Registered Nurse - PRN

Schedule

PRN – as needed coverage when clinic is open (Mon‑Fri). No set hours or consistent days.

• Complete initial assessments and documentation as required.
• Collect, record, and analyze admission assessment data within prescribed timeframe according to hospital policy, including:
  • Patient strengths and limitations that can be addressed in reaching health goals.
  • Cultural, spiritual, and ethnic factors that may impact patient’s course of treatment.
  • Patient needs to be addressed at discharge.
  • Medical and physical status.
  • History of medication compliance, reactions, current schedule, and age‑specific data regarding the patient’s needs.
  • Involve patient’s support systems (family, friends) in assessment and documentation.
• Observe and document the patient’s interaction with family and friends as it is pertinent to the patient’s treatment.
• Obtain assessment data from support systems, when appropriate, regarding the patient’s history and individual needs.
• Act as an advocate for patients, explain patient rights, obtain signatures on necessary consents, and protect privacy and confidentiality.
• Assist in patient orientation process and employ hospital policies regarding unit safety and contraband search on admission.
• Remain sensitive to individual patient/family stressors upon admission while providing pertinent unit information.
• Initiate and update treatment plan and documentation as required; participate in planning and modifying the patient’s plan of care.
• Evaluate data obtained by others by reviewing the patient’s treatment plan and multi‑disciplinary assessment for assigned patients.
• Participate in care conferences (staffings) and represent the nursing care component of the treatment plan to others at the staffing.
• Develop and interpret plan of care with the patient/family, updating it as indicated.
• Write clear, concise, and obtainable treatment goals on the treatment plan for each problem.
• Review the treatment plan as goals are achieved, changed, or updated.
• On an ongoing basis, identify, interpret, and document information collected in nursing interview, observation, physical assessment and diagnostic data, and confer with other healthcare professionals, as appropriate.
• Review current lab data and follow up with the doctor.
• Evaluate potential for falls and initiate fall precautions, as indicated.
• Identify potential for self‑abuse, suicidality and/or assaultive behavior.
• Develop age‑appropriate interventions for the patient’s plan of care.
• Assess changes in patient status and document interventions accordingly.
• Demonstrate safe and correct medication administration, maintaining knowledge of medication purpose, effects, and documentation.
• Accurately transcribe and implement physician medication orders.
• Monitor expected and unexpected medication effects, including adverse drug reactions and interactions.
• Conduct and document patient education about medications.
• Identify potential patient care problems, abrupt changes, or impending instability and intervene appropriately to prevent adverse patient outcomes.
• Use appropriate de‑escalation techniques (quiet room, locked seclusion, restraints); re‑evaluate safety level.
• Identify alcohol withdrawal syndrome, extra‑pyramidal side‑effects, neuroleptic malignant syndrome signs, and significant cardiac/respiratory symptoms requiring immediate medical intervention.
• Identify health education needs of the patient/family and address them before discharge with teaching interventions.
• Document in the patient record and treatment plan.
• Organize patient care activities and interventions according to patient priorities and preferences, unit needs, and time constraints.
• Implement patient care based on established care plans, hospital policies and procedures, and unit standards of care, incorporating patient’s age‑specific and cultural needs, as appropriate.
• Assure delivery of admissions, transfers, and related patient care activities in accordance with Emergency Medical Treatment and Labor Act (EMTALA) and regulatory requirements.
• Adhere to the nursing department and hospital standards of nursing practice and patient care.
• Protect patients, visitors, and staff from environmental hazards by…