RN Med-Acute

The Registered Nurse (RN) at Hemphill County Hospital District knows and applies current nursing theory, principles of care and nursing procedures in performing the following functions appropriate to the age of the patient, maintains a safe and clean care environment, quality improvement, may assist as assigned in the supervision of the certified nurse aides and LVNs, actively and consistently contributes to department operations and communications, behaves in a manner consistent with the mission, vision, and values of Hemphill County Hospital District and performs other duties as assigned by supervisor or designee.

• Patient Assessment and Care: Conduct comprehensive assessments of patients' health status, including physical, emotional, and psychosocial dimensions. Develop and implement individualized care plans based on assessment findings and evidence-based practices.

• Medication Administration: Administer medications and treatments as prescribed by physicians, ensuring accuracy, safety, and adherence to established protocols. Monitor patients for adverse reactions and intervene promptly as needed.

• Patient Education: Provide education to patients and their families regarding disease management, treatment plans, medications, and preventive care measures. Empower patients to participate in their own healthcare decisions and self-care activities.

• Collaboration: Collaborate with physicians, nurse practitioners, therapists, and other healthcare team members to coordinate patient care and facilitate interdisciplinary communication. Participate in patient care conferences and case reviews to ensure continuity of care.

• Documentation: Maintain accurate and up-to-date medical records, including nursing assessments, care plans, medication administration records, and progress notes. Adhere to legal and ethical standards of documentation and confidentiality.

• Emergency Response: Respond promptly to medical emergencies and provide emergency care as necessary. Assess the situation, initiate appropriate interventions, and communicate effectively with emergency response teams.

• Quality Improvement: Participate in quality improvement initiatives aimed at enhancing patient outcomes, safety, and satisfaction. Identify opportunities for process improvement and contribute to the development and implementation of best practices.

• Compliance: Adhere to regulatory standards, organizational policies, and professional codes of conduct governing nursing practice. Maintain licensure and certification requirements, attending continuing education programs as necessary to stay current in nursing practice.

• Performs emergency medical procedures such as Basic Cardiac Life Support (BLS), Pediatric Advanced Life Support (PALS), and Advanced Cardiac Life Support (ACLS), and documents data related to patients’ care.
• Administers blood and blood product transfusions or intravenous infusions and manages patients’ pain relief and sedation, monitoring patients’ responses and changing care plans accordingly.
• Assesses urgent and emergent health conditions and interprets the results of diagnostic tests and screening procedures based on assessment results.

Supervisory Responsibilities:

In cases where applicable, certain RNs may hold supervisory responsibilities in the role of a charge nurse.

ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE HCHD PERFORMANCE STANDARDS.

JOB REQUIREMENTS

Education

Minimum

Preferred

Work Experience

Minimum

Experience in a clinical setting.

Preferred

Two (2) years of experience as a Registered Nurse in an acute or emergency care environment.

Licenses & Certifications

Minimum

Preferred

• Demonstrated computer skills appropriate for the position
• Ability to work with minimal supervision.
• Demonstrated critical thinking, ability to analyze complex situations, and ability to apply policy.
• Trained to adhere to medications or therapies with complex protocols.
• Ability to maintain accurate records.
• Strong analytical and organizational skills
• Ability to work as a member of a team.
• Excellent written and verbal communication skills
• Ability to demonstrate adherence to cleaning and disinfection procedures
• Ability to create a caring, compassionate relationship with the patients and families.
• Ability to collaborate with the healthcare team to use evidence-based practice in providing care.
• Expertise in handling sophisticated medical equipment.
• Flexibility to work nights, weekends, and holidays and on-call duty.

AGE SPECIFIC COMPETENCY (Clinical jobs only)

Identify age-specific competencies for direct and indirect patient care providers who regularly assess, manage and treat patients.

Instructions: Indicate the age groups of patients served either by direct or indirect patient care by checking the appropriate

boxes below. Next,

JOB FUNCTIONS

Review the employee’s job description and identify each essential function that is performed differently based on the age group of the patient.

Indicate the appropriate physical requirements of this job in the course of a shift. Note: reasonable accommodations may

be made available for individuals with disabilities to perform the essential functions of this position.

Occasional

Up to 33% of the time

Frequent

34%-66% of the time

Constant

67%-100% of the time

Sedentary: Ability to lift up to 10 pounds maximum and

occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light: Ability to lift up to 10 pounds maximum and

occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally

and other sedentary criteria are met.

Up to 10# or

requires significant walking or standing, or requires pushing/pulling of arm/leg controls

Negligible or

constant push/pull of items of negligible weight

Medium: Ability to lift up to 50 pounds maximum with frequent lifting/and or carrying objects weighing up to 25

pounds.

Heavy: Ability to lift up to 100 pounds maximum with frequent

lifting and/or carrying objects weighing up to 50 pounds.

Very Heavy: Ability to lift over 100 pounds with frequent

lifting and/or carrying objects weighing over 50 pounds.