Registered Nurse Clinic - Pediatric Multi Specialty
Posted 20 hours ago
San Antonio, TX · Onsite
Full Time
Onsite
About the job
Registered Nurse
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.
Job Description
- 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 patients and families.
- Administers medications and treatments; monitors for side effects and effectiveness of the treatment prescribed; documents patient history, symptoms, medication, and care given.
- Assesses learning needs and provides education to patients, family members, and/or caregivers; identifies issues and resources.
- Utilizes critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and developmental needs of patients 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.
- Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
- Demonstrates good stewardship in proper use and maintenance of equipment and supplies.
- 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.
- Serves as a leader of patient care.
- 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.
- Shares experiences with maintaining paper and electronic patient documentation.
- Walks 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.
- Describes experience with basic medical equipment used in own unit or facility.
- Uses standard diagnostic tools and techniques to resolve 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.
- 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 them.
- Explains considerations for entering and following standing orders.
- Differentiates between standing orders and preprinted orders and considerations for each.
- 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.
- 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 harm to self versus harm to others.
Requirements
- Graduate of a Registered Nursing program; Bachelor's Degree preferred.
- Excellent written and verbal communication skills.
- Completion of Nurse Residency Program.
- Six (6) months to one (12) months clinical patient care experience in a relevant setting.
- RN license in good standing in state of employment or a compact state, if applicable.
- American Heart Association Basic Life Support certification.
Work Schedule
8 AM - 5 PM Monday-Friday
Work Type
Full Time
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