Registered Nurse – Correctional Unit

Registered Nurse – Correctional Unit Colorado City, SnyderPosted 6 months ago Mitchell County Hospital District Job Title: REGISTERED NURSE Department: CORRECTIONAL UNIT Reports To: UNIT ADMINISTRATOR FLSA Status: NON-EXEMPT Revised: 11/19/2020 Position Summary: Responsible for the total nursing care, assessment, planning, implementation, and evaluation of each assigned patient. Plans, provides, and documents discharge planning, teaching, and educates patients, family or others to attain optimal health and continuity of care. Assures that the plan of care is carried out in a safe environment through performance and supervision of subordinate personnel. Qualifications: Graduate of an accredited School of Professional nursing. Current license with the State of Texas as Registered Nurse. BCLS and ACLS preferred. 1+ years’ experience as an RN preferred Effective oral and written communication skills. Familiar with operating computers and Electronic Medical Records Systems. Physical and Mental Requirements: Duties of the position require extended periods of standing and walking. Bending, stooping, twisting, reaching, and lifting up to 50 pounds. Occasional heavy lifting when moving or supporting patients who may suddenly become weak or helpless. Duties, Responsibilities, and Skills: Utilizing the nursing process, completes a comprehensive physical and psychosocial assessment of patients. Takes nursing histories to provide a basis for developing patient care plans. Completes a thorough nursing assessment and history on admission. Identifies teaching/learning/discharge needs at time of clinic appointment and throughout care. Provides an ongoing assessment which accurately reflects overt physiological and psychosocial needs of patients. Consistently uses input form patient, physician, and health care team members. Provides care appropriate for the adolescent and geriatric patients served based on demonstrated knowledge of the principles of growth and development over the life span. Assesses and interoperates data on adolescent and geriatric patients’ status to identify patients’ requirements relative to their age-specific needs and provides care needed as stipulated in departmental policy. Using nursing process, plan and provide patient care, evaluates patient’s response to care provided and redirects care as necessary. Formulates appropriate nursing diagnosis and identifies patient problems from admission data base and ongoing assessment and documents in medical records. Establishes patient outcome goals that are realistic, specific, measurable, and progressive. Develops and implements nursing orders which are specific and measurable. Initiates interdisciplinary communication and incorporates recommendations. Consults with the patient and others to formulate care plans that reflect concern for holistic patient needs. Assesses and evaluates patient-response/outcome and makes appropriate modifications on the care plan. Reviews and updates care plans in a timely manner to reflect patient’s current status throughout treatment. Implements and monitors appropriate nursing care to meet patient’s needs. Identifies expected outcome for planned nursing intervention and insures vital information is passed between shifts. Administers medications according to policy including IV’s as prescribed by physicians. Knows actions, indications, contraindication, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient. Verify medication administration accuracy and performs the required checks on the record. Gives exchange report to other health care personnel providing accurate and complete information on each patient at the change of shift, when transferring patient to another unit, and at intervals during the shift. Assesses patients at the beginning of the shift for acuity of patient needs/problems and establishes priority in which work activities are consistently completed by the end of the shift. Performs basic nursing skills competently to include but not limited to: intake and output, vital signs, physical assessment, personal hygiene for patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, nasogastric tubes, tube feedings, urinary catheterization, drains, enemas, and intravenous catheterization. Recognizes, evaluates and interviews appropriately in a life-threating situation. Recognizes variance of diagnostic tests, vital signs and assessments that should be reported to the physician and notifies physician in a time frame appropriate to the variance. Participates in the health care educational needs for the patient with regard to patient care needs, disease prevention and health maintenance measure. Develops and implements an individualized teaching plan. Initiates and documents progressive patients, family or significant other teaching on admission and throughout care. Act as a liaison between patient, physician and other health disciplines. Maintains accurate and timely records according to hospital policy and procedure. Documents ongoing assessments, within time frame determined by policy which accurately reflects overt physiological and psychosocial needs of patient. Accurately documents on each shift the nursing patient care activities and the patient’s response to nursing interventions and delegated medical management. Maintains a patient care plan that is current and reflects individual needs or preferences of patients. Documents teaching completed and patient, family, or significant other response in the patient record. Documents interdisciplinary recommendations for plan of care. Transcribes and /or cosigns physicians’ orders completely and accurately according to clinic policy and practice. Completes all appropriate transfer and discharge forms. Other Significant Requirements: Maintain HIPAA required and all other confidentiality while working with confidential matters on a daily basis. Provides services direct to patients while maintaining a positive patient relations atmosphere. Interacts with patients, family members, medical staff members and other department managers on a continuous basis. Follow safety policies and guidelines for the Prison Clinic Follows aseptic procedures and procedures for using precautions when involved in direct patient contact or handling potentially infectious material. Supports security procedures instituted by the unit warden. Other duties, as assigned by supervisor. Work Schedule: 8:00 Am- 4:30 Pm Monday-Friday with 30 minutes for lunch.