Registered Nurse - Baylor; weekend program

Position: Registered Nurse - Baylor (weekend program)

Summary

The registered nurse (RN, RN II, RN III) performs professional nursing activities in the care of patients so they may achieve or regain, and then maintain, maximum physical, emotional or social functions. Role functions are governed by the Nurse Practice Act, the Administrative Code (in the state of employment), as well as the professional standards for nursing practice, and the corresponding policies and procedures of Rogers Memorial Hospital (Rogers).

The registered nurse seeks consultation with other members of the health team as the patient's condition and treatment goals warrant. He/She, in conjunction with the Patient Accounts department, provides patient information to ensure compliance with federal and state statutes.

Complete initial assessments and documents as required

Complete initial assessments and document results as specified.

Collect, record and analyze, within prescribed timeframe, pertinent data for admission assessment 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 the patient's course of treatment
• Patient needs to be addressed at discharge
• Medical and physical status
• History of medication compliance, reactions and current schedule
• Age‑specific data regarding the patient's individual 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 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's rights so they can understand and obtain appropriate signatures
• Provide the patient with information and obtain their signature on necessary consents
• Protect patient privacy and confidentiality and act as a patient advocate

Assist in patient orientation process

• Employ Hospital policies regarding unit safety, gown and contraband search on admission and carry out the process respectfully
• Remain sensitive to 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 patient's treatment plan and multidisciplinary assessment for assigned patients
• Participate in care conferences and represent the nursing care component at staffing meetings
• Develop and interpret plan of care with the patient and family, updating as indicated
• Write clear, concise and achievable treatment goals on the treatment plan for each problem
• Review the treatment plan as goals change or are achieved

On an ongoing basis, identify, interpret and document information collected in nursing interview, observation, physical assessment and diagnostic data, and confer with other health care professionals

• Review current lab data and follow up with doctor
• Evaluate potential for falls and initiate fall precautions as indicated
• Identify potential for self‑abuse, suicidality and assaultive behavior
• Develop age‑appropriate interventions for the patient's plan of care
• Assess changes in patient status and document interventions accordingly

Implement patient care Demonstrate safe and correct medication administration by

• Ensuring right patient, right medication, right dose, right time and right route
• Maintaining current knowledge of each medication’s purpose and effects and documenting accurately
• Accurately transcribing and implementing physician medication orders
• Continuously monitoring for expected and unexpected medication reactions and interactions
• Regularly conducting and documenting patient education about medications
• Staying current on new pharmacologic products and uses

Identify potential patient care problems, abrupt changes or impending instability in the patient's condition, and exercise leadership to intervene appropriately and prevent adverse patient outcomes

• Use appropriate de‑escalation techniques, including quiet room, locked seclusion and restraints when necessary
• Re‑evaluate safety…