RN - Night

POSITION SUMMARY:

Under the Nurse Manager/Charge Nurse's direct supervision, the RN provides nursing care in accordance with the laws governing nursing practice.

JOB-SPECIFIC RESPONSIBILITIES:

 Ensures that the scope of duties and services provided is consistent and within the state nursing practice guidelines.

 Demonstrates knowledge of individual patients’/residents' histories, current progress, and treatment goals.

 Demonstrates the ability to make appropriate nursing decisions when assessing patients/residents.

 Complies with established medication policies and procedures.

 Effectively operates and troubleshoots commonly utilized equipment.

 Completes all required documentation in a timely manner, including weekly summaries, care plans, fall risk assessments, skin risk assessments, and skin sheets.

 Receives telephone orders from Licensed Independent Practitioner and fulfills orders per established policies and procedures.

 Proficient in assuring prompt recognition of any untoward change in patient condition and in facilitating appropriate nursing, medical or other intervention

 Effectively communicates with patients, families, physicians, and team members

 Serves as a professional role model for other staff.

 Serves as a resource to team members in regards to direct patient care needs

 Knowledgeable of infection control issues

 Manages time effectively and uses sound judgment to maintain optimal patient care

 Knowledgeable of patient status to plan and provide effectively

 Follows narcotic count guidelines as established by the facility

 Proactive in remaining current with skills and competencies required to serve the increasingly complex population that we serve

 Responsible for oral care of trach and ventilator-dependent patients

 Performs patient and family education starting at the admission of the patient and documents accordingly in the patient chart

 Answers alarms and call lights to ensure prompt intervention

 Actively works towards achieving goals set during the annual performance review and other periodic reviews.

 Attends and completes all Mandatory Education modules in a timely manner

 Performs bedside shift report to enhance patient communication and satisfaction.

 Reassess patients per established policies and procedures to identify progress and trends that require intervention or reporting to the Licensed Independent Practitioner.

 Demonstrates knowledge of and possess the ability to perform basic drug calculations

 Participates in walking rounds with physicians daily.

 Accepts patient assignments as directed by the Charge Nurse.

 Coordinates care with ancillary clinical departments to provide optimal patient care.

 Coordinates and oversees care delivered by Certified Nursing Assistants.

 Coordinates and oversees care delivered by Licensed Vocational Nurses.

 Coordinates staff breaks and meal breaks to ensure all staff has rest periods.

 Ensures all overtime is authorized.

 Serves as a resource for problem-solving, conflict resolution, decision making, and assisting in patient care issues

 Ensures patient weights are performed and documented for patients as ordered

 Enhances professional growth by attending seminars or further educational opportunities.

 Actively seeks out opportunities for professional advancement.

 Actively participates in the orientation of new employees.

 Possess the ability to recognize changes in patient status with the implementation of appropriate interventions.

 Ensures all patients who eat orally are up in a wheelchair and out of bed for all meals, including breakfast.

 Ensures all patients are ready for activities and accompany patients to activities to assist as needed.

 Verbalizes the Registered Nurse's role in patient emergencies and cardiopulmonary arrest.

 Assists Respiratory Staff to provide security intervention as needed

 Checks timesheet daily at the end of shift to ensure correcting timesheets on an ongoing basis and approve timecards at the end of the pay period.

 Accesses and checks webmail each shift when working to keep informed of current events.

 Performs other duties as assigned.

POSITION QUALIFICATIONS:

EDUCATION:

 Licensed Registered Nurse in the State of Texas.

EXPERIENCE:

 Preferred minimum of at least one (1) year of experience in the acute/post-acute or pediatric setting.

LICENSURE/CERTIFICATION:

 Maintain current licensure as a Registered Nurse in the State performing duties.

 Certified in BLS upon hire date.

 Certified in ACLS and PALS with forty-five (45) days of hire date.

 Patient de-escalation training (SAMA) is required within 30 days of hire.

 Maintains certifications and licenses as current to avoid voluntary resignation.