Rn/Radiology Ir/Mmc/Ft/8A-5P

Universal Health Services Mcallen , TX 78501

Posted 2 weeks ago

POSITION SUMMARY:

The RN is responsible for managing patients admitted or being seen for medical conditions or surgical procedures; performs the primary function of a professional nurse leader in assessing, planning, guiding, and evaluating nursing care provided to patients. The RN provides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy.

Provides professional leadership and support to the healthcare team. The concepts of Patient Centered Care will provide the foundation for all nursing care. Assessments related to specific conditions, therapies and interventions are required.

The RN shall oversee and guide nursing employees that are under their supervision. Responsible for interaction with hospital staff and/or ancillary departments regarding patient care, concerns, and conflicts with identification and assistance in resolutions. May be occasions when it will be necessary to work weekends, holidays, evenings, nights, and/or on-call/call-back status. Demonstrates Service Excellence standards at all times.

QUALIFICATIONS:

  • Prefer one year full time or three years part time experience in acute care setting.

  • Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

EDUCATION / LICENSURE:

  • Registered Nurse currently licensed in the State of Texas, or part of a compact state license, or has a valid temporary RN license for the State of Texas while waiting to receive the permanent license. BSN preferred.

  • Effective January 6, 2012, must possess an Associate Degree, Baccalaureate Degree or Diploma from a School of Nursing or University.New graduate RN's in possession of a permit to practice in the State of Texas may provide documentation from their RN program validating their completion of nursing program requirements.

  • Must have and maintain BLS

  • Must have and maintain current certifications, according to unit specific needs. Certification must be in accordance with the curriculum of the AHA, for Healthcare Provider's Program (for any and all certifications applicable through the AHA program) please check all that apply:

X

BCLS/CPR

Must be current upon hire and thereafter

X

ACLS

If required in unit, nurse with a year or less of experience - obtain within 12 months of hire, unless in Labor and Delivery or Post-Partum where RN must obtain within six months of hire;

nurse with over a year of experience - obtain within 6 months of hire;

or if hired with a current certification must keep current at all times

X

PALS

or

ENPC

If required in unit, nurse with a year or less of experience - obtain within 12 months of hire;

nurse with over a year of experience - obtain within 6 months of hire;

or if hired with a current certification must keep current at all times

NRP

If required in unit, nurse with a year or less of experience - obtain within 12 months of hire, unless in Labor and Deliver or Post-Partum where RN must obtain within six months of hire,

nurse with over a year of experience - obtain within 6 months of hire;

or if hired with a current certification must keep current at all times

TNCC or or T-CAR

If required in unit, must have and maintain certification within eighteen months after hire;

or if hired with a current certification must keep current at all times

STABLE

If required in unit, must obtain within 12 months of hire,

or if hired with a current certification must keep current at all times

CPI

If required in unit, nurse with a year or less of experience - obtain within 12 months of hire; nurse with over a year of experience - obtain within 6 months of hire;

or if hired with a current certification must keep current at all times

SAMA

If required in unit, must obtain Satori Alternatives to Managing Aggression (SAMA) certification within 90 days of starting unit orientation.

FETAL MONITOR

If required in unit, nurse with a year or less of L&D experience - obtain within 12 months of hire; nurse with over a year of L&D experience - obtain within 6 months of hire; or if hired with a current certification must keep current at all times.

PHYSICAL DEMANDS CATEGORY:

Physical Ability 1: ______

This employee will perform administrative work, i.e., sit at desk to work. Employees in this category should be capable of very light labor.

Physical Ability 2: ______

This employee will perform clerical and/or physical work; i.e., clerks and clinical directors. Work is fairly active, but a portion of the time is spent at a desk or office.

Involves occasional light lifting (15 lbs.), considerable walking, some bending, stooping and squatting. Employees in this category should be capable of light labor.

Physical Ability 3: ______

This employee will perform moderate physical activity; i.e., maintenance, gardener, dietary, printer, stocker, or clinical supervisors. On feet most of the time.

Involves bending, stooping, squatting, turning, reaching, and occasionally lifting objects weighing more than 35 pounds. Employees in this category should be capable of moderately heavy labor.

Physical Ability 4: X

This employee will have heavy physical stress on the back. Includes police officers, truck drivers, sanitation, warehouse, personnel, construction, nurses, etc.

Involves frequent heavy lifting - more than 50 pounds - often combined with bending or turning. Employees in this category should be capable of heavy sustained labor.

SUBJECT: EXPOSURE DETERMINATION

Protective Gear Checklist

Legend: X Routinely required

S Required if soiling of clothes or splash is likely

NOT APPLICABLE: ______

OCCUPATION AND TASK REQUIRED PROTECTIVE GEAR

POSITION NAME:

GLOVES

GOWN

MASK

EYE COVERING

POSITION:

Clean & Process surgical

Instruments or other

Medical devices.

X

S

S

Starting/Discontinuing IV

X

Wound Care / Dressing Change

X

S

S

S

Wound Irrigation

X

X

X

X

Venipuncture / Fingersticks

X

Perform or Assist with

Invasive Procedures such as

Lumbar punctures,

Thoracentesis, chest tube

Insertion, insertion of

Central line.

X

X

X

X

Empty or discard drainage

Collection devices

X

S

S

S

Assist with endoscopy

Procedures

X

S

S

S

Handle instruments or

Tissues during surgical

Or medical procedures or

Assist within a sterile field.

X

X

X

X

Clean up spills which

Contain blood/body fluids.

X

S

S

S

Collection of specimens

Containing blood

X

S

S

S

Performs treatment or

Procedures involving

Contact with blood (i.e.

Insertion of NG tube on pt.

With GI bleeding or resp. TX

On pt. With hemoptysis)

X

S

X

S

Administration of blood

Products

X

Maintain pressure on

Arterial site

X

S

S

S

Handle linen or trash

Contaminated with blood

X

S

S

S

ENVIRONMENTAL CONDITIONS:

INSIDE: 95%

OUTSIDE: 5%

TEMPERATURES:
25F to 100+F

FUMES: YES

DUST: YES

GRASS: YES

ODORS: YES

MIST: YES

NOISE OR VIBRATION: Phone, copy machine, fax machine, fire alarm, paging system, computer, answer machine, patient call light, patient equipment sensors/alarms, other equipment specific to assignment.

MACHINES, TOOL, EQUIPMENT: IV pumps, wheelchair, microwave, defibrillator, ice machines,

fax, copier, monitors, beds, IV poles, phone, Pyxis, ambu bags, feeding pumps

EXPOSURE TO RADIATION: Refer to Radiation Safety Manual.

EXPOSURE TO HAZARDOUS MATERIALS; Refer to MSDS Manual and/or computer system

RATING SCALE

Lvl

Rating

Description

(5)

Exceptional

Performance far exceeds expectations due to exceptionally high quality of work performed in all essential areas of responsibility, resulting in an overall quality of work that is superior. This rating must be demonstrated by the completion of a major goal or project and/or the employee made an exceptional or unique contribution in support of the department, division or company.

(4)

Exceeds Expectations

Consistently exceeds expectations in all essential areas of responsibility and the quality of work overall is excellent. Annual goals were met.

(3)

Successfully Meets Expectations

Performance consistently meets expectations in all essential areas of responsibility and at times exceeds expectations. Quality of work overall is good. The most critical annual goals were met.

(2)

Improvement Needed

Performance fails to meet expectations in one or more essential areas of responsibility, and/or one or more of the most critical goals were not met.

(1)

Unsatisfactory

Performance is consistently below expectations in most essential areas of responsibility and/or reasonable progress toward critical goals was not made. Significant improvement is needed in one or more important areas.

JOB SPECIFIC DUTIES

(minimum 5 / maximum 12)
40% weight in overall rating

Patient Centered Care

Involves the patient and family psychosocial, spiritual, emotional, population specific, and diversity needs in care assessment.

Completes admission assessment as per hospital policy and performs a head-to-toe assessment on patients and reassessments as necessary for all patient populations, as evidenced by direct observations, documentation review, peer review.

  • Collects patient health data

  • Analyzes the data

  • Develops plan of care prescribing intervention to attain expected outcomes

  • Implements the interventions as identified

Evaluates patient progress as evidenced by direct observations, documentation review, peer review, skills lab and/or exams.

Constructs and implements the plan of care using nursing knowledge and skill. Integrates direct and indirect patient care activities related to the diagnosis and co-morbidities.

Coordinates the implementation of the interdisciplinary plan of care for assigned patients. Develops goals, treatment plans, and discharge plans that meet individual patient/family needs.

Consistently completes hourly rounds with purpose to strengthen nurse communication, improve safety, and anticipate patient needs (i.e. pain, re-positioning, toileting). Rounds with purpose including pro-actively evaluating the environment to ensure it is patient friendly and patient safe.

Demonstrates knowledge of various principles of growth and development components and is able to assess, evaluate, and treat by providing appropriate care to the population served in the department, i.e., pediatric, adolescent, adult, and geriatric.

Collaborates with the patient's designated care partner to meet the educational, physical, psychological, and spiritual needs of the patient.

Actively participates in bedside report (as appropriate) to ease anxiety and address important points of care, concerns, and progress with the patient/family.

Provides patients with caregiver name and contact information each shift.

Provides care that is respectful of and responsive to the patient values in clinical decision making.

Listens to patient concerns/complaints and addresses issues using service recovery techniques, including empathy and blameless apology. If unable to resolve, moves the issue to the most appropriate person

Supports and informs the patient and family of hospital specific components of the Patient Centered Care Delivery model. Examples may include informing the family of open medical record policy, supports open family visitation, family presence during resuscitation and other invasive procedures and promotes a quiet environment.

Rating:

Comments:

Teamwork & Collaboration

Acts with integrity, consistency, and respect for differing views.

Reports pertinent observations and information regarding patients and/or staff to the appropriate person (i.e. charge nurse, nurse supervisor, nurse manager, physician, and/or family), as evidenced by direct observation and peer review.

Assumes role of team member, charge nurse or team leader based on the need and/or situation.

Functions as a team leader and assigns/supervises nursing care to team members in accordance with the patient's acuity or needs and personnel's capabilities, competency and qualifications, and assigns other duties as needed for all patient populations, as evidenced by direct observations and peer review.

Follows communication practices that minimize risks associated with handoffs among providers, and across transitions in care utilizing the SBAR process.

Leads or participates in the design and implementation of systems that support effective teamwork.

Empowers contributions of others who play a role in helping patients/families achieve health goals.

Solicits input from other team members to improve individual, as well as team, performance.

Initiates actions to resolve conflict.

Rating:

Comments:

Evidence Based Practice

Demonstrates the ability to formulate questions that address clinical issues.

Demonstrates proficiency in completing an evidence-based practice literature search.

Analyzes best evidence to address a clinical question.

Translates evidence into clinical practice through the consistent use of knowledge and evidence.

Demonstrates proper technique and knowledge in administration of blood and/or blood products, Total Parenteral Nutrition, and IV Medications; as well as proper insertion of peripheral intravenous and central line maintenance for all patient populations, as evidenced by direct observation, verbalization of policy and procedure and documentation review.

Utilizes clinical reasoning and knowledge based on evidence-based practice outcomes and research studies as the basis for decision making and comprehensive patient care.

Rating:

Comments:

Quality Improvement

Demonstrates quality through accurate documentation of the nursing process in a responsible, accountable manner.

Job Requirements

:On call rotation :



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Rn/Radiology Ir/Mmc/Ft/8A-5P

Universal Health Services