Registered Nurse (RN) III - Med Surg

Company: Texas Health Presbyterian Hospital Plano
Location: Plano
Posted on: May 25, 2023

Job Description:

Registered Nurse (RN) IIIRegistered Nurse (RN) III-PRN

We're looking for qualified Registered Nurses like you to join our Texas Health family.

Position Highlights

* Work location: 6200 West Parker Road, Plano, TX 75093
* Work environment: Cardiac Cath Lab
* Work hours: Day shift, PRN-as needed

Texas Health Presbyterian Hospital Plano is a 366-bed, Magnet-designated hospital and recognized clinical leader, providing technologically advanced care to Plano, Frisco and surrounding communities since 1991. This full-service facility features a full range of specialties including emergency medicine, cardiology, adult and adolescent behavioral health, pediatrics, an adult intensive care unit, state of the art and technologically advanced surgical services and a Level IV NICU. Texas Health Plano has more than 1,600 employees and over 1,360 physicians on its medical staff in more than 65 specialties. The hospital is an Advanced Level III Trauma Facility, accredited Chest Pain Center by The Joint Commission, named "Best Place to Have a Baby" in Collin County and a Gold-Level Mother Friendly business. Texas Health Plano is the recipient of the Disease Specific Care Certifications from the Joint Commission in Chest Pain, Joint Replacement - Hip and Joint Replacement - Knee and an Advanced Certification as a Primary Stroke Center. We invite you to join us in furthering your career and our accomplishments and philosophy of excellence.

Qualifications

Education

Associate's Degree in Nursing required

Bachelor's Degree in Nursing preferred

CLIAFE-Must comply with CLIA regulations regarding foreign education equivalency required

Experience

One (1) year clinical nursing experience required

Licenses and Certifications

RN - Registered Nurse upon hire required and

BCLS - Basic Cardiac Life Support (prior to providing independent patient care and maintained quarterly required)

ACLS - Advanced Cardiac Life Support within ninety (90) days required and

PALS - Pediatric Advanced Life Support within ninety (90) days required

Skills

A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment.

Position Responsibilities

1. Basic Human Needs - Responds to others' priorities regarding safety, physical, psychological and social needs.

The professional nurse exhibits understanding of basic human needs by demonstrating:

a. Attention to emotional, social, and self-esteem needs

b. Regular assessment and maintenance of comfort

c. Knowledge of basic physiology and pathophysiology

d. Knowledge of human emotions during health and illness

e. Knowledge of human development across the life span

f. Knowledge of pain and suffering, pain interventions and pain comfort/theories.

g. Provides safe patient care as evidenced by:

1. Using barcode medication verification (BMV) during medication administrations

2. Completing accurate documentation in the electronic health record

3. Completing assessments accurately and in a timely manner

4. Individualizing care plans specific to the needs of the patient

5. Providing consistent attention to airway, intake, elimination, sleep, rest, mobility and hygiene needs

2. Human Respect - Honors worth of humans through unconditional acceptance as evidenced by:

a. Handling of the body with care

b. Demonstrating knowledge of patient rights and incorporating into daily practice

c. Calling patients by their preferred name

d. Demonstrating use of eye contact and physical contact appropriately

e. Speaking respectfully and professionally in a soothing tone

3. Appreciation of Unique Meanings - Concerned with understanding others frame of reference.

The professional nurse demonstrates an appreciation of unique meanings by:

a. Using active listening

b. Exemplifying a non-judgmental attitude

c. Tolerating both positive and negative ideas or expressions

d. Demonstrating flexibility

e. Eliciting patient values and preferences

f. Recognizing and appreciating diversity

g. Developing personal relationships with patients/significant others

4. Affiliation Needs - Engages family/caregivers in health care situations.

The professional nurse demonstrates recognition and understanding of affiliation needs by:

a. Demonstrating knowledge of individual patient's family situation and routines

b. Demonstrating knowledge of family theories

c. Being responsive to families

d. Engaging family members in health decisions per patients' wishes

e. Allowing family members' presence

f. Involving family

g. Conducting routine family meetings

h. Sharing available resources with families

i. Establishing, maintaining and discontinuing appropriately therapeutic relationships with patients/families

5. Mutual Problem Solving - Professional behaviors that help patients and families understand how to confront, learn about, and think about their health and illness; involves a reciprocal, shared approach with resulting decisions acceptable to involved parties.

The professional nurse demonstrates mutual problem solving by:

a. Providing information, using up to date literature, approved tools including EMMI and demonstrates knowledge of patient's unique learning approach.

b. Validating patient knowledge through use of teach back method

c. Accepting feedback from patients and adopting patient ideas

d. Prioritizing and individualizing care delivery based on professional judgment

e. Using listening skills and demonstrating knowledge of how to engage others

6. Attentive Reassurance - Listens and concentrates on others. Is reliable, available and attentive.

The professional nurse demonstrates attentive reassurance by being:

a. Optimistic

b. Accessible to patients and families

c. Available and re-confirming that availability

d. Confident; demonstrating assertiveness knowledge

e. Reassuring

f. Self-reliant and demonstrating self- knowledge

g. Clarifying mis-perceptions-Using HEART as needed

7. Encouraging Manner - The professional nurse communicates an attitude that is supportive, open, positive and tolerant by demonstrating:

a. Knowledge and effective use of THR communication tools (AIDET, HEART, Team STEPPs)

b. Supportive verbal and non-verbal demeanor

c. Enthusiasm

d. Positive feedback

e. Supportive view of the system

f. Empowering, inspiring behaviors

8. Healing Environment - The professional nurse creates settings that provide privacy, safety, confidentiality and tranquility demonstrated by:

a. Establishing a safe environment

b. Using frequent checks/surveillance including national patient safety goals(NPSG)

c. Providing safety information and associated teach-backs

d. Validating the call system is in place

e. Completing accurate, timely and comprehensive hand offs

f. Maintaining privacy and confidentiality

g. Ensuring clean and pleasant surroundings

h. Demonstrating knowledge of and effectively using TeamSTEPPS safety/communication tools.

i. Demonstrating knowledge of current evidence related to prevention of adverse outcomes.

j. Using safety enhancing technologies recognizing the benefits and limitations of them.

k. Demonstrating understanding of the ethical standard, fidelity

Teamwork -- "Individuals caring for individuals, together"

1. Communicates and collaborates with all members of the health care team:

a. Delegates effectively by making efficient use of staff time and expertise

b. Uses SBAR format in communicating with physicians and other interdisciplinary team members

c. Uses hand off communication tool and/or processes appropriately for any change in caregivers across shifts and departments.

d. Identifies patient needs and coordinates care and resources to facilitate patient throughput/flow

e. Manages up other team members, intra and inter-departmentally looking for opportunities to positively recognize co-workers to leaders, patients, families and team.

f. Demonstrates flexibility and helps co-workers when needed

g. Follows attendance commitments by being timely and reliable

2. Incorporates and participates in TeamSTEPPS

3. Promotes a cost-effective team

a. Demonstrates judicious use of resources including supplies, products and equipment

b. Identifies ineffective and costly practices and provides suggestions for improvement

c. Incorporates innovation and technology in daily practice to enhance efficiencies

4. Leads by example by giving priority to doing the right thing for patient care

5. Adapts to changes in workload by demonstrating flexibility related to patient needs, staffing and patient acuity

Shared Decision Making

1. Actively participates in the Shared Governance model at unit, entity, and/or system level.

2. Actively engages in finding solutions for unit, division and/or entity concerns or issues.

a. Participates in process improvement activities at the unit, entity and/or system level

b. Seeks innovative ideas or promotes evidenced based practice changes among team

3. Uses multiple available tools to stay informed of changes, updates and communications.

a. Reads and responds to email as requested

b. Reviews meeting minutes when unable to attend in person

c. Meets staff meeting attendance participation rates as per department standard

4. Demonstrates the ability to respectfully listen to others' opinions.

5. Collaborates with physicians and interdisciplinary team members to promote safe individualized care.

a. Acceptable use of SBAR when communicating.

b. Supports interdisciplinary meetings such as daily care briefings, rounds, family conferences and

support groups for optimal patient outcomes

6. Promotes the Magnet and/or Pathways to Excellence standards throughout the organization.

Professional Development

1. A. Participates in change and seeks opportunities for professional and personal growth.

a. Actively engages in peer to peer review

b. Willingly accepts feedback from colleagues including peers, leaders and other disciplines

c. Utilizes feedback to seek opportunities for advancing professional growth

2. Understands, promotes, and values evidence-based practices, quality improvement, and/or research, and utilizes them in practice.

a. Follows guidelines and recommendations defined by regulatory or professional practice agencies

b. Provides daily care that achieves outcome targets for core measures, NPSG, employee satisfaction, patient satisfaction, NDNQI and other unit/organizational metrics

3. Demonstrates commitment to lifelong learning and development.

a. Maintains annual competencies

b. Attends in-services and training useful to area of practice

c. Shares with peers evidence-based practice updates, policy changes, new technology and other pertinent information from conferences or meetings.

4. Demonstrates a commitment to advancing the professional practice of nursing.

a. Incorporates ethical principles from the ANA Code of Ethics

b. Adheres to the Nursing Practice Act

c. Identifies realistic and measurable goals at least annually

d. Identifies and participates in MyJourney

e. Participates in advancing professional practice as evidenced by:

1. Advancing Education

2. Certification

3. NCAP participation for eligible nursing staff

4. Professional organization membership

5. Other as described in employee comments

Why Texas Health

At Texas Health, our people make this a great place to work every day. Our inclusive, supportive, people-first, excellence-driven culture make it a place you'll love to call home.

Here are a few of our recent awards:

* 2021 FORTUNE Magazine's "100 Best Companies to Work For--" (7th year in a row)
* Becker's Healthcare "150 Great Places to Work in Healthcare" (4 years running)
* "America's Best Employers for Diversity" list by Forbes
* A "100 Best Workplaces for Millennials" by Fortune and Great Place to Work--

Additional perks of being a Texas Health Nurse

* Unlimited access to online continuing education for professional and career development. Plus, a RN Step Program including NCAP and a nursing certification test-prep content for specialty nurses.
* A Nursing Excellence Advisory Board to provide the framework and methodology for funding projects to improve the quality of patient care through nursing education, nursing research and innovations in nursing practice.
* A strong shared governance structure featuring unit-based councils that empower nurses to shape their work environment.
* A supportive, team environment with outstanding opportunities for growth.

Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we've won and more.

Do you still have questions or concerns?

Feel free to email your questions to recruitment@texashealth.org.

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Keywords: Texas Health Presbyterian Hospital Plano, Plano , Registered Nurse (RN) III - Med Surg, Healthcare , Plano, Texas