PRN Advanced Practice Nurse

Medical-Surgical Nurse

Provides direct and indirect patient care in the medical-surgical setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient's clinical condition including results of diagnostic studies and symptomatology. Additionally, is able to perform general nursing duties in all departments with adequate supervision.

PRN position

Graduate of an accredited School of Registered Nursing

Current RN license from the Texas State Board of Nurse Examiners with renewal as required by law

Develops and implements a measurable individualized plan of care for the patient within the time frame established by Nursing Standards of Care.

Makes comprehensive nursing decisions based on the interpretation of facts and evaluations of patient outcome; modifies the plan of care based upon the evaluations.

Participates in patient/significant other health education and discharge planning.

Implements and documents timely interventions appropriate to patient needs.

Delegates unit work assignments appropriately to ensure completion of required patient care support activities.

Coordinates team assignments and makes adjustments based upon patient and unit needs; follows up on delegate patient care tasks for quality and completeness.

Participates in orientation of new staff/students on the unit.

Functions as a resource to visitors, physicians and staff; demonstrating a professional, supportive attitude for the unit staff; and being flexible to changing systems.

Participates in the unit's continuous quality improvement plan to improve organizational performance.

Collaborates by working with others to achieve unit and organizational goals.

Adjust work hours/schedule to meet the needs and demands of the department and hospital.

Cross-training to allow for flexibility in filling nurse staffing needs of the hospital.

Competencies in nursing procedures and patient care are met and documented.

Aware of all Emergency Disaster Plans and how to respond if a Disaster occurs.

Ability to perform a head-to-toe assessment and reassessments on all patients as per policy. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.

Supports and maintains a culture of safety and quality.

Coordinates and directs patient care to ensure patients' needs are met and hospital policy is followed.

Ability to perform waived testing (point of care testing) per Clinical Laboratory's and the patient care unit's policies and procedures.

Ability to revise plan of care as indicated by the patient's response to treatment and evaluate the overall plan daily for effectiveness.

Communicates appropriately and clearly to physicians, staff, Nurse Executive and administrative team.

Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and family. Functions as liaison between administration, patients, physicians and other healthcare providers.

Maintain operational aspects of the patient care units in collaboration with other service areas.

Maintains regulatory requirements, including all federal, state, local regulations and accrediting organization standards.

Actively participates in performance improvement and continuous quality improvement (CQI) activities.

Complies with all organizational policies regarding ethical business practices.

Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.

Appreciation of and desire to be part of a health care team dedicated to providing patients optimal care.

Knowledge of medications and pharmacology at a level appropriate to the scope of licensure and professional expertise

General practice nursing and medical terminology

Standard diagnostic and medical equipment and instruments

Basic Microsoft computer skills

Ability to walk, stand, sit, kneel, push, stoop, reach above the shoulder, grasp, pull, bend repeatedly, identify colors, hear with aid, see, write, count, read, speak, communicate in English, analyze, alphabetize, lift and carry over 100 lbs, perceive depth.

Conditions include working inside, working around machines with moving parts and moving objects, radiant and electrical energy, working closely with others, working alone, working protracted or irregular hours. Exposure to body fluids and/or infection from disease-bearing specimens, exposure to chemicals/biohazardous/radioactive substances, exposure to explosive/flammable chemicals or gases, exposure to patient/visitors under a wide variety of circumstances.

Cogdell Memorial Hospital