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Medical City Dallas is seeking a Registered Nurse to provide comprehensive care to Medical-Surgical patients using the Nursing Process in accordance with the state Nurse Practice Act and hospital policies.
The nurse will demonstrate critical thinking, clinical judgment, and leadership to anticipate and plan safe care, maintain competencies through continuing education, and supervise delegated patient care tasks within the care team.
The Registered Nurse holds shift accountability for providing care to Medical Surgical patients by utilizing the Nursing Process in accordance with the state Nurse Practice Act and Hospital policy and procedures. The registered nurse demonstrates critical thinking skills, scientific judgement and leadership in the anticipation and planning for safe delivery of care; maintains clinical competencies through continuing education; delegates patient care priorities commensurate with the education and experience of the staff available; provides direction and supervision of assigned personnel delivering patient care.
Performs position specific job functions at an acceptable level with minimal direction. Primary responsibilities for a Medical Surgical Nurse encompass but not intended to be all-inclusive;
Patient Rights – Demonstrating awareness and respect for the patient/family/significant others dignity and values; identifies cultural and religious needs, emotional and language barriers, physical, cognitive, psychological and educational limitations. Knowledgeable of patient’s rights, advanced directives, consents, protection of patient security, privacy and confidentiality in all aspects of care.
Assessment– Completes assessment/reassessment in accordance with Hospital policy, standards and patient care needs as it relates to; Admission, transfer, discharge, pain management, risk to fall, skin integrity, interventions, signs and symptoms of abuse, changes in patients condition, abnormal lab/radiology values and the notification to physician, identification of patient needsrequiring intervention of other team members, surgical procedures and end of life care needs. Knowledgeable of documentation systems utilized to chart patient’s assessment/reassessments, interventions, medication utilization and supply acquisition.
Care of the Patient – Develops, implements, updates, evaluates and revises as appropriate an interdisciplinary age-specific patient plan of care; based on continuous assessment/re-assessment and interpretation of all available patient data – to meet the identified patient care goals for a Medical Surgical patient. Demonstrates accuracy in administration, monitoring and documentation of medications, treatments, IV therapies, modalities and blood products according to Hospital policies. Able to recognize the need for and use of designated equipment in resuscitation efforts.
Patient/Family Education - Utilizes a collaborative and interdisciplinary process to provide initial and ongoing teaching based on assessed learning needs, abilities, preferences and readiness. Provides patients with explanations of all procedures, medications and treatments – documents teaching per hospital policy. Ensures patient/family teaching occurs across the continuum of care and discharge planning includes specific teaching which ensures the patient is prepared for discharge and prevents re-admissions due to lack of education provided.
Continuum of Care - Assess, collaborate and coordinate meeting patient’s care needs during transition from shift to shift, transfer and upon discharge. Ensures continuity of care by participating in patient transfers, utilizing communication tools when handing off communication, completing required forms for transfers to other units or facilities and nurse to nurse report. Ensures that discharge planning/processes provides for continuing care based on the assessed needs of the patient; provide clear time/action specific discharge instructions in clear understandable terminology.
Demonstrates the knowledge and skills necessary to provide care based on physical, psycho/social, educational safety and related criteria, appropriate to the age of the patients served in his/her assigned position. The skills and knowledge needed to provide such care may be gained through education, training or experience.