Job Description
This job requires relocation.
Description
Summary :
Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and assists physicians / healthcare providers in the treatment of patients.
Responsibilities :
Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses psychological, emotional, cultural, and social needs of patient and families.
Administering medications and treatments; monitoring for side-effects and effectiveness of the treatment prescribed; documenting patient history, symptoms, medication, and care given.
Assess learning needs and provide education to patients, family members and / or care givers; identifying issues and resources.
Utilizes the Nursing Process
Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, Spiritual, and development needs of patient and families
Communicates findings to appropriate healthcare team members
Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals
Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Performs timely reassessment and documentation
Must be able to perform unit specific competencies based on the specific patient care need for designated unit's patient population
Patient Throughput & Patient Flow Process
Unit Operations
Safe Practice / Quality Care / Regulations
Incorporates patient safety practices / guidelines to promote a safe environment resulting in positive patient outcomes
Demonstrates accountability for nursing research and quality improvement activities
Provides evidence-based nursing care
Communicates patient information effectively across the continuum of care
Leadership
Clinical Policies and Standards
Follows a specific set of standards and associated clinical procedures
Analyzes policy and standards documentation and ensures organizational compliance
Provides feedback for improvement of procedures
Assists in the development and implementation of specific procedures
Works with control and monitoring mechanisms, tools and techniques
Health Information Documentation
Shares experiences with maintaining paper and electronic patient documentation
Walk through the steps and procedures for receiving, validating and updating patient records
Describes the flow of information between various stations or units
Discusses the functions, features and document flow of electronic documentation
Transcribes verbal orders; explains techniques for ensuring their accuracy
Medical Equipment
Describes experience with basic medical equipment used in own unit or facility
Uses standard diagnostic tools and techniques to resolves common equipment problems
Educates patients about the appropriate use of home medical equipment
Ensures that all equipment and related supplies are in proper working order prior to use
Inspects, troubleshoots and evaluates incoming equipment
Medical Order Processing
Shares experiences with processing medical orders for one or more groups of patients or conditions
Describes functions and features of the system used to enter, validate, update and forward medical orders
Discusses common errors, their sources and procedures for correcting
Explains considerations for entering and following standing orders
Differentiates between standing orders and preprinted orders and considerations for each
Patient Chart Reading and Interpretation
Describes experiences in reading and interpreting patient charts for patients under own care
Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions
Recognizes unexpected readings and alerts nursing or medical staff
Relates examples of mis-readings or misinterpretations and lessons learned
Reviews, discusses and validates own interpretation with others
Patient Safety
Shares experiences with ensuring safety for one or more patient groups or settings
Explains key features of safety guidelines and procedures for those groups and settings
Listens and responds to safety inquiries from patients and family members
Recognizes and addresses physiological and psychological signs of problems
Describes considerations for patients who can cause to harm to self, versus harm to others
Requirements : Education / Skills
Experience
Licenses, Registrations, or Certifications
Work Schedule :
8AM - 5PM Monday-Friday
Work Type : Full Time
Registered Nurse Clinic • Dallas, Texas, United States