Med Surg Nurse

Job Title :

Medical Surgical Registered Nurse

Department : Clinical

Clinical

Reports To : Nurse Manager

Nurse Manager

FLSA Status : Non-Exempt

Non-Exempt

Date

12 / 14 / 2022

Position Summary

This position has responsibility for the management of patient care provided by department personnel.

RN assesses, plans, implements and evaluates the nursing care of the departmental patients in order to ensure that patients and families receive an optimum level of care.

RN must demonstrate knowledge of the 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 requirements relative to his or her age-specific needs, and to provide the care needed as described in the department's policies and procedures.

RN practices relationship centered care in concert with the company’s core values of compassion, integrity and innovation and demonstrates excellent customer service standards.

Essential Duties & Responsibilities

• Applies the nursing process to a group of patients. Evaluates outcomes of patient care, consults with other disciplines as required and adjusts the plan of care as necessary to ensure optimal service
• Effectively identifies predictable problems and plans assigned tasks as needed
• Performs nursing assessments and initiates the plan of care
• Recognizes changes in patient condition and initiates activities to facilitate appropriate responses
• Communicates the patient’s condition and / or change to appropriate staff and / or physician, as needed.
• Ensure appropriate delivery of patient care for a group of patients according to policy and procedure; assigns and / or delegates patient care assignments to licensed and non-licensed nursing staff, based on acuity, needs of the patient, staff availability and qualifications.
• Makes patient care and related work assignments to the appropriate department staff; provides direction, and reviews all work, as necessary.
• Responds promptly to changes in workload, adjusting assignments as necessary to achieve optimal productivity and efficiency.
• Prioritizes and plans all work steps to ensure success; considers time, supplies and support required from other individuals and departments in setting up work plan and completing duties.
• Provides pertinent shift report to other members of the team.
• Assures appropriate follow-up of care for patients assigned to LVN’s and for tasks delegated to non-licensed care givers.
• Participates and facilitates in the case management process and cost containment for patients.
• Makes appropriate referrals upon admission and throughout hospitalization
• Considers all available options and makes appropriate decisions
• Assist in the containment of hospital costs through appropriate use of supplies, recovery of patient charges, and conservation of supplies.
• Assist in the evaluation of patients for appropriate level of care and communicates with others on the health care team.
• Communicates pertinent information regarding patient’s progress and discharge planning needs to appropriate hospital and medical staff.
• Evaluates patient progress in light of the plan of care and coordinates care to achieve desired outcomes.
• Cooperates with other personnel to achieve department objective and maintain good employee relations with collaborative integration of the health care team.
• Maintains harmonious relationship with staff members, providing support and assistance to ensure quality customer service.
• Demonstrates attitude of cooperation and professionalism.
• Demonstrates flexibility in working hours and days scheduled in order to meet needs of the department.
• Seeks and accepts input from Director / Supervisors regarding interpersonal relationships that affect the department’s harmony and serviceability.
• Demonstrates accountability for direct patient care and evaluation of patient outcomes.
• Follows established procedures for all treatments, performance of procedures, and medication administration.
• Assures the patient treatment plan is followed.
• Implements prescribed treatments accurately and in a timely manner.
• Evaluates patient response / outcomes to procedures performed, treatments, medication administration and other aspects of the treatment plan.
• Recognizes changes in patient condition and initiates activities to facilitate appropriate response.
• Documents all aspects of patient care efficiently and effectively
• Ensures documentation and charging of resource / supplies.
• Documents complete patient assessment upon admission within the time frame as per policy.
• Documents all medications, treatments, and evaluation of such.
• Determines and documents patient problem list, interventions and evaluation.
• Demonstrates professional practice and conduct at all times.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest trends in the field of expertise.
• Takes responsibility to regularly update self on knowledge of department and hospital communication changes
• Reports to work on time and absences are not to exceed hospital standards.
• Conducts job duties in accordance with established hospital, department, and unit policy and procedures.
• Demonstrate leadership as a team leader.
• Serves as a resource to coworkers.
• Participates in unit development and problem solving.
• Communicates effectively with members of the healthcare team.
• Complies with legal and professional regulations.
• Demonstrates behaviors that promote teamwork within department and interdepartmentally, in order to best serve the patient.
• Attends and participates in required number of staff meetings per year.
• Performs other duties as assigned.

Safety / Infection Control

Demonstrate knowledge of and adhere to regulations and policies and procedures pertaining to safety, emergency preparedness, infection control, OSHA, fire safety and hazardous materials

Performance Improvement

Participate in performance improvement activities as necessary

Customer Service

• Maintain confidentiality of patient related issues and adhering to all HIPAA rules and regulations.
• Demonstrate effective interpersonal skills
• Treat all patients, visitors, and staff members fairly and with respect
• Utilize effective communication methods and skills
• Explain all procedures, treatments, and care while remaining aware of language barriers
• Able to perform care in non-judgmental manner and recognize discrepancies between patient and personal beliefs

Company Policy

• Ensure personal appearance is business casual and professional at all times
• Responsible for wearing identification badge at all times which must be visible and above the waistline
• Attend all required meetings and in-service education
• Remain flexible in staffing patterns and resolution of staffing conflicts; participates in temporary assignments
• Compliance with attendance standards
• Demonstrate flexibility when changes in assignments are necessary

Qualifications

EDUCATION & EXPERIENCE

• RN Licensure in the State of Texas, with an Associate’s degree required and a Bachelor’s degree is preferred.
• 3-5 years clinical experience preferred.
• BLS, ACLS certifications

LANGUAGE / MATH / REASONING ABILITY

Ability to read and comprehend simple instructions, short correspondence, and memos.

Ability to write simple correspondence.

Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization

Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's.

Ability to perform these operations using units of American money and weight measurement, volume, and distance

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.

Ability to deal with problems involving several concrete variables in standardized situations

COMPUTER SKILLS

Basic computer skills

CERTIFICATE / LICENSES

ACLS will need to be obtained within 30 days of DOH

Competencies

• Professional Maturity : The ability to separate emotional feelings from the real issues at hand
• Responsibility : The ability to accept choices you have made and the results they have led to
• Communication : The ability to write and speak effectively; actively listens to others, and give feedback
• Flexibility : Demonstrate responsiveness and adaptability following change initiatives
• Intelligence : Understand information and apply new knowledge
• Energetic : Exhibits high levels of energy and enthusiasm
• Organized : Efficient in structuring tasks to be accomplished
• Computer Savvy : The ability to use technology efficiently and effectively
• Customer Service : The ability to enhance customer satisfaction
• Job Knowledge / Technical Knowledge : Knowledgeable of current role and technical systems, and the impact it has on the organization
• Integrity and Respect : Demonstrates upmost level of integrity
• Interpersonal Communication : Writes and speaks effectively based on the psychological, relational, situation, environmental and cultural dynamics within the situation
• Collaboration and Partnership : Encourages participation from team members
• Manages Change : Demonstrates flexibility with changing environments
• Problem Solving : Resolve issues in a timely manner
• Attention to Detail : Follows procedures to ensure entry of data
• Organization : Uses time efficiently by prioritizing and planning work activities
• Judgment : Ability to make independent decisions
• Teamwork : Works with others to accomplish objectives and shows support for decisions
• Quality : Sets high standards to ensure quality in work performed
• Accountability : Takes responsibility for adhering to all company policies, procures, and performance expectations

Physical Demands

• The physical demands for this position include : adequate vision, hearing, and repetitive motion
• Light physical activity performing non-strenuous daily activities of an administrative nature
• Ascending or descending stairs, ramps and the like, using feet and legs and / or hands and arms
• Substantial movements (motion) of the wrist, hands, and / or fingers in a repetitive manner
• Bending legs downward and forward by bending leg and spine

Work Environment

Well-lighted, heated and / or air-conditioned indoor office setting with adequate ventilation.

Employee Signature

Printed Name

Employee Signature Date