The Registered Nurse provides direct and indirect patient care.  The nursing process is the basis for care and includes assessment of biophysical, psychosocial, environmental, self-care, educational and discharges planning factors.  Planning and prescribing nursing interventions, implementing them and evaluating care rendered completes the nursing process.  The RN must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient?s age and status; and interpret the appropriate information needed to prescribe and provide care as described in the unit and hospital policies and procedures.

Essential Functions:

·         Performs a comprehensive assessment on all patients utilizing skills of observation, communication and examination and including data obtained from patient, family and other members of the healthcare team.

·         Plans the patient's care and family centered care on an individual basis, identifying problems/needs, nursing diagnosis, standards of care/practice, interventions consistent with identified problems, and attainable outcomes.  Reviews and updates plan of care as appropriates for patient population or as condition warrants or per unit policy.

·         Plans for patient/family teaching, discharge and post discharge needs as appropriate for patient population.

·         Functions independently with treatments, procedures and equipment appropriate to area as evidenced by adherence to policy, procedure and competency-based assessment and no pattern or trend of problem.

·         Safely administers and documents medications and patient's response to medications according to established procedures as evidenced by no repeated errors or patterns.

·         Documents actions, responses, incidents, completely, legibly with correct abbreviations or correct form in a timely manner (assessments, incident reports, daily documentation, transfer papers, care plans, transcription/signing of physician's orders).

·         Reassess patient's condition, evaluate patient response, and modify plan of care accordingly and in a timely manner according to policy and patient needs. 

·         Recognizes/anticipates changes/needs of patient's condition and takes appropriate action.

·         Accepts charge responsibilities and assigns staff with consideration of patient condition and care requirements, acuity, complexity of patient assignments, technology, utilization, nursing staff skills, degree of supervision required, safety and infection control issues.

·         Uses work time productively, limits personal calls, personal matters to off time, is aware of unnecessary use of overtime, appropriate utilization of resources and plans care and activities accordingly.

·         Performs other duties as assigned and directed to the satisfaction of manager/supervisor.

·         Plans for patient and family safety that reflects knowledge of the individual needs.

·         Organizes patient care and sets appropriate priorities as evidenced by providing acutely needed care first and by implementing orders within the prescribed time frame.

·         RN will be responsible for providing relief to RNs assigned to patient care for breaks and other needed relief.

·         Must be highly organized, team player, exceptional time management skills and be able to thrive in ever changing situations.

To perform this job, an individual must perform each essential function satisfactorily with or without reasonable accommodation. 

Qualifications

Minimum Education:

BSN or ADN Required

Required Skills

Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.  The ability to work well under pressure and maintain self-control during stressful situations and take appropriate action. Must have the ability to multi- task and communicate effectively. Must have the ability to function independently and to flexible in applying basic nursing knowledge to a variety of settings are crucial to this position.  The Registered Nurse works in a typical acute health care setting with patients who are experiencing a wide range of conditions. Basic nursing care skills and tasks required.  Computer proficiency is required.

Certifications:

Current Texas or compact state RN licensure required.  BLS certification from approved American Heart Association training center required upon hire.   ACLS & PALS certification from approved American Heart Association training center required within 6 months of employment.

Experience: Prior work experience in Med Surg, ICU, Rehab and ER

About Palestine Regional Medical Center

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