RN Per Diem

At Oceans Behavioral Hospital Longview, healing is our focus. We are passionate about helping adults and seniors manage the challenges associated with anxiety, depression and other mental health issues. Utilizing proven, innovative and progressive therapies, our qualified professionals strive to promote long-term wellness through a range of inpatient and outpatient psychiatric counseling and treatment options.

 

***We Offer Sponsorships For Registered Nurses***

 

The Registered Nurse assumes primary leadership accountability and responsibility for milieu management and directing patient care activities of other nursing staff.  The Registered Nurse maintains standards of professional nursing practice in accordance with facility policy and procedures, other external governing and credentialing bodies, performance improvement standards, and psychiatric nursing standards.  The Registered Nurse assesses the patient utilizing the nursing process to formulate an individualized plan of care for each patient, implements interventions, and evaluates outcomes consistent with policy and appropriate to the current client’s condition, which promote, maintain, and restore physical and mental health, and prevent illness.  The Registered Nurse interprets age/disability specific information in response to client population served.  The Registered Nurse provides for the safe delivery of medication in accordance with the policies and procedures, physicians orders and/or current practice.  The Registered Nurse is responsible for thorough, accurate reporting, and documentation of the patient’s symptoms, responses, and progress.  The Registered Nurse assumes responsibility for professional development, continuing education and maintaining licensure.  All duties to be done in accordance with Joint Commission, Federal and State regulations, Oceans' Mission, policies and procedures and Performance Improvement Standards.

 

Essential Functions:

  1. Utilizes the nursing process: assessment, planning, intervention, implementation, and evaluation and formulating nursing interventions directed towards development of an individualized plan of care and treatment modalities.
  2. Identifies risk levels, precautions, and expected outcomes individualized to the client to include discharge planning; prescribes interventions to attain expected outcomes; evaluates the effectiveness of interventions in relation to expected outcomes; conducts ongoing assessment of clients from admission to discharge;  initiates medical/psychiatric crisis intervention to stabilize and ensure the well-being of the patient's conditions.
  3. Demonstrates knowledge of psychiatric disorders and appropriate nursing interventions; implements nursing interventions identified in the plan of care that is individualized to the patient needs.  Applies appropriate interventions to progress the patient towards wellness and addresses maintenance of wellness.
  4. Administers medications as prescribed safely; provides education on prescribed medications; recognizes signs and symptoms of adverse drug reactions.
  5. Demonstrates professionalism, accountability, and responsibility for decision making, quality nursing care, and knowledge base of psychiatric nursing care.
  6. Reviews, revises, and updates medical records within facility guidelines and timeframes.  Transcribes and implements physician's orders according to facility policy; documents care, progress, response to intervention in medical record in an accurate, thorough and concise manner.
  7. Follows up on client care responsibilities, communicates incomplete assignments, and current client needs to staff to assure continuity of care.
  8. Implements staff assignments and delegation of duties using appropriate judgment and knowledge; Demonstrates positive willingness to assist staff and patients; functions as an advocate for patient needs/safety
  9. Utilizes nursing knowledge to successfully meet the needs of the facility, patient population, and staff members utilizes nursing resources to enhance evidence-based practice
  10. Float among various clinical services, where qualified and competent and performs other duties and projects as assigned.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Full-time
Henderson Health & Rehab Center

RN (Nights 6p to 6a)

Job Purpose: To supervise day-to-day nursing functions of an assigned area to include functioning as a Charge Nurse in providing nursing care to residents as prescribed by the physician and in accordance with the standards of nursing practices and regulations, and as may be directed by the Director of Nursing or Nursing Department Managers. Essential job Duties and Responsibilities : Unit Supervision: Supervise other professional and non-professional staff in the day-to-day delivery of Resident Care. Schedule job assignments and develop Nursing Unit priorities. May orientate new staff, and participate in recruitment and selection of nursing staff, communicate policies, assist and coach as needed. Monitor work assignments, provide feedback, evaluate performance and redirect and discipline as needed. Nursing Care Function: Prepare and review medical records and nurse’s notes, and assess residents to observe and evaluate their physical and emotional status. Monitor resident activity, evaluate nursing care in accordance with professional standards, and provide nursing care according to physician’s orders, care plans, established standards and facility policies. Coordinate and assist or prepare for new admissions, transfers, and discharge of residents. Transcribe physician’s telephone orders. Communicate with Residents’ family members, other interdisciplinary team members and management regarding resident status. Drug Administration & Documentation Functions : Prepare and administer medications as ordered by the physician; in accordance with nursing standards and facility policies. Sign, date and perform all charting and record keeping in accordance with established policies and procedures. Resident Rights: Ensure understanding of and compliance with all rules regarding Residents’ rights. Other Job Functions: Care Plans: Assist and participate in developing and implementing a written care plan for individual residents that addresses the needs of the resident. Staff Development: Participate in in-service training, assist in implementing orientation programs and job skills training, maintains professional competence. Safety and Sanitation: Monitor environment and care practices of nursing personnel to ensure compliance of established safety, fire and disaster, infection control and ensure all other departmental policies and procedures are followed; and to ensure cleanliness and safety of work and treatment areas Other Duties: Other duties as assigned Physical and Sensory Requirements (with or without the aid of mechanical device): Works in a climate-controlled and well-lighted environment.. Works in an office and throughout the building daily. Has Category 1 risk of exposure to infectious diseases, but receives training in handwashing practices and Universal Precautions and has access to personal protective equipment if direct exposure is anticipated. Is subject to interruptions, noise, and odors daily Walking, reaching, climbing, bending, lifting, grasping, fine hand coordination, pushing and pulling, ability to distinguish smells, tastes and temperatures, ability to communicate with residents and employees, ability to understand and follow training, ability to instruct staff in service education, and the ability to remain calm under stress. Qualifications: Must be a Registered Nurse (RN) in good standing and currently licensed by the State. Must be CPR Certified. Completion of secondary education or otherwise able to read and write in legible and understandable manner. Must be able to relate positively and favorably to residents and families and work cooperatively with other associates. Must be capable of maintaining regular attendance. Must be capable of performing the Essential Job Functions of this job, with or without reasonable accommodation. Experience as a Charge Nurse or supervisory experience preferred. “At Will” Statement: This job description provides guidelines only and none of its provisions are contractual in nature. The Job Description does not guarantee employment for any specific period of time or any specific terms or benefits of employment. All employment with the Company is “at will,” meaning that you or the Company may terminate the employment relationship at any time, with or without notice or cause. No member of the Company’s management staff has the authority to make oral or written promises of employment that are inconsistent with the policy of at-will employment. The at-will nature of employment may only be modified through a written employment agreement signed by the head of the Company’s governing body and the team member. Health Insurance Portability and Accountability Act (HIPAA): Our Facility is committed to protecting the privacy, security and integrity of individually identifiable health information received from or on behalf of our employees. The Facility adheres to the highest standards of integrity in the performance of its business and is prepared to maintain compliance with HIPPA and other regulatory requirements by adopting and adjusting policies and processes as necessary. All employees are required to adhere to all HIPPA regulations
RN Full-time
Henderson Health & Rehab Center

RN (Weekend Sup)

Job Purpose: To supervise day-to-day nursing functions of an assigned area to include functioning as a Charge Nurse in providing nursing care to residents as prescribed by the physician and in accordance with the standards of nursing practices and regulations, and as may be directed by the Director of Nursing or Nursing Department Managers. Essential job Duties and Responsibilities : Unit Supervision: Supervise other professional and non-professional staff in the day-to-day delivery of Resident Care. Schedule job assignments and develop Nursing Unit priorities. May orientate new staff, and participate in recruitment and selection of nursing staff, communicate policies, assist and coach as needed. Monitor work assignments, provide feedback, evaluate performance and redirect and discipline as needed. Nursing Care Function: Prepare and review medical records and nurse’s notes, and assess residents to observe and evaluate their physical and emotional status. Monitor resident activity, evaluate nursing care in accordance with professional standards, and provide nursing care according to physician’s orders, care plans, established standards and facility policies. Coordinate and assist or prepare for new admissions, transfers, and discharge of residents. Transcribe physician’s telephone orders. Communicate with Residents’ family members, other interdisciplinary team members and management regarding resident status. Drug Administration & Documentation Functions : Prepare and administer medications as ordered by the physician; in accordance with nursing standards and facility policies. Sign, date and perform all charting and record keeping in accordance with established policies and procedures. Resident Rights: Ensure understanding of and compliance with all rules regarding Residents’ rights. Other Job Functions: Care Plans: Assist and participate in developing and implementing a written care plan for individual residents that addresses the needs of the resident. Staff Development: Participate in in-service training, assist in implementing orientation programs and job skills training, maintains professional competence. Safety and Sanitation: Monitor environment and care practices of nursing personnel to ensure compliance of established safety, fire and disaster, infection control and ensure all other departmental policies and procedures are followed; and to ensure cleanliness and safety of work and treatment areas Other Duties: Other duties as assigned Physical and Sensory Requirements (with or without the aid of mechanical device): Works in a climate-controlled and well-lighted environment.. Works in an office and throughout the building daily. Has Category 1 risk of exposure to infectious diseases, but receives training in handwashing practices and Universal Precautions and has access to personal protective equipment if direct exposure is anticipated. Is subject to interruptions, noise, and odors daily Walking, reaching, climbing, bending, lifting, grasping, fine hand coordination, pushing and pulling, ability to distinguish smells, tastes and temperatures, ability to communicate with residents and employees, ability to understand and follow training, ability to instruct staff in service education, and the ability to remain calm under stress. Qualifications: Must be a Registered Nurse (RN) in good standing and currently licensed by the State. Must be CPR Certified. Completion of secondary education or otherwise able to read and write in legible and understandable manner. Must be able to relate positively and favorably to residents and families and work cooperatively with other associates. Must be capable of maintaining regular attendance. Must be capable of performing the Essential Job Functions of this job, with or without reasonable accommodation. Experience as a Charge Nurse or supervisory experience preferred. “At Will” Statement: This job description provides guidelines only and none of its provisions are contractual in nature. The Job Description does not guarantee employment for any specific period of time or any specific terms or benefits of employment. All employment with the Company is “at will,” meaning that you or the Company may terminate the employment relationship at any time, with or without notice or cause. No member of the Company’s management staff has the authority to make oral or written promises of employment that are inconsistent with the policy of at-will employment. The at-will nature of employment may only be modified through a written employment agreement signed by the head of the Company’s governing body and the team member. Health Insurance Portability and Accountability Act (HIPAA): Our Facility is committed to protecting the privacy, security and integrity of individually identifiable health information received from or on behalf of our employees. The Facility adheres to the highest standards of integrity in the performance of its business and is prepared to maintain compliance with HIPPA and other regulatory requirements by adopting and adjusting policies and processes as necessary. All employees are required to adhere to all HIPPA regulations
Marshall Manor West

Charge Nurse

Arrive to shift on time 6-2, 2-10 and 10-6 on time. (7 mins before 7 mins after shift) . Complete CNA’s assignment for the shift on the binder and on the board Review 24 hour report with charge nurse from the previous shift. Narcotic count (sign on shift must be completed at this time’s) all narcotic count sheets verified Room rounds with off going nurse ( make sure CNA’s are also doing rounds ) Review 24hr report for lab follow up , diagnostic follow ups and any pending orders Medication passes per time schedule, G-tubes, PPIs, Coumadin, PRN medications, Nebulizer treatments, and skin treatments (if any). Complete monthly summary assigned for shift Complete skin assessment assigned for shift Ensure all CNA’s documentation on ADLs and meal intake is completed before end of shift. Ensure all shower sheets are turned in to you and reviewed before end of shift, turn in to Unit manager or DON (under her office door). Complete all MDS charting, Skilled charting, changes in condition and/or new orders or treatments received for specific resident in their charts. Please document schedule or cancelled doctors’ appointments in residents’ chart. (inform transportation of changes) For OOP residents please fill out appropriate form, and head to toe assessment completed. Complete incident report if any occur during shift (write incident on 24 hour report, and submit paperwork to unit manager or slide under DON’s door). Complete lab inquiries and noted on lab log for any new orders or any labs received (log them in).
RN Full-time
Marshall Manor West

Registered Nurse (RN)

Summary Description: To plan and deliver nursing care to patients/ residents requiring long-term or rehabilitative care. Essential Duties and Responsibilities: 1. Works using the guidelines established from the Nurse Practice Act, facility policies and procedures, and nursing judgement. 2. Assesses, plans and evaluates nursing care delivered to patients/residents requiring long-term or rehabilitation care. 3. Delivers nursing care to patients/residents requiring long-term or rehabilitative care. 4. Implements the patient/residents plan of care and evaluates the patient/resident response 5. Directs and supervise care given by other nursing personnel. 6. Provides input in the formulation and evaluation of standards of care. 7. Maintains knowledge of necessary documentation requirements. 8. Maintains knowledge of equipment set-up, maintenance and use, i.e. monitors, infusion devices, drain devices, etc. 9. Maintains confidentiality and patient/resident rights, regarding all patient/ resident/ personnel information. 10. Provides patient/resident/family/caregiver education as directed. 11. Conducts self in a professional manner in compliance with unit and facility policies. 12. Works rotating shifts, holidays and weekends as scheduled. 13. Initiates emergency support measures (i.e., CPR, protects patients/residents from injury) 14. Assessment A. Admission and routine resident observations/transfer notes are complete and accurately reflect the patient=s/resident’s status. B. Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures. C. Nursing history is present in the medical record for all patients/residents D. Assessment identifies changes in the patient=s/resident’s physical or psychological condition (i.e., changes in lab data, vital signs, mental status). 15. Planning of Care A. Nursing care plans are initiated/reviewed/individualized on assigned patients/residents monthly and PRN. 1. Pertinent nursing problems are identified. 2. Goals are stated. 3. Appropriate nursing orders are formulated. 16. Evaluation of Care A. The effectiveness of nursing interventions, medications, etc., is evaluated and documented in the progress notes. B. Care Plans: 1. Evaluation of care plan is noted monthly or as indicated. 2. The care plan is revised as indicated by the patient’s/residents status. 17. General Patients/Resident Care A. Patient/Resident is approached in a kind, gentle and friendly manner. Respect for the patients/resident dignity and privacy is consistently provided B. Interventions are performed in a timely manner. Explanations for delays in answers/responses are provided. C. Independence by the patient/resident in activities or daily living is encourages to the extent possible. D. Treatments are completed as indicated. E. Safety concerns are identified and appropriate actions are taken to maintain a safe environment. 1. Side-rails and height of bed are adjusted 2. Patient/residents call light and equipment is within reach 3. Restraints, when used are maintained properly. 4. Rooms are neat and orderly. F. Patient/resident identification and allergy bands (if applicable)are present. G. Functional assignments are completed. H. Emergency situation are recognized and appropriate action is instituted. I. All emergency equipment can be readily located and operated (emergency oxygen supply, drug box, fire extinguisher, etc.) 18. Patient/Resident Education/Discharge Planning A. The patient/resident and family are involved in the planning of care and treatment (documented on the plan of care.) B. Patient/resident and/or family are provided with information related to all intervention and activities as indicated. C. Discharge/death summaries are complete and accurate. D. Transfer forms are complete and accurate. E. Active participation in patient/resident care management is evident. 19. Adherence to Facility Procedures A. Facility procedure manuals or reference materials are utilized as needed. B. Procedures are performed according to method outlined in procedure manual. C. Body substance precautions and other appropriate infection control practice are utilized with all nursing interventions. D. Safety guidelines established by the facility (i.e., proper needle disposal), are followed. 20. Documentation A. The patients/residents full name and room number are present on the chart forms. Allergies are noted on the chart cover. B. Only approved abbreviations are utilized. C. TPR graphic is completed properly and timely. D. I&O summaries are recorded and added correctly. E. Blood pressure graphic is competed accurately and timely. F. Progress notes are timed, dated and signed with full signature and title. G. Unit flow-sheets are completed properly (i.e., wound care records, treatment records, IV therapy record, etc.). 21. Medication Administrations/ Parenteral Therapy Record A. Dates that medication are started or discontinued are documented. B. Medication are charted correctly with name, dose, route, site, time and initials of nurse Administering. C. Pulse and BP are obtained and recorded with appropriate. D. Medications not given are circled, reason noted and physician notified if applicable, E. Appropriate notes are written for medication not given and actions taken. F. Name and title of nurse administering medication are documented. G. Patient/residents medication records in labeled with full name, room number, date and allergies. H. The procedure for administration and counting of narcotics is followed. I. All parenteral fluids including additives are charted with time and date started, time infusion completed, site of infusion and signature of nurse. J. All parenteral fluids are administered according to the ordered infusion rate. K. Parenteral intake is accurately recorded ion the unit flow sheet or I&O record. L. IV sites are monitored and catheters changed according to unit policy. M. IV bags and tubing are changed according to unit policy N. Appropriate actions are taken related to identified IV infusions problems (infiltration, phlebitis, poor infusion, etc.) policy. 22. Coordination of Care A. Tests are scheduled and preps are completed as indicated. B. Co-workers are informed of changes in patient/resident condition or of any other Changes occurring on the unit. C. information is relayed to the member of the health care team (i.e., physicians, respiratory therapy, physical therapy, social services, etc.,). D. Unit activities are coordinated (i.e. changing patients/residents room for admissions Coordination transfer/discharge forms, etc.) 23. Leadership A. Equitable care assignments are made prior to shift that are appropriate to patient/resident’s needs. B. Staffing needs are communicated to the nursing supervisors. C. Assistance, direction and education are provided to unit personnel and families. D. Problems are identified, data are gathered, solutions are suggested and communication regarding the problem is appropriate. E. Transcriptions of all orders is checked. F. All work areas are neat and clean 24. Communication A. Change of shift report is complete, accurate and concise. B. Incident reports are completed accurately and in a timely manner. C. Staff meeting are attended, if on duty, or minutes read and initialed if not on duty. 25. Professionalism A. Decisions are made that reflect knowledge and good judgment and demonstrate and awareness of patient/resident/family/physician needs. B. Awareness of own limitations is evident and assistance is sought when necessary. C. Dress code is adhered to D. Committee meeting (if assigned) are attended. Reports related to the committee are given during staff meetings. E. Responsibility is taken for own professional growth. All mandatory and other in-service’s are attendee annually. F. Organizational ability and time management is demonstrated. G. Confidentiality of patient/resident is respected at all times (i.e, when answering telephone and/or speaking to co-workers) H. Professional behavior is demonstrated. 26. Human Relations A. A positive working relationship with patient/residents, visitors and facility staff is demonstrated. B. Authority is acknowledged and response to the direction of supervisors is appropriate. C. Time is spent with residents rather than personnel. D. Co-workers are readily assisted as needed. 27. Cost Awareness A. Supplies are used appropriately. B. Charge stickers (or charge system) are utilized appropriately. C. Minimal supplies are stored in resident room. D. Discharged medications are returned to the pharmacy or destroyed in a timely manner. E. Floor-stock medications are charged and re-stocked 28. Participates in the identification of staff educational needs. 29. Serves as a preceptor, as delegated, for new staff 30. Maintains patient/resident care supplies, equipment and environment. 31. Participates in the development of unit objectives 32. Participates in the quality assessment and improvement process and activities. Other Duties: 1. As this job description is no intended to be all-inclusive, the employee will be expected to perform other duties as assigned. Standard Responsibilities: 1. Supports the facility 2. is knowledgeable of patient/residents rights and promotes an atmosphere which allows for the privacy, dignity and well-being of all residents in a safe, secure environment. 3. Supports, cooperates with, and implements specific procedure and programs for: A. Safety, including precautions and safe work proactive, established fire/safety/disaster pans, risk management, and security, report and / or correct unsafe working conditions, equipment repair and maintenance needs. B. Confidentiality and privacy of all data, including patient/resident, employee and operation data. C. Compliance with all regulatory requirements. D. Compliance with and enforcement of current law and policy to provide a work environment free from harassment and all illegal and discriminatory behavior. 4. Supports and participates in common teamwork: A. Cooperates and works together with all co-workers; plan and complete job duties with minimal supervisory direction, including appropriate judgement. B. Uses tactful, appropriate communication in sensitive and emotional situations. C. Reports complaints, problems and concerns regarding co-workers, management or residents in accordance with facility policy. D. Promotes positive public relation with patients, residents, family member and guests. E. Completes requirements for in-service training, acceptable attendance, uniform and dress code including personal hygiene, and other work duties as assigned. 5. Agrees to company with code of conduct. Employment Standards: Education: Must be a graduate of basic education program in professional nursing Experience: A minimum of one year medical/surgical nursing experience in an acute care (hospital) setting or long-term care or acute care is preferred. Critical care experience is preferred. License/Other: Must possess a current RN License in the State(s) of practice. Must have a reliable source of transportation. Must have a valid driver’s license and automobile insurance. Working Conditions: Works in office areas as well as throughout the facility. Must be able to move about intermittently during working hours including standing, lifting, bending stooping, twisting, pushing and pulling. Must be able to read, write and speak the English language. Must be able to transfer resident and assist in emergency evaluations. Interacts with resident, family members, staff, visitors, government agencies/personnel, etc., under all conditions/circumstances. Must be able to relate and work with the disabled, ill, elderly, emotionally upset and at times, hostile people within the facility. May be involved in community/civic health matters/ projects. May be exposed to infectious waste, disease, conditions, etc., including exposure to the AIDS and hepatitis B Viruses. Must be able to effectively communicate with management staff, medical staff, nursing staff, and other unit supervisors,. Maintains a liaison with residents, their families, support staff, etc. to assure that the residents’ needs continually met.
RN Full-time
Willow Rehab & Nursing

RN- Staff Nurse Skilled Nursing Facility

Willow Rehab & Nursing is looking for dedicated and compassionate RNs to join us. If you want to work with a company who values and appreciates its employees, come join Willow Rehab & Nursing and help us to extinguish the stereotype! We are a state of the art rehabilitation & nursing facility where we have the highest quality care to provide a superior, rapid rehabilitation & nursing experience. Our Nurse play a vital role in our resident and guest outcomes and overall experience. We are looking for skilled RNs to become a part of our facility's compassionate and hospitable care-giving team. If you are dedicated, compassionate, dependable and energetic – WE WANT YOU! Awesome Benefits that Willow R ehab & Nursing members can expect: THE AREA’S MOST COMPETITIVE WAGES - Pay based on experience. HOSPITALITY AND TEAMWORK FOCUSED CULTURE A COMMITMENT TO TECHNOLOGY ADVANCEMENT OPPORTUNITIES & MORE Requirements: Valid and Active Registered Nurse (RN) CPR Certified Clean background check and clean drug screen Authorized to work in the United States of America Willow Rehab & Nursing is an equal opportunity employer and gives employment and promotional consideration without regard to race, color, sex, religion, age, national origin, marital or veteran status, disability, sexual orientation, gender identity, or any other protected class as defined by local, state, or federal law.