Emergency Room Nurse

River Oaks Hospital & Clinics; Houston (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

River Oaks Hospital & Clinics in Houston, TX seeks a Registered Nurse to collaborate with an interdisciplinary team and provide professional nursing care following the nursing process.

Responsibilities include assessments, care planning, documentation, patient education, discharge planning, and adherence to safety and confidentiality policies. Requires Texas RN license, BLS/ACLS; PALS for ED; two years hospital experience preferred.

Qualifications

• Graduation from accredited school of nursing.
• Current Texas RN license to practice.
• BLS and ACLS required from American Heart Association; BLS at hire date; ACLS within 30 days.
• PALS certification within 30 days of hire for ED RN.

Responsibilities

• Utilizes the nursing process to provide quality patient care and discharge planning.
• Admits, transfers, and discharges patients.
• Completes nursing assessments and documents per policy.
• Collaborates with physicians and care team to educate patients and families.

Skills

Nursing care

Patient assessment

Documentation

Discharge planning

Team collaboration

Education

Licensed RN in Texas

BLS/ACLS certification

PALS certification (ED RN)

Job description

The Registered Nurse collaborates with the interdisciplinary team in the delivery of patient care, utilizing the nursing process. Provides professional nursing care to patients, including conducting nursing assessments, assisting with exams and treatment, patient education, and documentation in the medical record. In addition, the RN organizes a plan of care which includes organizing, evaluating, and delivering all aspects of each patient’s care.

Job Duties and Responsibilities

• Utilizes the nursing process to provide quality patient care according to established standards of care which includes planning, implementing, evaluating and adjusting plan of care, and discharge planning based on expected patient outcomes.
• Admits, transfers, and discharges patients.
• Completes ongoing patient assessment and documents according to policy.
• Completes nursing assessment within department standard time of admission or designates reason for incompleteness. Reviews database and nutrition screen.
• Participates in the development of patient plan of care to include patient problems, goals, evaluation and interventions.
• Reports symptoms and significant changes in patient’s condition to appropriate personnel.
• Assesses, collaborates and coordinates patient’s discharge planning needs and readiness for discharge with other members of the care team.
• Demonstrates appropriate application of age specific standards, policies and procedures and guidelines in caring for child, adolescent, adult, and geriatric patients.
• Follows age specific standards in administering medications based on the patient’s age.
• Follows age specific standards of care during altered states of consciousness related to analgesia, conscious sedation or anesthesia.
• Uses age specific standards, policies and procedures, and guidelines to perform treatments and procedures that are routine for unit/clinic based on patient’s age.
• Incorporates cultural and developmental needs into plan of care.
• In collaboration with the patient/family, and in a developmentally and culturally appropriate manner, implements the plan of care.
• Demonstrates competency in the provision of nursing care according to established standards of nursing practice and in a developmentally appropriate manner.
• Demonstrates critical thinking skills, ability to provide and delegate activities to staff based on patient assessment and the requirements to deliver care in a safe efficient manner maximizing positive outcomes for the patient.
• Provides documentation of patient care in the patient record according to established standards of nursing care.
• Collaborates and works cooperatively with physicians and other members of the multidisciplinary healthcare team in formal and informal teaching of patients and/or family about his or her disease process and wellness promotion plan and discharge planning.
• Assesses patient/family learning needs, abilities, preferences, and readiness to learn.
• Utilizes a collaborative interdisciplinary process to provide appropriate patient/family education.
• Utilizes available information to evaluate the effectiveness of teaching in producing the desired patient outcomes and adjusts in teaching as indicated.
• Assesses patient for pain and controls pain with alternative pain control methods and medication. Reassesses the patient for pain control and response to methods used. Communicates with the physician when pain is not resolved.
• Applies practice to meet the regulations, standards and laws required for excellent, safe patient care.
• Demonstrates the spirit of the philosophy, mission, and values of the hospital through words and actions and implements them into departmental processes, programs, and the working environment.
• Applies the principles and values of customer service and continuous quality improvement while performing day to day activities of the position.
• Maintains and protects confidentiality regarding all aspects of patient care, personnel and strategic issues. Adheres to Confidentiality Policy.
• Maintains positive working relationships and fosters cooperative work environment. Adheres to the hospital’s compliance program.
• Displays honesty and mutual respect when communicating with peers and other departments.
• Follows through on problems that may compromise effective job performance by using appropriate chain of command.
• Adheres to safety practices and meets requirements of National Patient Safety Goals.
• Performs other duties as assigned.

Qualifications (Education, Experience and Certifications)

Graduation from accredited school of nursing.

Current license to practice as a Registered Nurse in the State of Texas or compact.

Two (2) years’ experience as a Registered Nurse in the hospital setting preferred.

BLS, ACLS required from the American Heart Association. Current BLS at time of hire; ACLS at time of hire or within thirty (30) days of hire.

PALS certification within 30 days of hire is required for Emergency Department RN

KNOWLEDGE, Skills And Abilities

Knowledge of Microsoft Office.

Must be eligible to work in the United States.

Ability to write concise, legible documentation in patient’s medical record. Knowledge of nursing care methods and procedures. Rhythm recognition, knowledge of medical terminology and abbreviations. Ability to communicate effectively in English both verbally and in writing. Ability to work with other members of the healthcare team to meet patient’s needs. Ability to interact in a positive manner and to communicate well with patients, families, coworkers, employees, supervisors and other hospital employees.

Working Conditions, MENTAL AND PHYSICAL DEMANDS

• Lifting objects in excess of fifty (50) pounds with frequent lifting and/or carrying of objects weighing up to twenty (20) pounds.
• Ability to stand on non-carpeted, composite surfaces for extended periods of time, stoop, kneel, crouch and/or crawl, reach, use fine finger movement, speak and hear.
• Ability to walk long distances on a regular basis. Indoor climate controlled, well lighted and well ventilated.
• May be subjected to unpleasant sights and odors, stressful situations and hazardous or infectious agents where judgment as to precautions needed to be taken is essential.
• Climate control and ambient temperature variances may be experienced and required by patient care and needs of the surgical team.

Hours of duty may be irregular or unexpectedly extended due to the requirement of patient care.

• OSHA TASK CATEGORY I: The normal procedure involves potential exposure to blood, body fluids or tissue. Universal Precautions with patients should be adhered to in the unlikely event of accidental exposure with ready access to first aid. Protective devices should be worn by the employee when performing tasks that may cause exposure.