Registered Nurse
Phelps County Regional Medical Center - Rolla, MO

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  • Graduate of accredited school related to discipline
  • Licensure Required
  • 1-2 years experience is required
Under the general supervision of the Director, the Registered Nurse (RN)
provides direct patient care to patients using the nursing process,
demonstrating clinical competence relevant to the area of nursing
practice, and adhering to the ANA Code of Ethics.

Department Specific Skills
The staff RN is required to serve on the unit-based practice council, on a
hospital-wide council or committee, as a clinical coach, or in another
professional role as defined by the Director. This requirement may be
waived if the RN is enrolled in a bachelors or masters nursing degree
program.

Education
Bachelor of Science degree in Nursing preferred.
Graduate from an accredited school of nursing

Minimum Work Experience
One year ED RN experience required.

Certifications / Licenses
Current RN license in the State of Missouri.

Knowledge, Skills and Abilities
Administers medications and performs planned interventions safely,
competently, and efficiently by following hospital policies, procedures,
and protocols.
Assesses patient complaints of pain and reassesses pain intervention
effectiveness within 90 minutes after the intervention.
Assesses the patient’s declining condition and provides rescue
interventions appropriately.
Communicates to the physician changes in the patient’s condition and
advocates for patient needs in a collegial manner and using the SBAR
format.
Coordinates patient care by effective collaboration with other health care
team members and facilities.
Delegates patient care tasks to LPNs and PCAs within their scope of duties
and evaluates their performance.
Demonstrates understanding of the dynamics of health care, adapting to
change in a positive and professional manner.
Documents accurately and appropriately patient care activities at point of
care including assessments, interventions, care plans, and physician
communication in the patient’s medical record, using electronic screens
and fields appropriately.
Evaluates the progress the patient has made towards goals and updates the
care plan accordingly.
Follows infection control procedures and utilizes safe patient handling
and movement techniques and ensures that other team members do so.
Hands off care of the patient by giving pertinent and concise reports to
the receiving nurse via the automated phone system (e.g., Optivox) and
with opportunity for follow up questions.
Initiates an age-appropriate, patient-focused care plan upon admission and
with patient/family involvement.
Notifies the physician of panic lab values and other critical test results
within 60 minutes of receipt from the Lab.
Performs patient assessments upon admission, each shift of work, and as
indicated by the patient's
Provides and coordinates patient and family education pertinent to the
patient’s needs, level of education, and cultural background.
Self reflects on performance by turning mistakes and successes into
learning opportunities.
Uses critical thinking skills when assessing patient’s needs, planning
care, and preparing for discharge.
Utilizes evidence-based practice, keeping knowledge and skills up to date
related to clinical setting.

Mental / Physical Requirement
Able to assist or assume direct patient care as census directly permits.
Left Hand: Precise Motor Function (Or Fine Manipulation)
May assist in the supervised lifting, transporting and positioning of
patients.
Mental and Emotional Requirements: Handles multiple priorities.
Mental and Emotional Requirements: Independent discretion/decision making.
Mental and Emotional Requirements: Makes decisions under pressure.
Mental and Emotional Requirements: Manages anger/fear/hostility.
Mental and Emotional Requirements: Manages stress appropriately.
Mental and Emotional Requirements: Works in close proximity to others
and/or in a distracting environment.
Mental and Emotional Requirements: Works with others effectively.
Occupational Hazards - exposure to unsteady or falling patient: In the
course of transferring a patient, he/she may encounter a patient who falls
or loses his or her balance, causing him/her to bear the full weight of a
patient or fall with him or her.
Right Hand: Precise Motor Function (Or Fine Manipulation)
Stand/walk 3/4 or more of shift.

Work Environment
Age of population served specific to department.
Body Fluid Exposure: Yes.
External Contacts: Community agencies and advocates.
Internal Contacts: Patient's family members and significant others.
Internal Contacts: Patients.
Internal Contacts: Providers (i.e. physicians).
Internal Contacts: Staff (i.e. clinical and admin support staff).
Internal Contacts: Volunteers.
Occupational Hazards - exposure to communicable diseases and bloodborne
pathogens: Caution must be used at all times to take appropriate safety
measures, including wearing rubber gloves, use of all personal protective
equipment, masks, goggles, aprons and gowns.

Phelps County Regional Medical Center - 20 months ago - save job - block
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