Registered Nurse - FT - Nights 3:3 - ECMO

DHR Health - US:TX:Edinburg - Nights - 3x3

• Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for departmental specific patients based on established clinical nursing practice standards. Collaborates with interdisciplinary team to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Supports the organization vision and mission. Utilizes knowledge of patient’s age and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care. POSITION EDUCATION/ QUALIFICATIONS­: Graduate of accredited school of nursing required (BSN preferred) Current registered nurse’s license in the State of Texas required. Current BLS certification required ACLS certification required 2-5 years ICU clinical experience ECMO experience preferred Completion of or eligibility for national ECMO certification within 1 year of meeting required hours. Sensitivity to cultural and language differences Good written and verbal communication skills Ability to read, write and speak English Spanish proficiency preferred Ability to practice nursing as described by the following definition by the American Nurses Association (2016): “the essential core of practice for the registered nurse to deliver holistic, patient-focused care.” Ability to utilize the best nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers and providing education to patients and/or significant others. The successful candidate will be required to pass competencies for this position. Critical thinking skills Proficient in handling and troubleshooting patient monitoring equipment Proficient with computer documentation systems Effective communicator JOB KNOWLEDGE/EXPERIENCE­: Ability to practice nursing as described by the following definition by the American Nurses Association (2016): “the essential core of practice for the registered nurse to deliver holistic, patient-focused care.” Ability to utilize the best nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers and providing education to patients and/or significant others. The successful candidate will be required to pass competencies for this position.
• Delivery of family-centered evidence based nursing care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Critical thinking skills
• Cognitive and technical knowledge in ECMO concepts and equipment Proficient in handling and troubleshooting patient monitoring equipment Proficient with computer documentation systems Effective communicator
• Ability to work effectively in a collaborative team environment

• JOB KNOWLEDGE/EXPERIENCE­: Ability to practice nursing as described by the following definition by the American Nurses Association (2016): “the essential core of practice for the registered nurse to deliver holistic, patient-focused care.” Ability to utilize the best nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers and providing education to patients and/or significant others. The successful candidate will be required to pass competencies for this position. Critical thinking skills Proficient in handling and troubleshooting patient monitoring equipment Proficient with computer documentation systems Effective communicator Assesses, utilizing age specific data, the patient’s physical, psychosocial, and spiritual status in a comprehensive manner. Utilizes critical thinking skills, scientific judgment, delegation, and leadership in providing quality, safe, best practice patient care delivery of the ECMO patient. Monitors and adjusts ECMO circuit settings (e.g. heat exchanger temperature, pump flow, sweep gas) to maintain parameters established by the ECMO physician. Maintain current knowledge of ECMO procedures, techniques and research Adhere to DHR Health, ECMO Program policies, procedures, standards of care and continuous quality improvement activities under the direction of the ECMO Clinical Coordinator and Medical director Function independently and collaboratively as an expert clinician in extracorporeal membranous oxygenation (ECMO) care Coordinate the care of patients requiring ECMO and their families across the continuum of acuity to ensure consistent family-centered care Active participation with ECMO cart and safety checks Specialist must attend monthly simulation lab and other educational opportunities as assigned. Demonstrates accurate assessment skills, appropriate to the age of the patient, based on scientific facts and principles. Performs initial assessment and completes required documentation within organizational standards. Performs and documents ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention. Participates in the identification and clarification of patient needs, as evidenced by participation in multidisciplinary care planning, to achieve optimal patient outcomes. Incorporates patient teaching/discharge planning to promote optimal patient outcomes. Implements physician’s orders in a safe and accurate manner. Assists with admitting, discharging and transferring patients Transcribes and implements new physician orders. Adapts to the needs of the unit by demonstrating flexibility/adaptability. Maintains detailed and accurate records of nursing actions. Participates in health/therapeutic counseling, teaching/emotional support for patients and significant others. Makes rounds on assigned patients and prioritizes patient’s needs. Maintains a safe and clean environment for patients and co-workers. Performs bedside shift report (hands off report) Administers medication and therapies within the scope of safe nursing practice. Formulates, modifies and implements goal oriented patient care plans according to facility policies. Delegates appropriate tasks to non-licensed nursing staff Builds a positive work environment by guiding employees to support the mission of the hospital and encouraging teamwork. Flexibility in schedule to meet unit needs and weekend/holiday requirements. Attends mandatory unit and hospital meetings/classes. Ensures care is delivered to each patient in accordance with the Nurse Practice Act of the State of Texas and ANA Standards of Clinical Nursing Practice. Accept duties as assigned.
• Delivery of family-centered evidence based nursing care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Critical thinking skills
• Cognitive and technical knowledge in ECMO concepts and equipment Proficient in handling and troubleshooting patient monitoring equipment Proficient with computer documentation systems Effective communicator
• Ability to work effectively in a collaborative team environment POSITION RESPONSIBILITES: Ensures care is delivered to each patient in accordance with the Nurse Practice Act of the State of Texas and ANA Standards of Clinical Nursing Practice. Assesses, utilizing age specific data, the patient’s physical, psychosocial, and spiritual status in a comprehensive manner. Utilizes critical thinking skills, scientific judgment, delegation, and leadership in providing quality, safe, best practice patient care delivery of the ECMO patient. Monitors and adjusts ECMO circuit settings (e.g. heat exchanger temperature, pump flow, sweep gas) to maintain parameters established by the ECMO physician. Maintain current knowledge of ECMO procedures, techniques and research Adhere to DHR Health, ECMO Program policies, procedures, standards of care and continuous quality improvement activities under the direction of the ECMO Clinical Coordinator and Medical director Function independently and collaboratively as an expert clinician in extracorporeal membranous oxygenation (ECMO) care Coordinate the care of patients requiring ECMO and their families across the continuum of acuity to ensure consistent family-centered care Active participation with ECMO cart and safety checks Specialist must attend monthly simulation lab and other educational opportunities as assigned. Demonstrates accurate assessment skills, appropriate to the age of the patient, based on scientific facts and principles. Performs initial assessment and completes required documentation within organizational standards. Performs and documents ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention. Participates in the identification and clarification of patient needs, as evidenced by participation in multidisciplinary care planning, to achieve optimal patient outcomes. Incorporates patient teaching/discharge planning to promote optimal patient outcomes. Implements physician’s orders in a safe and accurate manner. Assists with admitting, discharging and transferring patients Transcribes and implements new physician orders. Adapts to the needs of the unit by demonstrating flexibility/adaptability. Maintains detailed and accurate records of nursing actions. Participates in health/therapeutic counseling, teaching/emotional support for patients and significant others. Makes rounds on assigned patients and prioritizes patient’s needs. Maintains a safe and clean environment for patients and co-workers. Performs bedside shift report (hands off report) Administers medication and therapies within the scope of safe nursing practice. Formulates, modifies and implements goal oriented patient care plans according to facility policies. Delegates appropriate tasks to non-licensed nursing staff Builds a positive work environment by guiding employees to support the mission of the hospital and encouraging teamwork. Flexibility in schedule to meet unit needs and weekend/holiday requirements. Attends mandatory unit and hospital meetings/classes. Ensures care is delivered to each patient in accordance with the Nurse Practice Act of the State of Texas and ANA Standards of Clinical Nursing Practice. Accept duties as assigned. Standard I: Quality of Care The nurse systematically evaluates the quality and effectiveness of nursing practice. Standard II: Performance Appraisal The nurse evaluates his/her own nursing practice in relation to professional practice standards and relevant statues and regulations. Standard III: Education The nurse acquires and maintains current knowledge in nursing practice. Standard IV: Collegiality The nurse contributes to the professional development of peers, colleagues, and others. Standard V: Ethics The nurse’s decisions and actions on behalf of patients are determined in an ethical manner. Standard VI: Collaboration The nurse collaborates with the patient, significant other, and health care providers in providing patient care. Standard VII: Research The nurse uses research findings in practice. Standard VIII: Resource Utilization The nurse considers factors related to safety, effectiveness, and cost in planning and delivering patient care. Standard IX: Practice Environment The nurse contributes to the environment of care delivery within the practice settings. Standard X: Accountability The nurse is professionally and legally accountable for his/her practice. The pro