RN Unit Based PRN

• Provides nursing care according to medical regime and the nursing intervention appropriate for the patients' conditions and according to established standards, policies and procedures including care of the medicine and surgery patient. * Initiates assessment based on the patient's presenting problems or needs, the physician's medical diagnosis and the functional health framework upon admission and patient assignment. * Collects key information from patient, family, laboratory, and other medical reports. * Determines nursing diagnosis and priorities for care with special consideration given to patient teaching, discharge planning, and the growth and development needs of the patient. * Determines which standards of care and practice apply to the patient. * Documents assessment, including nursing diagnoses or other clinical judgments. * Demonstrates knowledge and technical, interpersonal and critical thinking skills to provide care, maintain clinical competency and meet age-specific patient needs within the unit. * Demonstrates ability to manage the care of patients with conditions common to the assigned unit.
• Performs clinical rounds and completes ongoing assessments according to nursing division policy and/or as determined by patient condition, re-prioritizes care based on new information, continues to update nursing diagnoses, and involves family and/or other significant individuals in assessment activities.
• Assesses plans and implements care of assigned patients. Performs therapeutic nursing interventions as ordered by the Physician, consistent with primary and population-specific standards of care and practice, with consideration given to knowledge gained from the initial and ongoing assessment of the patient. * Consistent with nursing division policies and procedures, demonstrated competencies, and with consideration given to risk management, infection control practices, and patient safety practices. * Consistent with the nature of the assigned unit, including but not limited to, admission/assessment interventions, administration of medication (IM, IV, SQ, PO), pain management measures. * Prepares and maintains required records, reports and files for administrative and compliance purposes. * Maintains a clean, orderly, safe environment for patients and personnel. Adheres to established policies, compliance/quality improvement, and safety, environment and infection control standards.
• Determines the impact of nursing interventions on the patient's condition and recognizes the patient's progress towards meeting desired outcomes.
• Documents care based on standards of care and practice and/or clinical priorities for documentation including, assessment and ongoing assessment findings, updated clinical priorities for documentation, therapeutic nursing interventions with special attention to patient education and discharge planning interventions, and patient’s response to interventions and progress towards outcomes are noted.
• Prepares equipment/supplies and assists physician during treatments, procedures and examinations. Performs specialized duties applicable to assigned unit.
• Responds and/or participates with medical emergencies. Initiates and/or assists with CPR/BLS/ACLS as required.
• Provides teaching to patient/family in the care of disease/condition. Develops and implements patient teaching outlines including objectives, content, teaching strategies and evaluation of patient progress.
• Maintains patient medical records; documents patient status and care given; performs charting duties; records activities and observations. Utilizes patient computer systems to enter and retrieve data.
• Confers and works collaboratively with patient/family/hospital staff regarding all aspects of patient needs (i.e., patient admission/discharge of/transfer process, discharge planning, referrals, coordinating exams/therapy/rehab, requisitions for supplies, obtains medical records, etc.) in a customer responsive and courteous manner, in compliance with Premier Behavior Standards and promoting patient/customer satisfaction.
• Provides instruction, assigns and supervises LPN and other support personnel assigned to unit to complete the initial and ongoing assessments of patients and to provide clinical assistance as needed. Assists in the orientation and oversee the supervision of new staff members and students when they provide patient care, treatment, and services as part of their training.
• Transports monitored patients, specimens, equipment and supplies to and from various areas.
• Collaborates with forensic team and security to provide safe environment for patients in custody.
• Completes required continuous training and education, including department specific requirements. Maintains required licensures/certifications required within assigned units/areas.
• Works flexible work schedule within assigned service line in accordance with float pool staffing guidelines.

• Graduate of an approved nursing school/program Required and
• Qualified by education, training or experience to work with the neonate, infant, toddler, preschooler, school age, adolescent, adult and/or geriatric patient population as specialty assignment dictates Required
• RN - Registered Nurse - State Licensure and/or Compact State Licensure licensure to work in state of TN Upon Hire Required and
• CPR - Cardiac Pulmonary Resuscitation Upon Hire Required or
• BLS Upon Hire Required and
• Additional license/certification may be required based on area of assignment Upon Hire Required
• Minimum 1 year experience recent experience as a Registered Nurse Required

• Standing - Constantly
• Walking - Constantly
• Sitting - Rarely
• Lifting - Frequently
• Carrying - Frequently
• Pushing - Occasionally
• Pulling - Occasionally
• Climbing - Occasionally
• Balancing - Occasionally
• Stooping - Frequently
• Kneeling - Frequently
• Crouching - Frequently
• Crawling - Occasionally
• Reaching - Frequently
• Handling - Frequently
• Grasping - Frequently
• Feeling - Constantly
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Constantly
• Eye/Hand/Foot Coordination - Constantly

Regional One Health