About The Position

Provides nursing care to assigned patients in accordance with established protocols, the multidisciplinary plan of care, and applicable nursing standards. Uses independent, dependent, and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal patient responses through patient-centered, patient-valued care. This PRN role serves laboring, delivery, recovering, ECU, postpartum, and stable neonatal patients. The nurse assesses and continuously monitors patients, recognizes and responds to changes in condition, administers medications safely, maintains IV access, performs point-of-care monitoring, supports pain management and positioning, and provides emergency resuscitation care. The role also includes patient and family education, breastfeeding support, documentation, communication and handoffs, and collaboration with the care team. The employee must work a minimum of two shifts per pay period when the Hospital has a need. Shifts may include weekends and one major and one minor holiday. Employees accept Hospital assignments, including on-call assignments, and may float to clinical areas within their demonstrated skillset and competency. The Hospital does not guarantee work or a minimum number of hours per week. PRN employees are classified in regular relief status and are not eligible for benefits or evaluation-based pay increases.

Requirements

  • Graduate of an accredited school of nursing.
  • Two years of Labor & Delivery experience; alternatively, successful completion of Parkland's Labor & Delivery Registered Nurse Residency Program or Fellowship Program and one year of Labor & Delivery experience.
  • Current RN license or valid temporary permit with the Texas Board of Nursing, or a valid Compact RN license.
  • Current healthcare provider CPR course completion card from the American Heart Association, American Red Cross, or Military Training Network.
  • Current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification on hire or placement in the role, from the American Heart Association, American Red Cross, or Military Training Network.
  • Upon hire or transition into the role, one of the following: AWHONN Intermediate Electronic Fetal Monitoring Certificate, AWHONN Advanced Electronic Fetal Monitoring Certificate, or National Corporation Certification (NCC) Electronic Fetal Monitoring Certification.
  • Renew AWHONN Intermediate or Advanced Electronic Fetal Monitoring certification every two years; renew National Electronic Fetal Monitoring Certification every three years.
  • Pass the Medication Examination before hospital orientation; current Parkland employees requesting reassignment must have a current Medication Examination on file.
  • Demonstrate knowledge and practice consistent with the Texas Nurse Practice Act, established protocols, multidisciplinary plans of care, and clinical-area standards.
  • Demonstrate effective interpersonal skills and good oral and written communication, including communication with patients, families, and hospital staff; overhead paging may be required.
  • Demonstrate ability to provide direction to non-nursing staff, serve as a preceptor, and provide patient-centered, patient-valued care.
  • Maintain competency in assigned clinical areas and meet the PRN scheduling requirements.
  • Have two years of overall nursing experience and two years of prior work experience in the specialty area to be eligible for the RN PRN program.

Nice To Haves

  • Bachelor of Science in Nursing preferred.

Responsibilities

  • Advocate for patients by respecting their needs, rights, confidentiality, and religious and cultural preferences.
  • Maintain positive working relationships with Parkland customers, employees, and healthcare team members, and serve as a resource for patients and colleagues.
  • Use verbal and non-verbal communication to develop therapeutic relationships and provide patient and family education and training.
  • Maintain knowledge of applicable rules, regulations, policies, laws, guidelines, sanitation, infection control, safety, supplies, equipment, and procedures for patients requiring induction of pregnancy.
  • Perform patient assessments and continuous surveillance; recognize changes in condition, intervene appropriately, consult team members, notify providers, and implement orders promptly.
  • Exercise independent judgment in providing safe nursing care to laboring patients, stable neonates, and recovering, ECU, and postpartum patients.
  • Perform duties during labor, vaginal and cesarean deliveries, and the immediate postpartum period.
  • Support breastfeeding and provide newborn education.
  • Administer medications safely using the patient's six rights; maintain and manage IV access; perform point-of-care monitoring; and follow safe infection control practices.
  • Support appropriate patient positioning and assess and manage pain; provide emergency resuscitation care to neonates and patients in the Labor and Delivery area.
  • Complete accurate and timely patient-care records and other required documentation in accordance with department and Parkland standards.
  • Provide direction to non-nursing staff, participate in information exchanges with staff, provide appropriate handoffs, seek guidance from experienced team members as needed, and serve as a preceptor or trainer when needed.
  • Identify opportunities to improve work processes and patient and customer satisfaction; make recommendations and implement and monitor results as appropriate.
  • Stay current with nursing practice developments through professional education and participation, and maintain required state licensure and certifications.
  • Work a minimum of two shifts per pay period when the Hospital has a need, potentially including weekends and one major and one minor holiday; accept assignments, including on-call assignments, and float to qualified clinical areas as needed.
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