Registered Nurse-Ambulatory Surgery-Per Diem-Days in Harlingen, TX at Harlingen Medical Center

Date Posted: 4/15/2021

Job Snapshot

Job Description

Overview The Registered Nurse provides direct patient care within the scope of practice in the Out Patient Services setting. The Registered Nurse communicates with physicians, / Director of Surgical Services, House Supervisor and co-workers, as appropriate about changes in the patient’s clinical condition including results of diagnostic studies and symptomatology. The Registered Nurse is able to respond quickly and accurately to changes in condition or response to treatment. The Registered Nurse coordinates the care of the patient with the surgeon and/or anesthesiologist, directs and guides and other personnel while maintaining standards of care within the Out Patient Department. Works with other departments and co-workers to provide quality patient care across the continuum, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate

Responsibilities Promotes and demonstrates vision, mission and values of the organization.
Uses two patient identifiers consistently when drawing lab, administering medications and performing procedures.
Does not use unacceptable abbreviations in documentation and uses read back on all telephone orders. Reviews and transcribes all telephone orders. Follows telephone read back policy.  Monitors authentication and validation of telephone orders within 24 hours by the physician.
Follows policies and procedures regarding Telephone/Verbal orders and Critical Values consistently.
Ensures consistently that all clinical alarms, i.e. vital sign monitors, IV Pumps are set with the appropriate parameters for the patient and are audible at all times.
Follows medication reconciliation policy consistently.
Ensures Crash Cart, defibrillation function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on crash cart checklist.
Is in compliance with information contained in the Infection Manual (i.e. OSHA blood borne pathogen standards, CDC Guidelines) and demonstrates appropriate use of personal protective equipment (e.g., gloves, gown, masks, and goggles) and hand hygiene techniques.
Assists physicians with special tests and procedures in the unit.  Uses universal protocol “time out” on all patients for any invasive / bedside procedures.
Avoids and prevents injury to self and patients by applying the principles of body mechanics.  Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility, i.e. suction and oxygen immediately available when needed.
Completes pain assessment and reassessment consistently with the time frame after giving pain medications and upon discharge or transfer of patients.
Counts narcotics consistently with the shift nurses.
Initiates discharge and patient / family education planning with proper documentation on the patient record.
Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child/Adult Protective Services. Familiar with the EMTALA Regulations.
Responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling.
Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely.
Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies.
Detects and reports medication errors and ADR’s according to hospital policy. Safely and accurately administers medications and documents properly on the Medication Administration Record (MAR) in a timely manner.
Complies with all regulatory requirements for clinical pathways, clinical assessments, interventions and documentation
Performs all other duties as assigned or required.

1.     Current and valid state RN License.

2.     Current BLS (AHA) certificate upon hire and maintain current.

3.     ACLS 30 days upon hire and maintain current.

4.     PALS 30 days upon hire and maintain current.

5.     Previous acute care hospital experience; preferred.

6.     Moderate Sedation competency completed within 30 days upon hire.

7.     Bachelor of Science in Nursing (BSN) preferred.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: