RN L/d/postpart/nursery PRN LCMC Ruidoso

Type of Opportunity: Per Required Need
FTE: 0.001000
Exempt: No
Work Schedule: Varied Days and Hours
Shift: 1
Location: US:NM:Ruidoso
Associate Degree
Registered Nurse-NM
Responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift. Responsible for prioritizing the delivery of direct nursing care using time and resources efficiently integrating a standards-based framework model
Provides direct patient care by assessing, planning, implementing, evaluating, and documenting individual patient needs, actions taken and patient responses.
Coordinates patients? care through collaboration with the patient/family and healthcare team.
Performs assessments as per unit standards and documents on appropriate data base/assessment flow sheet.
Initiates, utilizes and documents appropriate protocols and standards of care.
Administers medication and treatments as prescribed by physician, or standard protocols and documents according to policy.
Identifies and meets patient and family learning and discharge needs on admission and throughout episode of care.
Evaluates patient progression toward outcomes per unit standards and documents through EOSS etc.
Performs competently in emergency situations.
Delegates or assigns aspects of patient care to healthcare team members commensurate with their validated competency to perform the task.
Assumes responsibility for the clinical supervision of LPNs and non-licensed assistive personnel.
Provides leadership through communication about and validation of patient care.
Assists with various procedures, treatments, surgical techniques or assigns to other healthcare team members as appropriate.
Completes patient population/age-specific/procedure and protocol education and competency testing per unit standards.
Demonstrates competency in required psychomotor skills.
Assists in orientation of new staff or students, and serve as a resource person and professional role model.
Assumes professional responsibility for current nursing structure and clinical standards of care.
Incorporates PHS mission (VVPS) in care-giving activities.
Supports DON philosophies of shared governance and models of care delivery.
Assumes other leadership roles (i.e. relief charge nurse) as required by the department.
Meets professional requirements as follows:
A. In-service requirements:
1. Age-specific training (care giving, treatment, assessments specific to the age of populations served).
2. Mandatory yearly inservice to include BLS, safety training, bloodborne pathogen/infection/TB training.
B. Performance Standards:
1. Participates in unit/department governance.
2. Adheres to PHS dress code for professionals, including display of ID badge.
3. Documents own continuing education.
4. Maintains positive communication and relationships with patients, peers and other healthcare team members.
5. Participates in quality improvement activities.
6. Maintains a punctual and reliable attendance record.
7. Completes mandatory inservices, competencies and licensure requirements on time.
8. Adheres to safety and equipment policies.
Performs other functions as required.
Competencies and skills:
SKILL-Ability to effectively interact with customers to understand their needs and explain data
SKILL-Microsoft Office
Caring Practices: Incorporates nursing activities that create a compassionate, supportive and therapeutic environment for patients and staff with the aim of promoting comfort and healing and preventing unnecessary suffering. Critical Elements of Caring Practices Performance Applies First Touch Principles and incorporates into care interactions Applies Exceptional Patient Experience principles and incorporates into care interactions Applies respect and timely response in interactions with patient, family, health care team members Interacts with patient and family providing compassionate, non-judging, empathetic care
Clinical Judgment and Action: Uses clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the patient care situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence-based guidelines to manage patient care. Critical Elements of Clinical Judgment and Action Performance Consistently uses the nursing process to structure and revise care Anticipates, recognizes, and responds to changes in condition Accurately communicates with healthcare team members to relay changes in patient status Consistently provides care based upon need and urgency Consistently applies patient safety principles Develops, plans, and evaluate patient short and long term care goals Charts problems, plans and goals appropriately in NICP Consistently follows policies, procedures, standing order sets, care bundles, core measure practices Consistently follows red rules: Patient identification and hand-washing Seeks consultation if uncertain on how to respond to patient needs Adjusts care to establish and support care goals Integrates technology into daily care of patient by appropriate initiation of technology, maintenance, troubleshooting, and discontinuation Consistently and accurately documents care per policies & standards
Patient Advocacy: Works on behalf of the patient/family representing their concerns and helps resolve ethical and clinical issues that impact the patient situation. Critical Elements of Patient Advocacy Performance Maintains patient confidentiality/personal/medical information Identifies ethical and clinical issues Acts with integrated healthcare team using appropriate resources to resolve ethical/clinical issues Advocates for patient needs, values, and goals Compliance with JC Rights and responsibilities of the Individual elements
Clinical Inquiry: Uses high standards and evidence-based practices along with questioning, research and evaluation skills to provide informed and/or change practice Critical Elements of Clinical Inquiry Performance Supports process/quality improvement initiatives and incorporation into practice Follows and is informed on Department outcome measures Actively participates in changes in practice/roll outs Seeks advice and consultation on care from colleagues and interdisciplinary team
Collaboration: Involves multidisciplinary team as well as patient/family to promote optimal and realistic goals and outcomes Critical Elements of Collaboration Performance Provides and coordinates independent, interdependent, and dependent care interventions with interdisciplinary care team Selects appropriate Screenings from HED to facilitate interdisciplinary care when needed Appropriately delegates care, monitoring delegated team members care and responds as appropriate with the goal of optimizing care Interactions with care team in respectful, professional manner
Facilitation of Learning: Fosters patient/family learning to promote self-care using both formal and informal processes as applicable and at an appropriate level of understanding. Critical Elements of Facilitation of Learning Performance Self: Completes all required learning modules, programs in specified time Self: Uses available resources within system to enhance own continuous learning Self: sets and achieves learning and performance goals yearly Self: Consults, teaches, supports continuous learning with colleagues Self: Actively seeks learning/mentorship Patient: Assess patient?s learning style, readiness to learn, challenges to learning and adapts patient education to meet needs Patient: Incorporates patient in learning about diagnosis(es), care management, medications using appropriate verbal and written communication tools/resources
Response to Diversity: Uses holistic body, mind, spirit approach in provision of care by recognizing, appreciating, and incorporating cultural, spiritual, gender, race, ethnicity, lifestyle, socioeconomic, age, and value differences in practice. Critical Elements of Response to Diversity Performance Provides communication/ medical interpretation services for population served based upon language preference Consistently provides care to population served with appreciation to diversity elements as designated above Consistently communicates and documents patient diversity needs Uses PHS established internal resources and vendors
System Thinking: Manages environmental and system resources across the healthcare system and community to meet patient/family needs or provision of quality care. Critical Elements of Systems Thinking Performance Utilizes internal and PHS resources to provide evidence-based care including policy, protocols, procedures, approved specialty resources Incorporates all patient safety technology, tools, protocols, communications, and initiatives to optimize a safe patient environment Deploy in the clinical environment processes to enhance care efficiency, cost containment Plan, maneuver, and deliver services/technology that are available within the system to meet the care needs of the patient Negotiates within the system to achieve the care needs of the patient
SKILL-Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies.
SKILL-Written communication
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, national origin, sexual orientation, gender identity, marital status, disability, protected veteran status, or any other characteristic protected by law. Presbyterian Healthcare Services is a drug-free and tobacco-free employer with smoke free campuses.

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