Registered Nurse

** Registered Nurse - Labor and Delivery LRMC - Hobbs, NM**

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New **Covenant Health is seeking a On Call / Per Diem, Day Shift Registered Nurse II with Labor** **and Delivery Brthg Rm LRMC Department at Covenant Health System. Apply Today Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system.** **Job Summary**: The RN independently uses the nursing process to safely, therapeutically and efficiently care for a group of patients. Uses information from a variety of sources to assess, plan, implement, identify outcomes and evaluate patient's plan of care. **Essential Functions:** COLLABORATION: The process whereby the health care team plan and practice together as colleagues, working interdependently within the boundaries of their scope of practices using shared values and mutual respect for each others contribution to care for individuals, their families and communities. Major elements include non-hierarchal relationships and intra-inter professional collegiality.

Facilitates patient care through developing and maintaining therapeutic & effective communication/ relationships with patient/family and the health care team:

? Recognizes and communicates patient condition/care changes to charge nurse, supervisor, medical staff and other team members within an appropriate time frame; completes bedside shift report and documentation in a timely manner.

? Anticipates and is prepared to present information to patients and families regarding plan of care.

? Demonstrates knowledge and appropriate use of chain of command.

? Participates in staff meetings by constructively communicating issues and offering solutions that affect the unit.

? Promotes collaborative and caring relationships with colleagues that contribute to teamwork and respects culturally diverse individuals and viewpoints.

? Seeks assistance and support in unfamiliar clinical situations and utilizes the guidance of mentors.

? Demonstrates professional behavior with patients/families and healthcare team, treating others with dignity and respect according to CHS values.

Participates in shared governance and participative leadership, including appropriate delegation of care:

? Appropriately delegates, supervises, and evaluates abilities and performance of other team members. Identifies and communicates opportunities for improved team performance.

? Includes patient/family in implementing the plan of care based upon their ability to participate in and make decisions regarding care.

? Demonstrates awareness of competency, job description and scope of practice of patient care team members when delegating aspects of care.

? Participates and follows through with unit/service level shared governance activities.

? Verbalizes and supports unit goals.

Demonstrates awareness of unit/service budget and guidelines related to staffing and scheduling:

? Demonstrates efficient use of time, equipment and supplies.

? Provides input for capital budget.

? Follows scheduling guidelines and demonstrates flexibility in order to meet unit and patient needs. CLINICAL PRACTICE: The practitioner is accountable to recognize the health and quality of life needs of the patient, family and community and to collaborate with them to achieve mutually agreed upon goals. The practitioner utilizes his/her specialized skills and scientific knowledge to design collaborative and integrated care that binds together all resources in a goal oriented movement toward health. Components of clinical practice are competence, evidenced based practice/continuous quality improvement, advanced practice nursing and practice standards.

Implements safe and therapeutic care for patients and provides a safe environment specific to age and development of the patient population served:

? Adheres to all safety policies and procedures; identifies safety issues or hazards in the work environment and communicates deficiencies appropriately.

? Implements a safe and therapeutic plan of care for patients of minimal complexity according to the hospitals policies and procedures.

? Requests assistance from mentor, resource nurse or team leaders when essential care cannot be completed.

? Provides ongoing teaching to patient/family regarding testing, treatment and procedures.

? Recognizes and responds to priorities in meeting patient care responsibilities; detects obvious changes in patients condition. Incorporates clinical findings into priority setting.

? Includes patient and family in implementing a culturally sensitive plan based upon their ability to participate and make decisions regarding care.

Assists in creating an environment that promotes educational growth opportunities for peers and develops ongoing plan for self-development:

? Recognizes and verbalizes own learning needs.

? Participates in learning activities to obtain skills that meet gaps between desired and actual performance.

? In collaboration with manager/mentor, develops plan for meeting learning needs during orientation and on an ongoing basis.

? Provides and receives constructive feedback to/from team members.

? Shares new ideas/information attained from attending educational opportunities.

Assures quality through application of evidenced-based practice to policy, procedure, standards of care, clinical pathways and protocol changes:

? Follows policy, procedure, standards of care, and protocol changes common to patient population.

? Participates in performance improvement activities as directed.

? Demonstrates accountability for apprising self of posted policies, procedures, standards of care, clinical pathways and protocol changes.

Maintains clinical competence:

? Maintains knowledge of Nurse Practice Act.

? Demonstrates and maintains competence in required hospital wide and service specific competency programs.

? Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served including knowledge of the principles of growth and development, psychosocial characteristics, and interventions for age-specific requirements of the assigned unit.

Utilizes nursing process to perform a comprehensive, age-specific assessment of patient & family needs, including identification of formal teaching needs for specific patients/families and communities:

? Demonstrates the ability to assess and prioritize the cultural, physical, psychosocial, and spiritual patient/family needs.

? Utilizes resources: e.g., Advanced Practice Nurses, literature, etc. when caring for patients with unfamiliar diagnoses.

? Assesses patients needs and conditions at regular intervals as defined in unit standards of care, including hourly rounding.

? Utilizes screening tools to identify the need for interdisciplinary assessment.

? Assesses needs, preferred learning style and barriers (i.e. cultural, psychomotor) to patient and family education.

? Reinforces established education plan.

? Identifies teaching goals with patient and family and provides teaching based on documented learning needs.

? Educates patient/family about their plan of care across the continuum, including post-hospitalization self-care and consult for appropriate resources.

Utilizes nursing process to develop/revise plan of care and evaluates patient progress toward expected outcomes:

? Utilizes interdisciplinary assessment data to develop/contribute to plan of care.

? Evaluates the patients progress toward attaining expected outcomes in a systematic, ongoing, and culturally sensitive criterion-based manner and revises plan of care.

? Responsible for accurate, complete, and individualized documentation of patient assessment, goals, plan of care, interventions and care provided, as well as patients progress toward discharge goals. CULTURE & CARING: The central theme of the CHS Practice Model is the caring