RN MHCC

Has principle responsibility of the total nursing care, assessment, planning, implementation, and evaluation of each assigned resident. Assures that the plan of care is carried out in a safe environment through performance and supervision of subordinate personnel. Records resident histories, administers medications, follows physicians orders and communicate with physicians and families as needed.

Department:
Nursing

Location(s):
Memorial Health Care Center

Supervises:
Certified Nurse Aides

Chain of Command: RN, ADON, DON, Administrator

Payscale:
Discuss with HR about Hourly, Non-Exempt, Call Pay, Shift Differentials, Specialty Pay

• Extended periods of standing or walking
• Pushing and pulling
• Repetitive motion
• Lifting/carrying >=50lbs.
• Kneeling
• Stooping
• Visual and hearing Acuity
• Reaching

Inside and occasionally highly stressful

• Adult 18-55yrs
• Geriatric > 55yrs

• Graduate of an accredited School of Professional Nursing

• Registered Nurse licensed by the State of Texas.
• BCLS

• Effective oral and written communication skills.

• Two (2) years experience as a professional Registered Nurse preferred

• Current CPR certification.

Utilizes the nursing process, completes a comprehensive physical and psychological assessment of patients.

• Takes nursing histories to provide a basis for developing patient care plans
• Completes a thorough nursing assessment and history
• Provides a basic assessment needs of residents needs/desires
• Identifies teaching and learning needs with each resident to promote independence
• Provides an ongoing assessment that accurately reflects needs and desires of residents
• Consistently uses input form resident, family, significant other, physician, and healthcare team members
• Supervises and assists staff members providing care while remaining responsible for the delivery of quality nursing care

Implements and monitors appropriate nursing care to meet patient’s needs

• Identifies expected outcomes for planned nursing intervention and insures vital information is passed between shifts
• Administers medications according to policy
• Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs prior to administering to patient
• Verifies medication administration accuracy and performs the required checks on the medication administration record
• Assesses residents at the beginning of the shift for acuity of patient needs/problems and establishes priority in which work activities consistently completed by the end of the shift
• Performs basic nursing competently to include but not limited to: intake and output, vital signs, physical assessment, urine testing, specimens/cultures, dressing changes, neurological assessments, personal hygiene for the patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, nasogastric tubes, tube feedings, urinary catheterization, drains and enemas
• Recognizes, evaluates, and interviews appropriately in a life-threatening situation
• Recognizes variance of diagnostic tests, vital signs and assessments that should be reported to the physicians and notifies physicians in a time frames appropriate to the variance
• Functions proficiently in all daily nursing tasks
• Act as liaison between patient, physician, family or RP and other health disciplines

Maintains accurate and timely records according to facility policy and procedures

• Progress notes completed on all appropriate residents at minimum of once, but not limited to, every shift
• Accurately documents on MAR and TAR in the electronic chart
• Completes all quarterly, monthly and weekly observations
• Completes all incident reports as needed and reports them to GNP, Administrator, DON and RP
• Documents on 24 hour report sheet to ensure continuity of care between shifts
• Transcribes and or cosigns physicians orders completely and accurately while reporting changes to RP
• Complete daily assignment forms for all…