Registered Nurse Inpatient Full Time

Now Hiring! QUALIFICATIONS Degree from accredited nursing program. Current Texas RN License. BLS certification. ACLS or successful completion within 60 days of hire date. 2 years’ experience Must possess organizational skills to function in a fast paced OR environment. Experience in phase II level of care Certification in CMSRN preferred Completion of De-escalation training within 30 days of hire OCCUPATIONAL EXPOSURE Category I exposure to blood borne pathogens, frequent exposure to chemical hazards and radiation hazards. RESPONSIBILITIES: Performs assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychological and cognitive status. Formulates a goal directed plan of acre, which is prioritized and based on determined nursing diagnosis and patient outcomes. Implements care in a knowledgeable, skilled consistent manner in reaching the desired patient outcomes through nursing processes. Establish priorities of patient care based on essential patient needs and available center resources of time, personnel, equipment and supplies. Performs efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons and documenting events. Demonstrates applied knowledge base in areas of medical/surgical patient care, pain assessment and actions of pharmaceuticals and anesthetic agents, laboratory values, safety and legal issues and all emergency equipment. Practices effective problem identification and resolution skills as a method of sound decision making. Performs documentation duties on the floor and in the patient record, which is timely, accurate and concise. Works as part of a team in delivering patient care. Maintains BLS and ACLS certification as required. Attends all mandatory in services and participates in staff meetings. Remains flexible, adaptive and able to accept and implement new ideas and approaches. Treats all patients equally adopting the hospital’s Patient Rights policy. Reviews and carries out physician orders in an appropriate professional manner. Willingness to assist with other duties when asked. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools, or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus. The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis. The employee must be able to stand and/or walk at least five hours per day. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

RN

ICU

Full-time

5 days ago

Registered Nurse ICU Nights

Surgery Partners McKinney, TX

QUALIFICATIONS: Education · Associate Degree in Nursing (ADN) required. · Bachelor of Science in Nursing (BSN) preferred. Licensure Current Texas Registered Nurse license in good standing Experience Minimum of three years work experience as an ICU nurse in an acute care hospital setting. – If the candidate/employee has less than three years of acute care hospital experience there will be an education plan in place required for the orientation period. Certifications · Basic Life Support (BLS) – required. · Advanced Cardiac Life Support (ACLS) – required. · NIH Stroke Scale Certification required within orientation period. Essential Duties and Responsibilities Clinical Care · Performs assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychological and cognitive status of the critically ill patient. · Formulates a goal directed plan of care, which is prioritized and based on determined nursing diagnosis and patient outcomes. · Implements care in a knowledgeable, skilled consistent manner in reaching the desired patient outcomes through nursing processes. · Demonstrates applied knowledge base in areas of critical care patient care, pain assessment and actions of pharmaceuticals and anesthetic agents, laboratory values, safety and legal issues and all emergency equipment. · Monitors patient response to treatment and promptly communicates changes in condition to the provider. · Provides care to patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations as applicable. · Assists with emergency procedures including trauma resuscitation, stroke alerts, STEMI activations, code blue responses, rapid responses, and disaster management. · Initiates and maintains IV access and assists with advanced airway management as needed. · Performs and interprets patient monitoring including cardiac telemetry, pulse oximetry, capnography, and hemodynamic monitoring. · Remains flexible, adaptive and able to accept and implement new ideas and approaches. · Treats all patients equally adopting the hospital’s Patient Rights policy. · Reviews and carries out physician orders in an appropriate professional manner. · Willingness to assist with other duties when asked. Patient Throughput and Coordination · Collaborates with physicians and multidisciplinary teams to facilitate timely patient evaluation, treatment, admission, transfer, or discharge. · Coordinates patient care activities to support efficient patient flow and reduce length of stay. · Ensures appropriate documentation and communication during patient handoffs. · Participates in transfer processes and stabilization of patients requiring a higher level of care. Documentation · Documents assessments, interventions, patient responses, and outcomes accurately and timely within the electronic medical record. · Maintains compliance with regulatory, legal, and accreditation requirements. · Completes required quality and safety documentation. Patient and Family Education · Provides education regarding diagnoses, medications, procedures, discharge instructions, and follow-up care. · Assesses patient understanding and readiness to learn. · Promotes patient engagement and shared decision-making. Quality and Safety · Adheres to infection prevention and control practices. · Identifies and reports safety concerns, adverse events, and near misses. · Participates in performance improvement, patient safety, and quality initiatives. · Maintains compliance with hospital policies, CMS, Texas Department of State Health Services, and accreditation standards. Professional Practice · Demonstrates professional communication and collaboration with patients, families, physicians, and staff. · Serves as a patient advocate. · Participates in departmental meetings, education, and competency validation. · Maintains required certifications and licensure. ICU Specific Responsibilities · Rapid assessment, stabilization, and continuous care of critically ill patients. · Care of patients presenting with: o Cardiac emergencies o Stroke symptoms o Respiratory distress o Sepsis o Medical and surgical conditions of a critical nature requiring critical care. · Participation in disaster preparedness and emergency management activities. · Assists with procedural sedation and emergency procedures within scope of practice. · Responds to hospital emergency codes as assigned. · Other responsibilities as directed by leadership. Knowledge, Skills, and Abilities · Strong critical thinking and clinical judgment skills. · Ability to prioritize and manage multiple patients simultaneously. · Knowledge of emergency nursing principles and standards. · Ability to recognize and respond to rapidly changing patient conditions. · Effective communication and teamwork skills. · Proficiency in electronic medical record documentation. · Ability to maintain composure and effectiveness during high-stress situations. Physical Requirements · Frequent standing, walking, bending, lifting, pushing, and pulling. · Ability to lift and move patients and equipment with appropriate assistance. · Ability to respond quickly to emergency situations. Performance Expectations · Demonstrates commitment to patient safety, quality outcomes, customer service, and regulatory compliance. · Maintains competency in critical care nursing skills and hospital-required competencies. · Supports departmental goals related to patient satisfaction, throughput, quality metrics, and clinical outcomes. · Visual and auditory acuity sufficient for patient assessment and monitoring. Core Values · The ICU RN is expected to uphold the hospital's mission, vision, and values while providing compassionate, safe, high-quality care to every patient, every time. #100

Registered Nurse | OR Circulator

Surgery Partners Durango, CO

$34.14 - $54 / hour

About Us: Founded in 2004 by local physicians, Animas Surgical Hospital has been an integral part of the Four Corners region for more than two decades. Our goal has never been to be the only hospital in Durango but to be the best option for surgery, diagnostic imaging, emergency care, occupational medicine, and internal medicine. Our Mission: To provide innovative, exceptional healthcare that patients recommend, physicians prefer, and employees are proud of. Job Title: Registered Nurse / OR Circulator Job Summary: The Registered Nurse / OR Circulator is responsible for providing nursing care to the patient during the intraoperative phase. Performs nursing activities in the operating room where the circulating nurse is the patient’s advocate. Answers patient needs by assisting the surgical technologists, surgeons, and person responsible for anesthesia care. Reports To: Director, Surgical Services | RN Supervisor Hourly Range: $34.14 to $54.00 (posted hourly range excludes overtime and bonuses which are not guaranteed) Essential Job Functions: Participates as a team member in support of the total perioperative process. Considers patient rights in performance of job duties and responsibilities. Actively participates in time including identification and confirmation of operative site. Completes nursing assessment as appropriate for the patients’ condition and within established time frames. Develops patient plan of care to include patient problems, goals Reports symptoms and significant changes in patient’s condition to appropriate personnel and in timely manner Interacts appropriately with various age groups. Accurately assess and interpret age-specific patient data. Addressing patient needs during admission to the operating room with attention to requirements of an outpatient setting. Confirms that staff is using proper techniques and procedures according to accepted standards of practice. Considers cost containment by using supplies economically and strives for effective and efficient turnover time. Assists with supply and equipment inventories to maintain stock level and availability in all areas. Demonstrates appropriate application of age specific standards, policies and procedures and guidelines in caring for child, adolescent, adult, and geriatric patients. Follows age specific standards in administering medications based on patient’s age. Prepares operating room according to the procedure to be performed and the patients’ needs, including opening instruments, trays, and equipment. Assembles and provides properly functioning equipment, supplies, and instruments before the start of the procedure; positions and adjusts the equipment as required during the procedure. Follows age specific standards of care during altered states of consciousness related to analgesia, conscious sedation or anesthesia. Uses age specific standards, policies and procedures and guidelines to perform treatments and procedures that are routine for unit/clinic based on patient’s age. Incorporates cultural and developmental needs into plan of care. In collaboration with the patient/family, and in a developmentally and culturally appropriate manner, implements the plan of care. Demonstrates competency in the provision of nursing care according to established standards of nursing practice and in a developmentally appropriate manner. Demonstrates critical thinking skills, ability to provide and delegate activities to staff based on patient assessment and the requirements to deliver care in a safe efficient manner maximizing positive outcomes for the patient. Accurately comprehends, interprets, and confirms verbal orders. Able to accurately follow direction and communication from providers to care for patients appropriately. Participates in staff meetings, in-services, committees, and quality management activities. Adheres to safety policies and procedures in performing job duties and responsibilities. Reports observed or suspected violations, hazards, and non-compliance according to ASH policy. Responds to emergency situations with competence, composure, and according to ASH policy. Collaborates and works cooperatively with physicians and other members of the multidisciplinary healthcare team in formal and informal teaching of patients and/or family about his or her disease process and decision making about the patient’s care. Assesses patient/family learning needs, abilities, preferences, and readiness to learn. Utilizes a collaborative interdisciplinary process to provide appropriate patient/family education. Utilizes available information to evaluate the effectiveness of teaching in producing the desired patient outcomes and adjusts in teaching as indicated. Participates in performance improvement activities which include collecting and analyzing data to identify quantifiable measures to maintain quality and the promotion of desired outcomes. Also includes participation in development of patient care delivery systems, standards, policy and procedures, and problem solving teams. Demonstrates an awareness and relevance of Evidence Based Practice in nursing. Evaluates practices to identify areas for improvement or opportunities for greater efficiencies. Effectively utilizes ASH and departmental communication tools and systems to stay informed and communicate with the healthcare team. Accesses ASH email account at minimum once a day when on shift to read, process, and respond to emails. May be required to float to other areas of the hospital when necessary; emergencies, disasters, pandemics, staffing issues, etc. Additional Duties Demonstrates the spirit of the philosophy, mission, and values of the hospital through words and actions and implements them into departmental processes, programs, and the working environment. Applies the principles and values of customer service and continuous quality improvement while performing day to day activities of the position. Maintains and protects confidentiality regarding all aspects of patient care, personnel and strategic issues. Adheres to Confidentiality Policy. Maintains positive attitude and working relationships that fosters a cooperative work environment. Adheres to the hospital’s Guidelines for Appropriate Conduct in the HR Manual. Displays honesty and mutual respect when communicating with peers and other departments. Follows through on problems that may compromise effective job performance by using appropriate chain of command. Performs other duties as assigned. Minimum Requirements Education: Graduation from accredited school of nursing. Bachelor of Science in Nursing is preferred. Current state license as a registered nurse; current CPR certification; ACLS, and/or PALS per policy. Experience: Previous experience as an RN in related care area preferred. Must be able to multitask. High level written and interpersonal communication skills. Physical Requirements Position requires lifting, carrying, pushing, and/or pulling up to fifty (50) pounds while administering patient care; stooping, kneeling and/or crouching; standing and walking (5) or more hours per day; reaching, grasping, and handling (5) or more hours per day. Visual acuity to correctly distinguish skin tone variations, evidence of IV infiltration, infection and to read telemetry, blood pressure gauges, etc.; audio acuity to correctly distinguish various body sounds, i.e. respirators, heart sounds, bowel sounds and to discern sounds made by various types of machinery or equipment which would indicate dangerous or improper operation. Working Conditions/Environmental Exposures Environmental hazards such as chemicals, solvents, needles, needle containers, sharps, blood, body fluids, various infectious/communicable diseases, infectious medical waste, radiation, and/or radioactive materials and/or radioactive waste, proximity to moving mechanical parts. Protective clothing/equipment may be necessary. Animas Health Immunizations and Vaccinations Requirements Aligns with CDC’s Advisory Committee on Immunization Practices (ACIP) for Healthcare Personnel Hepatitis B- Lab evidence of immunity (titer) to Hepatitis B or three doses Hep B vaccine at appropriate intervals Influenza- documentation of current seasonal flu vaccine (mandatory from November 1st through March 31st each year) Measles, Mumps, and Rubella - Lab evidence of immunity (titer) to Measles, Mumps, and Rubella or 2 doses of MMR Vaccination Varicella (chickenpox) - Lab evidence of immunity (titer) to Varicella or 2 doses of Varicella Vaccine Tetanus, diphtheria, pertussis (Tdap) - documented proof of immunization Tuberculosis Screening - Documentation of a two-step TB skin test within the past year OR lab verification of a negative TB Gold or T-Spot tuberculin test within the past 6 months * Vaccine records or evidence of immunity are required prior to 1 st day of scheduled work. Animas Health is a drug free workplace and performs a pre-employment drug screen which includes marijuana. We Offer Competitive Pay and Benefits Employment with us provides competitive salaries and a comprehensive benefits package designed to support your health, financial well-being, and professional growth. Eligible employees enjoy: Health, Vision and Dental insurance Life insurance Paid Time Off 401(k) plan with employer match Education and Tuition benefits Flexible Spending and Health Savings accounts Additional optional benefits Where You Will Work: Click here to learn more about Durango, Co.

New Graduate Nurse Residency

Surgery Partners Durango, CO

$34.14 - $54 / hour

About Us: Founded in 2004 by local physicians, Animas Surgical Hospital has been an integral part of the Four Corners region for more than two decades. Our goal has never been to be the only hospital in Durango but to be the best option for surgery, diagnostic imaging, emergency care, occupational medicine, and internal medicine. Our Mission: To provide innovative, exceptional healthcare that patients recommend, physicians prefer, and employees are proud of. Job Title: New Graduate Nurse Residency Job Summary: Animas Surgical Hospital is looking for new nurse graduates who wish to learn, grow, and implement skills such as patient care, safety, critical thinking, time management, and effective communication with patients and colleagues. We offer a fast-paced environment with many learning facets in our Perioperative Department, Patient Care Unit, Operating Room and Emergency Department. New nurse graduates will also have the opportunity to participate in a nurse residency program to enhance their current degree and skill set. Animas Surgical Hospital is growing with our community by developing recently graduated nurses who will provide exceptional care for all those who choose to be treated at Animas Surgical Hospital. Come join our team! Reports To: Clinical Educator Hourly range: $34.14 to $54.00 (posted hourly range excludes overtime and bonuses which are not guaranteed) Essential Job Functions: Utilizes the nursing process to provide quality patient care according to established standards of care which includes planning, implementing, evaluating and adjusting plan of care, and discharge planning based on expected patient outcomes. Under the direction of the department manager or supervisor this position assesses, plans, organizes and evaluates all aspects of patient care for assigned unit/patients. Admits, transfers, and discharges patients. Completes ongoing patient assessment and documents according to policy Completes nursing assessment as appropriate for the patients condition and within established time frames. Develops patient plan of care to include patient problems, goals, evaluations and interventions. Reports symptoms and significant changes in patient’s condition to appropriate personnel and in timely manner Assesses, collaborates and coordinates patient’s discharge planning needs and readiness for discharge with other members of the care team. Demonstrates appropriate application of age specific standards, policies and procedures and guidelines in caring for child, adolescent, adult, and geriatric patients. Collaborates and works cooperatively with physicians and other members of the multidisciplinary healthcare team in formal and informal teaching of patients and/or family about his or her disease process and wellness promotion plan and discharge planning. Demonstrates an awareness and relevance of research in nursing. Evaluates practices to identify areas for improvement or opportunities for research. Additional Duties Performs other duties as assigned. Demonstrates the spirit of the philosophy, mission, and values of the hospital through words and actions and implements them into departmental processes, programs, and the working environment. Minimum Requirements Education: Graduation from accredited school of nursing. Certification, Licensure: Current state license as a registered nurse; current CPR certification; ACLS, PALS or TNCC certifications per policy. Physical Requirements Position requires lifting, carrying, pushing, and/or pulling up to fifty (50) pounds while administering patient care; stooping, kneeling and/or crouching; standing and walking five (5) or more hours per day; reaching, grasping, and handling and/or feeling five (5) or more hours per day. Visual acuity to correctly distinguish skin tone variations, evidence of IV infiltration, infection and to read telemetry, blood pressure gauges, etc; audio acuity to correctly distinguish various body sounds, i.e. respirators, heart sounds, bowel sounds and to discern sounds made by various types of machinery or equipment which would indicate dangerous or improper operation. Working Conditions/Environmental Exposures Environmental hazards such as chemicals, solvents, needles, needle containers, sharps, blood, body fluids, various infectious/communicable diseases, infectious medical waste, radiation, and/or radioactive materials and/or radioactive waste, proximity to moving mechanical parts. Protective clothing/equipment may be necessary. Animas Health Immunizations and Vaccinations Requirements Aligns with CDC’s Advisory Committee on Immunization Practices (ACIP) for Healthcare Personnel Hepatitis B- Lab evidence of immunity (titer) to Hepatitis B or three doses Hep B vaccine at appropriate intervals Influenza- documentation of current seasonal flu vaccine (mandatory from November 1st through March 31st each year) Measles, Mumps, and Rubella - Lab evidence of immunity (titer) to Measles, Mumps, and Rubella or 2 doses of MMR Vaccination Varicella (chickenpox) - Lab evidence of immunity (titer) to Varicella or 2 doses of Varicella Vaccine Tetanus, diphtheria, pertussis (Tdap) - documented proof of immunization Tuberculosis Screening - Documentation of a two-step TB skin test within the past year OR lab verification of a negative TB Gold or T-Spot tuberculin test within the past 6 months *Vaccine records or evidence of immunity are required prior to 1 st day of scheduled work. Animas Health is a drug free workplace and performs a pre-employment drug screen which includes marijuana. We Offer Competitive Pay and Benefits Employment with us provides competitive salaries and a comprehensive benefits package designed to support your health, financial well-being, and professional growth. Eligible employees enjoy: Health, Vision and Dental insurance Life insurance Paid Time Off 401(k) plan with employer match Education and Tuition benefits Flexible Spending and Health Savings accounts Additional optional benefits Where You Will Work: Click here to learn more about Durango, Co.

Registered Nurse OR Full Time

Surgery Partners McKinney, TX

Now Hiring! Sign-on Bonus Available! QUALIFICATIONS Must hold at least an Associates Degree in Nursing from accredited nursing program Current, unencumbered Texas RN License Current BLS and ACLS certification at time of hire Minimum of 2 year OR experience in an acute care facility PREFERRED QUALIFICATIONS Bachelors Degree in Nursing CNOR certification Previous OR experience in neuro-spine, spine and orthopedic joint specialty Scrub experience or willingness to learn RESPONSIBILITIES: Correlates clinical data with patient’s medical and nursing care and set priorities. Communicates well with patients, families, co-workers, physicians, other members of the healthcare team. Adheres to all facility policies and procedures when providing patient care. Demonstrates ability to direct and provide for patient care in emergency situations. Demonstrates continued competence in assessing, treating, and caring for individuals based upon age-specific needs utilizing a developmental perspective. Demonstrates appropriate knowledge and competence of designated skills identified for OR Circulator position in patient care duties. Checks updated schedule each morning and prepares supplies and equipment. Completes review of medical record. Maintains patient normothermia. Promotes physical comfort, and provides emotional support and safety for patient. Administers and documents medications as ordered by physician. Verifies surgical/procedure site with patient, surgical schedule, and patient’s History and Physical. Verifies and/or obtains signature on operative/procedure consent. Provides instructions according to patient need. Completes nursing documentation on each operative procedure Assembles supplies for cases according to schedule and preference cards. Completes thorough and efficient pre-operative patient interview. Practices and monitors aseptic techniques. Ensures that the surgical site time-out process is followed and completed. Takes responsibility for positioning patient relevant to procedure with awareness of body alignment, circulation and pressure points. Applies electrosurgical return electrodes, tourniquets, etc., according to physician preference, policies and procedures. Is accountable for accuracy and documentation of sponge, needle and instrument counts. Properly labels and cares for specimens. Provides and records all intraoperative medications and obtains physician signature of administration of same. Reviews and updates physician preference cards. Has working knowledge of sterilizers. Assists physician and anesthesia personnel as needed. Provides emergency care according to physician and administrative policy. Performs all other duties as assigned by management. Fosters a positive and professional facility environment by interacting with all persons in a considerate, helpful, and courteous manner and by participating as a team member. Diffuses/resolves conflict by appropriately communicating with those involved. Accepts constructive feedback and gives suggestions in a professional manner. Maintains dress and appearance according to standards as observed by management. Demonstrates the safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools, or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus. The employee must be able to lift and/or carry over 25 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis. The employee must be able to stand and/or walk at least five hours per day. #100

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