RN Med Surg PRN

apartment ScionHealth location_onEnnis, TX

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) – Medical/Surgical provides safe, effective, and compassionate patient care using the nursing process of assessment, planning, intervention, and evaluation in an acute care hospital setting. The RN collaborates with the interdisciplinary team, patients, and families to achieve optimal patient outcomes, ensuring care is delivered in accordance with standards of professional nursing practice, hospital policies, and regulatory requirements. Essential Functions Performs comprehensive assessments and reassessments to determine nursing care needs Develops, implements, and evaluates individualized plans of care Administers medications and treatments in accordance with policy and physician orders Documents assessments, interventions, outcomes, and patient education timely and accurately Provides direct care including ADLs, hygiene, nutrition, and mobility support Monitors patient conditions and communicates significant changes to the care team Collaborates with interdisciplinary team for care coordination, discharge planning, and referrals Provides emotional and psychosocial support to patients and families Ensures patient safety through adherence to infection control and fall prevention protocols Supervises and delegates tasks appropriately to licensed and unlicensed staff Knowledge/Skills/Abilities/Expectations Proficient in clinical assessment, documentation, and patient care planning Knowledge of medical terminology, pharmacology, and nursing best practices Strong interpersonal, communication, and organizational skills Ability to function effectively in high-stress situations with diverse patient populations Familiarity with electronic medical records (EMR) and clinical documentation systems Ability to lift up to 50 lbs and perform extended standing, walking, and physical activity Demonstrates professional integrity, accountability, and a commitment to continuing education Qualifications Education Associate degree in Nursing required Bachelor of Science in Nursing (BSN) preferred License/Certification Current state RN license or compact state equivalent required Basic Life Support (BLS) required per facility policy Advanced Cardiovascular Life Support (ACLS) required per facility policy Crisis Prevention Intervention (CPI) required per facility policy Specialty certification (e.g., RN-BC, CMSRN) preferred Experience Minimum of 6 months of Medical/Surgical nursing experience in an acute care setting preferred Demonstrated critical thinking, decision-making, and effective prioritization in a fast-paced environment

RN

Infusion

Per Diem

RN, Infusion Therapy, PRN, Days

apartment ScionHealth location_onLogan, WV

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Responsible for directing and coordinating all nursing care based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Essential Functions Ability to practice nursing as described by the following definition: “The diagnosis and treatment of human responses to actual or potential health alterations.” Ability to utilize the nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers, and providing education to patients and/or significant others. The successful candidate will be required to pass competencies for this position. Involves discretion and independent action within prescribed limits. Collects patient health data Determines the priority of data collection based on the patient’s immediate condition or needs Collects pertinent data using appropriate assessment techniques Involves the patient, significant others, and health care providers in data collection when appropriate Ensures that the data collection process is systematic and ongoing Documents relevant data in the medial record according to hospital standards Analyzes the assessment data in determining diagnoses/patient problems: Derives diagnoses/patient problems from the assessment data Validates diagnoses/patient problems with the patient, significant other, and health care providers, when possible Documents diagnoses/patient problems in a manner that facilitates the determination of expected outcomes and plan Identifies expected outcomes individualized to the patient: Derives outcomes from the diagnoses/patient problems Documents outcomes as measurable goals Formulates outcomes mutually with the patient and health care providers, when possible Ensures outcomes are realistic in relation to the patient’s present and potential capabilities Ensures outcomes are attainable in relation to resources available to the patient Ensures outcomes include a time estimate for attainment Ensures outcomes provide direction for continuity of care Anticipates potential problems situations and intervenes to offset any adverse impact Develops a plan of care that prescribes interventions to attain expected outcomes: Individualizes the plan to the patient’s condition or need Develops the plan with the patient, significant others, and health care providers, when appropriate Ensures the plan reflects current nursing practice Documents the plan Provides continuity of care in the plan Implements the interventions identified in the plan of care: Establishes interventions that are consistent with the plan of care Implements interventions in a safe and appropriate manner Documents interventions Evaluates the patient’s progress toward attainment of outcomes: Ensures evaluation is systematic and ongoing Documents patient’s responses to interventions Evaluates the effectiveness of interventions in relation to outcomes Utilizes ongoing assessment data to revise diagnoses/patient problems, outcomes, and the plan of care, as needed Documents revisions in diagnoses/patient problems, outcomes, and the plan of care Involves the patient, significant others, and health care providers in the evaluation process, when appropriate Participates in quality-of-care activities as appropriate to include but not limited to: Identification of aspects of care important for quality monitoring Identification of indicators used to monitor quality and effectiveness of nursing care Collection of data to monitor quality and effectiveness of nursing care Analysis of quality data to identify opportunities for improving care Formulation of recommendations to improve nursing care or patient outcomes Implementation of activities to enhance the quality of nursing practice Utilizes the results of quality-of-care activities to initiate changes in practice Other duties as assigned Qualifications Education Bachelor’s Degree preferred Graduate of an accredited school of professional nursing Licenses/Certifications Current RN license in the state of practice or compact state required Experience Minimum of one year of hospital clinical experience preferred

RN

ER

Per Diem

RN, Emergency Services, PRN, Nights

apartment ScionHealth location_onLogan, WV

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) – Emergency Department provides direct and indirect patient care in a high-acuity emergency care setting. The RN utilizes the nursing process of assessment, planning, intervention, and evaluation to provide safe and effective care for patients across the lifespan. Collaborates with the interdisciplinary team and contributes to quality outcomes through clinical excellence, compassionate service, and adherence to regulatory standards. Essential Functions Performs triage and prioritizes patient care based on acuity Conducts age-appropriate assessments and reassessments of all patients Administers medications, performs procedures, and manages critical drips Assists physicians with exams and procedures in the emergency department Monitors hemodynamic status and interprets cardiac rhythms Documents care, treatment, assessments, and education accurately and timely Applies infection control and sterile technique practices consistently Educates patients and families about care plans and discharge instructions Collaborates with providers and interdisciplinary team for optimal care delivery Responds calmly and professionally in high-stress, life-threatening situations Knowledge/Skills/Abilities/Expectations Knowledge of emergency nursing protocols, trauma care, and critical interventions Skilled in interpreting ECGs, managing IVs, and operating emergency equipment Strong interpersonal, communication, and time management skills Ability to adapt to rapidly changing clinical situations and multitask effectively Proficient in EMR systems and clinical documentation tools Able to lift up to 50 lbs and perform extended standing, walking, bending, and reaching Demonstrates professionalism, clinical judgment, and a commitment to continuous learning Qualifications Education Associate degree in Nursing required Bachelor of Science in Nursing (BSN) preferred Graduation from an accredited Nursing Diploma program accepted. Licenses/Certifications Current state RN license or compact state equivalent required Basic Life Support (BLS) required within time frame stated in facility policy Advanced Cardiovascular Life Support (ACLS) required within time frame stated in facility policy Pediatric Advanced Life Support (PALS) required within time frame stated in facility policy Crisis Prevention Intervention (CPI) required within time frame stated in facility policy NIH Stroke Scale Certification required within time frame stated in facility policy Trauma Nursing Core Course (TNCC) preferred or required within time frame stated in facility policy Advanced Stroke Life Support (ASLS) preferred Experience Emergency nursing experience in an acute care setting preferred Demonstrated ability to function under pressure and respond effectively to critical situations

RN

OR

Per Diem

Operating Room Nurse Per Diem Days

apartment ScionHealth location_onRancho Cucamonga, CA

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides quality patient care to critically ill patients, through the nursing process of Assessment, Planning, Intervention, and Evaluation. Serves as a patient advocate at all times. Supervises the nursing care provided to each patient by other caregivers. Develops the plan for nursing care as a result of coordination with the patient, family and staff of other disciplines as necessary. Applies critical thinking in order to promote positive clinical outcomes. Ensures patient education. Participates in discharge planning. Essential Functions Maintains the standard of nursing care and implements the policies and procedures of the hospital and the nursing department. Assesses the patient on admission within the required time frame. Makes referral to other disciplines based on the assessment, such as rehabilitation and nutritional services. Develops a nursing care plan for assigned patient on admission and updates the plan of care as needed. Ensures the plan is discussed and developed as a result of the coordination of patient and family and the interdisciplinary team. Able to release, remove, and reapply restraints to patient. Ensures patient is in proper position and alignment. Documents patient admission assessment and reassessments, patient care plans, and other pertinent information completely in the patient’s electronic medical record. Demonstrates correct use of Biomedical equipment such as defibrillator, Suction machine, IV and feeding pumps, PCA pump, blood glucose monitoring machine. Demonstrates safe and effective delivery of patient care such as completing team/patient assignments on time, making effective use of available time, showing initiative and teamwork. Obtains consents for procedures and blood transfusions, ensuring patient has necessary information to make an informed decision. Receives physician’s orders, ensures transcription is accurate, and order entry is accurate. Follows through to ensure order is carried out. Recognizes and responds appropriately to patient change in condition such as Cardiac rhythm, respiratory distress, GI bleed, pulmonary emboli/ edema, diabetic Ketoacidosis, adverse drug reaction and Blood transfusion reaction, etc. Institutes emergency action, notifies physician, obtains orders, etc. Completes and documents patient admission assessment and reassessments as required according to policy. Reports pertinent observations and reaction regarding patients to the appropriate person (i.e., physician, supervisor, charge nurse) and records these observations accurately. Administers medications with verbalized knowledge of the action, side effects, correct dosages and route according ICU policies and procedures. Demonstrates ability to recognize and Institute arrhythmia protocol for the following Cardiac rhythms V-tach, V-fib, PVC’s, asystole, 1st, 2nd and 3rd degree heart block, atrial fibrillation, and atrial flutter. Directs, supervises, and evaluates nursing care provided to patients. Administers medications utilizing the seven “rights” of medication administration: right patient, route, time, medication, dose, reason and documentation. Assist physicians with special tests and procedures such as thoracentesis, paracentesis, arterial line and bronchoscopy. Participates in economical utilization of supplies and ensures that equipment is maintained in a clean and safe manner. Participates in orientation of new personnel and performance evaluations of nursing staff. Assists team members in giving care to patients or administers direct care when professional nursing skills and judgment are needed. Coordinates nursing care of patients when scheduled for therapy or procedures by other departments. Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest, respiratory arrest, or sepsis. Participates in the maintenance of a clean and safe environment. Is knowledgeable about the emotional and rehabilitative aspects of care and is capable of applying appropriate therapeutic interventions. Provides assessment utilizing current ACLS certification and protocols renders lifesaving first aid and makes appropriate referral to the nearest organization that is capable of providing needed services. Demonstrates ability to manage various types of tubes and other devices such as Foley /straight catheter, feeding tubes, chest tubes, JP drains, Hemovacs. T-tubes, wound drains, ostomy care, suprapubic catheter, continuous bladder irrigation. Demonstrates correct set up and performance monitoring of hemodynamic systems such as Swan-ganz catheter, arterial catheter, and cardiac output. Demonstrates accurate knowledge of critical Lab values and their normal ranges. Reports and documents appropriately. Demonstrates ability to verify correct lead telemetry placement. Validates telemetry strips every 4 hours and PRN. Documents appropriately. Participates in assessing and meeting patient and family education needs. Provides complete patient report to oncoming RN, ensures documentation is complete, physician orders are signed off, and patient rooms are in order. Communicates pertinent information to RN, physician, and patients as needed. Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty. Completes annual health, safety, and education requirements. Maintains professional growth and development. Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served. Attends all mandatory in-services and staff meetings. Represents the organization in a positive and professional manner. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department. Maintains current licensure/certification for position, if applicable. Demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact. Follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures. Knowledge/Skills/Abilities/Expectations Excellent oral and written communication and interpersonal skills. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Basic computer knowledge. Organize tasks, develop action plans, set priorities, and function under stressful situations. Maintain good working relationship with co-workers. Must read, write and speak fluent English. Must have good and regular attendance. Approximate percent of time required to travel: 0% Performs other related duties as assigned. Pay Range: $49.83-$63.20/hr. ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications Education Graduate from an accredited Registered Nursing program. Licenses/Certifications Current state licensure as Registered Nurse. BCLS and ACLS certifications required. Experience Minimum one year training and experience in Critical Care. Able to communicate effectively in English- both written and verbal

RN

Per Diem

Registered Nurse (RN), Inpatient Rehab, PRN

apartment ScionHealth location_onPalestine, TX

Description At Palestine Regional Medical Center , we recognize that our patients deserve qualified, engaged, and competent healthcare professionals. And we know that our healthcare professionals deserve a working environment that is safe, leaders who are visible and supportive, and opportunities to grow and develop in their chosen disciplines. The heart of Palestine Regional is in its people, making our hospital a supportive family of mission driven people dedicated to the service of others. Rehabilitation RN's work under the direction of the Unit director and in conjunction with the Medical director , plans, directs, evaluates, and provides total nursing care and functions on the Inpatient Rehab Unit. Participates in Team conference and interdisciplinary care of inpatient rehab patients. Qualifications Minimum Work Experience Minimum of one year Medical-Surgical experience preferred Required Licenses Registered Nurse in Texas Certification BLS

RN-Recovery PRN

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