RN - PRN Day and Night Shifts

FLSA Employment Status:   Nonexempt/Hourly

PRN RN Rate additional $8.00 per hour

JOB SUMMARY

Under general supervision, plans, directs, and evaluates total nursing care and functions in the Med Surg unit on a particular shift, in accordance with established patient care plan and philosophy.

Reporting Structure:   Reports to the Med Surg Department Director of Nursing and/or designee

MINIMUM QUALIFICATION REQUIREMENTS

Education

Graduate of an accredited program in nursing.

Bachelor of Science in nursing (BSN) or Associate of Science in Nursing (ADN) degree required.

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),

Advanced Life Support (ACLS), and Pediatric Advanced Life Support

 (PALS) through American Heart Association (AHA).

CPI

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

JOB SPECIFIC CORE COMPETENCIES

Skills, Knowledge, Abilities, Behavior

Patient Care

Patient Rights

Nurse Practice Act

Patient Centered Practices

Cultural Competency

Crisis Prevention/Intervention

Restraints (Safety)

Restraints (Adults)

Restraints (Pediatric)

Electronic Health Records

Laboratory Safety

Waived Testing

Department Specific Patient Specialty Area:  Medical Surgical Unit

Ability to interpret changes in patient condition and abnormal lab values as evidenced by shift communication and documentation in the medical record

ESSENTIAL FUNCTIONS

PATIENT CARE:  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.

Incorporates in the nursing plan of care: nursing interventions specific to the patient’s age and identified needs; measurable patient outcomes, discharge planning.

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

I, (Print Name) ________________________________________________________have received a copy of this job description.

The following signature indicates that I have read and understand all aspects of the job description, and I assert that I am not aware of any reason that would prevent me from performing all job responsibilities under the conditions described.   Further, my signature indicates that, upon accepting employment at HMC, I agree to perform the job duties as listed in this job description and all other duties as required.

Employee Signature_________________________________________Date_____________