RN - Emergency Department - Nights. Burleson LilyLifestyle

Job Description

Conduct comprehensive patient assessments through observation, interviews, and physical examinations to gather patient history and vital signs, identifying physical, psychosocial, cultural, and spiritual needs.

Develop and implement individualized care plans based on assessment data, setting specific, measurable, achievable, relevant, and time‑bound (SMART) goals in collaboration with patients, families, and healthcare teams.

Administer medications and treatments safely, including oral, intravenous, and intramuscular forms, and perform necessary medical procedures such as wound care, catheterization, and IV therapy, ensuring accurate and safe execution.

Provide patient and family education about health conditions, treatments, and self‑care practices, developing and delivering tailored educational materials and programs, and offering discharge instructions and follow‑up care plans.

Advocate for patient health and safety by acting as a liaison between patients and the healthcare system, protecting patient rights and confidentiality, and securing necessary resources to improve patient outcomes.

Participate in performance improvement activities by engaging in unit‑based quality improvement, evidence‑based practice, and research initiatives, applying current healthcare research findings to expand clinical knowledge, and using quality measures to enhance performance and accountability for patient outcomes.

Collaborate with healthcare professionals, including doctors, therapists, social workers, and other healthcare providers, to ensure coordinated and comprehensive patient care, maintaining open and clear communication with all team members.

Collect and analyze patient health data from patients, families, and healthcare providers using appropriate techniques and instruments, and prioritize patient needs based on their immediate condition and overall health status to ensure timely and effective care.

Document patient care activities accurately and timely in medical records, including assessments, care plans, interventions, and patient responses, to ensure continuity and quality of care.

Evaluate and adjust care plans by monitoring and documenting the effectiveness of care plans and interventions, making necessary adjustments based on ongoing patient assessments and feedback.

Perform nursing procedures such as wound care, catheterization, and specimen collection, ensuring accurate and safe implementation.

Ensure patient safety by adhering to established policies and procedures, maintaining a safe environment, and participating in bedside shift reports to ensure continuity of care and effective communication among healthcare team members.

Performs other duties as assigned.

• Administers all types of medications correctly per age group for all populations served according to policy. [Required]
• Demonstrates proficient technical skills and operational knowledge of all equipment used on the unit. [Required]
• Performs daily rotational task assignment as directed. [Required]
• Supervises Nursing Assistants in the process of basic nursing functions (i.e., bed making, toileting, oral care, hair and nail care, baths, and comfort measures in accordance with the patient's cultural needs). Demonstrates standard procedure for safe patient ambulation and transfers, and checking, turning, and repositioning bedfast, and or, incontinent patients every two hours. [Required]
• Serves as a preceptor as necessary. [Required]
• Communication/Collaboration. [Required]
• Gather data/assess/reassess all populations served and do primary assessment of all newly admitted or transferred patients and completes hard cop care plans for each chart. [Required]
• Documents/communicates clearly and concisely patient data, initiates and implements phone and verbal physician orders promptly and accurately as needed, collaborates with other members of the healthcare team as needed including the Assistant Nurse Manager and/or Charge RN, other RNs, and physicians, under HIPAA and confidentiality policy. [Required]
• Collaborates on Care Plan input. [Required]
• Timely collaboration with to establish priorities in planning,…