RN PRN Labor and Delivery

Navarro Regional Hospital has an opening for a Registered Nurse PRN Nights in our Labor and Delivery department. At Navarro Regional Hospital, you’ll play a vital role in doing what you do best - providing quality care to our patients. Navarro Regional Hospital is an employer that will motivate you, inspire you, and allow you to grow. We are looking for the best. If you are too, we invite you to learn more and apply today!

Our nurses enjoy a robust benefits package

Health insurance
Flexible scheduling
100% licensure/certification reimbursement
Tuition Reimbursement
Up to $20K for student loan payments
Job Summary

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families.

Essential Functions
Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
Utilizes knowledge of human growth and development to provide age-appropriate care and education.
Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
Assists physicians during procedures within the scope of documented competency and skill level.
Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
Documents patient care and education thoroughly and promptly in the medical record.
Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.
Critical Care RN:
- Administers medications and other treatments as prescribed, including intravenous medications and therapies.
- Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems.
- Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.
Emergency Services RN:
- Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly.
- Conducts emergency procedures such as intubation, wound care, and suturing.
- Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support.
OR Services RN:
- Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care.
- Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment.
- Monitors patient vital signs, administers medications, and observes for changes in patient condition.
Cardiac Surgery RN:
- Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings.
- Administers medications and IV drips, adjusting dosages based on the patient's condition.
- Proficient in operating and maintaining advanced life support equipment like ventilators, intra-aortic balloon pumps, and ECMO.
- After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care.
Endoscopy RN:
- Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure.
- Monitors patient vitals, administers medications, and assists the physician during procedure.
- Provides post-procedure care, monitors recovery, and educates patients about aftercare instructions.
- Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly.
Obstetrics/Labor and Delivery/Post Partum/Nursery RN:
- Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery.
- Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression.
- Assists with epidurals and other pain management techniques during labor.
- Administers pain medication, induces labor, and manages other medication needs during labor and delivery.
- Assists during labor and delivery, monitors fetal well-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well-being, and providing education on postpartum care and breastfeeding.
- Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care.
- Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care.
- Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care.
- Interprets fetal heart rate patterns and assesses fetal well-being using electronic fetal monitoring.
Oncology RN:
- Administers chemotherapy, manages side effects, monitors vitals, and manages pain.
- Explains treatments, answers questions, and provides information on resources.
- Provides emotional and psychological support to patients and their families.
Orthopedics RN:
- Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases.
- Provides care for Orthopedic patients encompassing pre-operative and post-operative care.
- Conducts peripheral/vascular assessments.
- Treats patients with immobilization devices.
- Provides pain management.
- Provides patient education.
PACU RN:
- Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia.
- Evaluates pain levels and administers pain medications as prescribed.
- Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches.
- Monitors for and respond to any post-operative complications.
- Administers medications, including pain relievers and other post-operative medications, as prescribed.
- Regulates intravenous (IV) fluids and monitor fluid balance.
- Checks and changes dressings on surgical wounds.
- Ensures a clear airway and provide oxygen support as needed.
- Educates patients and families about post-surgery care, potential complications, and discharge instructions.
NICU RN:
- Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress.
- Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy.
- Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition.
- Provides basic care tasks like diaper changes, bathing, and positioning.
- Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU.
Telemetry RN:
- Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs.
- Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians.
- Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health.
- Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions.
Dialysis RN:
- Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed.
- Takes vital signs, monitors signs of complications, and responds to changes in patient condition.
- Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication.
- Inspects and maintains dialysis machines and equipment.
Cath Lab RN:
- Pre-Procedure:
  - Reviews medical history, assesses patient's overall health, and prepares them for the procedure.
  - Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration.
  - Administers medications as prescribed by the physician.
  - Educates patients and families about the procedure and what to expect.
  - Verifies that surgical consents have been signed.
- During the Procedure:
  - Assists the Cardiologist during the catheterization process.
  - Closely monitors the patient's vital signs, hemodynamic data, and sedation levels.
  - Ensures proper functioning of equipment and supplies.
  - Manages potential complications and responding to emergencies.
- Post-Procedure:
  - Continues to monitor the patient's vital signs and overall condition after the procedure.
  - Administers post-procedure medications as needed.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.

Qualifications

0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required

Knowledge, Skills and Abilities

Strong knowledge of the nursing process and clinical nursing practices.
Ability to perform thorough patient assessments and communicate findings effectively.
Proficient in administering medications and monitoring for side effects.
Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
Strong organizational skills and attention to detail in documenting patient care.
Knowledge of safety standards, infection control, and quality improvement initiatives.

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure required
BCLS - Basic Life Support required
ACLS - Advanced Cardiac Life Support preferred
PALS - Pediatric Advanced Life Support preferred
NRP - Neonatal Resuscitation preferred
Refer to facility or unit-specific guidelines for additional requirements.

Navarro Regional Hospital is your community healthcare provider, a 162-bed licensed acute care facility with inpatient and outpatient care, diagnostic imaging, emergency department, medical and surgical care. We offer cardiac rehab, physical therapy, an outpatient surgery center, 3D mammography and a 64-slice CT scanner with the area's most current diagnostic equipment. We offer a special procedures room for interventional radiology procedures, as well as a bronchoscopy suite.

We believe in the power of people to create great care. We're 51 doctors and a team of healthcare professionals strong, and we work hard every day to be a place of healing, caring and connection for patients and families in the community we call home.
Navarro Regional is a primary stroke accredited facility.

Mission
It is the mission of Navarro Regional Hospital to provide quality health services to the community with compassion and a focus on service.

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Vanderbilt University Medical Center Nashville, TN

Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: Obstetrics/Gynecology Job Summary: Applies the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning. Effectively communicates pertinent patient/family information to the health care team. Collaborates in establishing patient goals and evaluates progress to ensure effective outcomes. Furthers professional growth by engaging in learning activities according to the Board of Nursing standards. Shift PRN-4x 12-hour shifts per 6 week period Need experience in one or more of the following: Nursery, OB, L&D and/or post-partum . KEY RESPONSIBILITIES Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum. Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis. Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes. Employs strategies to promote health and a safe and healthy environment. The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES Care Planning (Novice): Demonstrates ability to anticipate resource needs, identify distinct tasks, set priorities, schedule activities, meet deadlines, and organize work within areas of direct responsibility. Competently handles multiple assignments often simultaneously by prioritizing work into manageable and measurable units. Ability to adapt to changes to patient care and area needs with minimal disruption and loss of productivity. Follows up to assure problems and issues are resolved. Nursing Patient Education (Novice): Possesses sufficient fundamental proficiency in providing patient education in practical applications of moderate difficulty. Nursing Patient Assessment & Evaluation (Novice): Possesses sufficient fundamental proficiency to successfully demonstrate the ability to assess and evaluate patients in practical applications of moderate difficulty. Conducts primary care patient interviews and physical examinations. Demonstrates sufficient acumen to recognize problems, ask questions and to contact the patient's primary care provider and other members of the healthcare team. Has experience in gathering pertinent clinical data that aid in referral, treatment, or other primary care pathways. Evidence-Based Practice (Novice): Possesses sufficient fundamental proficiency to successfully search for evidence to answer clinical questions. Generally works under the direction of others while accomplishing assignments. Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: Affordable High Quality Health Plan Options Dental and /or vision plan 403 (b) retirement plan Paid Time off (flex PTO) Tuition Reimbursement and adoption assistance (maximums applied) Short-Long term disability Subsidized backup childcare And many more... Ask us about our current inpatient nursing supplemental Pay Program! Achieve the Remarkable: Learn more about VUMC Nursing here . Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: LIC-Registered Nurse - Licensure-Others Work Experience: Relevant Work Experience Experience Level: 1 year Education: Graduate of an approved discipline specific program Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.