OVERNIGHT STAFF NURSE - Part Time Weekends!
Want a part time weekend job??? CNS has a part time, Friday and Saturday overnight position!
The Overnight Staff Nurse/Shift Supervisor - Residential renders professional nursing care
and supervises and supports Neuro Rehabilitation Specialists (NRS) in the administration
of patient treatment programs at the residential site pursuant to the objectives and policies
of the facility . Must possess excellent assessment skills, self-confidence and be assertive
in advocating for good patient care in working independently as a nurse. Must be highly
organized and prioritize all nursing and supervisory tasks and procedures in a shift.
Education of patients and staff is a vital component of this position. Work is full time
overnights with work during the week and some weekends. Some on-call work is required.
A high degree of accuracy in documentation and observation, adaptability to a variety of
situations, strong organizational and communication skills, decision making and an ability
to evaluate situations as they occur is needed for this position.
ESSENTIAL DUTIES AND REQUIREMENTS:
1. Conducts rounds of patient apartments to monitor, assist, offer advice, and handle
any questions concerning patient programs or behavior. Reviews documentation
and provides feedback and training to staff as needed. Monitors work assignments
and makes changes as necessary. Requires walking, climbing stairs repeatedly,
telephone use, writing, charting, computer use and verbal or written communication.
2. Performs nursing techniques for the comfort and well-being of the patient. In
coordination with other nursing staff, supervises, assists with and delegates the
distribution of medications to the appropriate residence of each patient. Administers
or supervises the administration of prescribed medications and treatments.
Performs medication counts of controlled medications each shift. Takes vital signs,
including temperature, pulse, respiratory rate, and blood pressure regularly to detect
deviations from normal and monitors the medical progress of patients, double
checks and follows physician's orders and individual nursing care plans, including
assisting patients with daily routines, catheter irrigating and assisting with respiratory
treatments. Requires basic computer skills to complete conference reports, make
charting entries, communicate openly and clearly with associated staff at the
residential site, formulate specific programs to outline particular patients needs in
a format comprehended and utilized by the residential and clinic staff.
3. Observes, records and reports medical progress made to Nursing Department,
residential supervisory staff, Residential Treatment Coordinators, Case Managers,
Director of Rehabilitation and patients' families if indicated. Maintains medical
records for each patient with nursing observations and interventions documented.
a. Assessment: Vital signs, head to toe assessment, listening to the patient’s
comments and questions about the patient’s health status, observing the
reactions with others. Be cognizant of assessing the 5th vital sign, pain. This
involves asking pertinent questions about the signs and symptoms and
listening carefully to the answers in conjunction with information presented
by therapeutic staff. Objectively observing patient facial expression, body
language, in conjunction with utilization of a pain scale in properly assessing
any patient for appropriate pain management is paramount.
b. Nursing Diagnosis: After identifying problems related to health status,
formulating a plan to address this problem or potential problem in promoting
an expected outcome.
c. Planning: Setting goals to improve the outcomes for the patient are a primary
focus of the nursing process. This directly equates with improving the quality
of life for the patient and what the patient needs to do to improve his/her
health status or better cope with concerns identified.
d. Implementation: Setting nursing plans in motion and delegating
responsibilities for each step. Communication is essential to the nursing
process. All members of the health care team should be informed of the
patient’s status, health concerns and goals of care. In return, nursing should
receive feedback from the healthcare team including observations and
interventions as well as patient’s outcomes and responses.
e. Evaluation: The nursing process is ongoing. Evaluation not only analyzes
the success of goals and interventions but examines the need for
adjustments and changes as well. The evaluation incorporates all input from
the entire rehabilitation team, including the patient.
f. Follow-up: Part of the ongoing process is performing follow-up on sick/ill
patients prior to ending of shift/leaving.
4. Identifies patient family concerns and addresses or refers the concerns as required.
Requires ability to handle stressful situations in a professional and effective manner,
ability to make decisions and communicate effectively.
5. Reviews and remains current on all patient programs and progress. Obtains
working knowledge of patient programs before they are implemented. Requires
ability to read and handle progress notes, computer, program binders and other
6. Prepares and presents NRS performance evaluations. Administers counseling
reports as needed. Documents call-ins for next shift and makes arrangements for
proper number of employees to cover shift. Addresses excessive employee
absences and tardies in a timely manner. Requires ability to communicate over the
telephone, by computer and in writing.
7. Performs apartment receptionist duties as needed, i.e., during lunch, breaks, etc.
Performs duties of NRS when staffing dictates. Relieves NRS’s for breaks.
Requires abilities to perform these job duties as indicated in the job descriptions.
8. Supervises emergency evacuations and drills. Prepares necessary reports of such
events. Coordinates treatment for patient and employee injuries and completes the
9. Trains new orientees on basic care techniques. May also conduct other inservices
for staff and/or patients.
10. Assists with the medical management of patients.
Must have Texas license as an LVN or RN, clear driving record and experience in Administrative and Supervisory roles. General Rehab experience is preferred.