Registered Nurse - Float - Weekend Days - Hiring Bonus $10,000

Cherokee Indian Hospital Authority•Cherokee, NC

5h•Onsite

About The Position

The incumbent performs nursing procedures to patients of all ages independently within the framework of established policy within the Inpatient Department at the Cherokee Indian Hospital, Cherokee North Carolina. The Registered Nurse is a licensed professional nurse responsible for assessment of patients, development, implementation and evaluation of a patient plan of care; administration of therapeutic measures; teaching and counseling of patients and families; and participating in the development of nursing policies and procedures and quality assurance standards. The Registered Nurse is responsible for the delivery of comprehensive health care to patients of all ages, utilizing standards of care and practice, policies, protocols, and procedures. The purpose of the work is to perform the full range of the nursing process from assessment to evaluation. The work affects the physical and psychosocial wellbeing of the patients and their families.

Requirements

Graduated from an accredited Bachelor or Associate Degree program in nursing.
Applicant must have an unrestricted valid Registered Nurse license within the state of North Carolina or a state that is accepted as reciprocity.
Current Basic Life Support (BLS) minimally required upon hire, must obtain Advanced Cardiac Life Support (ACLS) and Pediatric Advance Life Support (PALS) which can be acquired through the facility following appointment to position. ACLS and PALS required within 6 months of start date.
Crisis Prevention Institute (CPI) Training which can be acquired through the facility is required within 6 months of start date.
Other department required education or certifications at the discretion of the Inpatient Nurse Manager must be completed within six months of formal written notice.
Proficiency rated at 2 years for a new graduate to reach the journeyman’s level.
Applicant must have a valid North Carolina driver’s license.
Knowledge of principles, practices, techniques, and theories of professional nursing in order to plan and provide nursing care to meet the physical, emotional, spiritual, and socio- cultural needs of patients of all ages; specifically, Infancy (Birth-1 year), Toddler and Early Childhood (2 years), Latency (6-9 years), Preadolescence (10-12 years), Early Adolescence (13-15 years), Adolescence (16-20 years), Adult (21-64 years), and Elderly (65-+ years).
Knowledge of the nursing process and its application to clinical practice.
Knowledge of the biological aspects of the disease process and illness in order to recognize complications and therapeutic interventions required.
Knowledge of medications and dosages in order to recognize desired effects, side effects, and complications of their use.
Knowledge and ability to analyze the results of various medical procedures and translate into appropriate nursing interventions.
Knowledge and ability to independently plan, manage, and organize work in order to meet priorities, accomplish work within established periods and work in stressful situations.
Knowledge of the occupational functions of multi-disciplinary health care team.
Knowledge of the culture and medical health profile of the patient population.
Knowledge and ability to teach and counsel patient/family on health maintenance and disease prevention.
Knowledge of available health care programs and community resources.
Knowledge of processes and procedures for establishing, revising, continually monitoring, and evaluating standards for the practice of nursing.
Knowledge and skills in operating specialized medical equipment, such as, monitoring devises incubators, suction pumps, oxygen equipment, etc.
Knowledge of problem oriented medical record methods.
Knowledge of legal and ethical aspects of nursing.

Responsibilities

Performs nursing care in accordance with established nursing care standards.
Provides nursing care to patients on telemetry monitored inpatient department.
Participates in emergency care, routine, curative, rehabilitative, and preventive nursing care.
Demonstrates ability and willingness to adapt to special circumstances, such as patient emergencies, fluctuations in census and acuity level of patients, and disasters.
May be required to rotate between nursing departments including outpatient and the emergency department.
Participates in cross training of services within the nursing department.
Works on a regularly assigned or rotational basis to provide continuity of services during evenings, nights, weekends, and holidays.
May be required to rotate shifts and be subject to on-call and callback.
Performs ongoing assessment by actively participating in the determination of meeting the nursing care needs based upon collection and interpretation of data relevant to the health status of the client.
Collects data from relevant sources regarding the biological, psychological, social and cultural factors and determines the influences these factors have on the health status of the individual.
Collects data through observations of appearance and behavior, measurements of physical structure and physiological function, and information regarding available resources.
Interprets data, recognizes existing relationships between data collected and the client’s health status and treatment regimen, and determines the client’s need for immediate nursing interventions.
Reviews the patient’s health records and health summary, interviewing patients and family members, documenting the chief complaints, medical history, physical and clinical findings, identifying learning needs of the patient and family, and determining priority of care required.
Functions as charge nurse when assigned by the Inpatient Nurse Manager or his/her designee; assigns nursing staff according to staff competency and patient complexity and provides technical supervision for staff members, including reviewing procedures; anticipates problems and acts to resolve problems.
Initiates plan of care based on assessment of the patient for specific illnesses, injuries, and diseases and human behavior and appropriate standards of care.
Develops expected patient outcomes that are observable and within an adequate period, and are congruent with the patient’s present and potential physical capabilities and behavioral patterns.
Plans for care to provide for the basic needs of patients including health prevention, health promotion, protection, comfort, nutritional, fluid and electrolyte balance, physiological functions, activity, rest, and sleep, hygiene, oxygenation, management of health, growth and development, and coping.
Implements nursing care according to the established health care plan.
Detects changes in the patient’s condition and takes appropriate action.
Recognizes, identifies and interprets serious situations and immediately decides proper action.
Initiates appropriate resuscitative measures in an emergency.
Initiates appropriate action when safety measures are required to protect patients.
Documents observations, nursing interventions, patient progress, needs, treatments, diagnoses, possible side effects of treatment, teaching, patient response, effectiveness, complications and communicates information to the physician, co-workers and other health personnel.
Administers and documents medications per manufacturer guidelines, hospital policy and established protocols and according to State Board of Nursing regulations.
Assures that all medications, treatments and tests are done appropriately and in a timely manner, detects, and reports medication errors.
Administers, manages and titrates intravenous cardiac medications or other medications requiring cardiac monitoring after administration.
When necessary administers ambulatory care (after hours and weekend) infusions according to established nursing care standard.
Provides counseling, teaching, and anticipatory guidance to patients and families on preventive, curative and rehabilitation measures involved in health care.
Provides guidance, leadership, and training to other nursing personnel.
Coordinates health care needs through referrals to support services, community, and tribal resources to promote continuity of care.
Maintains a safe environment through the practice of Universal Precautions and Body Substance Isolation, medical waste/chemical management and containment.
Participates in the development and implementation of performance improvement activities.
Assumes responsibility for the adequacy and appropriateness of supplies and ensures proper functioning of all medical equipment.
Promotes patient advocacy and confidentiality.
Serves on Committees as appointed.
Maintains and promotes positive and constructive communications and activities within Nursing services, other departments, tribal, and community agencies for purposes of coordinating and understanding of goals and objectives relevant to the population served.
Functions appropriately during disasters.
Updates and maintains currency/competency in nursing practices and standards by attending training and in-services.
Evaluates patient care provided.
Revises nursing care to reflect changes in patient needs.
Documents nursing care and patient progress according to hospital policy.
Participates in ongoing nursing quality assurance program.
May be necessary to work when Administrative leave is granted if patient care would be compromised.