Job Posting
PRN Registered Nurse - Emergency Room
JOB TITLE: Registered Nurse
DEPARTMENT: Nursing
JOB SUMMARY: Has principle responsibility for the total nursing care, assessment, planning, implementation, and evaluation of each assigned patient. Plans, provides, and documents discharge planning, teaching, and educates patients, family, or others to attain optimal health and continuity of care. Assures that the plan of care is carried out in a safe environment through performance and supervision of subordinate personnel.
OSHA Blood Borne Pathogens Class I.
JOB QUALIFICATIONS:
A. Education: Graduate of an accredited School of Professional Nursing.
B. Personal Job-Related skills: Demonstrated ability in nursing practice. Effective oral and written communication skills.
C. Licensure, Registry or Certification: Registered Nurse currently licensed by the State of Texas. BCLS, ACLS, and PALS certifications. TNCC within one year.
D. Experience:
Prior Work Experience: One year of experience as a professional Registered Nurse preferred.
Technical Training: Current CPR certification. ACLS, PALS, and TNCC within one year of hire.
E. Physical and Mental Requirements: Duties of the position require extended periods of standing and walking. Bending, stooping, twisting, reaching and lifting up to 50 pounds. Occasional heavy lifting
when moving or supporting patients who may suddenly become weak or helpless.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
A. Utilizing the nursing process completes a comprehensive physical and psychosocial assessment of patients.
1. Takes nursing histories to provide a basis for developing patient care plans.
2. Completes a thorough nursing assessment and history on admission.
3. Identifies teaching/learning/discharge needs at time of admission and throughout hospitalization.
4. Provides an ongoing assessment which accurately reflects over physiological and psychosocial needs of patients.
5. Consistently uses input from patient, family, significant other, physician, and health care team members.
6. Provides care appropriate for the neonate and the pediatric, adolescent and geriatric patients served based on demonstrated knowledge of the principle of growth and development over the life span.
7. Assesses and interprets data on neonate and the pediatric, adolescent and geriatric patient’s status to identify patient’s requirements relative to their age-specific needs and provides care needed as stipulated in departmental policy.
B. Using nursing process, plans and provides patient/family care; and evaluates patient’s response to care provided and redirects care as necessary.
1. Formulates appropriate nursing diagnosis and identifies patient problems from admission data base and ongoing assessment.
2. Establishes patient outcome goals that are realistic, specific, measurable, and progressive.
3. Develops and implements nursing order which are specific and measurable.
4. Initiates interdisciplinary communications and incorporates recommendations.
5. Consults with patient and family and others to formulate care plans that reflect concern for holistic patient needs.
6. Assesses and evaluates patient-response/outcome and makes appropriate modifications on the care plan.
7. Reviews and updates the care plan on a timely basis to reflect patient’s current status throughout hospitalization.
C. Implements and monitors appropriate nursing care to meet patient’s needs and identifies expected outcome for planned nursing intervention and ensures vital information is passed between shifts.
1. Administers medications and according to policy including IV’s, IVPB’s, blood and blood components as prescribed by physicians.
2. Knows actions, indications, and contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient.
3. Verifies medication administration record for accuracy and performs the required checks on the medication administration record.
4. Monitors all blood transfusions after started by the Registered Nurse and notifies Registered Nurse of any IV push medications to be administered.
5. Gives exchange report to other health care personnel providing accurate and complete information on each patient at the change of shift, when transferring patient to another unit, and at intervals during the shift.
6. Assesses patients at the beginning of shift for acuity of patient needs/problems and based on the assessment, establishes priority in which work activities are consistently completed by the end of shift.
7. Performs basic nursing skills competently to include but not limited to: intake and output, vital signs, urine testing, specimens/cultures, dressing changes, neurological assessments, personal hygiene for patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, nasogastric tubes, tube feedings, urinary catheterization, drains, enemas, and intravenous catheterization.
8. Recognizes, evaluates and intervenes appropriately in a life-threatening situation.
9. Recognizes variances of diagnostic tests, vital signs and assessments that should be reported to the physician. Notify the physician in a time frame appropriate to the variance.
10. Functions proficiently in unit nursing modalities.
11. Consistently checks for new patients orders throughout the shift and implements them in an appropriate time frame.
D. Participates in the health care educational needs for the client family, and others with regard to patient care needs, disease prevention and health maintenance measures.
1. Develops and implements individualized teaching and discharge plan at admission and throughout hospitalization.
2. Initiates and documents progressive patient, family, or significant other teaching on admission and throughout hospitalization.
3. Act as a liaison between patient, physician, family, significant other, and other health disciplines.
E. Maintains accurate and timely records according to hospital policy and procedures.
1. Documents ongoing assessments, within time frame determined by policy which accurately reflects over physiological and psychosocial needs of patient.
2. Accurately documents on each shift the patient activities and the patient response to nursing interventions and delegated medical management.
3. Maintains a patient care plan that is current and reflects individual needs and preferences of patients.
4. Documents teaching completed and patient and family response in the patient record.
5. Documents interdisciplinary recommendations for plan of care.
6. Transcribes and or cosigns physician orders completely and accurately according to hospital policy and practice.
7. Completes all appropriate transfer and discharge forms.
F. OTHER SIGNIFICANT REQUIREMENTS:
A. Maintains HIPAA required and all other confidentiality while working with confidential matters on a daily basis.
B. Provides service direct to patients while maintain a positive patient relations atmosphere.
C. Interacts with patients, family members, Medical Staff members and other department managers on a continuous basis.
D. Follows aseptic technique for procedures using precautions when involved in direct patient contact or when handling potentially infectious materials.
E. Follows safety and infection control policies and guidelines for JCHD.
Additional Information
Shift : Other
Contact Information
Human Resources
Phone: 361-782-7840 |
