General Statement of Duties:|
The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.
Essential Job Functions:
1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:
Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho social and pain assessments; includes assessment of patient education needs.
Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.
Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care.
Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.
2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.
3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.
4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.
5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.
6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).
Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics
Graduate of an accredited diploma, associates, or baccalaureate degree nursing program
RNs hired as of 01/01/2013 that do not have a BSN upon hire must do
of the following:
1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)
2. Complete the BSN or higher degree nursing program within five years of hire date
Note: Verification of high school graduation/GED is required for those who completed
nursing diploma programs.
3. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).
- A minimum of six months clinical experience as a licensed RN
Bachelor of Science in Nursing (BSN) on hire
Minimum License, Certificates, or Registrations Required
RN License to practice as a professional registered nursing in the state of
Certification in their specialty
Supervised By: Unit Director or designee
Supervision Of: Nursing Support Staff
Job Description Appendix A:
Environmental and Physical Demands/Hazardous Conditions
(X) INSIDE: Spends approximately _40_ hours or more per week inside.
( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).
( ) BOTH: The activities occur inside and outside in approximately equal amounts.
WORK POSITIONS: (defined in 5% increments of work time):
Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.
( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.
(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up
to 10 lbs.
( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects
Weighing up to 25 lbs.
( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects
weighing up to 50 lbs.
( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of
objects weighing more than 50 lbs.
Some Freq None Some Freq None
Manual dexterity (eye/hand coordination)
Vision acuity – far
Vision acuity – near
AGES OF PATIENTS SERVED
Birth – 1 year = Neonatal/Infant
18 – 64 years = Adult
1 - 11 years = Child/Pediatric
65 years + = Geriatric
12 - 17 years = Adolescent
N/A = No responsibility to treat/care
MENTAL AND EMOTIONAL REQUIREMENTS
Manage stress appropriately
Make decisions under
Manage anger/ fear/ hostility/violence of others
Handle multiple priorities
Work in confined or crowded areas
Some Freq None Some Freq None
Blood-borne pathogen exposure
Exposure to x-ray/electromagnetic energy
Exposure to toxic/caustic/chemicals/detergents
Exposure to high-pitched noises
Exposure to dust/fumes/helicopter
Exposure to communicable diseases
Exposure to moving mechanical parts
Exposure to extreme conditions, hot/cold
Exposure to potential electric shock
Gaseous risk exposure
Adverse weather conditions
Dangerous driving conditions.
Exposure to laser beams
HCA Inc - 20 months ago
Metropolitan Methodist Hospital is truly downtown San Antonio’s most comprehensive hospital, providing a wide-range of health care...