Jobs · Healthcare · Texas

Registered Nurse PRN Evenings

Oceans Healthcare · Lufkin, TX · 1 mo ago
HealthcarePart-time

About the Role

The Registered Nurse assumes primary leadership accountability and responsibility for milieu management and directing patient‑care activities of other nursing staff. The RN maintains standards of professional nursing practice in accordance with facility policy and procedures, external governing and credentialing bodies, performance‑improvement standards, and psychiatric nursing standards. The RN assesses patients using the nursing process to formulate individualized plans of care, implements interventions, and evaluates outcomes consistent with policy and appropriate to the client’s condition, promoting, maintaining, and restoring physical and mental health while preventing illness. The RN interprets age/disability‑specific information for the client population served, ensures safe medication delivery, provides thorough and accurate reporting and documentation, and assumes responsibility for professional development, continuing education, and maintaining licensure. All duties are performed in accordance with Joint Commission, Federal and State regulations, Oceans' Mission, policies and procedures, and Performance Improvement Standards.

Essential Functions

  • Utilizes the nursing process—assessment, planning, intervention, implementation, and evaluation—to formulate individualized plans of care and treatment modalities.
  • Identifies risk levels, precautions, and expected outcomes individualized to the client, including discharge planning; prescribes interventions to attain expected outcomes; evaluates effectiveness of interventions; conducts ongoing assessment from admission to discharge; initiates medical/psychiatric crisis intervention to stabilize patient conditions.
  • Demonstrates knowledge of psychiatric disorders and appropriate nursing interventions; implements nursing interventions identified in the individualized plan of care.
  • Applies appropriate interventions to progress the patient toward wellness and to maintain wellness.
  • Administers medications as prescribed safely; provides education on prescribed medications; recognizes signs and symptoms of adverse drug reactions.
  • Demonstrates professionalism, accountability, and responsibility for decision‑making, quality nursing care, and the knowledge base of psychiatric nursing care.
  • Reviews, revises, and updates medical records within facility guidelines and timeframes.
  • Transcribes and implements physician’s orders according to facility policy; documents care, progress, and response to intervention in the medical record accurately, thoroughly, and concisely.
  • Follows up on client‑care responsibilities, communicates incomplete assignments and current client needs to staff to assure continuity of care.
  • Implements staff assignments and delegation of duties using appropriate judgment and knowledge; demonstrates a positive willingness to assist staff and patients; functions as an advocate for patient needs and safety.
  • Utilizes nursing knowledge to meet the needs of the facility, patient population, and staff; employs nursing resources to enhance evidence‑based practice.
  • Floats among various clinical services where qualified and competent and performs other duties and projects as assigned.

Requirements

  • Current, valid, and active license to practice as a Registered Nurse in the state of employment at an Oceans Healthcare hospital (Compact licenses acceptable).
  • Minimum of an Associate Degree in Nursing.
  • One year of inpatient hospital experience strongly preferred.

Qualifications and Skills

  • Ability to adapt to a high‑stress environment and assess potential for patient escalation.
  • Effective oral and written communication skills to achieve positive results with internal and external customers.
  • Highly organized with sensitivity to culturally diverse and special‑needs populations (chronically mentally ill, geriatric, developmental disabilities).
  • Basic knowledge of normal physical and emotional development.
  • Critical‑thinking abilities applied for continuous improvement of patient care.
  • Self‑confidence and conceptual thinking in leading and directing others.
  • Successful completion of CPR certification and an Oceans‑approved behavioral health de‑escalation program.

Work Environment

  • Subject to many interruptions and pressure due to multiple calls and inquiries.
  • High‑paced and stressful; must cope mentally and physically.
  • Potential exposure to disagreeable odors, sights, and unpredictable patient behavior.
  • Approximately 90% of time spent inside a building offering protection from weather but not necessarily from temperature changes.

Schedule

12‑hour rotating shifts.

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