RN Med Surg Nights

5 days ago


La Porte, United States Community Health System Full time

Job Summary

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families.

Essential Functions

* Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
* Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
* Utilizes knowledge of human growth and development to provide age-appropriate care and education.
* Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
* Assists physicians during procedures within the scope of documented competency and skill level.
* Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
* Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
* Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
* Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
* Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
* Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
* Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
* Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
* Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
* Documents patient care and education thoroughly and promptly in the medical record.
* Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
* Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.
* Performs other duties as assigned.
* Complies with all policies and standards.

Qualifications

* 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required

Knowledge, Skills and Abilities

* Strong knowledge of the nursing process and clinical nursing practices.
* Ability to perform thorough patient assessments and communicate findings effectively.
* Proficient in administering medications and monitoring for side effects.
* Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
* Strong organizational skills and attention to detail in documenting patient care.
* Knowledge of safety standards, infection control, and quality improvement initiatives.

Licenses and Certifications

* RN - Registered Nurse - State Licensure and/or Compact State Licensure required
* BCLS - Basic Life Support required
* ACLS - Advanced Cardiac Life Support preferred
* PALS - Pediatric Advanced Life Support preferred
* NRP - Neonatal Resuscitation preferred
* Refer to facility or unit-specific guidelines for additional requirements.


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