Registered Nurse - ER -12 Hr - Nights in Harlingen, TX at Harlingen Medical Center

Date Posted: 9/21/2019

Job Snapshot

Job Description



Overview

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department.  He / She communicates with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

Responsibilities

  • KNOWLEDGE OF WORK

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    RATING

    1.

    Completes an accurate pertinent triage/initial assessment on new patients consistently within the established time frame.

     

    2.

    Familiar with EMTALA Regulations and hospital policies/State Hospital Association Consent Manual requirements for patient transfers and/or consents.

     

    3.

    Assesses the health status of assigned patients by data collection through interview, observation, inspection, auscultation, palpation, reports and documents appropriately.

     

    4.

    Demonstrates the ability to adequately assess and reassess pain, after giving pain medication and upon discharge. Accurately documents information on the patient record.

     

    5.

    Develops patient goals utilizing all available resources, experience, education and Policies and Procedures.

     

    6.

    Displays basic knowledge of treatment procedures, interventions common to acute psychiatric care as well as non-violent crisis intervention practice.

     

    7.

    Documents evidence of nursing care on the patient’s record and/or Electronic Medical Record (EMR); follows established "down-time procedures" as appropriate.

     

    8.

    Demonstrates knowledge about the National Patient Safety Goals (NPSG).

     

     

  • DUTIES AND RESPONSIBILITIES

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    RATING

    1.

    Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Adult / Child Protective Services. Familiar with the EMTALA Regulations.

     

    2.

    Responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling.

     

    3.

    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.

     

    4.

    Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies.

     

    5.

    Monitors hemodynamic/cardiac status of patient and correctly interprets the results. Reports to the physician any abnormal results.

     

    6.

    Initiates discharge and patient / family education planning with proper documentation on the patient record or electronic medical record (EMR).

     

    7.

    Adjusts frequency of assessment as appropriate for patient’s condition and reassesses nursing action for effectiveness in achieving desired outcome.

     

    8.

    Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies.

     

    9.

    Follows hospital policy regarding chest pain, acute MI and pneumonia protocols. 

     

    10.

    Reviews and implements new orders and keeps physician informed of changes in patient’s clinical status. Follows protocol consistently regarding telephone/verbal orders and the use of "read back".

     

    11.

    Accurately records and / or processes orders in a timely manner, i.e. ASA administration and EKG and Troponin POC for all Chest Pain patients immediately upon presenting in ED.

     

    12.

    Demonstrates empathy and respect for patients by explaining all procedures providing privacy and allowing patients to express emotional needs.

     

    13.

    Initiates, titrates and safely monitors all IV medications and blood components. Uses two patient identifiers consistently when drawing lab, medicating, or performing any procedure on a patient and blood components

     

     

    14.

    Assists physicians with special tests and procedures and uses universal protocol "time out" for any invasive / bedside procedure.

     

    15.

    Gives thorough, detailed efficient change of shift report or upon patient intra-department transfer to ensure consistency in the plan of care.  Uses the SBAR communication methodology in all reporting.

     

    16.

    Ensures consistently that all clinical alarms i.e., cardiac monitor alarms are set with the appropriate parameters for the patient and are audible at all times.

     

    17.

    Does not use unacceptable abbreviations in documentation. Documents evidence of nursing care on the patient’s medical record in a legible, concise, timely and complete manner.

     

    18.

    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 at all bed side.

     

    19.

    Ensures Crash cart, defibrillator function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on the cart checklist.

     

     

    20.

    Serves as a resource to staff in area of clinical and managerial expertise.

     

    21.

    Documents evidence of nursing care in the patient’s medical record (EMR) based upon the nursing process in a legible, concise, timely and complete manner.

     

    22.

    Demonstrates the ability to adequately assess and reassess pain on triage, after giving pain medication and upon discharge and proper documentation on the patient record.

     

    23.

    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.

     

    24.

    Performs all other duties as assigned or required.

     

     

    RN-MICN

  • ADDITIONAL DUTIES AND RESPONSIBILITIES

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    RATING

    1.

    Demonstrates ability to properly utilize REDDINET and ECOM equipment.

     

    2.

    Documents properly calls on the "Patient Information System."

     

    3.

    Documents legibly and completes ALS Radio Run Sheets.

     

    4.

    Documents all pertinent information on EMSA log book.

     

    5.

    Communicates with procedures during Radio contact accurately and proficiently and utilizes established protocols and policies and procedures.

     

    6.

    Participates as a preceptor for new MICN staff.

     

    7.

    Relays properly and accurately protocols and information to field personnel, physicians and other ED staff.

     

     

  • INITIATIVE AND JUDGMENT/ATTENDANCE AND RELIABILITY

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    RATING

    1.

    Independently recognizes and performs duties which need to be done without being directly assigned.  Establishes priorities; organizes work and time to meet them.

     

    2.

    Recognizes and responds to priorities, accepts changes and new ideas.  Has insight into problems and the ability to develop workable alternatives.

     

    3.

    Accepts constructive criticism in a positive manner.

     

    4.

    Adheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness.

     

    5.

    Uses time effectively and constructively. Does not abuse supplies, equipment, and service.

     

    6.

    Observes all hospital and departmental policies governing conduct while at work (e.g., telephone and computer use, electronic messaging, smoking regulations, parking, breaks and other related policies).

     

     

    SECTION II:  SERVICE EXCELLENCE             

     

     

    RATING

    1.

    Patient-Centered: Respectful of and responds to patients preferences, values and needs

     

    2.

    Accountability & Customer Focused: Participates actively and positively affects the outcomes of customer service activities

     

    3.

    Teamwork & Communication: Is a team player and communicates effectively at all levels

     

    4.

    Privacy & Safety:  Follow and abide by all privacy (HIPAA) regulations regarding patient information

     

    5.

    Attitude & Respect:   Being sensitive to customer/co-worker emotions, thoughts, and feelings by being culturally aware of their preferences and cultural norms in a courteous and professional manner

     

     

     

    SECTION III:  CONTINUOUS QUALITY IMPROVEMENT

     

  • CORPORATE INTEGRITY

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    RATING

    1.

    Understands and abides by all departmental policies and procedures and is knowledgeable and complies with federal, state, and local laws that govern business practices as well as all accreditation standards that apply to the position.

     

    2.

    Conducts business in an ethical and trustworthy manner at all times.

     

     

  • EDUCATION AND ENVIRONMENT OF CARE

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    RATING

    1.

    Attends scheduled in-service and mandatory in-service. Communicates ideas to supervisor for a safer layout of equipment, tools, and/or processes.

     

    2.

    Follows standard precautions and transmission based precautions.

     

    3.

    Adheres to procedure for proper disposal of medical sharps, pharmaceutical and medical waste per hospital policy.

     

    4.

    Is knowledgeable in the hospital safety program and takes necessary steps to maintain a safe environment.  Adheres to safe work practices in order to prevent injuries and illnesses.

     

    5.

    Is familiar with emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes

     

     

  • CONTINUOUS QUALITY IMPROVEMENT

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    RATING

    1.

    Active participant in Continuous Quality Improvement program by assisting in finding new and better ways of performing duties and responsibilities.

     

    2.

    Understands performance improvement concepts and demonstrates understanding by:

    a)    Defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting.

     

     

    b)    Able to verbalize at least one departmental or hospital wide improvement initiative that has occurred within the last 12 months.

     

     

    Qualifications

    EDUCATION, EXPERIENCE, TRAINING

     

  • Current and valid state RN License.

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

  • Current ACLS (AHA) certificate 30 days upon hire and maintain current.

  • Current PALS (AHA) certificate and/or ENPC 30 days upon hire and maintain current.

  • Minimum of one year experience as a staff nurse RN in an acute care hospital setting; E.R. setting preferred.

  • Certified Emergency Nurse (CEN) preferred.

  • Bachelor of Science in Nursing (BSN) preferred.

  • Behavioral Violence Prevention (BVP) certificate within 6 months of hire and maintain current annually.

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    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: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf