Inpatient RN - Multiple Teams

Where compassion meets innovation and technology and our employees are family.

General Purpose of Job:

The staff nurse (RN) is a professional Registered Nurse who provides direct nursing care to assigned patient population.  The staff nurse, utilizing the nursing process, plans and delivers effective patient care within the Texas scope of practice and within the frame work of Driscoll Health System’s vision of excellence and integrated care delivery.  The staff nurse complies within the established standards of practice, policies and clinical guidelines reflective of evidence-based best practice.  The practice of the staff nurse contributes to creating an environment that is patient focused, family centered and is designed to provide continuation of care and patient transition management.

Essential functions and behavioral expectations:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skills, and/or abilities required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

Communication– Conveys information and shares ideas using the appropriate techniques to reach different audiences; promotes understanding and open information sharing.  Listens actively; solicits and gives constructive and honest feedback. Is sensitive to the needs, ideas, and feelings of others.  Develops and maintains rapport with others.  Adheres to confidentiality guidelines.

• Establishes and maintains a therapeutic relationship with patient and family using individualized interventions to ensure patient comfort and dignity.
• Identifies barriers to learning, develops and implements education plan based on assessed patient/family needs.
• Uses clear, closed loop communication that enhances team information sharing and decision making.
• Uses chain of command to obtain appropriate health care response as an advocate for the patient.
• Functions as a patient/family advocate, seeking direction as needed to provide safe, effective, efficient, and timely care.
• Initiates appropriate referrals to the healthcare team based on assessed patient needs.
• Documents timely and accurately in the electronic medical record to reflect patients’ plan of care and response to interventions.

Customer/Patient Focus–Understands and anticipates the needs of both internal and external customers.  Meets customer needs while remaining a good steward of organizational resources. 

• Performs initial and ongoing focused assessments to analyze actual, potential and critical changes in the patient’s condition and follows through with appropriate reporting and actions.
• Develops, implements, and modifies an individualized plan of care that reflects cultural aspects as appropriate of illness/hospitalization to meet patient needs and diagnoses.
• Prioritizes, plans, organizes and directs care of assigned patients.
• Employs strategies to promote health and involves the patient and family in healthcare decisions and care as appropriate.
• Evaluates and reports pertinent patient response to interventions based on evidence-based best practice.
• Evaluates progress toward attainment of expected outcomes and revises plan as necessary
• Administers medications and other therapeutic treatments per clinical guidelines and orders; recognizes abnormal responses to medication therapy and initiates corrective therapy.
• Intervenes appropriately after correlating clinical picture to therapeutic treatment plan.
• Selects and utilizes appropriate equipment, devices, and supplies based on the patient’s needs and treatment plan.
• Ensures the correct functioning of equipment, identifies deficits and reports appropriately.
• Participates in clinical research by following specific protocols.
• Integrates ethical provisions in all areas of practice

Teamwork– Fully participates in maintaining a positive team environment that is conducive to customer satisfaction.  Builds trust among co-workers, focusing on accomplishing hospital and departmental goals.  Works effectively with a diverse group of people in pursuit of the organization’s goals.  Shifts personal goals when necessary to focus on group objectives.  Looks for ways to help others and to support their work.  Initiates warm transfer techniques to refer customer service concerns to the right individual; does not display “it’s not my job” attitude.  Values others’ contributions, and shows respect for all individuals throughout the organization.  Can be counted on by others.

• Demonstrates flexibility in staffing and scheduling to meet unit needs.
• Supports real time staffing decisions and assignments for the greater good.
• Supports goals through participation and compliance in unit activities and decision-making.
• Participates in improving patient care by engaging in reviewing and supporting practice change based on evidence-based practice.
• Maintains and respects relationships, and builds rapport with peers and leadership.

Accountability– Takes responsibility and ownership for delivering results through personal initiative and commitment.  Willing to make recommendations and assume additional responsibilities. Organizes work and uses time efficiently.  Takes the initiative to find additional work during slow or downtimes.  Recommends innovative ways of doing work more efficiently and effectively.

• Complies with and supports regulatory and organizational policies and professional standards.
• Completes required ongoing development and education/competency/certifications as required.
• Recognizes personal limitations and seeks guidance when needed.
• Participates in Quality Improvement.
• Identifies trends in patient care outcomes for QI monitoring, practice change, and/or staff education.

Leadership– Exhibits confidence in self and others, inspiring respect and trust.  Reacts effectively under pressure, and motivates others to perform well.  Demonstrates the ability to change behaviors and plans to meet rapidly changing/ competing job demands (new or unusual situations).  Receives change as a challenge.  Revises plans to meet changing circumstances. 

• Ensures safe care by using effective communication and interactions with the health care team.

• Identifies conflict and helps to initiate resolution, seeking assistance when appropriate.
• Delegates appropriately, and oversees delegated tasks to unlicensed assistive personnel.
• Assists with changes in unit needs during a crisis situation and works collaboratively to re-establish unit function after a crisis situation.
• Participates in review of unit response to a crisis situation.

License, Education and/or Experience:

  BSN preferred.

  Current RN license in the State of Texas.

Certificates, Registrations.

• BLS and Advanced Specialty Courses (ASC)/Credentials according to Attachment A
  • ASC courses should be taken at earliest opportunity, completed within timeframes specified on Attachment A and continuously maintained ongoing
• National Certification in specialty must be attempted within 3 years of completing orientation and if successful, continuously maintained ongoing