RN - Night Shift Full-Time

## Description **FLSA Employment Status:** Nonexempt/Hourly **SIGN-ON BONUS: $5,000** **Reporting Structure:** Reports to the Med Surg Department Director of Nursing and/or designee **JOB SUMMARY** Under general supervision, plans, directs, and evaluates total nursing care and functions in the MedSurg unit on a particular shift, in accordance with established patient care plan and philosophy. **MINIMUM QUALIFICATION REQUIREMENTS** **Minimum Education** Graduate of an accredited program in nursing. Bachelor of Science in nursing (BSN) or Associate of Science in Nursing (ADN) degree required **** **Minimum Work Experience** A minimum of two years nurse experience in an acute healthcare setting is preferred. **License/Certification:** Current Registered Nurse license to practice in Tennessee. Current Basic Life Support (BLS) through American Heart Association per HMC policy. Advanced Cardiac Life Support (ACLS) through American Heart Association per HMC policy. Pediatric Advanced Life Support (PALS) through American Heart Association per HMC policy. Non-Violent Crisis Intervention Certification **STANDARD CORE COMPETENCES** Mission/Vision Core Values/Standards of Conduct AIDET/Organizational Expectations Safety Quality Flexibility Customer Service Diversity and Inclusion Finance Abuse and Neglect of Adult Patient Abuse and Neglect of Pediatric Patient Acute Coronary Syndrome/Chest Pain Protocols Biohazard Waste CC Hand Hygiene JOB SPECIFIC **CORE COMPETENCES** **Skills, Knowledge, Abilities, Behavior** Patient Care Patient Rights Nurse Practice Act Patient Centered Practices Cultural Competency Crisis Prevention/Intervention Restraints (Safety) Restraints (Adults) Restraints (Pediatric) Electronic Health Records Laboratory Safety Waived Testing **Department Specific Patient Specialty Area: Medical Surgical Unit** Ability to interpret changes in patient condition and abnormal lab values as evidenced by shift communication and documentation in the medical record **** **ESSENTIAL FUNCTIONS** PATIENT CARE: Initiates admission assessment within two hours of arrival to the unit, including pain assessment. Completes admission assessment of the patient/family according to procedure within 24 hours. Monitors patient condition throughout shift according to unit care standards, including the reassessment of pain. Demonstrates ability to interpret changes in patient condition and abnormal lab values as evidenced by shift communication and documentation in the medical record. Initiates a written plan of care within 24 hours of admission. Incorporates in the nursing plan of care: nursing interventions specific to the patient’s age and identified needs; measurable patient outcomes, discharge planning. Reviews and appropriately updates the nursing plan of care during assigned shift. Works with the patient or family in the development of the plan of care. Implements plan of care within established time frame. Accurately orders appropriate tests on computer terminal. Requests consultation, based on assessment data, to assist in problem solving or facilitation of care as evidenced by random observation and documentation in the medical record. Administers medications, including I.V. fluids and titratable medications, according to policy and procedure. Administers and accounts for all controlled substances according to established policy and procedure. Accurately reviews physician’s orders and ensures implementation according to schedule. Documents nursing interventions and patient response to care at appropriate intervals during the shift. Provides basic teaching as outlined in the plan of care and documents teaching and outcomes in the medical record. Evaluates patient outcomes and modifies nursing interventions to meet changing patient needs, including the reassessment of pain. Reports changes in the patient’s condition and/or adverse patient response to physician and other health care professionals. Provides the best possible nursing care by pla…