Registered Nurse (PHP/IOP M-F 7:00am-4:30pm)

About the role

The registered nurse (RN, RN II, RN III) performs professional nursing activities in the care of patients so they may achieve or regain, and then maintain, maximum physical, emotional or social functions. Role functions are governed by the Nurse Practice Act, the Administrative Code (in the state of employment), as well as the professional standards for nursing practice, and the corresponding policies and procedures of Rogers Memorial Hospital (Rogers).

Responsibilities

• Complete initial assessments and documents as required.
  • Collect, record, and analyze, within prescribed timeframe, pertinent data for admission assessment according to Hospital policy, including: Patient strengths and limitations that can be addressed in reaching health goals.
  • Cultural, spiritual, and ethnic factors that may impact on patient’s course of treatment.
  • Patient needs that are to be addressed at discharge.
  • MEDICAL/PHYSICAL STATUS.
  • HISTORY OF MEDICATION COMPLIANCE, REACTIONS, AND CURRENT SCHEDULE; AND AGE-SPECIFIC DATA REGARDING THE PATIENT’S INDIVIDUAL NEEDS.
  • Involvement of patient’s support systems (family, friends) in assessment and documentation.
  • Observation and documentation of the patient’s interaction with family and friends as it is pertinent to the patient’s treatment.
  • Obtaining assessment data from support systems, when appropriate, regarding the patient’s history and individual needs.
  • Acting as an advocate for patients.
  • Explain patient’s rights so they can understand and obtain appropriate signatures.
  • Provide the patient with information and obtain their signature on necessary consents.
  • Act as a patient advocate, use knowledge of patient rights and responsibilities, and protect patient’s privacy and confidentiality.
  • Aiding in patient orientation process.
  • Knowing and employing Hospital policies and procedures regarding unit safety, the necessity of gown/contraband search on admission, and carrying out the process in a respectful manner.
  • Remaining sensitive to individual patient/family stressors upon admission while providing pertinent unit information.
• Initiate and update treatment plan and documentation as required.
  • Participation in planning and modifying the patient’s plan of care.
  • Evaluation of data obtained by others by reviewing patient’s treatment plan and multi-disciplinary assessment for assigned patients.
  • Participation in care conferences (staffings) and representing the nursing care component of the treatment plan to others at the staffing.
  • Development and interpretation of plan of care with the patient/family, updating it as indicated.
  • Writing clear, concise, and obtainable treatment goals on the treatment plan for each problem.
  • Reviewing the treatment plan as goals are achieved, changed, or updated.
  • On an ongoing basis, identifying, interpreting, and documenting information collected in nursing interview, observation, physical assessment and diagnostic data, and conferring with other health care professionals, as appropriate.
  • Reviewing current lab data and following up with doctor.
  • Evaluating potential for falls and initiating fall precautions, as indicated.
  • Identifying potential for self-abuse, suicidality and/or assaultive behavior.
  • Developing age-appropriate interventions for the patient’s plan of care.
  • Assessing changes in patient status and documenting interventions accordingly.
• Implement patient care.
  • Demonstrating safe and correct medication administration by: accuracy in medication administration: right patient, right medication, right dose, right time, and right route.
  • Maintaining current knowledge of the medication’s purpose and effects for each patient, as demonstrated by correct documentation of medication, as well as observations about responses to medication.
  • Accurately transcribing and implementing physician medication orders.
  • Maintaining a continual awareness of monitoring the expected and unexpected medication efforts including adverse drug reactions, drug/drug or drug/food interactions, or other unexpected consequences of the medication.
  • Regularly conducting and documenting patient education about medications.
  • Maintaining current knowledge about new pharmacologic products, including new medications or medications with new uses/therapeutic action.
  • Identifying potential patient care problems, abrupt changes, or impending instability in the patient’s condition, and exercising leadership to intervene appropriately and prevent adverse patient outcomes.
  • Using appropriate de-escalation techniques: quiet room; locked seclusion; restraints.
  • Evaluating safety level.
  • Identifying alcohol withdrawal syndrome.
  • Identifying extra pyramidal side-effects/neuroleptic malignant syndrome signs.
  • Identifying significant cardiac and/or respiratory symptoms requiring immediate medical intervention.
  • Identifying health education needs of the patient/family that will be addressed before discharge.
  • Implementing age-appropriate teaching interventions to meet these educational needs.
  • Documenting in the patient record and treatment plan.
  • Organizing patient care activities and interventions according to patient priorities and preferences, needs of the unit, and time constraints.
  • Implementing patient care based on established care plans, Hospital policies and procedures, and unit standards of care, incorporating the patient’s age-specific and cultural needs, as appropriate.
  • As requested, and contingent on qualified medical professional (QMP) designation, ensuring that all admissions, transfers, and other related patient care activities are delivered in accordance with Emergency Medical Treatment and Labor Act (EMTALA) and associated regulatory requirements.
  • Adhering to the Nursing department and Hospital’s standards of nursing practice and standards of patient care.
  • Protecting patients, visitors, and staff from environmental hazards by adhering to safety and infection control standards.
  • Participating in continuing education and in-service programs to increase clinical competence and to meet professional needs and goals.
  • Reporting information obtained from continuing education programs to unit staff.
  • Attending 100% of required in-services, as scheduled.
  • Participating in the Performance Improvement program on an ongoing basis.
  • Assisting in the development and implementation of unit standards of care, such as: Safety level of patient, Unit safety/hazardous items, Kardex Standard care plans.
  • Identifying problems with unit systems, communication patterns, and unit resources that impact on patient care and suggesting possible solutions to Clinical Services manager.
  • Identifying unit educational equipment and supply needs.
  • Serving on one unit-based committee or participating in unit-based projects on an ongoing basis.
  • Participating as a project leader.
  • Carrying out leadership function in patient care, staff operations, and department organization.
  • Contributing to Nursing and Hospital functions through active participation on committees and attendance at designated meetings.
  • Taking initiative in evaluating and upgrading unit standards of care.
  • Assuming Charge Nurse Role.
  • Coordinating unit activities.
  • Taking a leadership role in crisis situations.
  • Facilitating the admission process.
  • Communicating pertinent information regarding unit status and projected needs.
  • Managing the therapeutic milieu and using sound clinical judgment and decision-making skills.
  • Planning patient care assignments that facilitate continuity of care within the unit guidelines and are based on patient needs, unit activity, and nursing staff qualifications.
  • Serving as a role model for peers and others in effective use of communication, teaching, and leadership skills.
  • Supervising and delegating tasks to LPN/psychiatric technician, taking into account their educational preparation and demonstrated abilities.
  • Providing complete acuity monitors to the Patient Accounts department, to assist in accurate billing.
  • Maintaining a primary caseload, according to unit standards, and providing direction for patient care.
  • Participating in projects, tasks and continuing education opportunities to improve professional skills and unit/department systems.
  • Developing goals and objectives for professional growth and discussing ways to achieve them with Clinical Services manager.
  • Taking initiative to develop professional skills through continuing education.
  • Discussing, on a regular basis, progress toward work improvement goals with Clinical Services manager.
  • Seeking out projects and/or extra tasks to complete, based upon the needs of the unit or the immediate shift.
  • Promoting department goals and the mission of the hospital.
  • Communicating goals to fellow staff members.
  • Demonstrating measurable goal achievement.
  • Maintaining department policies and procedures.
  • Including requirements and guidelines from external agencies (i.e., Joint Commission, state).
  • Maintaining and/or communicating to appropriate party function backlog at a set time.
  • Educating new staff regarding regulations or requirements of those functions that relate to their areas or departments, as directed.
  • Demonstrating acceptance and training of student interns in the department, as directed.
  • Demonstrating understanding of Joint Commission and other regulatory agency compliance regulations.
  • Involving self in the learning and application of standards relevant to the Nursing department.
  • Participating in in-services/seminars and other meetings to increase involvement and awareness of regulations.
  • Involving self in the education of other disciplines regarding Nursing department regulations.
  • Participating in Hospital committees, performance improvement team meetings and team projects, as directed.
  • Demonstrating punctuality and preparedness.
  • Demonstrating effective communication and organizational skills.
  • Contributing in a positive, solution-focused manner.
  • Gaining understanding of the performance improvement process.
  • Applying the PI model to your department’s activities.
  • Participating and/or creating PI teams that lead to improvement in other Hospital areas.
  • Educating and involving self in the Hospital and Nursing department’s performance improvement plans.
  • Conducting oneself in a professional manner.
  • Demonstrating organizational skills that promote timely response to all inquiries and to task completion.
  • Communicating with all individuals in a positive and professional manner.
  • Attempting to resolve individual issues with peers in a positive, calm manner, with a focus on solution.
  • Communicating concerns and providing solutions for same.
  • Attending internal and external seminars to promote professional growth.
  • Demonstrating a positive and professional attitude toward parties outside the Hospital (patient families, visitors, vendors, etc.).
  • Complying with the Hospital’s policies and procedures, including Human Resources, Infection Control, and Employee Health policies and programs.
  • Using courteous, cooperative, and respectful behavior when working with patients, families, physicians, visitors, and Hospital employees.
  • Demonstrating a working knowledge of Hospital/department policies and procedures.
  • Demonstrating consistent acceptance of professional accountability for own practice shown by follow-through on patient and organizational concerns.
  • Supporting changes in staffing/scheduling when unit and Hospital patient care needs require.
  • Accepting reassignment in a positive manner.
  • Demonstrating willingness to adjust work schedule, when able, to meet patient’s needs.
  • Recognizing need for support, seeking appropriate assistance when needed, and offering assistance to peers.
  • Projecting a professional image by wearing appropriate, professional attire.

Requirements

Bachelor’s degree in nursing (BSN) preferred. Registered nurse licensed by State Board of Nursing in the state of employment. License must be in good standing with the State Board of Nursing in the state of employment. American Health Association Healthcare Provider CPR certification or is required within thirty (30) days of hire.

Qualifications

Experience in acute care setting preferred.

Skills

Strong communication and interpersonal skills.

Benefits

Health insurance, retirement plan, paid time off.

Pay

$XX.XX - $XXX.XX per hour

Schedule

Monday-Friday 7:30am-4:00pm