Staff RN - 12 Hr ICU FULL-TIME NIGHTS in Mission, TX at Prime Healthcare

Date Posted: 5/18/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    900 South Bryan Road
    Mission, TX
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    5/18/2020

Job Description

Overview
JOB DESCRIPTION      EVALUATION FORM  
 
 
POSITION TITLE:                           REGISTERED NURSE
 
DEPARTMENT:                              INTENSIVE CARE UNIT
 
REPORTS TO:                                DIRECTOR
 
SUPERVISION GIVEN:                  DESIGNATED STAFF
 
EMPLOYEE NAME:
 
EVALUATION PERIOD:     _______________               EVALUATION DUE:           _______________
 
The following statements are intended to describe the major elements and requirements of the position and should not be taken as an all-inclusive list of responsibilities, duties, and skills required of individuals assigned to this job.
 
JOB SUMMARY: 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 care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients;   He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
 
 
AGE-SPECIFIC COMPETENCIES
 
Employees working in this capacity must meet age-specific competencies related to the following categories:
\u009e   Neonate/Infant: Birth \u2013 12 months        \u009e    Child / Pediatric:   1 \u2013 12 years
Χ  Adolescent: 13-17 years            Χ        Adult:    18 \u2013 64 years         Χ    Geriatric: 65 and over
 
EDUCATION, EXPERIENCE, TRAINING
 
  • Current and valid state RN License.
  • Current BLS (AHA) certificate upon hire and maintain current.
  • Completion of Critical Care Course preferred.
  • Current ACLS certificate 30 days upon hire and maintain current.
  • Minimum of one year as a staff RN in acute care hospital, critical care preferred.
  • Critical Care RN (CCRN) Certification preferred.
  • Bachelor of Science in Nursing (BSN) preferred.
     
     
    PERFORMANCE EVALUATION INSTRUCTIONS: SCORE EACH CATEGORY BASED ON THE FOLLOWING CRITERIA:
    3 MEETS AND EXCEEDS ALL STANDARDS
    2 MEETS ALL STANDARDS
    1 MEETS SOME STANDARDS -SOME IMPROVEMENT NEEDED
    0 IMPROVEMENT NEEDED
    ***NOTE: Please refer to "Position
    Responsibilities

    and Evaluation Ratings" for more detailed information about the ratings.
    METHOD: (O) OBSERVATION (D) DEMONSTRATION (V) VERBALIZED
     
    SECTION I:   PERFORMANCE ACCOUNTABILITY
     

    • KNOWLEDGE OF WORK

       
       
       
      RATING
      1.
      Completes initial assessment on new patients within one (1) hour of admission, including functional assessment, psychosocial, pain assessment, discharge planning, referrals to interdisciplinary team and code status.
       
      2.
      Initiates and updates patient care plan, assess patient educational needs and barriers to learning. Reviews and transcribes all telephone orders. Monitors all telephone orders for signature and validation by physicians within 24 hours.
       
      3.
      Explains all procedures to patients maintaining privacy and allowing patients to express emotional needs. Demonstrates knowledge of IV medications , adverse drug reactions ADR and blood components
       
      4.
      Documents evidence of nursing care on the patient’s record. Observes for reactions and/or complications and report to the physician in a timely manner. Participates in the PI data collection regarding core measures and pain management.
       
      5.
      Knowledgeable about National Patient Safety Goals.
       
       
    • DUTIES AND RESPONSIBILITIES
       
       
      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.
      Uses two patient identifiers consistently when drawing lab, administering medications and performing procedures.
       
      6.
      Does not use unacceptable abbreviations in documentation and uses read back on all telephone orders. Monitors authentication and validation of telephone orders within 24 hours by the physician.
       
      7.
      Follows medication reconciliation policy consistently.
       
      8.
      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.
       
      9.
      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 (i.e. gloves, gowns, masks, goggles) and hand hygiene techniques.
       
      10.
      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.
       
      11.
      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.
       
      12.
      Assists physicians with special tests and procedures in the ICU. Uses universal protocol "time out" on all patients for any bedside procedures.
       
      13.
      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 ICU bedsides.
       
      14.
      Completes pain assessment and reassessment consistently with the time frame after giving pain medications and upon discharge or transfer of patients.
       
      15.
      Completes documentation of medications given to the patient on the medication administration record (MAR).
       
      16.
      Initiates discharge and patient / family education planning with proper documentation on the patient record or electronic medical record (EMR).
       
      17.
      Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies.
       
      18.
      Formulates, maintains and updates a goal directed plan of care on patients which is prioritized and based on patient outcomes.
       
      19.
      Complies with all regulatory requirements for clinical pathways, clinical assessments, interventions and documentation
       
      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
       
       
      20.
      Performs all other duties as assigned or required.
       
       
    • INITIATIVE AND JUDGMENT/ATTENDANCE AND RELIABILITY
       
       
       
      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
       
      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
       
      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
       
      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.
       
       
       
       
       
       
       
       
      POSITION TITLE:
      Staff RN
      DEPARTMENT:
      ICU
      Instructions: The frequency indicated reflects the requirements for normal working hours. Please indicate (X) the essential physical requirements for this position.   Reasonable accommodations will be made as necessary.
       
      PHYSICAL REQUIREMENTS
      A.
      SITTING:
      I.
      WRIST DEVIATION (SIDE TO SIDE):
       
      1. Never (0 hours) 
       
       
      1.
      Never (0 hours) 
       
       
      2.   Occasionally (< 3 hours daily) 
       
       
      2.
      Occasionally (< 3 hours daily) 
       
       
      3.   Frequently (3-6 hours daily)
       
       
       
      3.
      Frequently (3-6 hours daily)
       
       
       
      4.   Constantly (> 6-8 hours daily) 
       
       
      4.
      Constantly (> 6-8 hours daily)
       
       
      B.
      STANDING:
       
      J.
      HAND/WRIST REPETITIONS (UP AND DOWN):
       
      1. Never (0 hours) 
       
       
      1.
      Never (0 hours)
       
       
       
      2.   Occasionally (< 3 hours daily) 
       
       
      2.
      Occasionally (< 3 hours daily)
       
       
       
      3.   Frequently (3-6 hours daily) 
       
       
      3.
      Frequently (3-6 hours daily)
       
       
       
      4.   Constantly (> 6-8 hours daily)
       
       
       
      4.
      Constantly (> 6-8 hours daily)
       
       
      C.
      WALKING:
       
       
      K.
      REACHING:
       
      1. Never (0 hours )
       
       
       
      1.
      Never (0 hours)
       
       
       
      2.   Occasionally (< 3 hours daily)
       
       
       
      2.
      Occasionally (< 3 hours daily)
       
       
       
      3.   Frequently (3-6 hours daily)
       
       
       
      3.
      Frequently (3-6 hours daily)
       
       
       
      4.   Constantly (> 6-8 hours daily)
       
       
       
      4.
      Constantly (> 6-8 hours daily)
       
       
      D.
      LIFTS AND CARRIES WITH ASSISTANCE:
      FREQUENCY:
       
      2. 11 to 24 pounds 
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      3. 25 to 34 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      4. 35 to 50 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      5. 51 to 74 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      6. 75 to 100 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      7. Over 100 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
      E.
      LIFTS OVERHEAD WITH ASSISTANCE:
      FREQUENCY:
       
      1. < 10 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      2. 11 to 24 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      3. 25 to 34 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      4. 35 to 50 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      5. 51 to 74 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      6. 75 to 100 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
       
      7. Over 100 pounds
       
      Never
       
      Occasionally
       
      Frequently
       
      Constantly
      F.
      TWISTING:
      L.
      GRASPING:
       
      1. Never (0 hours )
       
       
       
      1.
      Never (0 hours )
       
       
       
      2.   Occasionally (< 3 hours daily)
       
       
       
      2.
      Occasionally (< 3 hours daily)
       
       
       
      3.   Frequently (3-6 hours daily)
       
       
       
      3.
      Frequently (3-6 hours daily)
       
       
       
      4.   Constantly (> 6-8 hours daily)
       
       
       
      4.
      Constantly (> 6-8 hours daily)
       
       
      G.
      BENDING:
      M.
      PULLING:
       
      1. Never (0 hours )
       
       
       
      1.
      Never (0 hours )
       
       
       
      2.   Occasionally (< 3 hours daily)
       
       
       
      2.
      Occasionally (< 3 hours daily)
       
       
       
      3. Frequently (3-6 hours daily)
       
       
       
      3.
      Frequently (3-6 hours daily)
       
       
       
      4.   Constantly (> 6-8 hours daily)
       
       
       
      4.
      Constantly (> 6-8 hours daily)
       
       
      H.
      SQUATTING/KNEELING/CRAWLING/CLIMBING:
      N.
      PUSHING:
       
      1. Never (0 hours )
       
       
       
      1.
      Never (0 hours )
       
       
       
      2.   Occasionally (< 3 hours daily)
       
       
       
      2.
      Occasionally (< 3 hours daily)
       
       
       
      3.   Frequently (3-6 hours daily)
       
       
       
      3.
      Frequently (3-6 hours daily)
       
       
       
      4.   Constantly (> 6-8 hours daily)
       
       
       
      4.
      Constantly (> 6-8 hours daily)
       
                     
       
       
      PHYSICAL REQUIREMENTS cont.
      O.
      GROSS MOTOR MOVEMENTS:
      Q.
      FINE MOTOR MOVEMENTS:
       
      1. Never (0 hours) 
       
       
      1.
      Never (0 hours) 
       
       
      2.   Occasionally (< 3 hours daily)
       
       
       
      2.
      Occasionally (< 3 hours daily)
       
       
       
      3.   Frequently (3-6 hours daily) 
       
       
      3.
      Frequently (3-6 hours daily) 
       
       
      4.   Constantly (> 6-8 hours daily) 
       
       
      4.
      Constantly (> 6-8 hours daily) 
       
      VISUAL REQUIREMENTS
      HEARING
      P.
      VISUAL REQUIREMENTS:
       
      R.
      HEARING REQUIREMENTS:
       
      1. Close eye work (small figures)
       
       
       
      1.
      Special requirements (please  
       
       
      2. Color discrimination
       
       
       
       
      specify)
       
       
       
           - Minimal color discrimination
       
       
       
       
       
       
       
       
           - Normal color discrimination
       
       
       
       
       
       
       
       
      3. Other 
       
       
       
       
       
       
      WORKING CONDITIONS
      S.
      TEMPERATURE:
       
       
      X.
      NON-IONIZING RADIATION (WELDING FLASH MICROWAVES, SUN, ETC.):
       
      1. < 15 Degrees Fahrenheit 
       
       
      1.
      Never (0 hours) 
       
       
      2. Between 16 and 95 degrees 
       
       
      2.
      Occasionally (< 3 hours daily) 
       
       
      3. > 95 degrees 
       
       
      3.
      Frequently (3-6 hours daily) 
       
       
       
      4.
      Constantly (> 6-8 hours daily) 
       
      T.
      ELEVATIONS:
      Y.
      IONIZING RADIATION (X-RAY, RADIOACTIVE ISOTOPES):
       
      1. Work < 5       feet above ground 
       
       
      1.
      Never (0 hours ) 
       
       
      2. Work 5 \u2013 9     feet above ground 
       
       
      2.
      Occasionally (< 3 hours daily) 
       
       
      3. Work 10 \u2013 15 feet above ground 
       
       
      3.
      Frequently (3-6 hours daily) 
       
       
      4. Work > 15     feet above ground 
       
       
      4.
      Constantly (> 6-8 hours daily) 
       
      U.
      CRAWL SPACE/CRAMPED POSITION:
      Z.
      NOISE (LOUD/REPETITIVE, <85 DECIBELS PER OSHA STANDARD):
       
      1. Never (0 hours ) 
       
       
      1.
      Never (0 hours ) 
       
       
      2.   Occasionally (< 3 hours daily) 
       
       
      2.
      Occasionally (< 3 hours daily) 
       
       
      3.   Frequently (3-6 hours daily) 
       
       
      3.
      Frequently (3-6 hours daily) 
       
       
      4.   Constantly (> 6-8 hours daily) 
       
       
      4.
      Constantly (> 6-8 hours daily) 
       
      V.
      HAZARDOUS EXPOSURE (CHEMICAL {E.G. LATEX} & INFECTIONS):
      Z1.
      PERSONAL PROTECTIVE EQUIPMENT (E.G. RESPIRATORY MASK, ETC.):
       
      1. Never (0 hours ) 
       
       
      1.
      Never (0 hours ) 
       
       
      2.   Occasionally (< 3 hours daily) 
       
       
      2.
      Occasionally (< 3 hours daily) 
       
       
      3. Frequently (3-6 hours daily) 
       
       
      3.
      Frequently (3-6 hours daily) 
       
       
      4.   Constantly (> 6-8 hours daily) 
       
       
      4.
      Constantly (> 6-8 hours daily) 
       
      W.
      SQUATTING/KNEELING/CRAWLING/CLIMBING:
       
       
      1. Never (0 hours ) 
       
       
      2.   Occasionally (< 3 hours daily) 
       
       
      3.   Frequently (3-6 hours daily) 
       
       
      4.   Constantly (> 6-8 hours daily) 
                 
       
       
       
       
       
       
       
       

      Qualifications

       
      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