Registered Nurse - Emergency Room (PRN)

Reporting to the Unit Manager the staff RN is a professional care giver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the environment/instrumentation, and other health care team members she/he may interact with or delegate duties or supervise in the delivery of care based on the scope of practice outlined by the Board of Nursing.. If assigned as charge nurse, will serve as resource for coordination of activities on a single unit. Responsibilities as charge nurse include, but are not limited to, assessment of unit needs and available resources for current and oncoming shift(s) based on: patient needs, volume, individual and family needs and special clinical procedures or interventions pending.

Job Specific: Can vary from ICU and ER.

• Provides direct quality patient care based on the plan of care and exercises judgment in delegating aspects of patient care appropriately to licensed and unlicensed staff members: Essential Function (EF).

• Participates in professional development of self and staff to enhance patient-focused nursing practice, age, and population-specific to the nursing unit.(EF)

• Performs a timely, comprehensive assessment using appropriate techniques for data collection, analysis, interpretation, and documentation to make age appropriate decisions for the patient plan of care within scope of responsibility, training, and practice. (EF)

• Develops, implements, documents and evaluates on a regular basis the plan of care in collaboration with other team members based on multidisciplinary assessments.(EF)

• Actively participates in unit’s performance improvement initiatives. (EF)

• Performs nursing interventions with emphasis on patient rights, informed consent, patient confidentially, HIPAA compliance, adaptation of care according to age, cultural and ethical considerations.(EF)

• Administers medication according to facility standards and demonstrates safe and accurate administration of medication/control substances.(EF)

• Observes and reports patient progress and changes in patient status to the physician and documents in the medical record.(EF)

• Screens for and communicates discharge needs on a regular basis in collaboration with the multidisciplinary team members.(EF)

• Accurately records vital signs, intake and output and other physical observations on the appropriate forms.(EF)

• Focuses on prevention/care of pressure ulcers.(EF)

• Evaluates the need for and consistently provides and documents education provided to the patient and/or patient care givers.(EF)

• Evaluates with the physician or independent allied health professional the need to initiate restraints, monitors use of restraints, and evaluates on a regular basis according to hospital policy the ability to discontinue restraints.(EF)

• Monitors appropriate pain management and performs interventions.(EF)

• Performs patient care activities; assisting with ADLs, mobilization of patients, drain, dressing, wound care, associated therapeutic devices and nutritional needs.(EF)

• Obtains physician orders to meet the needs of the patient.(EF)

• Develops and maintains proficiency in the use of equipment and facilitates maintenance of equipment by completing maintenance requests.(EF)

• Demonstrates “Service Excellence Initiatives” by presenting a positive first impression; anticipates customer needs, and is actively involved in role of Team Player. (EF)

• Follows universal precautions . (EF)

• Complies with Employee Health requirements for employment. (EF)

• Works in manner that promotes safety, adhering to dress code policy. (EF)

• Knows role in emergency situations and reports unsafe practices to management. (EF)

If assigned as charge nurse

• Uses knowledge of the staffing plan, skill mix/staff competencies, and patient acuity to develop an appropriate shift assignment.(EF)

• Able to assess the need for adjusting staff resources based on changes in census or acuity. (EF)

• Coordinates with other disciplines and department the process of admissions, transfers, and discharges. (EF)

• Uses effective leadership and organizational skills for problem solving; mentoring and directing staff; and reporting issues on a timely basis to physicians, assistant directors of nursing and/or other department leaders or their representatives. (EF)

Hospital

• Adheres to organization-wide and other applicable policies and procedures.

• Day-to-day performance complies with the hospital’s Service Excellence Behavioral Expectations.

• Performs within the prescribed limits of the hospital’s Ethics, Compliance and Confidentiality Program guidelines.

• Performs within the professional Scope of Practice at all times.

Other Duties As Assigned

• Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Minimum Requirements

Educational requirements

Required: Graduate of accredited college, university or school of nursing. Stroke Education maintained 8 hours annually

Licensure / certification requirements

Required: Current license or permit to practice as a Registered Nurse in State of Texas; CPR (ACLS)

• TNCC and ENPC recert every 4 yrs (may substitute PALS recert every 2 years for ENPC)

ACLS recert every 2 years

ACLS and PALS certifications must be complete within 1 year of hire date. TNCC certification for ER must be completed in 18 months of hire date. Initial stroke education for new hires completed in 90 days of hire date.

Company profile

Citizens Medical Center is a not-for-profit, community hospital known for compassionate patient care, clinical expertise, and bringing advanced medical services to the South Texas region since 1956. Today, Citizens is a 317-bed acute care hospital with over 1,200 employees. Voted “Best of the Best” hospital in Victoria for 14 consecutive years, Citizens Medical Center is a level III Trauma Center, currently renovating its 24/7 Emergency Department that includes an onsite medical helicopter. Citizens has a comprehensive Community Cancer Program that includes two linear accelerators and HDR brachytherapy.

Citizens is recognized for its outstanding cardiology program which includes a nationally accredited Chest Pain Center and is a Primary Stroke Center. Citizens also includes a comprehensive, accredited Bariatric Surgery program, Birth Center with labor and delivery, an imaging and surgery center, sleep study center, state-of-the-art rehabilitation and fitness center, urology center and daVinci robotics minimally invasive surgery options, a home health agency, and has a long history of providing continuing education for healthcare providers and the community.

Citizens Medical Center is looking for employees who display respect and enthusiasm for patients, visitors, and coworkers, and who consistently uphold the organization’s commitment to providing outstanding outcomes and an excellent experience.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.