Nursing Jobs in Saint Jo, TX

Transcend Hospice Bowie, TX

*** $10K SIGN-ON BONUS, 2 Yr Commitment *** Full-Time Nights, 7p-7a JOB SUMMARY Seeking an experienced Emergency nurse to join the NTMC team and become a part of a dedicated team in North Texas rural medicine. Selected candidate will make a 2 year commitment and receive a bonus of $10,000, paid at: $2,500 at 90 days, $2,500 at 180 days and $5,000 at 2 years. Provides professional nursing care within the Emergency Department; coordinates care planning with other disciplines. Provides care that meets the psychosocial, physical and general aspects of care. Determines priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system. Communicates with ED physicians regarding changes in patient’s status, symptomatology and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point-of-care testing, glucometers and fecal occult blood) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Demonstrates knowledge of the principles of growth and development over the lifespan and the skills necessary to provide age appropriate care to the patients served. Interacts professionally with patient and family and involves patient and family in the formation of the plan of care. Ensures an adequate stock of supplies and proper functioning of equipment. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Cooperates with other personnel to achieve departmental objectives; and interdepartmental objectives. Responds promptly to changes in the workload, adjusting assignments as necessary. Performs other related duties as assigned or requested. Provides resource information to other staff. Demonstrates the ability to assist physicians with procedures. Orients new employees to the Emergency Department Participates in problem solving with other healthcare team members related to management of clinical care area. Participates in performance improvement activities. Works at maintaining a good rapport and a cooperative working relationship with physicians, ancillary staff and unit staff. Completes in-services and returns in a timely fashion Attends annual review and department in-services, as scheduled Attends at least 80% of staff meetings annually, reads and returns missed monthly staff meeting minutes Represent the organization in a positive and professional manner Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of NTMC, as well as the focus statement of the department. BASIC SKILLS Basic computer skills REGULATORY REQUIREMENTS Current Registered Nurse in the State of Texas Current BLS Certification ACLS Certification within 90 days PALS certification within 90 days TNCC certification within first 6 months of hire NIHSS certification within one-year hire CEN certification preferred Preferred two (2) years critical care or emergency nurse experience Specialty certification preferred LANGUAGE SKILLS Strong written and verbal communication skills Additional languages a plus PHYSICAL REQUIREMENTS Ability to lift 50 lbs alone and 150 lbs with assistance May be required to assist with patients or equipment up to 500 lbs. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level. Must be able to sit, stoop, bend and reach above head.

RN

Job Summary: Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care. Job Classification: Clinical Lines of Authority: Reports to Director of Nursing/Director of Patient Services Job Qualifications: Education: Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Licensure: Current state licensed as a Registered Nurse, current State Driver’s License Experience: Two years’ experience as a Registered Nurse in a clinical care setting preferred, hospice or home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate effectively. Proof of Hepatitis consent/declination. Specialized skills preferred in palliation and end-of-life. Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patient’s home in various conditions; possible exposure to blood and body fluids and infectious diseases; ability to work flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Physical and Mental Effort: Prolonged sitting and walking required, with ability to lift up to 50 lbs. and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psychosocial needs. Requires hand-eye coordination and manual dexterity. Essential Functions: Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e. risk for grief, cultural/spiritual,… Implement the individualized POC and recommend revisions to the plan as necessary. Consulting with and educating the patient/family regarding disease process, dietary needs, self-care techniques, end-of-life care. Providing training to other staff as needed. Initiating appropriate preventive and rehabilitative nursing procedures. Preparing clinical and progress notes that demonstrate progress toward established goals. Coordinating all patient/family services and prioritization of needs with the members of IDT. Use of case management approach and referring to other services as needed. Informing physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care. Determining scope and frequency of services needed based on acuity and patient/family needs. Assessing ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care. Evaluating own needs for support and using identified systems to meet the need. Communicating information using correct process and technology available to the organization. Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility. Perform clinical tasks for patients, as needed, to follow their POC. Perform on-call responsibilities and provide on-call service to patients/families as assigned.

2 weeks ago

Registered Nurse -- Emergency Department Nights (Full-Time)

Full-Time Nights, 7p-7a JOB SUMMARY Provides professional nursing care within the Emergency Department; coordinates care planning with other disciplines. Provides care that meets the psychosocial, physical and general aspects of care. Determines priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system. Communicates with ED physicians regarding changes in patient’s status, symptomatology and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point-of-care testing, glucometers and fecal occult blood) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Demonstrates knowledge of the principles of growth and development over the lifespan and the skills necessary to provide age appropriate care to the patients served. Interacts professionally with patient and family and involves patient and family in the formation of the plan of care. Ensures an adequate stock of supplies and proper functioning of equipment. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Cooperates with other personnel to achieve departmental objectives; and interdepartmental objectives. Responds promptly to changes in the workload, adjusting assignments as necessary. Performs other related duties as assigned or requested. Provides resource information to other staff. Demonstrates the ability to assist physicians with procedures. Orients new employees to the Emergency Department Participates in problem solving with other healthcare team members related to management of clinical care area. Participates in performance improvement activities. Works at maintaining a good rapport and a cooperative working relationship with physicians, ancillary staff and unit staff. Completes in-services and returns in a timely fashion Attends annual review and department in-services, as scheduled Attends at least 80% of staff meetings annually, reads and returns missed monthly staff meeting minutes Represent the organization in a positive and professional manner Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of NTMC, as well as the focus statement of the department. BASIC SKILLS Basic computer skills REGULATORY REQUIREMENTS Current Registered Nurse in the State of Texas Current BLS Certification ACLS Certification within 90 days PALS certification within 90 days TNCC certification within first 6 months of hire NIHSS certification within one-year hire CEN certification preferred Preferred two (2) years critical care or emergency nurse experience Specialty certification preferred LANGUAGE SKILLS Strong written and verbal communication skills Additional languages a plus PHYSICAL REQUIREMENTS Ability to lift 50 lbs alone and 150 lbs with assistance May be required to assist with patients or equipment up to 500 lbs. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level. Must be able to sit, stoop, bend and reach above head.

Labor and Delivery

Registered Nurse Labor & Delivery NIGHTS - 3 yrs Experience * $8K SIGN-ON BONUS *

Full-Time Nights (7p-7a) JOB SUMMARY Provides direct patient care in the Labor and Delivery setting. Provides assessment and planning for individualized patient care. Communicates with physicians about changes in a patient's clinical condition including: fetal monitoring and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. Performs general nursing duties in all Maternal Child Health departments with adequate supervision. SUMMARY OF ESSENTIAL JOB FUNCTIONS Able to assess neonate at delivery and perform neonatal resuscitation according to AHA/AAP guidelines. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the 6 medication rights and reduces the potential for medication errors. Ability to formulate an individualized plan of care, revise plan as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Demonstrates knowledge of fetal monitoring. Identifies FHR patterns and treats appropriately. Ability to perform a head-to-toe assessment on infants and adult females and reassessments as per policy. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Communicates appropriately and clearly to charge nurses, coworkers and physicians. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Demonstrates an ability to assist physicians with procedures in Labor and Delivery, Postpartum and Newborn Nursery. Documentation meets current standards and policies. Identifies and addresses psychosocial needs of patients and family. BASIC SKILLS Basic computer skills EDUCATION AND WORK EXPERIENCE REQUIRED Current RN license in the State of Texas Current BLS Certification Neonatal Resuscitation Certification within 90 days of hire ACLS certification within 90 days of hire AWHONN fetal monitoring course certification within six months of hire (renewed every three years) May use C-EFM in place of AWHONN certification S.T.A.B.L.E. Certification within one year of hire (renewed every three years) LANGUAGE SKILLS Ability to communicate effectively in English both verbally and in writing Additional languages a plus PHYSICAL REQUIREMENTS Ability to lift and move equipment up to 50 lbs. May be required to assist with patients or equipment up to 500 lbs. Must be able to stand and walk 75% of shift on hard surfaces. Must be able to sit, bend, stoop and reach above one’s head

Fresenius Medical Care Gainesville, TX

Clinical Coordinator - Charge Registered Nurse - Dialysis

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician’s orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse’s Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and 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. Day to day work includes desk and personal computer work and i n teraction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. The work environment is characteristic of a health care facility with air temperatu r e control and moderate noise levels. May b e exposed to infectious and con t agious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direc t Patien t Car e Staff , War d Cler k a s assigned. EDUCATION : Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS : Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills – verbal and written. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Cardiac Rehab Clinician - (RN-BSN, RRT, PT or Exercise Physiologist)

Job Title Cardiac Rehab Specialist Department Cardiac Rehab Supervisor Director of Therapy Services FLSA Status Non-Exempt JOB SUMMARY The Cardiac Rehab Clinician delivers direct, evidence-based patient care specializing in preventative, restorative, and cardiac rehabilitation healthcare. This role is responsible for assessing patient needs, performing fitness tests, and developing customized exercise programs to improve mobility and aid recovery from injury, illness, or cardiovascular events. Key duties include providing patient education on disease entities, risk factors, and behavior modification while continuously monitoring patients during exercise sessions. The Cardiac Rehab Clinician tracks patient progress through detailed reports and maintains critical communication with the Cardiac Rehabilitation Medical Director and primary physicians regarding clinical changes. Additionally, the role requires the ability to respond quickly and accurately to sudden changes in a patient’s condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Clinical Assessment & Testing Performs comprehensive head-to-toe assessments on all inpatients and outpatients, including routine reassessments per facility policy. Evaluates and assesses unique patient needs, physical conditions, and specific health requirements. Administers and grades clinical fitness and cardiac stress tests, including treadmill, chemical, nuclear, and echocardiogram modalities. Provides age-appropriate care tailored to the specific needs of adolescent, adult, and geriatric patient populations. Care Plan Development & Intervention Designs and implements individualized treatment and exercise plans that incorporate specific exercise and education goals. Routinely revises and updates care plans based on the patient's ongoing clinical response and evaluation at each visit. Consults with patients to determine the best plan of action to improve their overall health outcomes. Cardiac Monitoring & Emergency Response Monitors patient exercise sessions and tracks vital metrics, including heart rate, during training. Demonstrates expert knowledge of cardiac monitoring to identify dysrhythmias. Intervenes and treats dysrhythmias appropriately in accordance with established ACLS protocols. Patient Education & Counseling Formulates and delivers targeted teaching plans based on identified learning needs, evaluating the effectiveness of the learning. Educates and counsels patients and families on cardiovascular risk factors and healthy lifestyle modifications through individual and group sessions. Utilizes extensive expertise in cardiac diseases, interventions, and surgical procedures (including MI, CABG, coronary stents, and angioplasty) to inform patient education. Documentation & Records Management Maintains accurate clinical records of all exercises performed and testing data collected. Tracks and documents patient progress to ensure continuity of care and measurable health improvements. BASIC SKILLS Basic computer skills. Attention to detail. Excellent interpersonal skills. EDUCATION AND WORK EXPERIENCE REQUIRED Associates degree or Bachelor's degree in Respiratory Therapy AND active RRT license in the State of Texas, OR Bachelor’s degree in Nursing AND active RN license in the State Texas, OR Doctorate in Physical Therapy AND active PT license in the State of Texas OR Masters degree in Exercise Physiology OR Bachelor's with a Clinical Exercise Physiologist Certification Current BLS Certification Current ACLS Certification Two or more years of recent experience in cardiac rehab or critical care LANGUAGE SKILLS Able to communicate effectively in English, both verbally and in writing. Additional languages a plus. PHYSICAL REQUIREMENTS Ability to lift 10 lbs. alone and 150 lbs. with assistance Must be able to stand and walk 75% of shift on hard surfaces Must be able to bend, stoop and reach above one’s head.

Director of Nursing

Director RN, Emergency Department

JOB SUMMARY Responsible for the provision of high quality, cost effective patient care in the Emergency Department. Coordinates the provision of age specific patient care that is consistent with the policies, procedures and standards of professional nursing practice and consistent with the policies and procedures in place at NTMC. Consults with staff, ED physicians, and the CNO on nursing problems and interpretation of hospital policies to ensure that patient needs are met. Participates in performance improvement activities within the department. SUMMARY OF ESSENTIAL JOB FUNCTIONS Responsible for the cost-effective management of human resources in the department. Staffs according to patient volume and acuity; monitors overtime and agency utilization and assists with scheduling staff to fill open shifts as necessary Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Ensures that staff support a culture of quality and safety. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point of care testing) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Ability to interpret the results of waived tests; Ensures that appropriate action is taken on waived test results. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Follows the six (6) medication rights and reduces the potential for medication errors. Promotes staff involvement in training, recruitment and retention May assist with the orientation of new employees on shift and with competency evaluation and in meeting training needs. May administer disciplinary action in compliance with NTMC’s progressive discipline policy Consults other departments as appropriate to provide and collaborate in patient care and performance improvement activities. Develops and maintains monthly staffing schedule for Emergency Service Department. Provides education to staff on performance improvement. Ability to plan and organize orientation and in-service training for unit staff members. Participates in guidance and educational programs. Facilitates patient flow by coordinating admissions and bed allocation to ensure efficient hospital operation Investigates incidents that are reported on shift and resolves to the extent possible Ensures that departments supervised are clean and provide a safe environment in which employees and patients are protected from physical, chemical and biomed hazards Responsible for ensuring that supplies and other inventory needed to provide patient care is available, appropriate to the task, within acceptable dating and unexpired BASIC SKILLS Basic computer knowledge EDUCATION AND EXPERIENCE Graduate from an accredited school of nursing, baccalaureate degree or current enrollment in a program. Current state Registered Nurse Licensure in the State of Texas Current BLS Current ACLS Current PALS Current TNCC Certification NIHSS certification within one year CEN or CERN preferred Three (3) or more years of previous experience in all aspects of critical care nursing and a minimum of two (2) years supervisory experience. preferred LANGUAGE SKILLS Able to communicate effectively in English, both verbally and in writing. Additional languages preferred. PHYSICAL REQUIREMENTS Ability to lift 50 lbs. alone and 150 lbs. with assistance May be required to assist with patients or equipment up to 500 lbs. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level. Must be able to sit, stoop, bend and reach above head.

Certified Medical Assistant -- RHC Women's Health (Part-Time)

Schedule: Part-Time Monday thru Friday Department: RHC Women's Health JOB SUMMARY Under the direction of the health care provider, this position is a Certified Medical Assistant and is responsible for the delivery of patient care that promotes safety. SUMMARY OF ESSENTIAL JOB FUNCTIONS Performs general patient care by following established standards and procedures. Greets and prepares patients for the health care provider. Obtains and records vital signs including, but to limited to: blood pressure, temperature, pulse, respiration, height, weight, drug allergies, current medications and presenting problem. Administers ordered medications and/or vaccines via oral, injection, topical, rectal, ophthalmic and/or inhalant administration. May be required to draw and collect blood samples from patients and prepare specimens for laboratory analysis as well as perform routine tests such as EKG’s. Schedules patients for diagnostic testing and follows up to ensure completion of testing. Documents patient plan(s) of care, tests and examination results in the medical record as directed by the provider. Communicates with patient regarding test results and plan of care by phone or mail as directed by physician. Prepares, cleans and sterilizes instruments and maintains equipment, disposing of contaminated items according to protocol. Keeps patient exam rooms stocked, clean and orderly. Escalates non-routine issues, questions and/or concerns to the Practice Manager or healthcare provider(s). Ensures safety checklists/quality controls are completed as required. Provides for patient safety and protection of patient privacy rights Performs other duties as assigned by Practice Manager, Clinic Coordinator, Clinic Director or healthcare provider(s). BASIC SKILLS Basic computer skills EDUCATION AND WORK EXPERIENCE REQUIRED High school diploma or GED Current Medical Assistant Certification with a national registry Basic Life Support or able to obtain within 60 days of hire 1 year of medical assisting/clinical experience is preferred. LANGUAGE SKILLS Able to communicate effectively in English, both verbally and in writing. Additional languages preferred. PHYSICAL REQUIREMENTS Able to lift 30 pounds on a regular basis to 42” Able to life 10-20 lbs. daily, Able to lift 50-80 lbs. occasionally Standing and walking for extended periods OSHA TASK CATEGORY TWO There is an occasional risk of exposure to mucous membranes or skin contact with blood, body fluids or tissues, or a potential for spills or being splashed during the performance of the job. Universal precautions must be observed and protective devices worn by the employee when performing a task that is likely to cause exposure.

Part-time

2 months ago

Registered Nurse (RN) -- PRN ED Nights

PRN Nights, 7p-7a JOB SUMMARY Seeking an experienced Emergency nurse to join the NTMC team and become a part of a dedicated team in North Texas rural medicine. Provides professional nursing care within the Emergency Department; coordinates care planning with other disciplines. Provides care that meets the psychosocial, physical and general aspects of care. Determines priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system. Communicates with ED physicians regarding changes in patient’s status, symptomatology and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point-of-care testing, glucometers and fecal occult blood) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Demonstrates knowledge of the principles of growth and development over the lifespan and the skills necessary to provide age appropriate care to the patients served. Interacts professionally with patient and family and involves patient and family in the formation of the plan of care. Ensures an adequate stock of supplies and proper functioning of equipment. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Cooperates with other personnel to achieve departmental objectives; and interdepartmental objectives. Responds promptly to changes in the workload, adjusting assignments as necessary. Performs other related duties as assigned or requested. Provides resource information to other staff. Demonstrates the ability to assist physicians with procedures. Orients new employees to the Emergency Department Participates in problem solving with other healthcare team members related to management of clinical care area. Participates in performance improvement activities. Works at maintaining a good rapport and a cooperative working relationship with physicians, ancillary staff and unit staff. Completes in-services and returns in a timely fashion Attends annual review and department in-services, as scheduled Attends at least 80% of staff meetings annually, reads and returns missed monthly staff meeting minutes Represent the organization in a positive and professional manner Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of NTMC, as well as the focus statement of the department. BASIC SKILLS Basic computer skills REGULATORY REQUIREMENTS Current Registered Nurse in the State of Texas Current BLS Certification ACLS Certification within 90 days PALS certification within 90 days TNCC certification within first 6 months of hire NIHSS certification within one-year hire CEN certification preferred Preferred two (2) years critical care or emergency nurse experience Specialty certification preferred LANGUAGE SKILLS Strong written and verbal communication skills Additional languages a plus PHYSICAL REQUIREMENTS Ability to lift 50 lbs alone and 150 lbs with assistance May be required to assist with patients or equipment up to 500 lbs. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level. Must be able to sit, stoop, bend and reach above head.

Charge Nurse/RN – Medical/Surgical -- Nights

Schedule: Full-Time Nights, 7p-7a Department: Medical Surgical Unit Description: Provides direct and indirect patient care in the medical-surgical setting. The charge nurse is responsible for the quality of care during the shift. A charge nurse helps to facilitate multi-disciplinary communication including social services, physicians, and other departments to optimize patient outcomes. Provides patient care when census dictates it. Makes Assignments and assigns admissions Serves as a role model for staff through professional and effective communication. Practices within the standards and standards and scope of the American Nurses Association including but not limited to collaboration, leadership, communication, and quality of practice. Provides direct and indirect patient care in the medical-surgical setting. The charge nurse is responsible for the quality of care during the shift. A charge nurse helps to facilitate multi-disciplinary communication including social services, physicians, and other departments to optimize patient outcomes. Provides patient care when census dictates it. Makes Assignments and assigns admissions Serves as a role model for staff through professional and effective communication. Practices within the standards and standards and scope of the American Nurses Association including but not limited to collaboration, leadership, communication, and quality of practice. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, adolescent, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plain daily for effectiveness. Ability to perform waived testing (point-of-care testing, glucometers) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived test results. Performs patient care responsibilities considering needs specific to the standard of care of patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the six (6) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Demonstrates knowledge of the principles of growth and development over the life span and the skill necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Supports a culture of quality and safety. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Communicates appropriately and clearly to Nurse Director/Supervisor, co-workers and physicians. Identifies and addresses psychosocial needs of patients and family; communicates with Social Services regarding both in hospital and post discharge needs. Documentation meets current standards and policies. Manages and operates equipment safely and correctly. Coordinates and supervises patient care as necessary. Performs other related duties as assigned or requested. BASIC SKILLS Basic computer skills REGULATORY REQUIREMENTS High School diploma or equivalent (GED) Current RN license in the State of Texas Current BLS Certification ACLS Certification within first 90 days NIHSS certification within first 90 days PALS certification preferred LANGUAGE SKILLS Ability to communicate effectively in English both verbally and in writing Additional languages a plus PHYSICAL REQUIREMENTS Must be able to lift 50lbs. alone and 150 lbs. with assistance Must be able to stand and walk 75% of shift on hard surfaces. Must be able to sit, bend, stoop and reach above one’s head Environment is a temperature controlled indoor environment Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. NTMC is a tobacco and drug free workplace. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

ICU

Per Diem

2 months ago

Registered Nurse (PRN) -- ICU NIghts

JOB SUMMARY Provides professional nursing care within the Intensive Care Unit; coordinates care planning with other disciplines. Provides care the meets the psychosocial, physical and general aspects of care. Determines the priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system. Communicates with physicians regarding changes in patient’s status, symptomatology and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Provides direct care to the ICU patients. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, adolescent and geriatric patients and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point-of-care testing, glucometers) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Ability to interpret the results of waived tests (point-care-care testing, glucometers); takes appropriate action on waived test results. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Follows the six (6) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching appropriate care. Demonstrates the ability to assist physicians with procedures and performs services requiring technical and manual skills. Interacts professionally with patient and family and involves patient and family in the formation of the plan of care. Ensures an adequate stock of supplies and proper functioning of equipment. Responds promptly to changes in the workload, adjusting assignments as necessary. Performs other related duties as assigned or requested. Provides resource information to other staff. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Supports a culture of quality and safety. Orients new employees to the Intensive Care Unit. Performs other related duties as assigned or requested. BASIC SKILLS Basic computer skills EDUCATION AND WORK EXPERIENCE REQUIRED High School diploma or equivalent (GED) Current RN license in the state of Texas Current BLS Certification ACLS certification within 90 days NIHSS certification within 90 days PALS certification preferred CCRN preferred Preferred two (2) years of critical care or emergency nursing LANGUAGE SKILLS Ability to communicate effectively in English both verbally and in writing Additional languages a plus PHYSICAL REQUIREMENTS Ability to life and move equipment up to 50lbs. May be required to assist with patients or equipment up to 500 lbs. Ability to walk or stand for up to 75% of the time. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level.

Licensed Vocational Nurse - MedSurg - Full-Time Nights (7p-7a)