24 Jul Infusion and UR Nurse

The registered nurse has principal responsibility for the total nursing care, assessment, planning, implementation, and evaluation of each assigned patient. Plans, provides, and documents discharge planning, teaching, and education of patients, family, or others to attain optimal health, patient outcomes, and continuity of care. Assures that the plan of care is carried out in a safe environment through performance, teamwork, and supervision of subordinate personnel. 

This registered nurse is responsible for evaluating each patient’s care to determine the medical necessity and status of hospitalization, working in a team approach with multiple departments, physicians, and payment compensation groups to reduce cost, increase efficiency, provide adequate care, and gain insurance approval.  

Reports to: Chief Nursing Officer

Responsibilities

1. Care for clients within the Texas Board of Nursing scope of practice for a Registered Nurse (neonate <1yr, Child/Pediatric 1-11yrs, Adolescent 12-17yrs, Adult 18-55yrs and geriatric >55yrs) throughout the facility while communicating positively and respectfully.
2. Perform required tasks prompting and adjust appropriately to situations.
3. Adhere to the attendance policy.
4. Follow district and department policies.
5. Attend required meetings and in-services.
6. Participate in Hospital District Safety Program and QA Programs.
7. Use time and resources wisely.
8. Maintain HIPAA, keeping patient and hospital confidentiality.
9. Maintain adequate supplies of items needed to perform job; order or report low items to supervisor.
10. Practice proper phone etiquette, identification of self and department.
11. Report adverse events regarding patients, guests or self to supervisor immediately.
12. Demonstrates a willingness to learn and practices a team approach.
13. Working in a team approach with multiple departments, physicians, and payment compensation groups to reduce cost, increase efficiency, provide adequate care, and gain insurance approval.  

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Utilizes the nursing process, completes a comprehensive physical and psychological assessment of patients.

1. Identifies teaching/learning/ discharge needs at the time of admission and throughout stay.
2. Provides an ongoing assessment that accurately reflects overt physiological and psychological needs of patients.
3. Consistently uses input from patient, family, significant other, physician, and healthcare team members.
4. Establishes patient outcome goals that are realistic, specific, measurable, and progressive.
5. Develops and implements nursing orders that are specific and measurable.
6. Initiate interdisciplinary communication and incorporate recommendation.
7. Consults with patients, family, and others to formulate care plans that reflect holistic patient needs.
8. Assess and evaluates patient response/outcome and makes appropriate modifications to the care plan.
9. Completes thorough and compliant documentation.
10. Administers medications according to policy including IV’s, blood, and blood components as prescribed.
11. Knows actions, indications, contraindications, precautions, adverse reactions, dosage, and route of administration on all drugs prior to administering to patient.
12. Verifies medication administration accuracy and performs the required checks on the medication administration record.
13. Recognizes, evaluates, and interviews appropriately in a life-threatening situation.
14. Maintain Clean, tidy, and stocked Seminole Infusion Clinic.
15. Recognizes variance of diagnostic tests, vital signs and assessments that should be reported to the physicians and notifies physicians in a time frames appropriate to the variance.
16. Responsible for planning and organizing the day-to-day operations of the Seminole Infusion Clinic.                                                            
17. Assists with the monitoring and adjustment of patient’s environments to assure they are safe, therapeutic, and conducive to recovery and/or comfort.          
18. Assists in the coordination of nursing care for Seminole infusion clinic on all shifts and acts as a consultant to the staff.           
19. Ensures that cordial relationships are maintained with patients, families, friends, clergy, and other interested groups in the community.                                 
20. 8.Functions as a nursing resource for hospital personnel, Medical Staff, and outside agencies.                                          
21. Assist with the management of the Quality Assurance and Performance Improvement Program of the Department.         
22. Prepares and presents education sessions and materials for medical staff members, nursing staff, and other hospital staff.
23. Assists with the development, implementation, review, evaluation, and compliance of departmental policies, procedures, and practices consistent with hospital policies as well as those of the Seminole Infusion Clinic.                             
24. Assist in training employees and hospital personnel as directed by the CNO or COO.                                         
25. Makes recommendations for purchases of supplies and equipment to support department operations and cost effectiveness.
26. Knowledge of CMS rules related to Critical Access Hospitals.  
27. Knowledge of rules, regulations, and standards related to utilization review processes, rules, and guidelines.
28. Maintain positive and effective relationships with other departments and Medical Staff. 
29. Maintain open communication and problem-solving atmosphere with other departments to achieve quality patient care.
30. Participates, guides, and educates staff and physicians on the Utilization Review processes, rules, and guidelines.
31.  Works in conjunction with revenue cycle to optimize patient stay in conjunction with clinical needs and criteria according to payment guidelines and criteria. 
32. Advises and consults with physicians, nurses and hospital personnel concerning length of stay, qualification of stay, and type of stay.
33. Attend and participate in nursing meetings.  Including but not limited to, in-services and training at the discretion of the Chief Nursing Officer.  
34. Participates in community outreach and education.
35. Other duties as assigned.

Professional Education Requirements

1. Bachelor’s degree in nursing Preferred
2. Minimum of 5 years Nursing experience
3. Current Texas RN license required
4. ACLS required
5. PALS/ENPC required
6. BLS required
7. Nova Strip Glucose Monitoring Certificate

Skill Requirements

1. Effective oral and written communication skills
2. Organized
3. Listening Skills
4. Problem solving/Analysis.
5. Ethical Conduct
6. Collaboration
7. Personal Effectiveness/Credibility
8. Communication Proficiency
9. Time management
10. Independent
11. Computer skills

Supervisory Responsibility

None

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

1. moderate periods of sitting/standing/walking
2. pushing pulling
3. lifting/carrying >= 50 lbs.
4. crawling        
5. climbing        
6. kneeling/bending
7. visual acuity 
8. hearing acuity

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