regulations within the industry.
  • Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.
TECHNICAL COMPETENCIES:

1. Clinical Policies and Standards:
  • Follows a specific set of standards and associated clinical procedures
  • Analyzes policy and standards documentation and ensures organizational compliance
  • Provides feedback for improvement of procedures
  • Assists in the development and implementation of specific procedures
  • Works with control and monitoring mechanisms, tools and techniques
2. Health Information Documentation:
  • Shares experiences with maintaining paper and electronic patient documentation
  • Walk through the steps and procedures for receiving, validating and updating patient records
  • Describes the flow of information between various stations or units
  • Discusses the functions, features and document flow of electronic documentation
  • Transcribes verbal orders; explains techniques for ensuring their accuracy
  • Explains health information documentation best practices and their rationale across health care practices
3. Medical Equipment:
  • Describes experience with basic medical equipment used in own unit or facility
  • Uses standard diagnostic tools and techniques to resolves common equipment problems
  • Educates patients about the appropriate use of home medical equipment
  • Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety
  • Inspects, troubleshoots and evaluates incoming equipment
4. Medical Order Processing:
  • Shares experiences with processing medical orders for one or more groups of patients or conditions
  • Describes functions and features of the system used to enter, validate, update and forward medical orders
  • Discusses common errors, their sources and procedures for correcting
  • Explains considerations for entering and following standing orders
  • Differentiates between standing orders and preprinted orders and considerations for each
5. Patient Chart Reading and Interpretation:
  • Describes experiences in reading and interpreting patient charts for patients on unit and under own care.
  • Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions.
  • Recognizes unexpected readings and alerts nursing or medical staff.
  • Relates examples of mis-readings or misinterpretations and lessons learned.
  • Reviews, discusses and validates own interpretation with others.
6. Patient Safety:
  • Shares experiences with ensuring safety for one or more patient groups or settings.
  • Explains key features of safety guidelines and procedures for those groups and settings.
  • Listens and responds to safety inquiries from patients and family members.
  • Recognizes and addresses physiological and psychological signs of problems.
  • Describes considerations for patients who can cause to harm to self, versus harm to others.
  • Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.
Job Requirements:

1. Education/Skills:
  • Bachelor of Science Degree in Nursing, preferred.
2. Experience:
  • 1 year of experience in the related nursing specialty preferred.
3. Licenses, Registrations, or Certifications:
  • BLS required.
  • RN License in state of employment or compact.
Position Requirements:

1. Education/Skills:
  • All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
  • New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Department-specific competency validation.
  • Completion of all annual competency verification requirements.
2. Experience:
  • Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred.
3. Licenses, Registrations, or Certifications:
  • Current STABLE (Post-resuscitation/Pre-transport Stabilization Care of Sick Infants) certification from one of the following courses: Participant, Lead Instructor, or Support Instructor at the time of hire for experienced nurses.
  • If previously uncertified, certification must be obtained within 30 days of hire as they cannot practice independently without it.
  • For new graduates and experienced nurses new to the specialty, certification must be obtained within 4 months of hire and maintained thereafter.
  • Current NRP certification at time of hire for experienced nurses; within 60 days for new graduates and experienced nurses new to the specialty then required to maintain certification thereafter.
Vacancy posted 1 day ago
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