DHR Health - US : TX : Edinburg -
Summary :
Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation in an office setting.
Responsible for directing and coordinating all nursing care for departmental specific patients based on established clinical nursing practice standards.
Collaborates with other professional disciplines and clinic MD to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes.
Supports the organization vision and mission. Utilizes knowledge of patient's age and cultural diversity into the provision of patient care.
Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.
Responsibilities :
- Ensures that care is delivered to each patient in accordance with the Nurse Practice Act of the State of Texas and ANA Standards of Clinical Nursing Practice.
- Performs nursing care using sound judgment
- Implements physician's orders in a safe and accurate manner
- Assists with admitting, discharging and referring patients to other needed resources
- Transcribes and implements new physician orders
- Adapts to the needs of the office by demonstrating flexibility / adaptability
- Maintains detailed and accurate records of nursing actions in the EMR
- Participates in health / therapeutic counseling, teaching / emotional support for patients and significant others
- Makes rounds on assigned patients and prioritizes patient's needs
- Maintains a safe and clean environment for patients and co-workers
- Administers medication and therapies within the scope of safe nursing practice
- Formulates, modifies and implements goal oriented patient care plans according to facility policies with in office physicians
- Assumes responsibility to report clinical limitations or the need for assistance to
- the supervisor or physician
- Performs other duties as assigned
- Abides by the rules and regulations set forth by the Board of Nurse Examiners
- Adheres to policies and procedures that guide and support the provision of services
- Informs the physician of any anticipated and / or actual issues / problems
- Maintains current with all new policies and procedures published
- Provides direction to non-licensed nursing staff in the delivery of patient care providing developmental opportunities and encouraging teamwork
- Anticipates potential problems situations and intervenes to offset any adverse impact
- Escort registered patients with appointments into clinic rooms, as needed
- Take Vitals and Weights per protocol and also as needed and document these appropriately, as needed
- Verify at appropriate intervals that physician orders or requests for each patient have been carried out
- Triage patient complaints due to adverse effects of therapy and manage these when possible. When appropriate, report these to the physician.
- Triage phone calls from patients, other nurses, pharmacies re : patient care issues (not billing or insurance issues) and manage these when possible.
When appropriate, report these to the physician.
- Phone pharmacies with prescription orders as needed.
- Ensure that appropriate consent form is available with the medical chart at time of consult and / or treatment if needed
- Complete to the best of nurses' ability forms provided by patient (e.g. disability, workers compensation, DOT)
- Clean / disinfect patient instruments following use
- Coordinate with Medical staff any patient care issues as applicable
- Provides Post Anesthesia care to patients in the Outpatient Advanced Care Canter Unit
- Ensure the distribution and delivery of equipment / supplies as necessary
- Flexibility in schedule to meet unit needs and weekend / holiday requirements
- Plans and coordinates time schedule with peers to provide coverage
- Attends mandatory unit and hospital meetings / classes
- Other duties as assigned
Other information :
JOB KNOWLEDGE / EXPERIENCE
Ability to practice nursing as described by the following definition :
The diagnosis and treatment of human responses to actual or potential health alternations."
- Ability to utilize the best 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.
LINES OF REPSONSIBILITES
Chain-of-command)
CAO ? 2. Physician ? 3. Administrator ? 3. Manager
CUSTOMER SERVICE :
Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including : Commitment, Accountability, Respect, Excellence and Service.
AGE SPECIFIC
Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his / her assigned unit.
The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.