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Registered Nurse (RN) Emergency Room Full Time Evenings 12p-12a

Req #: 17009533
Location: San Marcos, TX
Job Category: Nursing
Organization: Central Texas Medical Center

Description
Central Texas Medical Center
 
As a member of Adventist Health System, we believe that total health is achieved through a balance of physical, mental, social and spiritual well-being. With each patient’s unique circumstances in mind, our multi-disciplinary care teams provide a vast array of services, combining state-of-the-art technology with a personal commitment to creating an exceptional patient experience.
 
Our team members also enjoy outstanding care in the form of comprehensive health benefits, a friendly, faith-based work environment, and plenty of opportunities to learn and grow. In addition to earning the Gallup Great Workplace Award six years in a row, we have received a Mother-Friendly Worksite designation from the Texas Department of State Health Services.
 
Our 178-bed hospital includes a Level IV Emergency and Trauma Center, Women’s Center, Level II NICU, Sleep Improvement Center, Institute for Advanced Wound Care Healing, Rehabilitation Institute, home health and hospice care. Through our CREATION Health Institute, we also play an active role in offering free health education and community events to help support a healthy lifestyle.
 
PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:
  • The registered nurse is responsible for assessing, evaluating, implementing and planning patient centered care for all assigned patients on the unit during his/her shift according to the standards of care of Central Texas Medical Center.
  • Performs basic nursing functions in all care areas of the Emergency Department to include Cardiopulmonary/Trauma Resuscitation, triage and assessment of patients.
  • Notifies ED physician when an emergency condition is identified.
  • Functions on the code team and trauma team as necessary and assist with stabilization of critically ill patients.
  • Completes appropriate documentation and notification for patients requiring inter-hospital transfer according to EMTALA rules and regulations.
  • Treats all patients and family with dignity and respect.
  • Identifies spiritual needs and assist with end of life decisions.
  • Ensures safe transport of patients throughout the ED visit and to the inpatient setting.
  • Actively participates in continuous quality improvement.
  • Manages all assigned personnel, supplies and equipment and promotes and participates in teamwork with physicians and personnel of this and other departments.
  • Directs and delegates the work of LVNs, Critical Care Techs, unit clerk, and students within scope of practice. 
  • Follows all departmental safety policies and procedures regarding patient care and one’s personal protection and patient safety. 
  • Develops self professionally and participates in hospital and departmental activities.
  • Understands the Computerized Physician Order Entry process and proficiently uses the electronic medical record for retrieval of patient information.
  • Understands computer downtime procedures.
  • Monitors Electronic Medical Record for new physician orders and diagnostic results.
  • Completes other tasks as assigned.
Qualifications
  • Be a graduate from an accredited school of nursing and six months to one year related experience and/or training. 
  • Current certificate in BLS
  • Current certificate in ACLS
  • Current certificate in PALS or ENPC within 90 days of hire
  • Current certificate in TNCC within 12 months of hire
  • If new hire is enrolled in the CTMC GREAT Program, employee must obtain ACLS within 90 days.
  • Current license as an RN in the state of Texas.
  • Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
  • Effective communication among employees, and between employees, patients, visitors and supervisors is essential to ensure quality patient care and to avoid misunderstanding, errors and miscommunications which could have a detrimental effect on the health, safety and well-being of patients and co-workers.  In addition to these communication and safety concerns, individuals in this position must be able to effectively review patient and related medical records, understand nurse and/or physician verbal and written instructions, read labels of medications and hazardous chemicals.  Therefore, to prevent misunderstandings, errors, and miscommunications in the provision of quality patient care and other job-related services, employees in this position are required to have the capability of fluently speaking, reading, and writing English.
  • Ability to work with mathematical concepts such as probability and statistical inference.  Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Must have some knowledge and experience in performing the duties associated with:
  • Knowledge of the Nursing Process, treatment and diagnostic methods for patients throughout the age spectrum.
  • Effective interpersonal and patient contact skills.
  • Ability to initiate, keep and maintain legible, accurate, concise patient records. 
  • Demonstrate baseline competency in all areas of the indicated skills checklists and age specific competency.
  • Trauma and critical assessment skills. 
  • Must have some computer experience, working with a healthcare software computer system is desirable.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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