Registered Nurse - Medicine Progressive Care Unit

Parkland Health•Parkland, WA

About The Position

The Registered Nurse (RN) is a licensed professional who uses Parkland’s nursing professional practice model to coordinate care delivery for a particular patient population or specific health conditions. Using the nursing process, the RN assesses patients, identifies nursing diagnoses based on their responses to health problems, develops and implements individualized plans of care, and evaluates patient responses. The RN helps patients transition through their healthcare encounters without preventable complications or delays and delegates interventions in accordance with the Texas Nursing Practice Act, patient condition, and employee competencies. The RN provides care to assigned patients in accordance with the Texas Nurse Practice Act, established protocols, multidisciplinary plans of care, and clinical-area standards. The role includes ongoing assessment and surveillance, recognizing and responding to changes in condition, consulting with team members, notifying providers, and implementing orders. The RN provides safe care to critically ill or stable adult patients with neurological, pulmonary, cardiovascular, gastrointestinal, and genitourinary conditions. Duties may include medication administration, IV access management, point-of-care monitoring, infection control, pain management, emergency resuscitation, and CRRT for adult ICU patients. The RN advocates for patients, supports patient and family education, provides appropriate handoffs, maintains accurate documentation, and collaborates with patients, families, providers, and other healthcare personnel. The RN maintains knowledge of applicable nursing standards and regulations, contributes to quality and process improvements, and keeps current with developments in nursing practice.

Requirements

Graduate of a Registered Nursing program.
Current, valid Texas RN license or temporary Texas RN license, or a valid Compact RN license.
Current healthcare provider BLS for Healthcare Providers certification from the American Heart Association, American Red Cross, or Military Training Network.
Current ALS or ACLS certification on hire or placement in the role, from the American Heart Association, American Red Cross, or Military Training Network.
If experience is less than 9 months, completion of a nurse residency is required; LVN experience does not waive this requirement.
Ability to provide care in accordance with the Texas Nurse Practice Act, established protocols, multidisciplinary plans of care, and clinical-area standards.
Ability to perform continuous patient assessment and consult with team members as needed.
Ability to exercise independent judgment in providing nursing care.
Effective interpersonal, oral, and written communication skills; ability to communicate effectively with patients and, if required, via the overhead paging system.
Ability to demonstrate patient-centered and patient-valued behaviors.
Knowledge of nursing standards of care for the specialty area, as applicable.
Ability to manage adult ICU patients with neurological, pulmonary, cardiovascular, gastrointestinal, and genitourinary disorders or conditions.
Ability to administer medications safely using the six rights, manage IV access, perform point-of-care monitoring, and follow safe infection control practices.
Ability to support pain management, provide adult emergency resuscitation care, and develop individualized plans of care.
Ability to maintain accurate and timely patient-care documentation.
Ability to maintain Texas RN licensure and any additional required licensures or certifications.

Nice To Haves

Bachelor of Science in Nursing (BSN) degree.

Responsibilities

Coordinate patient care delivery using Parkland’s nursing professional practice model and the nursing process.
Assess patients, identify nursing diagnoses, develop and implement individualized plans of care, and evaluate patient responses.
Delegate interventions in accordance with the Texas Nursing Practice Act, patient condition, and employee competencies.
Advocate for patient needs, rights, confidentiality, and religious and cultural preferences.
Maintain positive working relationships with internal and external customers and serve as a resource for patients and healthcare team members.
Provide patient-care education and training to patients and family members.
Provide appropriate handoffs whenever care is relinquished.
Participate in assigned community outreach activities, as applicable.
Maintain knowledge of and comply with rules, regulations, policies, laws, and guidelines governing nursing practice.
Maintain knowledge of sanitation, infection control, safety, supplies, and equipment, including appropriate use of supplies and materials.
Perform patient assessments and continuous surveillance; recognize changes in condition and provide appropriate interventions.
Consult with team members, notify providers of changes in patient condition, and implement orders in a timely manner.
Provide safe nursing care to critically ill or stable adult patients with neurological, pulmonary, cardiovascular, gastrointestinal, and genitourinary disorders or conditions.
Administer medications using the patient’s six rights; maintain and manage IV access; perform point-of-care monitoring; and demonstrate safe infection control practices.
Support pain management, provide emergency resuscitation care for adults, and develop individualized plans of care.
Perform CRRT for adult ICU patients when required.
Complete appropriate documentation and maintain accurate, timely patient-care records and hospital documents.
Identify opportunities to improve work processes and patient and customer satisfaction; make recommendations and monitor results as appropriate.
Stay current with developments and trends in nursing by attending seminars or workshops, reading professional journals, and participating in professional organizations.
Maintain Texas RN licensure and any additional required licenses or certifications, and integrate new knowledge into current practice.
Seek direction from more experienced staff and team members as needed.
Work with other staff to provide direction to non-nursing personnel, as applicable.
Participate in information exchanges with nursing and other Parkland staff that support departmental and organizational standards, missions, goals, and objectives.