Texas Health Resources Registered Nurse Central Staffing Office- Emergency Department Full Time in Arlington, Texas
Texas Health Resources Central Staffing an internal staffing agency is currently in search of an Emergency (ED) Registered Nurse. This position is a full time, working 36 hours a week. Must have flexibility to float throughout the Metroplex to a minimum of three (3) or more entities. At least one (1) holiday worked per year.
Qualified candidates will possess the following:
Graduate of a NLN (National League of Nursing) or CCNE (Commission on Collegiate Nursing Education) accredited nursing programs.
A minimum of an Associate's Degree in Nursing as well as hold a current license to practice in the state of Texas as a Registered Nurse (RN); Single State or Compact State
BSN strongly preferred. RNs hired after Jan 2017 completion of BSN within 2 years of THR RN start date as defined in offer letter.
At least one year of previous experience as a clinical nurse or completion of an RN residency program required. At least one year previous experience in specialty area of acute care hospital is strongly preferred.
Current AHA BCLS, required upon hire. AHA ACLS, NIHSS, ENPC or PALS and TNCC or ATCN required within 30 days of hire and before any clinical work is performed. Completion of CPI (Crisis Prevention Intervention) required within 60 days of hire. Additional certifications may be required based upon specialty.
As primary care giver, candidates for this position will have the opportunity to stay actively involved in the total care plan through patient and family education. Responsibilities will include patient assessment, creating and maintaining a sterile and safe environment to include service as patient advocate. Initiate action to protect patient rights and/or preferences; adhere to HIPAA, Safety and Infection Control guidelines. Candidates will be expected to maintain and enhance nursing skills. Basic computer knowledge, excellent verbal and written communication skills are a must.
- Basic Human Needs - Responds to others' priorities regarding safety, physical, psychological and social needs.
The professional nurse exhibits understanding of basic human needs by demonstrating:
a. Attention to emotional, social, and self-esteem needs
b. Regular assessment and maintenance of comfort
c. Knowledge of basic physiology and pathophysiology
d. Knowledge of human emotions during health and illness
e. Knowledge of human development across the life span
f. Knowledge of pain and suffering, pain interventions and pain comfort/theories.
g. Provides safe patient care as evidenced by:
Using barcode medication verification (BMV) during medication administrations
Completing accurate documentation in the electronic health record
Completing assessments accurately and in a timely manner
Individualizing care plans specific to the needs of the patient
Providing consistent attention to airway, intake, elimination, sleep, rest, mobility and hygiene needs 5%
Human Respect - Honors worth of humans through unconditional acceptance as evidenced by:
a. Handling of the body with care
b. Demonstrating knowledge of patient rights and incorporating into daily practice
c. Calling patients by their preferred name
d. Demonstrating use of eye contact and physical contact appropriately
e. Speaking respectfully and professionally in a soothing tone 5%
- Appreciation of Unique Meanings - Concerned with understanding others frame of reference.
The professional nurse demonstrates an appreciation of unique meanings by:
a. Using active listening
b. Exemplifying a non-judgmental attitude
c. Tolerating both positive and negative ideas or expressions
d. Demonstrating flexibility
e. Eliciting patient values and preferences
f. Recognizing and appreciating diversity
g. Developing personal relationships with patients/significant others 5%
- Affiliation Needs - Engages family/caregivers in health care situations.
The professional nurse demonstrates recognition and understanding of affiliation needs by:
a. Demonstrating knowledge of individual patient's family situation and routines
b. Demonstrating knowledge of family theories
c. Being responsive to families
d. Engaging family members in health decisions per patients' wishes
e. Allowing family members' presence
f. Involving family
g. Conducting routine family meetings
h. Sharing available resources with families
i. Establishing, maintaining and discontinuing appropriately therapeutic relationships with patients/families 5%
- Mutual Problem Solving - Professional behaviors that help patients and families understand how to confront, learn about, and think about their health and illness; involves a reciprocal, shared approach with resulting decisions acceptable to involved parties.
The professional nurse demonstrates mutual problem solving by:
a. Providing information, using up to date literature, approved tools including EMMI and demonstrates knowledge of patient's unique learning approach.
b. Validating patient knowledge through use of teach back method
c. Accepting feedback from patients and adopting patient ideas
d. Prioritizing and individualizing care delivery based on professional judgment
e. Using listening skills and demonstrating knowledge of how to engage others 5%
- Attentive Reassurance - Listens and concentrates on others. Is reliable, available and attentive.
The professional nurse demonstrates attentive reassurance by being:
b. Accessible to patients and families
c. Available and re-confirming that availability
d. Confident; demonstrating assertiveness knowledge
f. Self-reliant and demonstrating self- knowledge
g. Clarifying misperceptions-Using HEART as needed 5%
- Encouraging Manner - The professional nurse communicates an attitude that is supportive, open, positive and tolerant by demonstrating:
a. Knowledge and effective use of THR communication tools (AIDET, HEART, Team STEPPs)
b. Supportive verbal and non-verbal demeanor
d. Positive feedback
e. Supportive view of the system
f. Empowering, inspiring behaviors 5%
- Healing Environment - The professional nurse creates settings that provide privacy, safety, confidentiality and tranquility demonstrated by:
a. Establishing a safe environment
b. Using frequent checks/surveillance including national patient safety goals(NPSG)
c. Providing safety information and associated teach-backs
d. Validating the call system is in place
e. Completing accurate, timely and comprehensive hand offs
f. Maintaining privacy and confidentiality
g. Ensuring clean and pleasant surroundings
h. Demonstrating knowledge of and effectively using TeamSTEPPS safety/communication tools.
i. Demonstrating knowledge of current evidence related to prevention of adverse outcomes.
j. Using safety enhancing technologies recognizing the benefits and limitations of them.
k. Demonstrating understanding of the ethical standard, fidelity 5%
Teamwork -- "Individuals caring for individuals, together"
- Communicates and collaborates with all members of the health care team:
a. Delegates effectively by making efficient use of staff time and expertise
b. Uses SBAR format in communicating with physicians and other interdisciplinary team members
c. Uses hand off communication tool and/or processes appropriately for any change in caregivers across shifts and departments.
d. Identifies patient needs and coordinates care and resources to facilitate patient throughput/flow
e. Manages up other team members, intra and inter-departmentally looking for opportunities to positively recognize co-workers to leaders, patients, families and team.
f. Demonstrates flexibility and helps co-workers when needed
g. Follows attendance commitments by being timely and reliable
Incorporates and participates in TeamSTEPPS
Promotes a cost effective team
a. Demonstrates judicious use of resources including supplies, products and equipment
b. Identifies ineffective and costly practices and provides suggestions for improvement
c. Incorporates innovation and technology in daily practice to enhance efficiencies
Leads by example by giving priority to doing the right thing for patient care
Adapts to changes in workload by demonstrating flexibility related to patient needs, staffing and patient acuity 25%
Shared Decision Making
Actively participates in the Shared Governance model at unit, entity, and/or system level.
Actively engages in finding solutions for unit, division and/or entity concerns or issues.
a. Participates in process improvement activities at the unit, entity and/or system level
b. Seeks innovative ideas or promotes evidenced based practice changes among team
- Uses multiple available tools to stay informed of changes, updates and communications.
a. Reads and responds to email as requested
b. Reviews meeting minutes when unable to attend in person
c. Meets staff meeting attendance participation rates as per department standard
Demonstrates the ability to respectfully listen to others' opinions.
Collaborates with physicians and interdisciplinary team members to promote safe individualized care.
a. Acceptable use of SBAR when communicating.
b. Supports interdisciplinary meetings such as daily care briefings, rounds, family conferences and
support groups for optimal patient outcomes
- Promotes the Magnet and/or Pathways to Excellence standards throughout the organization. 20%
- A. Participates in change and seeks opportunities for professional and personal growth.
a. Actively engages in peer to peer review
b. Willingly accepts feedback from colleagues including peers, leaders and other disciplines
c. Utilizes feedback to seek opportunities for advancing professional growth
- Understands, promotes, and values evidence-based practices, quality improvement, and/or research, and utilizes them in practice.
a. Follows guidelines and recommendations defined by regulatory or professional practice agencies
b. Provides daily care that achieves outcome targets for core measures, NPSG, employee satisfaction, patient satisfaction, NDNQI and other unit/organizational metrics
- Demonstrates commitment to lifelong learning and development.
a. Maintains annual competencies
b. Attends in-services and training useful to area of practice
c. Shares with peers evidence based practice updates, policy changes, new technology and other pertinent information from conferences or meetings.
- Demonstrates a commitment to advancing the professional practice of nursing.
a. Incorporates ethical principles from the ANA Code of Ethics
b. Adheres to the Nursing Practice Act
c. Identifies realistic and measurable goals at least annually
d. Identifies and participates in MyJourney
e. Participates in advancing professional practice as evidenced by:
NCAP participation for eligible nursing staff
Professional organization membership
Other as described in employee comments 15%
Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.