Per Diem / PRN Nurse RN - ICU - Intensive Care Unit - $70 per hour
Company: HCSS
Location: Galveston
Posted on: March 14, 2023
Job Description:
HCSS is seeking a per diem / prn nurse RN ICU - Intensive Care
Unit for a per diem / prn nursing job in Galveston, Texas.Job
Description & Requirements
- Specialty: ICU - Intensive Care Unit
- Discipline: RN
- Start Date: ASAP
- Duration: Ongoing
- Up to 36.00 hours per week
- Shift: 12 hours, days, nights
- Employment Type: Per Diem / PRNHCSS Intensive Care Unit
Registered NurseJOB SUMMARY: Competent Clinician. Possesses
knowledge and skill to meet standards for competent professional
nursing practice as specified in the Texas Nurse Practice Act.
Experienced, knowledgeable, and skilled in specialty area.
Competently functions as a member of the interdisciplinary team.
Practice is characterized by predominantly interdependent
decision-making. Practice is problem focused and patient centered
in the manner care is provided. Able to manage unexpected or
emergency situations that are commonly seen in assigned specialty
population. Serves as a resource for Nurse Clinician I or II. Can
manage commonly seen contingency situations that arise on the
clinical unit. Provides patient care through nursing practices
based upon the American Nurses Association Standards of
Professional Practice, Nursing Process and UTMB's three domains for
competency and advancement: Professional Practice, and Professional
Performance. Values specialty unit, nursing, and institutional
strategic initiatives and health system goals. Major
Duties/Critical Tasks:NURSING PROCESSAssesses, plans, implements,
evaluates, and documents the daily care of assigned
patientsIdentifies actual and potential nursing diagnoses/patient
care needs; develops and individualizes care plan, and revises plan
of care as neededExecutes physician's orders for all assigned
patients. Administers medications and treatments and delivers
culturally congruent and specialty appropriate competent nursing
care in accordance with UTMB's policies, procedures, and standards
in a caring and compassionate mannerCompetently and independently
performs routine technical procedures/skills in assigned specialty
area:Competently demonstrates knowledge and skills to utilize
equipment in assigned specialty areaIndependently capable of
performing different aspect of responsibilities within the
departmentDemonstrates competent knowledge and skills to interpret
and respond to patient data and hemodynamic responsesCompetent in
identifying cardiac rhythms, waveforms and abnormal ranges and
taking appropriate interventionCompetently demonstrates knowledge
and competency in use of medications including cardiac medications,
emergency drugs, moderate sedation and reversal agentsCompetently
and consistently completes accurate, concise and documentation of
the procedure event including monitoring of moderate sedation per
policyPatient/Family Teaching & Health PromotionProvides
uncomplicated and complex patient/family instruction and healthcare
teaching based on identified learning needs (patient values,
beliefs, barriers, and readiness to learn)Coaches others in
strategies for patient/family inclusion and serves as a resource to
others for patients/families with complex learning needsUses
Teach-Back to determine effectiveness and modifies strategies as
neededCare Coordination & DelegationCompetently and independently
plans, coordinates, and prioritizes patient care activities
according to skill level and work complexityMaintains safety and
continuity of care using methods such as bedside shift report,
hand-off tools/processes, inter-disciplinary care rounds, etc.;
Role models and coaches others to utilize these methodsDemonstrates
flexibility in time management to manage changing patient
priorities; coaches and supports others to plan, coordinate and
prioritize careDemonstrates competent use of technology in the
delivery of patient care and serves as a resource and provides
trouble shooting support to othersDelegates appropriately; may seek
guidance or clarification of non-routinely delegated tasksEthics
(legal/regulatory), Advocacy & Culturally Congruent CareIdentifies
ethical situations and initiates appropriate
communication/consultation to addressDelivers culturally congruent
care using available resources to meet the needs of patient/family;
recognizes situations in which personal bias may influenceServes as
a patient advocate; may seek guidance/assistance in difficult
situationsCommunication & CollaborationSupports healthy work
environment by demonstrating respectful verbal and non-verbal
communication with all members of the healthcare team; may seek
support with challenging communication issues; addresses behavior
that does not support respectful environmentRecognizes colleagues
when they go above and beyond in demonstrating UTMB's core
valuesPlans, coordinates, and prioritizes patient care activities
in collaboration/communication with inter-professional team,
including consult recommendationsFunctions as an independent and
supportive team memberPrioritizes patient and departmental needs.
Ability to work long hoursMaintains professionalism and
communicates effectively in high stress situationsFunctions as an
experienced Nurse Clinician who leads working effectively with
others towards achieving common goals including morale and
teamworkWorks effectively with others towards achieving common
goals including morale and teamworkLeadershipRecognizes informal
and formal unit/hospital leaders and can educate colleagues
regarding unit/hospital leadershipRecognizes unit, nursing, and
institutional strategic initiatives and health system
goalsRecognizes the importance of financial responsibility to
promote fiscal health for the patient, unit, and
organizationDemonstrates acceptable productivity and practices cost
containment for the practice and the patientDemonstrates openness
to change by actively seeking knowledge and needed information;
uses positive communication and role modeling to promote
understanding of change to colleaguesFunctions as a unit leader,
providing direction and assistance to team members.Mentors others
and promotes professional development of less experienced
colleaguesEducation, Evidence-Based Practice & ResearchActively
attends/participates in unit meetings/activities and supports the
philosophy and goals of the unit/department and UTMBActively
participates in shared leadership at the unit level; encourages
colleague participationAttends presentations, professional
development activities; encourages attendance/participation of
colleaguesParticipates in one journal club annually.Shares
educational findings, experiences, and ideas with colleagues
through shared leadership meetings, presentations, professional
development activitiesMentors others and develops learning
opportunitiesDemonstrates commitment to lifelong learning
(evidence-based practice, specialty certification, advanced
degree)Demonstrates knowledge and utilization of evidence-based
resources to guide patient care; coaches colleagues to utilize
evidence-based resourcesIdentifies learning needs of self and
others; sets challenging and realistic goals and develops learning
opportunities to meet goals.Quality, Resources & SafetyIdentifies
patient safety concerns, and reports appropriately; addresses
immediate safety concerns appropriatelyCoaches others regarding
unit quality metrics/outcomes data and improvement activities;
actively engages in discussion, activities related to unit goals;
Participates in systematic processes to achieve quality
outcomesDemonstrates self-care through practices that support
personal well-being, personal safety, and injury preventionServes
as a resource to colleagues regarding the Electronic Health Record;
identifies opportunities for system improvements and communicates
ideas via appropriate channelsGeneral Requirements:Completes
required specialty specific Competency Based Orientation (CBO)
tools by the initial performance evaluation due date for placement
in employee file.Actively participates in the initial and ongoing
evaluation of competency using Competency Based Orientation (CBO)
toolsPerforms and reports point of care testing (POCT).Prioritizes
and organizes work so that required assignments are completed
within a specified time frame.Provides and maintains a clean, safe
environment and performs and/or assists others to perform proper
aseptic technique, isolation procedures and infection control
measures.Demonstrates acceptable productivity and practices cost
containment for the unit/hospital and the patient.Competently and
consistently completes accurate, concise, and legible documentation
on all patient, unit, and hospital records (including care delivery
and telephone patient related interactions).Competently utilizes
electronic forms of communication and documentation.Meets periodic
UTMB and unit specific compliance requirements for health
screening, training, attendance, safety, CPR and ACLS.Adheres to
internal controls and reporting structure.Perform related duties as
requiredRequired Education/Experience:RN with current license or
valid permit to practice professional nursing in Texas.Two (2)
years of inpatient hospital experience as an RN with at least two
(2) years in Critical Care within the last 2 years. Does NOT need
to be Level l experience for this position.Must have current ACLS
and BLS certification obtained through American Heart Association
(AHA)Equipment:Able to use equipment and related supplies for a
selected patient population.Able to use mechanical devices, such as
those used in cardiopulmonary resuscitation, oxygen administration,
and intravenous therapy. Including point of care testing (POCT) and
quality requirements for that testingX-ray and radiation safety
system, imaging, and hemodynamic equipmentAble to use related
computer equipmentWork Environments:Work in a high stress
environmentWork environment is in a comfortable indoor
area.Conditions such as noise, odors, cramped workspace and/or
fumes could sometimes cause discomfort.Moderate to extreme physical
effort may be required, such as walking, standing, performing CPR,
and lifting materials, equipment, objects, and/or
patients.Occasional lifting may be very heavy and awkward, over 50
lbs.VisioHCSS Job ID #20220830-4.
Keywords: HCSS, Galveston , Per Diem / PRN Nurse RN - ICU - Intensive Care Unit - $70 per hour, Healthcare , Galveston, Texas
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