Internal Contract- Registered Nurse Labor and Delivery

St. Josephs Medical Center•Houston, TX

1d•Onsite

About The Position

Local Internal Contracts Available! DEPARTMENT: Labor and Delivery 13-week Contract Night Shift 6:30p-7a JOB SUMMARY: The Travel RN will accept assignments in various nursing departments of competency within designated facilities as needed. These departments may include, but are not limited to: Medical, Surgical, Telemetry, Women's Services, Critical Care and the Emergency Department. The RN is responsible and accountable for directing, planning, and organizing the nursing activities on the unit for an assigned shift with focus on patient, physician and staff needs. The RN is responsible for delivering skilled patient care through the nursing process in accordance with established policies and procedures; for coordinating patient care through the nursing process in accordance with established policies and procedures; for coordinating care among patient/family, medicine, nursing, ancillary, and other team personnel; acts as patient advocate; and maintains current knowledge and standards of professional nursing practice. AGE OF POPULATION SERVED: May include Infant, Child, Adolescent, Adult, and Geriatric. PRINCIPAL DUTIES AND RESPONSIBILITIES: RN is responsible for facilitating, coordinating, and supervising patient care appropriate to the condition and age of the patient in the department. Maintains an awareness of the condition and needs of the patients. Promotes a culture of safety for patients and employees through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment. Able to perform general nursing duties in assigned departments with adequate supervision by using nursing process to provide all levels of patient care: Assesses patient's condition based upon observation, examination, and/or interview, physician's diagnosis, laboratory findings, age-related issues and other pertinent information. Completes assessment in specified time frame. Identifies and consistently recognizes changes in normal and abnormal parameters in the patient's physiological, psychological, cultural, developmental and spiritual needs. Communicates with physicians/Nurse Manager/coworkers, as appropriate about changes in patient's condition. Able to respond quickly and accurately to changes in condition or response to treatment. Implements nursing interventions to achieve progress toward expected patient outcomes or to stabilize a patient's condition and/or prevent complications. JOB TITLE: Registered Nurse REPORTS TO: Director/Manager DEPARTMENT: Steward National Traveler Network DIVISION: Shared Services OSHA CATEGORY: I DATE REVISED: August 17, 2023 Evaluates and documents patients' response to nursing care and modifies or revises treatment plans, and/or contacts physicians as circumstances require. Documentation reflects evaluation of patient response to nursing actions. Participates in interdisciplinary patient care planning in order to plan and evaluate patient care. Provides and documents patient (family) education based on diagnosis, treatment plan or prescribed medical regimen in accordance with patient (family) readiness and ability to learn. Uses professional judgment and critical thinking to prepare, prioritize and execute the patient's plan of care consistent with patient assessment data and physician's treatment plans and professional standards of evidence-based practice/care. Incorporates the patient's physiological, psychological, cultural, developmental and spiritual needs into the plan of care. Consistently follows patient care and facility guidelines and procedures in performance of one's duties. Directs and delegates support personnel in implementing patient's plan of care, provides supervision and guidance, and demonstrates methods, as necessary, to correct deviation from established standards. Renders professional nursing care including administering medications, starting intravenous fluids and blood products. Performs both complex and routine treatments as prescribed by physicians or as warranted by patient's condition. Is able to perform all technical skills required for unit patient population such as, but not limited to IV venipuncture, restraint application, sterile dressings, etc. Is able to assist practitioner with procedures. Maintains accountability for all controlled substances. Follows correct procedures with the medication system for removal and waste. Documents completely and accurately on the patient record. Is able to resolve medication discrepancies in a timely manner. Communicates appropriately and clearly to director, charge nurse, co-workers and physicians. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs. Maintains a good working relationship both within the department and with other departments. Assist in the resolution of problems or concerns while being a supportive team member. Demonstrates an ability to be flexible, organized and function well under stressful situations. Demonstrates support of the mission, values and vision of the hospitals in all actions and interactions with employees, patients, medical staff, guests and visitors through use of STAR key words: Service, Teamwork, Accountability and Respect. Demonstrates support of the quality and compliance program set forth by the Organization Other duties as assigned within scope.

Requirements

Graduate of an accredited School of Nursing program, a valid license to practice in the State.
Minimum of two-year relevant Labor and Delivery RN clinical nursing experience and proven.
Current certifications BLS, ACLS, NRP, PALS, Fetal Heart Monitoring
Skills: Technical, clerical, critical thinking and interpersonal skills relevant to total patient care/area in order to safely and efficiently treat patients.
Good verbal and written communication skills necessary to be clearly and easily understood by patients, families, and members of the Health Care team.
Writes/prints legibly to document accurately and understandably, and to provide direction to support staff and others.
Must be able to read and communicate effectively in English, additional languages helpful.
Adheres to facility and department dress code; appearance is neat and clean.
Is conscientious regarding personal hygiene.
Completes annual educational requirements: Skills Day, Annual department specific, age specific skills check lists.
Keeps certifications updated as needed and completes Steward University Assignments in a timely manner.
Maintains regulatory requirements.
Reports to work on time and as scheduled, completes work within designated time.
Maintains acceptable punctuality and attendance within policy guidelines.
Participates in required department, facility or job-related education per year.
Wears identification while on duty.
Uses time system consistently and correctly.
Completes exception sheets appropriately.
Utilizes down time productively.
Completes work within designated time.
Attends staff in-service meetings per department guidelines; reads and signs minutes of meetings not attended.

Responsibilities

RN is responsible for facilitating, coordinating, and supervising patient care appropriate to the condition and age of the patient in the department.
Maintains an awareness of the condition and needs of the patients.
Promotes a culture of safety for patients and employees through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment.
Able to perform general nursing duties in assigned departments with adequate supervision by using nursing process to provide all levels of patient care
Assesses patient's condition based upon observation, examination, and/or interview, physician's diagnosis, laboratory findings, age-related issues and other pertinent information.
Completes assessment in specified time frame.
Identifies and consistently recognizes changes in normal and abnormal parameters in the patient's physiological, psychological, cultural, developmental and spiritual needs.
Communicates with physicians/Nurse Manager/coworkers, as appropriate about changes in patient's condition.
Able to respond quickly and accurately to changes in condition or response to treatment.
Implements nursing interventions to achieve progress toward expected patient outcomes or to stabilize a patient's condition and/or prevent complications.
Evaluates and documents patients' response to nursing care and modifies or revises treatment plans, and/or contacts physicians as circumstances require.
Documentation reflects evaluation of patient response to nursing actions.
Participates in interdisciplinary patient care planning in order to plan and evaluate patient care.
Provides and documents patient (family) education based on diagnosis, treatment plan or prescribed medical regimen in accordance with patient (family) readiness and ability to learn.
Uses professional judgment and critical thinking to prepare, prioritize and execute the patient's plan of care consistent with patient assessment data and physician's treatment plans and professional standards of evidence-based practice/care.
Incorporates the patient's physiological, psychological, cultural, developmental and spiritual needs into the plan of care.
Consistently follows patient care and facility guidelines and procedures in performance of one's duties.
Directs and delegates support personnel in implementing patient's plan of care, provides supervision and guidance, and demonstrates methods, as necessary, to correct deviation from established standards.
Renders professional nursing care including administering medications, starting intravenous fluids and blood products.
Performs both complex and routine treatments as prescribed by physicians or as warranted by patient's condition.
Is able to perform all technical skills required for unit patient population such as, but not limited to IV venipuncture, restraint application, sterile dressings, etc.
Is able to assist practitioner with procedures.
Maintains accountability for all controlled substances.
Follows correct procedures with the medication system for removal and waste.
Documents completely and accurately on the patient record.
Is able to resolve medication discrepancies in a timely manner.
Communicates appropriately and clearly to director, charge nurse, co-workers and physicians.
Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs.
Maintains a good working relationship both within the department and with other departments.
Assist in the resolution of problems or concerns while being a supportive team member.
Demonstrates an ability to be flexible, organized and function well under stressful situations.
Demonstrates support of the mission, values and vision of the hospitals in all actions and interactions with employees, patients, medical staff, guests and visitors through use of STAR key words: Service, Teamwork, Accountability and Respect.
Demonstrates support of the quality and compliance program set forth by the Organization
Other duties as assigned within scope.