Knows and applies current nursing theory, principles of care and nursing procedures in performing the following functions appropriate to the age of the patient, maintains a safe and clean care environment, continually seeks quality improvement, actively and consistently contributes to department operations and communications, behaves in a manner consistent with the mission, vision and values of Hemphill County Hospital District and performs other duties as requested.
MAJOR RESPONSIBILITIES
and
Maintains strong positive communication with physicians and works as a team to enhance the success as a department of HCHD Develops strong interdepartmental teamwork to meet the needs of the patients and physicians. Patient Assessment and Care: Conduct comprehensive assessments of patients' health status, including physical, emotional, and psychosocial dimensions. Develop and implement individualized care plans based on assessment findings and evidence-based practices.
Medication Administration: Administer medications and treatments as prescribed by physicians, ensuring accuracy, safety, and adherence to established protocols. Monitor patients for adverse reactions and intervene promptly as needed. Patient
Provide education to patients and their families regarding disease management, treatment plans, medications, and preventive care measures. Empower patients to participate in their own healthcare decisions and self-care activities. Collaboration: Collaborate with physicians, nurse practitioners, therapists, and other healthcare team members to coordinate patient care and facilitate interdisciplinary communication.
Participate in patient care conferences and case reviews to ensure continuity of care. Documentation: Maintain accurate and up-to-date medical records, including nursing assessments, care plans, medication administration records, and progress notes. Adhere to legal and ethical standards of documentation and confidentiality.
Emergency Response: Respond promptly to medical emergencies and provide emergency care as necessary. Assess the situation, initiate appropriate interventions, and communicate effectively with emergency response teams. Quality Improvement: Participate in quality improvement initiatives aimed at enhancing patient outcomes, safety, and satisfaction.
Identify opportunities for process improvement and contribute to the development and implementation of best practices. Compliance: Adhere to regulatory standards, organizational policies, and professional codes of conduct governing nursing practice. Maintain licensure and certification requirements, attending continuing education programs as necessary to stay current in nursing practice.
Performs emergency medical procedures such as Basic Cardiac Life Support (BLS), Pediatric Advanced Life Support (PALS), and Advanced Cardiac Life Support (ACLS), and documents data related to patients’ care. Administers blood and blood product transfusions or intravenous infusions and manages patients’ pain relief and sedation, monitoring patients’ responses and changing care plans accordingly. Assesses urgent and emergent health conditions and interprets the results of diagnostic tests and screening procedures based on assessment results.
Other
Maintains confidentiality of sensitive information. Documents work processes and follows HCHD Policies and Procedures as required. Performs other duties as assigned as supervisor or designee ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE HCHD PERFORMANCE STANDARDS Qualifications JOB REQUIREMENTS Education Minimum High School Diploma or GED equivalent.
Graduate of an accredited school of nursing. Preferred Bachelor’s degree (B. A.) from four-year college or university preferred Work Experience Minimum Minimum one years nursing experience and/or training; or equivalent combination of education and experience Preferred Licenses & Certifications Minimum Maintain BLS certification as a condition of employment Maintain ACLS certification as a condition of employment Maintain PALS certification as a condition of employment Maintain current State of Texas Licensed Vocational Nurse License as a condition of employment.
Obtain TNCC certification if assigned by Director of Nursing Preferred
, Knowledge, and Abilities Consistent availability to work twelve hours shifts as a non- exempt employee. Excellent organizational and interpersonal communication skills Demonstrated ability to manage multiple priorities Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, and governmental regulations Ability to write reports, business correspondence, and procedure manuals Ability to communicate information effectively and to respond adequately to questions from groups of managers, clients, customers, vendors, and physicians Other
Must convey a professional demeanor Must be able to act calmly and efficiently in a busy or stressful situation Ability to communicate effectively in the English language in person, by phone, and in writing Adheres to all policies and procedures, including standards for safety, attendance, punctuality, and personal appearance Must be able to establish and maintain positive working relationships with managers and peers AGE SPECIFIC COMPETENCY (Clinical jobs only) Identify age-specific competencies for direct and indirect patient care providers who regularly assess, manage and treat patients.
Instructions: I ndicate the age groups of patients served either by direct or indirect patient care by checking the appropriate boxes below. Next, X Infants (Birth – 11 months) X Adolescent (13 – 19 years) X Toddlers (1 – 3 years) X Young Adult (20 – 40 years) X Preschool (4 – 5 years) X Middle Adult (41 – 65 years) X School Age (6 – 12 years) X Older Adult (Over 65 years) JOB FUNCTIONS Review the employee’s job description and identify each essential function that is performed differently based on the age group of the patient.
PHYSICAL REQUIREMENTS Indicate the appropriate physical requirements of this job in the course of a shift. Note: reasonable accommodations may be made available for individuals with disabilities to perform the essential functions of this position. Physical Demand Level Occasional Up to 33% of the time Frequent 34%-66% of the time Constant 67%-100% of the time Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools.
Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met. Up to 10# Negligible Negligible Light: Ability to lift up to 25 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools.
Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met. Up to 25# Up to 10# or requires significant walking or standing, or requires pushing/pulling of arm/leg controls Negligible or constant push/pull of items of negligible weight Medium: Ability to lift up to 50 pounds maximum with frequent lifting/and or carrying objects weighing up to 25 pounds. 20- 50# 10- 25# Negligible- 10# X Heavy: Ability to lift up to 100 pounds maximum with frequent lifting and/or carrying objects weighing up to 50 pounds. 50- 100# 25- 50# 10- 20# Very Heavy: Ability to lift over 100 pounds with frequent lifting and/or carrying objects weighing over 50 pounds.
Over 100# Over 50# Over 20# List any other physical requirements or bona fide occupational
Reasonable accommodations to perform the
may be made for individuals with disabilities Working Conditions: The worker is subject to hazards: including a variety of physical conditions such as proximity to mechanical parts and chemicals including odors. - The worker at times is required to wear a facemask, gown, and/or gloves - Employees in this job classification have been identified as having the likelihood of occupational exposure to blood and other potentially infectious materials, therefore are included in the OSHA Exposure Control Plan with its specifications for preventing contact with the above materials.
Physical Activity
(constant = 67% - 100% of work day, Frequent = 34% - 66% of work day, Occasional = 33% or less of work day.) Constant: - Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium. - Reaching: Extending hand(s) and arm(s) in any direction. - Standing: Particularly for sustained periods of time. - Walking: Moving about on foot to accomplish tasks, particularly of long distances.
Frequent: - Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles. - Crouching: Bending the body downward and forward by bending leg and spine. - Pushing: Using upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion. - Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position-to-position.
This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles. Occasional: - Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like, using feet and legs and/or hands and arms. Body agility is emphasized.
This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion. - Kneeling: Bending legs at knee to come to rest on knee or knees. - Crawling: Moving about on hands and knees and feet. - Fingering: Picking, pinching, typing, or otherwise working, primarily with fingers rather than the whole hand or arm as in handling. Physical
- Heavy Work: Exerting up to 65 pounds of push/pulling force to move frequently, and lifting up to 50 pounds occasionally, and lifting up to 40 pounds frequently, and lifting up to 20 pounds constantly, to move patient and/or objects. VISUAL ACUITY
- Clost Inspection: This is a minimum standard for use with those whose work deals largely with preparing and analyzing data and figures, accounting, transcription, computer terminal, extensive reading, visual inspection involving small defects, small parts, operation of machines (including inspection), using measurement devices, assembly or fabrication of parts at distances close to the eyes. INTELLECTUAL AND EMOTIONAL
- Adaptability to accepting responsibility for the direction, control, or planning of an activity. - Adaptability to situations involving the interpretation of feelings, ideas, or facts in terms of personal viewpoint. - Adaptability to influencing people in their opinions, attitudes, or judgments about ideas or things. - Adaptability to making generalizations, evaluations, or decisions based on sensory or judgmental criteria. - Adaptability to making generalizations, evaluations, or decisions based on measurable or verifiable criteria. - Adaptability to dealing with people beyond givnig and receiving instructions