RN - PRN Day and Night Shifts

Description\n\nFLSA Employment Status : Nonexempt / Hourly\n\nPRN RN Rate additional $8.00 per hour\n\nJOB SUMMARY\n\nUnder general supervision, plans, directs, and evaluates total nursing care and functions in the Med Surg unit on a particular shift, in accordance with established patient care plan and philosophy.\n\nReporting Structure : Reports to the Med Surg Department Director of Nursing and / or designee\n\nMINIMUM QUALIFICATION REQUIREMENTS\n\nEducation\n\nGraduate of an accredited program in nursing.\n\nBachelor of Science in nursing (BSN) or Associate of Science in Nursing (ADN) degree required.\n\nWork Experience\n\nA minimum of two years nurse experience in an acute healthcare setting\n\nLicense / Certification\n\nCurrent Registered Nurse license to practice in Tennessee.\n\nCurrent certification in Basic Life Support (BLS),\n\nAdvanced Life Support (ACLS), and Pediatric Advanced Life Support\n\n(PALS) through American Heart Association (AHA).\n\nCPI\n\nCORE COMPETENCIES\n\nMission / Vision\n\nCore Values / Standards of Conduct\n\nAIDET / Organizational Expectations\n\nSafety\n\nQuality\n\nFlexibility\n\nCustomer Service\n\nDiversity and Inclusion\n\nFinance\n\nAbuse and Neglect of Adult Patient\n\nAbuse and Neglect of Pediatric Patient\n\nAcute Coronary Syndrome / Chest Pain Protocols\n\nBiohazard Waste\n\nCC Hand Hygiene\n\nJOB SPECIFIC CORE COMPETENCIES\n\nSkills, Knowledge, Abilities, Behavior\n\nPatient Care\n\nPatient Rights\n\nNurse Practice Act\n\nPatient Centered Practices\n\nCultural Competency\n\nCrisis Prevention / Intervention\n\nRestraints (Safety)\n\nRestraints (Adults)\n\nRestraints (Pediatric)\n\nElectronic Health Records\n\nLaboratory Safety\n\nWaived Testing\n\nDepartment Specific Patient Specialty Area : Medical Surgical Unit\n\nAbility to interpret changes in patient condition and abnormal lab values as evidenced by shift communication and documentation in the medical record\n\nESSENTIAL FUNCTIONS\n\nPATIENT CARE : Initiates admission assessment within two hours of arrival to the unit, including pain assessment.\n\nCompletes admission assessment of the patient / family according to procedure within 24 hours.\n\nMonitors patient condition throughout shift according to unit care standards, including the reassessment of pain.\n\nDemonstrates ability to interpret changes in patient condition and abnormal lab values as evidenced by shift communication and documentation in the medical record.\n\nInitiates a written plan of care within 24 hours of admission.\n\nIncorporates in the nursing plan of care : nursing interventions specific to the patient's age and identified needs; measurable patient outcomes, discharge planning.\n\nReviews and appropriately updates the nursing plan of care during assigned shift.\n\nWorks with the patient or family in the development of the plan of care.\n\nImplements plan of care within established time frame.\n\nAccurately orders appropriate tests on computer terminal.\n\nRequests consultation, based on assessment data, to assist in problem solving or facilitation of care as evidenced by random observation and documentation in the medical record.\n\nAdministers medications, including I.V. fluids, according to policy and procedure.\n\nAdministers and accounts for all controlled substances according to established policy and procedure.\n\nAccurately reviews physician's orders and ensures implementation according to schedule.\n\nDocuments nursing interventions and patient response to care at appropriate intervals during the shift.\n\nProvides basic teaching as outlined in the plan of care and documents teaching and outcomes in the medical record.\n\nEvaluates patient outcomes and modifies nursing interventions to meet changing patient needs, including the reassessment of pain.\n\nReports changes in the patient's condition and / or adverse patient response to physician and other health care professionals.\n\nProvides the best possible nursing care by planning, organizing, and directing the nursing functions of patients on the unit.\n\nInitiates and implements patient care plan.\n\nMakes nursing assignments appropriate to the skill level of employees.\n\nMaintains acceptable standards of patient care.\n\nIdentifies problems and guides personnel to their solution.\n\nAccurately and promptly implements physicians' orders.\n\nAdministers medications and intravenous solutions skillfully and correctly.\n\nMaintains the standards of accurate and complete recording and reporting.\n\nArranges to have needed supplies and equipment on hand.\n\nParticipates in planning changes and improvements.\n\nOTHER DUTIES\n\nParticipates in hospital safety programs.\n\nSupports and enforces infection-control policies and procedures.\n\nIs resourceful and calm in emergencies.\n\nMaintains a professional approach with confidentiality.\n\nDisplays concern and initiative.\n\nObserves and supports hospital policy.\n\nIs prompt and efficient with minimal absences.\n\nCooperates and maintains good rapport with nursing staff, medical staff, other departments, and visitors.\n\nParticipates in orientation and in-service training for personnel.\n\nEvaluates the performance of personnel with recommendations for appropriate action.\n\nAssists in reviewing and revising policies and procedures\n\nKeeps Charge Nurse or Nursing Director informed of patients, needs, and problems on the nursing unit.\n\nPHYSICAL DEMANDS\n\nProlonged periods of standing and walking\n\nMust be able to lift, push, and pull up to 40 pounds during a scheduled work shift.\n\nMust be able to see with corrective eye wear\n\nMust be able to hear clearly with assistance\n\nMay be exposed to infectious and contagious diseases\n\nAble to handle emergency and / or crisis situations\n\nMay be required to wear protective equipment as necessary\n\nTransferring, repositioning patients.\n\nReaching, stooping, bending, kneeling, and crouching for patient care functions.\n\nAbility to perform effectively in a stressful and fast-paced environment.\n\nAbility to pass all required health and other screening tests including random and reasonable suspicion drug screens.\n\nPHYSICAL ABILITIES AND REQUIREMENTS\n\nActivity\n\nOccasionally (1-33%)\n\nFrequently (34% to 66%)\n\nContinuously (67% to 100%)\n\nSitting\n\nX\n\nWalking\n\nX\n\nStanding\n\nX\n\nBending\n\nX\n\nSquatting\n\nX\n\nClimbing\n\nX\n\nKneeling\n\nX\n\nTwisting\n\nX\n\nLifting\n\nX\n\nCarrying\n\nX\n\nPushing\n\nX\n\nI, (Print Name) ___________________________________________ have received a copy of this job description.\n\nThe following signature indicates that I have read and understand all aspects of the job description, and I assert that I am not aware of any reason that would prevent me from performing all job responsibilities under the conditions described. Further, my signature indicates that, upon accepting employment at HMC, I agree to perform the job duties as listed in this job description and all other duties as required.\n\nEmployee Signature_________________________________________Date