Registered Nurse - ER 7p-7a

Graham Regional Medical Center•Graham, TX

About The Position

The Registered Nurse (RN) is a licensed professional who assesses patients, identifies nursing diagnoses based on responses to health problems, develops and implements individualized plans of care, and evaluates patient responses. The RN promotes safe passage through the healthcare encounter by applying knowledge of patient needs and the healthcare environment to help prevent complications and delays. The RN delegates interventions according to the Texas Nursing Practice Act, patient condition, and employee competencies. The position primarily interacts with administration, physicians, employees, clinical and non-clinical departments, patients, and visitors. The RN provides patient-centered care, coordinates and directs the nursing team, supports a compassionate and therapeutic environment, and contributes to quality improvement, customer service, confidentiality, and infection control. The position has no employees under its supervision. The stated schedule is 12-hour shifts with irregular hours and consecutive days; the role title identifies an ER shift of 7 p.m. to 7 a.m.

Requirements

Graduate of an accredited school of professional nursing, evidenced by Texas state RN licensure.
BLS, ACLS, and PALS certifications are required.
TNCC certification is required within six months of hire.
Knowledge and understanding of nursing and patient-care standards and procedures.
Knowledge of medical and professional nursing ethics and patient privacy rights.
Commitment to quality and patient safety.
Critical-thinking and problem-solving skills.
Ability to provide age-specific, quality, patient-centered care with sensitivity and respect for diversity, and to develop, evaluate, implement, and modify care plans as needed.
Excellent command and high proficiency in spoken and written English.
Basic computer skills, including Microsoft Office, electronic medical documentation, and email.
Ability to adjust to change, prioritize duties, handle stress, communicate effectively in person and by telephone, work independently and flexibly as well as on a multidisciplinary team, and manage interruptions throughout a shift.
Strong interpersonal, verbal, written, and time-management skills; ability to work under pressure while remaining helpful and courteous in a role involving substantial patient contact.
Sufficient hearing, vision, and dexterity to perform duties safely.
Ability to meet the described physical activity requirements, including lifting up to 50 pounds, and to work in a high-stress environment.
Ability to work 12-hour shifts with irregular hours and consecutive days.
Required GrahamRMC orientation and department orientation within the first 60 days for employees from outside the organization.
Complete continuing and annual education and training as needed to maintain certification and licensure, including Falling Star Program, BLS/ACLS/PALS/TNCC, and Safety Storm Program.
Follow applicable regulatory requirements and use appropriate protective measures for tasks involving potential exposure to blood, body fluids, or tissues.

Nice To Haves

Bachelor's degree preferred.
One year of experience preferred but not required.
Spanish bilingual ability preferred.

Responsibilities

Systematically evaluate the quality and effectiveness of nursing practice, including nursing-sensitive indicators.
Create a compassionate, supportive, safe, and therapeutic environment for patients, families, and staff; build therapeutic relationships while maintaining appropriate boundaries; and help manage emotional and physical pain.
Set priorities and ensure completion of care for assigned patients.
Provide accurate, concise, organized reports; document care; and enter or retrieve information in the electronic medical record.
Develop, interpret, implement, evaluate, and document individualized plans of care using the nursing process.
Assess all body systems, with emphasis on systems requiring medical attention, and recognize and report significant changes in patient condition to the appropriate person.
Assess patients' responses to illness and the hospital environment, and identify discharge-planning needs, including education, home health, or skilled nursing placement.
Initiate a written plan of care within 24 hours of admission; review it daily and as patient status changes; and update the care plan and nursing notes.
Involve patients, families, and other healthcare team members in care planning as appropriate.
Administer prescribed medications, blood, and blood products; assess desired and adverse effects; document administration and transfusion therapy; and apply age- and weight-specific dosing knowledge.
Accurately transcribe and implement physician orders.
Provide relief to the charge nurse and respond to the Emergency Department if needed.
Coordinate and direct care by other nursing team members; delegate tasks according to their skill level and the Nurse Practice Act; communicate effectively; and assist with planning, implementing, and evaluating patient care.
Monitor the performance of responsible nursing team members, teach staff in areas of weakness, and correct errors constructively.
Collaborate with interdisciplinary team members and implement medical plans of care involving other disciplines.
Manage self, patients, and employees during emergency situations.
Assist with orientation of new employees and participate in quality and performance improvement initiatives.
Provide exemplary customer service; maintain confidentiality and HIPAA compliance; and cooperate with personnel to meet departmental objectives, maintain employee relations, and follow infection control policies.
Demonstrate timeliness and professionalism in appearance, communication, and actions; solve practical problems and interpret written and oral instructions; attend required meetings; and perform other assigned duties.
Maintain a clean and safe work environment, follow infection control procedures, and ensure safe and effective use of equipment.
Adhere to the assigned schedule, report to work on time, comply with the Code of Conduct, and report suspected violations.
Recognize and incorporate patients' and families' cultural, spiritual, gender, racial, ethnic, lifestyle, socioeconomic, age-related, and value differences into individualized care.