About The Position

The Senior Registered Nurse is a licensed professional with more than two years of experience who coordinates patient care delivery for a specific patient population or health condition using Parkland’s nursing professional practice model. Using the nursing process, the RN assesses patients, identifies nursing diagnoses, develops and implements individualized plans of care, and evaluates patient responses. The RN uses knowledge of patient needs and the healthcare environment to help patients move through care without preventable complications or delays, and delegates interventions in accordance with the Texas Nursing Practice Act, patient condition, and staff competencies. This role provides care for assigned patients in accordance with applicable nursing standards, protocols, multidisciplinary plans of care, and clinical-area requirements. The nurse performs ongoing assessments, recognizes and responds to changes in condition, administers medications and other treatments, documents care, supports patients and families, and collaborates with the healthcare team. The position also includes directing non-nursing staff, serving as a preceptor and rotating Charge Nurse, and preparing and conducting in-service education.

Requirements

  • Graduate of an accredited school of nursing.
  • At least two years of nursing experience.
  • Current, valid RN license or temporary RN license from the Texas Board of Nursing, 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.
  • Ability to provide care in accordance with the current Texas Nurse Practice Act, established protocols, multidisciplinary plans of care, and clinical-area standards.
  • Ability to provide continuous assessment, consult with team members, and deliver patient-centered care.
  • Ability to exercise independent judgment in nursing care.
  • Effective interpersonal, oral, and written communication skills, including the ability to communicate with patients, families, and hospital staff and, if required, via overhead paging.
  • Ability to direct non-nursing staff, serve as a preceptor, and serve as a Charge Nurse on rotation.
  • Ability to prepare and conduct in-service educational programs.
  • Knowledge of nursing standards of care for the relevant specialty area, as applicable.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Experience in an acute care setting.

Responsibilities

  • Advocate for patients by attending to their needs, rights, confidentiality, and religious and cultural preferences.
  • Maintain positive working relationships with Parkland customers, employees, and other healthcare team members, and serve as a resource for patients and colleagues on clinical care issues.
  • Provide educational information and training to patients and family members; may participate in assigned community outreach activities.
  • Conduct appropriate patient assessments and continuous surveillance, recognize changes in condition, provide interventions, consult team members, notify providers, and implement orders promptly.
  • Exercise independent judgment in providing safe nursing care to assigned patients.
  • Manage adult ICU patients with neurological, pulmonary, cardiovascular, gastrointestinal, and genitourinary disorders or conditions.
  • Administer medications using the six rights, maintain and manage IV access, perform point-of-care monitoring, follow infection-control practices, and provide CRRT for adult ICU patients.
  • Support pain management, provide emergency resuscitation care for adults, and develop individualized plans of care.
  • Maintain knowledge of rules, regulations, policies, laws, guidelines, sanitation, infection control, safety, supplies, and equipment relevant to nursing practice; support compliance with applicable requirements.
  • Complete accurate and timely documentation in patient care records and hospital documents in accordance with departmental and Parkland standards.
  • Provide direction to non-nursing staff, participate in staff information exchanges, seek guidance from experienced team members as needed, and provide appropriate handoffs when relinquishing care.
  • Serve as Charge Nurse on rotation as necessary.
  • Serve as a preceptor or trainer to newer nursing staff.
  • Prepare and conduct at least one in-service educational program per year for the Adult ICU/Critical Care department.
  • Identify opportunities to improve work processes and patient and customer satisfaction, make recommendations, and implement and monitor results as appropriate.
  • May serve on assigned interdisciplinary committees.
  • Stay current with nursing developments by attending seminars or workshops, reading professional journals, and participating in professional organizations; maintain required licensure and certifications and apply new knowledge to work practices.
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