Sr Registered Nurse (RN) - Medicine PCU - FT Nights

PRIMARY PURPOSE
A Registered Nurse (RN) with 2+ years of experience. The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health conditions, by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee.

MINIMUM REQUIREMENTS
Education: Graduate of a Registered Nursing program, Bachelor's in Nursing Degree (BSN) preferred.Experience: Must have 2+ yeras of nursing PCU experience. Prefer experience in an acute care setting.

Certification/Registration/Licensure
- Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license.

- Must have current ACLS/ALS course completion care within 90 days of hire or reclassification into the role.
- Must have current healthcare provider CPR course completion card from one of the following:

• American Heart Association
• American Red Cross
• Military Training Network.

Skills or Special Abilities 

• Provides care for assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards.
• Must be able to provide continuous assessment, consult with other team members as required and provide nursing care which demonstrates patient centered/patient valued care.
• Must exercise independent judgment in providing nursing care. 
• Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills.
• Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures.
• May be required to communicate effectively, via the overhead paging system.
• Must be able to demonstrate the ability to provide direction to non nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse.
• Must be able to prepare and conduct in service educational programs.
• Must be able to demonstrate patient centered/patient valued behaviors.As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area.

Responsibilities

1.  Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Serves as a resource for specific clinical patient care issues. Provides patient care educational information and training to patient and family members. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned.
2.  Performs appropriate patient assessments including continuous surveillance. Recognizes changes in a patients condition and provides appropriate interventions as necessary. Consults with other team members as required, notifies providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the critically ill/stable patient.
3. Must be able to manage an adult ICU patient with neurological, pulmonary, cardiovascular, gastrointestinal, genitourinary disorders/conditions. Must provide safe medical administration using the patient¿s six (6) rights, provide maintenance and management of IV access, must be able to perform POC monitoring, demonstrate safe infection control practices and CRRT for the adult ICU patient. Supports pain management as appropriate for each individual patient, provides emergency resuscitation care of an adult and provides an individualized plan of care.
4. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials.
5. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the Adult ICU/Critical Care department and Parkland.