PRN Registered Nurse

Job Title: PRN Registered Nurse (RN)

We are seeking a skilled and dynamic PRN Registered Nurse (RN) to join our healthcare team in a versatile role that spans across the Emergency Department (ED), Obstetrics (OB), and Medical-Surgical (MedSurg) units.

Key Responsibilities:

• Assess and prioritize patients presenting to the ED based on acuity and severity of conditions.
• Administer immediate medical care and interventions in emergency situations.
• Collaborate with interdisciplinary teams to stabilize patients and coordinate their care plans.
• Document patient information, treatment provided, and response to interventions accurately and in a timely manner.
• Ensure adherence to established protocols, guidelines, and best practices in emergency care.

Unit-Specific Responsibilities:

• Emergency Department (ED):
  • Assess and prioritize patients presenting to the ED based on acuity and severity of conditions.
  • Administer immediate medical care and interventions in emergency situations.
  • Collaborate with interdisciplinary teams to stabilize patients and coordinate their care plans.
  • Document patient information, treatment provided, and response to interventions accurately and in a timely manner.
  • Ensure adherence to established protocols, guidelines, and best practices in emergency care.
• Obstetrics (OB):
  • Provide comprehensive antepartum, intrapartum, and postpartum care to obstetric patients.
  • Monitor fetal and maternal well-being during labor and delivery.
  • Administer medications, assist with procedures, and support patients through childbirth.
  • Educate and provide emotional support to expectant mothers and their families.
  • Collaborate with OB-GYNs, midwives, and other healthcare professionals to ensure safe and positive birthing experiences.
• Medical-Surgical (MedSurg):
  • Perform thorough assessments of patients admitted to the MedSurg unit and develop care plans.
  • Administer medications, manage wound care, and provide postoperative care as needed.
  • Monitor patients' conditions, vital signs, and responses to treatments.
  • Collaborate with the healthcare team to manage and coordinate patient care throughout their hospital stay.
  • Educate patients and their families about post-discharge care and recovery.

Qualifications and Requirements:

• Active and unrestricted Registered Nurse (RN) license in TN.
• Experience in clinical nursing experience in emergency, obstetrics, and medical-surgical settings.
• BLS and ACLS certification.
• Strong clinical assessment, critical thinking, and decision-making skills.
• Excellent communication and interpersonal abilities to work effectively with diverse patients, families, and healthcare teams.
• Ability to adapt to rapidly changing environments and make quick, informed decisions.
• Willingness to work PRN shifts, including weekends and holidays, based on unit needs.
• Proficiency in electronic health records (EHR) and documentation practices.

Minimum Qualification Requirements:

• Education: Graduate of an accredited program in nursing.
• Work Experience: A minimum of two years nurse experience in an acute healthcare setting.
• License/Certification: Current Registered Nurse license to practice in Tennessee.
• Current certification in Basic Life Support (BLS).
• Current certification in Advanced Life Support (ACLS) - Full-Time staff only.
• Current certification in Pediatric Advanced Life Support (PALS) - Full-Time staff only.
• Current certification in CPI - Full-Time staff only.

Core Competencies:

• Mission/Vision.
• Core Values/Standards of Conduct.
• AIDET/Organizational Expectations.
• Safety.
• Quality.
• Flexibility.
• Customer Service.
• Diversity and Inclusion.
• Finance.
• Abuse and Neglect of Adult Patient.
• Abuse and Neglect of Pediatric Patient.
• Acute Coronary Syndrome/Chest Pain Protocols.
• Biohazard Waste.
• CC Hand Hygiene.

Essential Functions:

• Initiates admission assessment within two hours of arrival to the unit, including pain assessment.
• Completes admission assessment of the patient/family according to procedure within 24 hours.
• Monitors patient condition throughout shift according to unit care standards, including the reassessment of pain.
• Demonstrates ability to interpret changes in patient condition and abnormal lab values as evidenced by shift communication and documentation in the medical record.
• Initiates a written plan of care within 24 hours of admission.
• Reviews and appropriately updates the nursing plan of care during assigned shift.
• Works with the patient or family in the development of the plan of care.
• Implements plan of care within established time frame.
• Accurately orders appropriate tests on computer terminal.
• Requests consultation, based on assessment data, to assist in problem solving or facilitation of care as evidenced by random observation and documentation in the medical record.
• Administers medications, including I.V. fluids, according to policy and procedure.
• Administers and accounts for all controlled substances according to established policy and procedure.
• Accurately reviews physician's orders and ensures implementation according to schedule.
• Documents nursing interventions and patient response to care at appropriate intervals during the shift.
• Provides basic teaching as outlined in the plan of care and documents teaching and outcomes in the medical record.
• Evaluates patient outcomes and modifies nursing interventions to meet changing patient needs, including the reassessment of pain.
• Reports changes in the patient's condition and/or adverse patient response to physician and other health care professionals.
• Provides the best possible nursing care by planning, organizing, and directing the nursing functions of patients on the unit.
• Initiates and implements patient care plan.
• Makes nursing assignments appropriate to the skill level of employees.
• Maintains acceptable standards of patient care.
• Identifies problems and guides personnel to their solution.
• Accurately and promptly implements physicians' orders.
• Administers medications and intravenous solutions skillfully and correctly.
• Maintains the standards of accurate and complete recording and reporting.
• Arranges to have needed supplies and equipment on hand.
• Participates in planning changes and improvements.

Other Duties:

• Participates in hospital safety programs.
• Supports and enforces infection-control policies and procedures.
• Is resourceful and calm in emergencies.
• Maintains a professional approach with confidentiality.
• Displays concern and initiative.
• Observes and supports hospital policy.
• Is prompt and efficient with minimal absences.
• Cooperates and maintains good rapport with nursing staff, medical staff, other departments, and visitors.
• Participates in orientation and in-service training for personnel.
• Evaluates the performance of personnel with recommendations for appropriate action.
• Assists in reviewing and revising policies and procedures.
• Keeps Charge Nurse or Nursing Director informed of patients, needs, and problems on the nursing unit.

Physical Demands:

• Prolonged periods of standing and walking.
• Must be able to lift, push, and pull up to 40 pounds during a scheduled work shift.
• Must be able to see with corrective eye wear.
• Must be able to hear clearly with assistance.
• May be exposed to infectious and contagious diseases.
• Able to handle emergency and/or crisis situations.
• May be required to wear protective equipment as necessary.
• Transferring, repositioning patients.
• Reaching, stooping, bending, kneeling, and crouching for patient care functions.
• Ability to perform effectively in a stressful and fast-paced environment.
• Ability to pass all required health and other screening tests including random and reasonable suspicion drug screens.

Physical Abilities and Requirements:

• Activity
• Occasionally (1-33%)
• Frequently (34% to 66%)
• Continuously (67% to 100%)
• Sitting
• X
• Walking
• X
• Standing
• X
• Bending
• X
• Squatting
• X
• Climbing
• X
• Kneeling
• X
• Twisting
• X
• Lifting
• X
• Carrying
• X
• Pushing
• X

---