Staff RN - PRN DAYS NICU in Mission, TX at Prime Healthcare

Date Posted: 8/21/2019

Job Snapshot

Job Description



Overview

Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation.  The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing. Is able to respond quickly and accurately to changes in condition and/or response to treatment.  Provides for a safe environment for patients and visitors.  Utilizes the chain of command when necessary to ensure patient well-being and appropriateness of care to neonates from post delivery stabilization through discharge. NICU- Provides direct patient care within the scope of practice with assistance to neonates.

Responsibilities

Recognizes onset of neonatal complications and emergencies.

Ensures oxygen/suction/resuscitation supplies, and anything needed for neonatal emergencies, is available and in good working order at all times in preparation for any newborn emergencies.

Assists physicians with special tests and procedures in the unit. Uses universal protocol "time out" on all patients for any invasive / bedside procedures.

Monitors infant safety/security levels continually in the department.

Promotes a breastfeeding friendly environment to all nursing mothers.

Determines the patient and family understanding of neonatal care and post hospital follow up appointments/plans.

Uses two patient identifiers consistently when drawing lab, administering medications and performing procedures. Follows medication reconciliation policy consistently.

Does not use unacceptable abbreviations in documentation (uses read back on all telephone orders.) Monitors authentication and validation of telephone orders within 24 hours by the physician.

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

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, gowns, masks, goggles) and hand hygiene techniques.

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.

Completes documentation of medications given to the patient on the medication administration record (MAR).

Formulates, maintains and updates a goal directed plan of care on patients which is prioritized and based on patient outcomes.

Detects and reports medication errors and ADR’s according to hospital policy. Safely and accurately administers medications and documents properly on the MAR in a timely manner.

Complies with all regulatory requirements for clinical pathways, clinical assessments, interventions and documentation

Checks maternal/infant identification bands per policy ensuring parental education regarding the critical importance of bands/security tags.

Initiates, titrates and safely monitors all medications and blood components.  Detects and reports any medication errors/ADR’s per policy.

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

Performs all other duties as assigned or required.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

 

  • Current and valid state RN License.

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

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

  • One year experience in an acute care setting with experience in nursery or NICU environment.

  • Advanced or AWHONN Intermediate fetal monitoring 60 days upon hire and maintain current.

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