RN Jobs in Dallas, TX

Sr Registered Nurse (RN) - Labor & Delivery - FT Nights

apartment Parkland Health (TX) location_onDallas, TX

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion. Primary Purpose 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 condition, 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 Specifications Education Must be a graduate from an accredited school of nursing. Experience Must have two years of nursing experience Prefer Experience in an acute care setting Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Cost Centers: 61920 Labor & Delivery, 61930 L&D Triage Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification upon hire or placement in the role. Current incumbents and those hired between February 1st - February 29th, 2024 will have 90 days from date of hire to attain the certification. Certification must be from one of the following: American Heart Association American Red Cross Military Training Network Must have current NRP certification upon hire or placement in role. Current incumbents and those hired between February 1st - February 29th, 2024, will have 90 days from date of hire to attain the certification. Certification must be from one of the following: American Heart Association American Red Cross Military Training Network May be required to have additional specialty certifications. Must have one of the following, upon hire or transition into the role: AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Intermediate Electronic Fetal Monitoring Certificate OR, AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Advanced Electronic Fetal Monitoring Certificate OR, NCC (National Corporation Certification (NCC) Electronic Fetal Monitoring Certification. Must retake every two years from completion date of previous certificate: AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Intermediate Electronic Fetal Monitoring OR, AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Advanced Electronic Fetal Monitoring, National Electronic Fetal Monitoring Certification must be renewed every three years. Sr. RN Fellow for L&D must obtain AWHONN Intermediate Electronic Fetal Monitoring Certificate no later than one year from date of hire or reclass into the Sr. RN Fellow for L&D role. Skills or Special Abilities Provides care for assigned patient population in accordance with the current State of Texas Nursing Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. - Exercises 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. Utilizes effective verbal and non-verbal communication to facilitate development of a therapeutic relationship and environment that promotes wellness. 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. 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. Maintains current knowledge of procedures and practice for patients requiring induction of pregnancy. 3. Performs appropriate patient assessments including continuous surveillance. Recognizes changes in a patient’s 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 laboring patient, stable neonate, recovering, ECU and postpartum patient. 4. Performs appropriate duties during the laboring process, during a vaginal delivery, cesarean delivery and during the immediate postpartum period. Supports breastfeeding and provides education related to newborn. Provides safe medication administration using the patient’s 6 rights, provides maintenance, maintenance and management of IV access, performs POC monitoring and demonstrates safe infection control practices. Supports appropriate positioning, assessment and management of pain and provides emergency resuscitation care to the neonate and patient in the Labor and Delivery area. 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 assigned department and Parkland. 6. Works with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals and objectives of the department and Parkland. Provides appropriate hand off any time care is relinquished. Seeks and utilizes direction from more experience staff and team members as needed. Serves as Charge Nurse on rotation as necessary. 7. Serves as a preceptor or trainer to newer nursing staff members. 8. Prepares and conducts an in-service educational program for the assigned department, at least once per year. 9. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the department and Parkland. May serve on various interdisciplinary committees as assigned. 10. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices. 11. Any duties deemed competent. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.

RN

ICU

Per Diem

Registered Nurse ICU Nights PRN

apartment ScionHealth location_onArlington, 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 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 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