Registered Nurse/RN - Spinecare

Coordinates total nursing care for patients; participates in patient and family teaching; and provides leadership by working cooperatively with other team members and disciplines in maintaining standards for professional nursing practice in the clinical setting.  Supervises LPNs, NAs, USs and Techs.

1. Assesses condition on each assigned patient on an ongoing basis to include but not limited to the normal systems review, behavioral, psychological, developmental, and age-related factors. Specific ages: adolescent, adult, and geriatric.
2. Plans, directs, supervises and evaluates nursing care provided to patients according to problems identified. Acts in charge nurse capacity as assigned.
3. Collaborates and coordinates with physicians and other disciplines regarding individualized patient treatment/care plans by participating in team conferences, care planning/problem identification.
4. Administers medication, IV therapy and performs treatments to all assigned patients according to policy and procedure.
5. Plans and provides patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning.
6. Follows safety practices and helps to maintain a safe, clean environment.
7. Reports pertinent patient observations and test results to the appropriate person (i.e., physicians, nurse manager, charge nurse and/or nursing supervisor) and records those observations accurately and concisely.
8. Documents all patient care assessments, evaluations, activities and/or observations according to policies and procedures.
9. Assigns nursing care to team members in accordance with the patient’s needs and the personnel’s capabilities and qualifications, and assigns other duties as needed.
10. Assists with or institutes emergency measures for sudden adverse development in-patients such as cardiac arrest.
11. Records vital signs to include blood pressure, pulse, respiration, and O₂ saturation on recovering patients with moderate sedation.
12. Assists with programming and refilling of Medtronic pump patients after passing training provided by Medtronic.
13. Assists with programming of Medtronic dorsal column stimulators and Boston Scientific stimulators after passing training provided by Medtronic and Boston Scientific.
14. Works in callbacks as assigned, including taking off calls, pulling charts, completing orders, assisting with form completion, assisting physicians with chart reviews, and returning calls to patients.
15. Attends in-service programs (mandatory), all required training/education and unit/departmental service meetings.
16. Flexibility in scheduling may be necessary based on patient care needs.

DCH Standards

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

MINIMUM KNOWLEDGE, SKILLS, EXPERIENCE REQUIRED

• Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start.
• Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required.
• BSN preferred, minimum Associates required
• Must be able to read, write legibly, speak, and comprehend English.

Required within 6 months of start date:  American Heart Association or American Red Cross accepted

Cardiac/Critical Care:

• ACLS

Emergency Department-both campuses:

• ACLS
• Pediatric Advanced Life Support (PALS)

Emergency Department – Regional Campus only:

• Trauma Nursing Core Course (TNCC)

Perioperative:

• ACLS
• PACU –PALS; ACLS

Women’s/Children:

• NICU –Neonatal Resuscitation (NRP)
• Labor & Delivery –ACLS, NRP, and Intermediate Fetal Monitoring
• Mother Baby Unit – NRP
• Pediatrics – PALS

Clinical Support:

• Cardiac Monitoring Unit –ACLS

Dialysis:

• ACLS

International RNs:

• Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start.
• Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required or obtain within 30 days of start date.
• BSN preferred, minimum Associates required
• Must be able to read, write legibly, speak, and comprehend English.

Working Conditions

WORK CONTEXT

• Demonstrate leadership skills
• Requires decision making that will affect others
• Responsible to achieve outcomes
• Must be able to communicate clearly and accurately
• Ability to delegate to team members and students
• Must be able to receive delegation
• Address conflict and stressful situation
• Communicate with different personalities and engage in face to face discussion
• Dealing with unpleasant or verbally/physically aggressive personalities
• Must be able to use electronic mail, telephone and texting
• Must be able to work in groups
• Must be able to perform structured and unstructured work
• Must be able to meet time pressure and time lines
• Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions
• Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc.
• Schedules vary; every other weekend required. Weekends include Saturday & Sunday

PHYSICAL FACTORS

• Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.Must be able to tolerate prolonged periods of standing and walking
• Must be able to reach reasonable distances in any direction
• Must be able to stand, walk, kneel, bend, sit and stoop
• Must be able to run in an emergency
• Must have the ability to exert maximum muscle force to lift, push, pull and carry objects
• Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips
• Must be able to perform the duties with or without reasonable accommodation
• Must possess stamina to work prolonged shifts
• Hearing and vision must be normal or corrected to within normal range.
• Physical presence onsite is essential.

KEY WORD SEARCH

Staff Nurse, Registered Nurse, Nurse, RN