Shift(s): Night FT/PRN/Part Time (Hospital)

Department: Nursing

Location(s): Memorial Hospital

Responsibilities

• 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.
• Perform required tasks without prompting and adjust appropriately to situations.
• Adhere to the attendance policy.
• Follow district and department policies.
• Attend required meetings and in-services.
• Participate in Hospital District Safety Program and QA Programs.
• Use time and resources wisely.
• Maintain HIPAA, keeping patient and hospital confidentiality.
• Maintain adequate supplies of items needed to perform job; order or report low items to supervisor.
• Practice proper phone etiquette, identification of self and department.
• Report adverse events regarding patients, guests or self to supervisor immediately.
• Oversees LVNs and CNAs.
• Demonstrates a willingness to learn and practices a team approach.

Essential Functions

Primary Responsibilities for all Units Assigned:

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

• Takes nursing histories to provide a basis for developing patient care plans.
• Completes a thorough nursing assessment and history on admission.
• Identifies teaching/learning/ discharge needs at the time of admission and throughout stay.
• Provides an ongoing assessment that accurately reflects overt physiological and psychological needs of patients.
• Consistently uses input from patient, family, significant other, physician, and healthcare team members.

Using nursing process, plan and provide patient, family care; evaluates patient’s response to care and redirects as necessary.

• Formulates appropriate nursing diagnosis and identifies patient problems from admission database and ongoing assessment.
• Establishes patient outcome goals that are realistic, specific, measurable, and progressive.
• Develops and implements nursing orders that are specific and measurable.
• Initiate interdisciplinary communication and incorporate recommendation.
• Consults with patients, family and others to formulate care plans that reflect concern for holistic patient needs.
• Assess and evaluates patient response/outcome and makes appropriate modifications to the care plan.
• Reviews and updates care plan on a timely basis to reflect patient’s status throughout hospitalization

Implements and monitors appropriate nursing care to meet patient’s needs.

• Identifies expected outcomes for planned nursing intervention and ensures vital information is passed between shifts.
• Administers medications according to policy including IV’s, blood, and blood components as prescribed.
• Knows actions, indications, contraindications, precautions, adverse reactions, dosage, and route of administration on all drugs prior to administering to patient.
• Verifies medication administration accuracy and performs the required checks on the medication administration record.
• Gives exchange report to other health care personnel providing accurate complete information on each patient at the change of shift when transferring patient to another unit and at intervals during the shift.
• Assesses patients at the beginning of the shift for acuity of patient needs/problems and establishes priority in which work activities are consistently completed by the end of the shift.
• Performs basic nursing competently to include but not limited to: intake and output, vital signs, physical assessment, urine testing, specimens/cultures, dressing changes, neurological assessments, personal hygiene for the patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, nasogastric tubes, tube feedings, urinary catheterization, drains, enemas, and intravenous catheterization.
• Recognizes, evaluates, and interviews appropriately in a life-threatening situation.
• 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.
• Functions proficiently in all unit nursing modalities.

Participates in the health care educational needs for the patient, family, or significant other regarding patient care needs, disease prevention, and health maintenance measures

• Develops and implements an individualized teaching and discharge plan at admission and throughout hospitalization.
• Initiates and documents progressive patient, family, or significant other teaching on admission and throughout hospitalization.
• Act as liaison between patient, physician, family, or significant other, and other health disciplines.

Maintains accurate and timely records according to hospital policy and procedures.

• Documents ongoing assessment within timeframe determined by policy which accurately reflects overt physiological and psychological needs of patient.
• Accurately documents on each shift the nursing patient care activities and the patient’s response to nursing interventions and delegated medical management.
• Maintains a patient care plan that is current and reflects individual needs or preferences of patients.
• Documents teaching completed and patient, family, or significant other response in the patient record.
• Documents interdisciplinary recommendations for plan of care.
• Transcribes and or cosigns physicians’ orders completely and accurately according to hospital policy and practice.
• Completes all appropriate transfer and discharge forms.
• Other duties as assigned withing the RN scope of practice.

Job Qualifications

Education

• Graduate of an accredited School of Professional Nursing

Licensure, Registry and Certifications

• Current Texas RN license or Compact RN license required.
• Basic Cardiac Life Support (BCLS) Certification
• Advanced Cardiac Life Support (ACLS) Certification
• Emergency Nursing Pediatric Course (ENPC) / Pediatric Advanced Life Support (PALS) Certification preferred
• TCCN preferred
• STABLE, preferred.
• Neonatal Resuscitation Program (NRP) Certification
• Emergency Nursing Pediatric Course (ENPC) / Pediatric Advanced Life Support (PALS) Certification preferre

Skill Requirements

• Effective oral and written communication skills
• Computer Skills
• Listening Skills

Physical Demands

• Extended periods of sitting/standing/walking
• Manual dexterity
• Pushing/Pulling
• Lifting/carrying >= 50 lbs.  
• Kneeling/bending
• Visual/hearing acuity

Shift(s): Days-PRN/Part Time

Department: Nursing

Location(s): Memorial Hospital

Responsibilities

• 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.
• Perform required tasks without prompting and adjust appropriately to situations.
• Adhere to the attendance policy.
• Follow district and department policies.
• Attend required meetings and in-services.
• Participate in Hospital District Safety Program and QA Programs.
• Use time and resources wisely.
• Maintain HIPAA, keeping patient and hospital confidentiality.
• Maintain adequate supplies of items needed to perform job; order or report low items to supervisor.
• Practice proper phone etiquette, identification of self and department.
• Report adverse events regarding patients, guests or self to supervisor immediately.
• Oversees LVNs and CNAs.
• Demonstrates a willingness to learn and practices a team approach.

Essential Functions

Primary Responsibilities for all Units Assigned:

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

• Takes nursing histories to provide a basis for developing patient care plans.
• Completes a thorough nursing assessment and history on admission.
• Identifies teaching/learning/ discharge needs at the time of admission and throughout stay.
• Provides an ongoing assessment that accurately reflects overt physiological and psychological needs of patients.
• Consistently uses input from patient, family, significant other, physician, and healthcare team members.

Using nursing process, plan and provide patient, family care; evaluates patient’s response to care and redirects as necessary.

• Formulates appropriate nursing diagnosis and identifies patient problems from admission database and ongoing assessment.
• Establishes patient outcome goals that are realistic, specific, measurable, and progressive.
• Develops and implements nursing orders that are specific and measurable.
• Initiate interdisciplinary communication and incorporate recommendation.
• Consults with patients, family and others to formulate care plans that reflect concern for holistic patient needs.
• Assess and evaluates patient response/outcome and makes appropriate modifications to the care plan.
• Reviews and updates care plan on a timely basis to reflect patient’s status throughout hospitalization

Implements and monitors appropriate nursing care to meet patient’s needs.

• Identifies expected outcomes for planned nursing intervention and ensures vital information is passed between shifts.
• Administers medications according to policy including IV’s, blood, and blood components as prescribed.
• Knows actions, indications, contraindications, precautions, adverse reactions, dosage, and route of administration on all drugs prior to administering to patient.
• Verifies medication administration accuracy and performs the required checks on the medication administration record.
• Gives exchange report to other health care personnel providing accurate complete information on each patient at the change of shift when transferring patient to another unit and at intervals during the shift.
• Assesses patients at the beginning of the shift for acuity of patient needs/problems and establishes priority in which work activities are consistently completed by the end of the shift.
• Performs basic nursing competently to include but not limited to: intake and output, vital signs, physical assessment, urine testing, specimens/cultures, dressing changes, neurological assessments, personal hygiene for the patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, nasogastric tubes, tube feedings, urinary catheterization, drains, enemas, and intravenous catheterization.
• Recognizes, evaluates, and interviews appropriately in a life-threatening situation.
• 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.
• Functions proficiently in all unit nursing modalities.

Participates in the health care educational needs for the patient, family, or significant other regarding patient care needs, disease prevention, and health maintenance measures

• Develops and implements an individualized teaching and discharge plan at admission and throughout hospitalization.
• Initiates and documents progressive patient, family, or significant other teaching on admission and throughout hospitalization.
• Act as liaison between patient, physician, family, or significant other, and other health disciplines.

Maintains accurate and timely records according to hospital policy and procedures.

• Documents ongoing assessment within timeframe determined by policy which accurately reflects overt physiological and psychological needs of patient.
• Accurately documents on each shift the nursing patient care activities and the patient’s response to nursing interventions and delegated medical management.
• Maintains a patient care plan that is current and reflects individual needs or preferences of patients.
• Documents teaching completed and patient, family, or significant other response in the patient record.
• Documents interdisciplinary recommendations for plan of care.
• Transcribes and or cosigns physicians’ orders completely and accurately according to hospital policy and practice.
• Completes all appropriate transfer and discharge forms.
• Other duties as assigned withing the RN scope of practice.

Job Qualifications

Education

• Graduate of an accredited School of Professional Nursing

Licensure, Registry and Certifications

• Current Texas RN license or Compact RN license required.
• Basic Cardiac Life Support (BCLS) Certification
• Advanced Cardiac Life Support (ACLS) Certification
• Emergency Nursing Pediatric Course (ENPC) / Pediatric Advanced Life Support (PALS) Certification preferred
• TCCN preferred
• STABLE, preferred.
• Neonatal Resuscitation Program (NRP) Certification
• Emergency Nursing Pediatric Course (ENPC) / Pediatric Advanced Life Support (PALS) Certification preferre

Skill Requirements

• Effective oral and written communication skills
• Computer Skills
• Listening Skills

Physical Demands

• Extended periods of sitting/standing/walking
• Manual dexterity
• Pushing/Pulling
• Lifting/carrying >= 50 lbs.  
• Kneeling/bending
• Visual/hearing acuity

Chain of Command: CNA, Lead CNA, DON, Director of Long Term Services, CEO

Supervises: No one

Pay scale: Hourly, Non-exempt
Location(s): Memorial Health Care Center

Physical and Mental Requirements

Extended periods of standing and walking

• Manual dexterity
• Pushing/Pulling
• Repetitive motion
• Lifting/carrying >=50 lbs.
• Kneeling/bending
• Stooping
• Visual acuity
• Hearing acuity
• Reaching

Job Qualifications

Education

• High school graduate or equivalent experience

Completion of a training and competency evaluation program approved by the State of Texas for Nursing Assistants.

Licensure, Registry and Certifications

• Current registry with the Nurse Aide Registry.
• BCLS

Experience

Prior Work Experience

• Entry level position
• One (1) year of nurse aide experience in a clinical or long term care setting preferred.

Technical Training

• Current CPR certification.
• Proficient in operating Patient Transfer Lifts

Essential Functions

Primary Responsibilities

1. Assist with carrying out the Interdisciplinary Plan of Care for residents.
2. Assists residents with activities of daily living according to their Care Plans and MHCC Policies and Procedures.
3. Documents residents’ care according to established MHCC P&P’s.
4. Keeps the Charge Nurse informed regarding resident change of condition or other observations such as symptoms, reactions, or other changes in patient status.

Administers direct bedside nursing care under the supervision of the Charge Nurse which may include:

1. Assists residents with fingernail care as scheduled and needed.
2. Transfers residents from bed, to chair, to commode, to gurneys using gait belts and lifts as appropriate.
3. Assists residents in bathing to include bedside sponge baths and hall showers regularly or as needed.
4. Assists residents in oral care to include brushing teeth, brushing, soaking, and adhering dentures, and clearing oral cavity of debris after meals prior to residents resting.
5. Assisting residents in eating by feeding, or monitoring proper airway protection methods prescribed.
6. Maintains residents dignity and privacy at all times.
7. Assists residents in restroom activities as needed to include changing soiled adult protection diapers, clothing and bedding, assisting to bedside commode, room commodes as needed and providing optimal perineal care as needed according to the residents’ care plans to reduce potential for infection taking care to preserve resident privacy and dignity.
8. Ensures residents are in safe environment to include lowering beds and clearing furniture path as needed.

Provides assistance and performs support duties as needed.

1. Prepares, maintains, and submits records and reports required by the Charge Nurse, Director of Nursing Services and Administrator.
2. Assists in maintaining a clean safe environment for residents, detecting and correcting situations that have a high probability of causing accidents or injuries to residents.
3. Understands the legal implications of not carrying out physicians’ orders correctly.
4. Recognized when a situation can not be handled alone and requests help from proper personnel when necessary.

Assists with acting upon physicians’ orders and requests for restorative care.

1. Helps to evaluate residents and determine the most desirable type of treatment.
2. Assists with the performance of selected rehabilitative and therapeutic activities and exercises.
3. Prepares residents for treatments.
4. Transports residents to other departments as requested.

Job Related Factors

1. Communicates positively and respectfully to audience (coworkers, patients, physicians, and others)
2. Performs required tasks without prompting and adjusts appropriately to situations.
3. Adheres to the attendance policy.
4. Follows District and Department Policies.
5. Attends required meetings and in-services
6. Participates in Hospital District Safety Program and QA Programs
7. Uses time and resources wisely.
8. Maintains HIPAA, keeping patient and hospital confidentiality
9. Maintains adequate supplies of items needed to perform job, orders, or reports low items to supervisor.
10. Practices proper phone etiquette, identifying self and department.
11. Reports adverse events regarding patients, guests, or self to supervisor immediately.