Nurse Resident/Fellow - Emergency Department - February 2024

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

Primary Purpose

The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health conditions, by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee.

Minimum Specifications

Education

Experience - If less than 9 months experience, a Nurse residency is required. LVN experience does not waive this requirement. For a Fellowship, need at least 1 year RN experience.

Applies to:

- 60460 - Nurse Residency

- 62300 - Emergency Department

Equivalent Education and/or Experience

Certification/Registration/Licensure - 60460 - Nursing Administration - 60700 - Plastic Surgery - 62300 - Emergency Department

Certification must be from one of the following:

Skills or Special Abilities

Responsibilities

1. Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Utilizes effective verbal and non-verbal communication facilitating development of a therapeutic relationship and environment that promotes wellness. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues.

2. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials. 3. Performs appropriate patient assessments including continuous surveillance as indicated. Recognizes changes in patient¿s condition and provides appropriate interventions as necessary. Consults with other team members as required, notified providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the stable, critically unstable, and critically stable patients. 4. Manages patients with Cardiovascular, Dental, Ear, Nose, Throat, Endocrine, Environmental, Facial, Genitourinary, Hematologic, Communicable and Infectious Disease, Ocular, Orthopedic, Respiratory, Toxicological and Trauma related injuries. Provides thorough assessments of these body systems and documents appropriately. Provides safe medication administration using the patient¿s six (6) rights, provides maintenance and management of intra-venous (IV) access, performs Point of Care testing, demonstrates safe infection control practices, invasive hemodynamic monitoring and provides emergency resuscitation management of patients. 5. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures all records and documents meet the standards, goals, and objectives of the Emergency Department and Parkland. 6. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the Emergency Department and Parkland. 7. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices. 8. Seeks and utilizes direction from more experience staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Provides appropriate hand off any time care is relinquished. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals and objectives of the Emergency Department and Parkland.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.