About The Position

The Senior Registered Nurse uses Parkland’s nursing professional practice model and the nursing process to coordinate and deliver patient-centered care for assigned patient populations and health conditions. The RN assesses patients, identifies nursing diagnoses, develops and implements individualized care plans, evaluates patient responses, and helps patients transition through healthcare encounters without preventable complications or delays. The RN delegates interventions in accordance with the Texas Nursing Practice Act, patient condition, and employee competency. As a member of the Rapid Assessment/Rapid Response Team, the RN promotes proactive, high-quality care through early recognition of patient decline, rapid assessment, emergency response leadership, timely coordination of interventions, and reassessment. The position supports Rapid Response, Stroke, STEMI, Sepsis, and Code Blue events, completes event quality forms, and responds to medical emergencies involving outpatients, visitors, and employees in designated areas. The RN also contributes to protocols, policies, education, quality improvement, and collaborative teamwork.

Requirements

  • Graduate of an accredited school of nursing.
  • Three to five years of critical care 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.
  • Current ALS or ACLS certification on hire or placement in the role, from the American Heart Association, American Red Cross, or Military Training Network.
  • NIHSS certification within 30 days of hire.
  • Trauma Certification completion card within six months of hire; incumbents as of November 6, 2024, must obtain it by May 6, 2025.
  • Ability to provide care in accordance with the Texas Nursing Practice Act, established protocols, multidisciplinary plans of care, and clinical-area standards.
  • Ability to assess patients continuously, consult with team members, provide patient-centered care, exercise independent judgment, and recommend changes to care plans.
  • Effective verbal and written communication and interpersonal skills for working with physicians, nursing staff, and ancillary healthcare team members.
  • Knowledge of Parkland policies and procedures and nursing standards of practice, with the ability to provide staff leadership.
  • Ability to direct non-nursing staff, serve as a preceptor, and serve on rotation as a staff and/or Charge Nurse.
  • Ability to prepare and conduct in-service educational programs.
  • Ability to handle complex or specialty clinical care and initiate changes using independent judgment with minimal supervision.
  • Knowledge of nursing standards of care for the specialty-specific critical care area, as applicable.

Nice To Haves

  • Experience in an acute care setting.
  • Advanced certification (CCRN or CEN) upon hire.

Responsibilities

  • Participate in developing and implementing clinical-area protocols, nursing programs, policies, and procedures, including through committee representation, serving as a device or skill superuser, leading process improvement or education projects, or collecting data.
  • Advocate for patients by attending to patient needs, rights, confidentiality, and religious and cultural preferences.
  • Serve as a resource to patients, physicians, and healthcare team members, including for early recognition of patient decline, emergency responses, and proactive patient care.
  • Provide educational information and training to patients and family members, and participate in assigned community outreach activities.
  • Maintain knowledge of applicable nursing rules, regulations, policies, laws, guidelines, sanitation, infection control, safety, supplies, equipment, and appropriate resource utilization.
  • Lead responses to worsening patient conditions by assessing patients, coordinating timely interventions, communicating with interdisciplinary teams, and reassessing patient responses.
  • Facilitate evidence-based practice and patient care metrics during Rapid Response, Stroke, STEMI, Sepsis, and Code Blue calls.
  • Identify patients at risk of decline through Early Warning System assessments, purposeful rounding, and patient follow-ups.
  • Complete quality forms during and after Rapid Assessment Team activation events to identify issues and provide feedback to management and healthcare staff.
  • Complete daily Rapid Assessment Team nursing responsibilities, assess patient needs, collaborate on staffing and plans of care, and perform clinical nursing skills during activations.
  • Respond promptly to outpatient, visitor, and employee medical emergencies in designated response areas.
  • Provide education to patients, families, and Parkland staff; evaluate patient needs; arrange language interpretation or care as needed; and arrange and conduct in-services.
  • Maintain necessary equipment and supplies and an orderly, safe, and clean environment.
  • Coordinate activities and care with physicians, nursing, and ancillary staff; delegate tasks appropriately and respond to innovation and cross-discipline expertise.
  • Identify opportunities to improve work processes and patient and customer satisfaction, recommend improvements, and implement and monitor results as appropriate.
  • Stay current with nursing developments and integrate new knowledge into practice; maintain Texas RN licensure and any additional required licenses or certifications.
  • Assist with direction and leadership for licensed and non-licensed staff, participate in information exchanges, serve as a preceptor or trainer, and serve on rotation as a primary Rapid Assessment Team nurse.
  • Support collaborative teamwork and positive working relationships.
  • Maintain knowledge of applicable requirements and develop effective internal controls supporting compliance with laws, accreditation requirements, and health plan program requirements.
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