Registered Nurse, PRN24 ED - CSO (Night)

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

Primary Purpose

Provides care to assigned patient population in accordance with established protocols and multidisciplinary plan of care utilizing independent, dependent, and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal patient responses for all patients through patient centered/patient valued care.

Minimum Specifications

Education

• Must be a graduate from an accredited school of nursing.

Experience

• Must have two years of emergency nursing experience.
• Prefer experience in an acute care setting.

Equivalent Education and/or Experience

Certification/Registration/Licensure

Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license.

• Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification on hire or placement in the role.
• Certification must be from one of the following:
  • American Heart Association
  • American Red Cross
  • Military Training Network
• Must have current Pediatric Advanced Life Support (PALS) or Emergency Nursing Pediatric Course (ENPC) certification on hire or placement in the role.
• Certification must be from the following:
  • American Heart Association
  • American Red Cross
  • Military Training Network
• Must have Trauma Nurse Core Course (TNCC) or Advanced Trauma Care for Nurses (ATCN) on hire or placement in the role.
• Current CPR Healthcare provider or CPR Heartsaver certification from one of the following:
  • American Heart Association
  • American Red Cross
  • Military Training Network

Required Tests for Placement

Skills or Special Abilities

• Provides care for assigned patient population in accordance with the current State of Texas Nursing Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards.
• Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care.
• Exercises independent judgment in providing nursing care.
• Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills.
• Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures.
• Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse.
• Must be able to prepare and conduct in-service educational programs.
• Must be able to demonstrate patient centered/patient valued behaviors.
• As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area.

Responsibilities

1. Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Utilizes effective verbal and non-verbal communication facilitating development of a therapeutic relationship and environment that promotes wellness. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues.

2. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials.

3. Performs appropriate patient assessments including continuous surveillance as indicated. Recognizes changes in patients’ condition and provides appropriate interventions as necessary. Consults with other team members as required, notified providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the stable, critically unstable, and critically stable patients.

4. Manages patients with Cardiovascular, Dental, Ear, Nose, Throat, Endocrine, Environmental, Facial, Genitourinary, Hematologic, Communicable and Infectious Disease, Ocular, Orthopedic, Respiratory, Toxicological and Trauma related injuries. Provides thorough assessments of these body systems and documents appropriately. Provides safe medication administration using the patients’ six (6) rights, provides maintenance and management of intra-venous (IV) access, performs Point of Care (POC) testing, demonstrates safe infection control practices, invasive hemodynamic monitoring and provides emergency resuscitation management of patient.

 5. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures all records and documents meet the standards, goals, and objectives of the Emergency Department and Parkland.

6. Works with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals and objectives of the department and Parkland. Seeks and utilizes direction from more experience staff and team members as needed. Serves as Charge Nurse on rotation as necessary.

7. Serves as a preceptor or trainer to newer nursing staff members.

8. Prepares and conducts an in-service educational program for the Emergency Department at least once per year.

9. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the Emergency Department and Parkland. May serve on various interdisciplinary committees as assigned.

10. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices.

11. Employee commits to working a minimum of 24 hours per week to include at least one weekend per pay period when the Hospital has the need. Employee is required to work two (2) major holidays and one (1) minor holiday during the designated periods. (Major Holidays: Christmas Eve, Christmas Day, New Years’ Eve and New Years’ Day //Minor Holidays: Labor Day, Thanksgiving, Easter, Memorial Day, Fourth of July//Weekends are defined as 3:00PM Friday to 7:00AM Monday)

12. The employee will not be eligible for pay increases with evaluations.

13. The employee will be required to float to areas within skillset as needed and must maintain competency.

14. Employees in the RN PRN program will be classified in a regular relief status with no benefit eligibility.

15. Employees in this program will accept the assignments given by the Hospital, to include accepting on-call assignments. Employees will be expected to float as needed to clinical departments for which the Hospital has deemed them qualified and competent.

16. The Hospital does not guarantee any work or minimum number of hours per week.

17. Employees must have two years of prior work experience in their specialty area to be eligible to participate in the RN PRN program but also must have two years overall nursing experience.

18. Employees identified as not meeting the scheduling requirements set forth in the job description. Should they not meet the scheduling requirements, staff will be performance managed and encouraged to seek roles for which they can meet the scheduling requirements.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.