Med/Surg Registered Nurse - Per Diem

WASHOE BARTON MEDICAL CLINIC•Gardnerville, NV

About The Position

The Med/Surg Registered Nurse provides comprehensive nursing care to patients in the Medical-Surgical Unit using the nursing process. The role includes assessing patients, administering medications, managing individualized care plans, documenting care, applying critical thinking, and collaborating with the healthcare team. The nurse supports patient recovery, education, and well-being while following hospital policies and regulatory standards. This per-diem position fills in for staff taking planned or unplanned time off and is offered on an as-needed basis. Employees must be available at least two days per month and work at least one summer and one winter holiday. The scheduled shift is 1900 to 0700. In lieu of benefits, 15% is added to the hourly rate.

Requirements

Graduate of an accredited school of nursing.
Minimum of an Associate’s Degree in Nursing.
Current Nevada RN license.
BLS for Healthcare Providers certification.
ACLS certification; may be obtained within 90 days of hire.
Professional customer service skills.
Ability to read and communicate in English.
Availability at least two days per month and for at least one summer and one winter holiday.

Nice To Haves

Previous department-specific experience preferred.
Bilingual abilities preferred.

Responsibilities

Assess patients’ physical, emotional, and psychosocial health, identify care needs, and accurately document findings.
Develop, implement, and evaluate individualized, patient-centered care plans in collaboration with patients and the healthcare team.
Monitor patients’ conditions and respond to changes by initiating appropriate interventions.
Document patient and family needs and communicate relevant information across the multidisciplinary healthcare team.
Complete timely, accurate, and thorough EHR and/or paper documentation according to hospital policy and regulatory requirements.
Administer medications safely and accurately according to the hospital’s medication-administration policy; manage controlled substances, maintain medication administration records, and use barcode scanning.
Monitor for medication side effects or adverse reactions, report concerns to healthcare providers, and educate patients and families about medications.
Communicate clearly and professionally with patients, families, and healthcare team members; participate in bedside shift handoffs, interdisciplinary meetings, and care coordination.
Respond to patient and family concerns with empathy and timeliness, and seek assistance from experienced staff when needed.
Seek guidance and mentorship, participate in education and training, and use policies, procedures, and clinical tools to support safe, evidence-based care.
Apply nursing judgment and critical thinking when implementing care plans, interventions, and procedures; manage time efficiently and follow hospital policies.
Administer blood and blood products and initiate and maintain IV access according to hospital policy; assess and document IV sites.
Perform consistent, purposeful hourly rounding and provide care to patients with acute, chronic, and complex medical conditions, including med-surg and swing bed patients.
Provide nursing interventions and patient teaching as applicable, and work within state law, hospital policy, and professional standards.
Participate in quality improvement initiatives to support continuous improvement of patient care services.
Demonstrate skill in emergency nursing management and use of clinical equipment.
Set up and maintain a sterile field for minor sterile procedures, such as central-line or chest-tube insertion.
Follow current vaccination policies and document patient teaching.