Registered Nurse - Labor and Delivery

Location: Parkland: 3rd FLR BLK 300 Full Time - Nights 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 condition, 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 Must be a graduate from an accredited school of nursing. Experience If less than 9 months experience, a Nurse residency is required. LVN experience does not waive this requirement. Equivalent Education and/or Experience None Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification upon hire or placement in the role. Certification must be from one of the following: American Heart Association American Red Cross Military Training Network Must have current Neonatal Resuscitation Program (NRP) certification on hire or placement in the role. May be required to have additional specialty certifications. Electronic Fetal Monitoring Must have completed RELIAS or AWHONN (Association of Women's Health, Obstetric and Neonatal) endorsed Basic Electronic Fetal Monitoring Certificate within 90 days of hire or reclassification into the role. Attainment is needed only once and is considered a lifetime event and not subject to renewals. Must obtain AWHONN (Association of Women's Health, Obstetrics Neonatal Nurses) Intermediate Electronic Fetal Monitoring Certificate no later than 1 year from date of hire or reclassification into the role, and before transition into a Sr. RN Spec - L&D position. Skills or Special Abilities Must be able to provide care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, ANA Scope and Standards, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must be able to provide continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities 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 to facilitate 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. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. 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. Maintains current knowledge of procedures and practice for patients requiring induction of pregnancy. Performs appropriate patient assessments including continuous surveillance. Recognizes changes in a patient's condition and provides appropriate interventions as necessary. Consults with other team members as required, notifies providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the laboring patient, stable neonate, recovering, ECU and postpartum patient. Performs appropriate duties during the laboring process, during a vaginal delivery, cesarean delivery and during the immediate postpartum period. Supports breastfeeding and provides education related to newborn. Provides safe medication administration using the patient's 6 rights, provides maintenance, maintenance and management of IV access, performs POC monitoring and demonstrates safe infection control practices. Supports appropriate positioning, assessment and management of pain and provides emergency resuscitation care to the neonate and patient in the Labor and Delivery area. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned department and Parkland. 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 department and Parkland. 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. 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 department and Parkland. Any duties deemed competent. Requisition ID: 991488

Nurse Director - Labor and Delivery - Perinatal

Location: Main Hospital Bldg - 3rd Floor PRIMARY PURPOSE Responsible for the overall direction and daily operational activities of multiple designated department(s) including planning, budget, personnel, quality improvement, coordinating clinical services, policy/procedure development and collaboration with physicians and administration to ensure high quality, patient-centered services. MINIMUM SPECIFICATIONS Education Must be a graduate from an accredited school of nursing. Must hold at a minimum, a master's degree. If the master's degree is not in nursing then either a baccalaureate degree or doctoral degree must be in nursing. Current incumbents in the role as of 5/1/2023 must obtain a master's degree no later than 4/30/2026. Experience Must have 8 years of experience to include 3 years of operational leadership experience including experiences such as directly or indirectly leading teams, quality and process improvement initiatives, strategic initiatives with organizational implications, and/or providing oversight of staff and resources for efficient and effective patient care required. Must have seven years of Labor and Delivery and Recovery Experience. Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing; or, valid Compact RN license. Must have a current Heartsaver CPR course completion card within 90 days of hire and/or placement in job from one of the following: American Heart Association American Red Cross. Military Training Network Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification upon hire or placement in the role. Certification must be from one of the following: American Heart Association American Red Cross Military Training Network Must have current NRP certification upon hire or placement in role. Certification must be from one of the following: American Heart Association American Red Cross Military Training Network May be required to have additional specialty certifications. Must have one of the following, upon hire or transition into the role: AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Intermediate Electronic Fetal Monitoring Certificate OR, AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Advanced Electronic Fetal Monitoring Certificate OR, NCC (National Corporation Certification (NCC) Electronic Fetal Monitoring Certification. Must retake every two years from completion date of previous certificate: AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Intermediate Electronic Fetal Monitoring OR, AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Advanced Electronic Fetal Monitoring, National Electronic Fetal Monitoring Certification must be renewed every three years. Required Tests for Placement Skills or Special Abilities Must be able to provide leadership care to assigned department patient population in accordance with the current State of Texas Nurse Practice Act, ANA Scope and Standards, established protocols, multidisciplinary plan of care and clinical area specific standards. Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must have effective verbal and written communication skills in working with a diverse population of physicians, nurses, and support staff. Must be able to demonstrate knowledge and skill in resource management including budget and personnel practices. Must have effective leadership skills and be capable of motivating, recruiting and educating staff through department adaptations. Must be able to demonstrate knowledge of Parkland policies, structure, procedures and mission. Must be able to demonstrate patient centered/patient valued behaviors. Responsibilities Responsible for effective fiscal management of multiple departments. Ensures informed use of department resources. Investigates, evaluates and implements expertise in cost management from diverse sources including developing and administering grants. Develops and administers the operating and capital budgets, to ensure that the department has the necessary funds to carry out the goals and objectives that have been established for the department. Utilizes benchmarks for cost utilization. Demonstrates ability to flex resources to changing volume and acuity requirements. Correlates volume, revenue and cost to meet operating requirements for all service areas. Assures departments operate within allocated resources. Manages cost per patient in an efficient and effective manner. Develops, implements and evaluates action plans to correct variances. Serves as a clinical resource and role model, facilitating problem solving and staff development. Effectively delegates responsibilities. Fosters environment for low turnover and high retention of staff. Identifies and utilizes strategies to meet/exceed employee growth and development, as well as ensure satisfaction and quality of work life needs. Directs the recruitment, selection, practice environment and the education of staff. Develops, implements and monitors a comprehensive plan that ensures availability of staff to enable effective operations. Responsible for quality management practices that deliver effective and efficient services and ensure optimal patient outcomes. Collaborates with nursing, medical staff and administration to assess department operations and evaluate quality. Identifies and analyzes the design of jobs, work processes and flows, and implements appropriate changes to improve effectiveness, productivity and efficiency that support the overall goals of the department and Parkland. Directs, reviews, and evaluates performance improvement plans/projects, utilizing performance indicators to track/trend outcomes. Directs, reviews, and evaluates patient satisfaction, infection rates, delays, chart audits and other practice feedback. Coordinates quality functions with other departments as needed. Serves as WISH liaison for physicians, nurses, administration, other departments or hospitals and community agencies to ensure complete and accurate information. Researches and provides reports for administrative or staff review. Demonstrates responsiveness to innovation, data and cross-discipline expertise in strategic planning. Utilizes available information, tracking and trending patient volume/flow, billings, practice outcomes and other data for analysis and incorporation into strategic plan. Responsible for a collaborative work team to ensure positive working relationships. Communicates effectively with physicians, nurses, ancillary staff, other departments/units, administration and vendors. Maintains good communication with other hospitals and community, government representatives. Identifies and develops special projects that enhance the accessibility, quality or regulation of Women and Infants. Health including educational projects, collection and billing projects, nursing research, Joint Commission or other regulatory agency review, publication, and staff recruitment. Serves on department and interdepartmental committees as selected and assigned. Any duties deemed competent. Requisition ID: 990533

Senior Registered Nurse - General Surgery

Location: Main Hospital Bldg 8th Floor Work schedule: Full-time Nights (36 hours/week), 7:00 p.m.-7:00 a.m., with rotating weekends and holidays Primary Purpose: The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery 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 Qualifications: Education Must be a graduate from an accredited school of nursing. Experience Must have two (2) years of registered nursing experience. Highly prefer General Surgery, Trauma, and Med/Surg experience providing direct bedside, patient care in a high-acuity, fast-paced hospital environment and strong skills in wound care, and, if possible, sterile technique (excluding Clinical Rotations as part of degree program, and/or LVN experience). Certification/Registration/Licensure: *Please Note: All certification cards must provide an expiration date. The expiration date must be more than 30 days from date of hire. Completion course certificates will not substitute this requirement. Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification card from one of the following: American Heart Association, American Red Cross, or Military Training Network Skills or Special Abilities: Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in-service educational programs. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities: 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. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. 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. Completes appropriate patient assessments, admission criteria, identification and implementation of appropriate clinical interventions, discharge planning, interdisciplinary communication. Utilizes critical thinking skills and recognizes emergency situations and provides appropriate nursing interventions. Completes appropriate documentation by maintaining accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned Med/Surg department and Parkland. Seeks and utilizes direction from more experienced staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals, and objectives of the assigned Med/Surg department and Parkland. 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 assigned Med/Surg department and Parkland. 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. Serves as a preceptor or trainer to newer nursing staff members and/or serve as a Charge Nurse on rotation as necessary. Requisition ID: 989371

Registered Nurse - Labor and Delivery

Location: Parkland: 3rd FLR BLK 300 Full Time - Nights 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 condition, 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 Must be a graduate from an accredited school of nursing. Experience If less than 9 months experience, a Nurse residency is required. LVN experience does not waive this requirement. Equivalent Education and/or Experience None Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification upon hire or placement in the role. Certification must be from one of the following: American Heart Association American Red Cross Military Training Network Must have current Neonatal Resuscitation Program (NRP) certification on hire or placement in the role. May be required to have additional specialty certifications. Electronic Fetal Monitoring Must have completed RELIAS or AWHONN (Association of Women's Health, Obstetric and Neonatal) endorsed Basic Electronic Fetal Monitoring Certificate within 90 days of hire or reclassification into the role. Attainment is needed only once and is considered a lifetime event and not subject to renewals. Must obtain AWHONN (Association of Women's Health, Obstetrics Neonatal Nurses) Intermediate Electronic Fetal Monitoring Certificate no later than 1 year from date of hire or reclassification into the role, and before transition into a Sr. RN Spec - L&D position. Skills or Special Abilities Must be able to provide care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, ANA Scope and Standards, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must be able to provide continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities 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 to facilitate 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. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. 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. Maintains current knowledge of procedures and practice for patients requiring induction of pregnancy. Performs appropriate patient assessments including continuous surveillance. Recognizes changes in a patient's condition and provides appropriate interventions as necessary. Consults with other team members as required, notifies providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the laboring patient, stable neonate, recovering, ECU and postpartum patient. Performs appropriate duties during the laboring process, during a vaginal delivery, cesarean delivery and during the immediate postpartum period. Supports breastfeeding and provides education related to newborn. Provides safe medication administration using the patient's 6 rights, provides maintenance, maintenance and management of IV access, performs POC monitoring and demonstrates safe infection control practices. Supports appropriate positioning, assessment and management of pain and provides emergency resuscitation care to the neonate and patient in the Labor and Delivery area. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned department and Parkland. 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 department and Parkland. 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. 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 department and Parkland. Any duties deemed competent. Requisition ID: 991488

Senior Registered Nurse - General Surgery

Location: Main Hospital Bldg 8th Floor Work schedule: Full-time Rotating (36 hours/week), 7:00 p.m.-7:00 a.m., with rotating weekends and holidays Primary Purpose: The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery 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 Qualifications: Education Must be a graduate from an accredited school of nursing. Experience Must have two (2) years of registered nursing experience. Highly prefer General Surgery, Trauma, and Med/Surg experience providing direct bedside, patient care in a high-acuity, fast-paced hospital environment and strong skills in wound care, and, if possible, sterile technique (excluding Clinical Rotations as part of degree program, and/or LVN experience). Certification/Registration/Licensure: *Please Note: All certification cards must provide an expiration date. The expiration date must be more than 30 days from date of hire. Completion course certificates will not substitute this requirement. Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification card from one of the following: American Heart Association, American Red Cross, or Military Training Network Skills or Special Abilities: Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in-service educational programs. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities: 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. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. 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. Completes appropriate patient assessments, admission criteria, identification and implementation of appropriate clinical interventions, discharge planning, interdisciplinary communication. Utilizes critical thinking skills and recognizes emergency situations and provides appropriate nursing interventions. Completes appropriate documentation by maintaining accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned Med/Surg department and Parkland. Seeks and utilizes direction from more experienced staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals, and objectives of the assigned Med/Surg department and Parkland. 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 assigned Med/Surg department and Parkland. 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. Serves as a preceptor or trainer to newer nursing staff members and/or serve as a Charge Nurse on rotation as necessary. Requisition ID: 989373

Senior Registered Nurse - General Surgery

Location: Main Hospital Bldg 8th Floor Work schedule: Full-time Rotating (36 hours/week), 7:00 p.m.-7:00 a.m., with rotating weekends and holidays Primary Purpose: The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery 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 Qualifications: Education Must be a graduate from an accredited school of nursing. Experience Must have two (2) years of registered nursing experience. Highly prefer General Surgery, Trauma, and Med/Surg experience providing direct bedside, patient care in a high-acuity, fast-paced hospital environment and strong skills in wound care, and, if possible, sterile technique (excluding Clinical Rotations as part of degree program, and/or LVN experience). Certification/Registration/Licensure: *Please Note: All certification cards must provide an expiration date. The expiration date must be more than 30 days from date of hire. Completion course certificates will not substitute this requirement. Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification card from one of the following: American Heart Association, American Red Cross, or Military Training Network Skills or Special Abilities: Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in-service educational programs. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities: 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. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. 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. Completes appropriate patient assessments, admission criteria, identification and implementation of appropriate clinical interventions, discharge planning, interdisciplinary communication. Utilizes critical thinking skills and recognizes emergency situations and provides appropriate nursing interventions. Completes appropriate documentation by maintaining accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned Med/Surg department and Parkland. Seeks and utilizes direction from more experienced staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals, and objectives of the assigned Med/Surg department and Parkland. 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 assigned Med/Surg department and Parkland. 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. Serves as a preceptor or trainer to newer nursing staff members and/or serve as a Charge Nurse on rotation as necessary. Requisition ID: 989373

Senior Registered Nurse - General Surgery

Location: Main Hospital Bldg 8th Floor Work schedule: Full-time Nights (36 hours/week), 7:00 p.m.-7:00 a.m., with rotating weekends and holidays Primary Purpose: The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery 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 Qualifications: Education Must be a graduate from an accredited school of nursing. Experience Must have two (2) years of registered nursing experience. Highly prefer General Surgery, Trauma, and Med/Surg experience providing direct bedside, patient care in a high-acuity, fast-paced hospital environment and strong skills in wound care, and, if possible, sterile technique (excluding Clinical Rotations as part of degree program, and/or LVN experience). Certification/Registration/Licensure: *Please Note: All certification cards must provide an expiration date. The expiration date must be more than 30 days from date of hire. Completion course certificates will not substitute this requirement. Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification card from one of the following: American Heart Association, American Red Cross, or Military Training Network Skills or Special Abilities: Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in-service educational programs. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities: 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. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. 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. Completes appropriate patient assessments, admission criteria, identification and implementation of appropriate clinical interventions, discharge planning, interdisciplinary communication. Utilizes critical thinking skills and recognizes emergency situations and provides appropriate nursing interventions. Completes appropriate documentation by maintaining accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned Med/Surg department and Parkland. Seeks and utilizes direction from more experienced staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals, and objectives of the assigned Med/Surg department and Parkland. 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 assigned Med/Surg department and Parkland. 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. Serves as a preceptor or trainer to newer nursing staff members and/or serve as a Charge Nurse on rotation as necessary. Requisition ID: 989371

Senior Registered Nurse - Wound Ostomy and Continence

Location: Main Hospital Bldg - 6th Floor PRIMARY PURPOSE A Registered Nurse (RN) with > 2 years of experience. 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 Must be a graduate from an accredited school of nursing. BSN, preferred Prefer graduates of a Wound, Ostomy and Continence Nursing Education Program (WOCNEP) accredited by the Wound, Ostomy and Continence Nurses Society (WOCN). Experience Must have two years of nursing experience. Prefer experience in an acute care setting. Equivalent Education and/or Experience N/A Certification/Registration/Licensure Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or valid Compact RN license. Must have current healthcare provider CPR course completion card from one of the following: American Heart Association American Red Cross Military Training Network Must obtain Wound Care Ostomy and Continence Certification (WOC) within 18 months of hire. Skills or Special Abilities Provides care for assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multi-disciplinary plan of care, and clinical area specific standards. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care and takes initiative in recommending changes to care plan. Must be able to demonstrate effective communication skills to facilitate a multidisciplinary care approach involving the patient, family, interdisciplinary team members to include peers and community health care. Must demonstrate advanced analytical ability to prioritize, assess, evaluate, and recognize variances in the patient or family that may require adjustments in the plan of care to promote optimal outcomes. Must demonstrate skills of self-direction, time management, flexibility and adaptability with patient care. Must initiate changes in patient care utilizing independent judgment with minimum supervision. Must possess leadership abilities. Must demonstrate knowledge of and comfort with application, management and guidelines of negative pressure wound therapies. Must demonstrate and maintain basic knowledge of operating room techniques for negative pressure therapy application. Responsibilities Provides complex clinical specialty care to patients with wounds and ostomies to include performing and documenting a focused assessment related to the specialty patients needs. Collaborates with the health care team to implement a plan of care and maintains verbal or written communication with the patients team. Communicates the plan of care to the patient, family and primary nursing team. Provides staged teaching plans for patients and families with complex learning needs by providing verbal coaching, return demonstration and written material at correct educational level and in native language where possible. Designs teaching plan to be reinforced by the primary nurse whenever possible. Works with case management and primary team to promote discharge planning with appropriate specialty supplies and home care when appropriate. Serves as the resident expert regarding the specialty supply formularies for wound, ostomy and continence supplies and function as a clinical expert in the management of patients on pressure reducing specialty beds and mattresses. Serves as a clinical resource to health care providers regarding wound, ostomy and continence issues with patients to include providing educational lectures as needed for new nursing and medical residents. Serves as a preceptor and mentor to students at all levels and across multiple disciplines. Identifies areas of education needs among peers and other health care providers and develops educational programs to address these needs. Prepares and conducts an in-service educational program for the assigned department, at least once per year. Participates in the development of hospital policy and practices related to wound ostomy continence specialty area. Develops and revise policies and practices related to the Wound Care Service role. Attends multidisciplinary rounds and interdisciplinary committees as assigned Collaborates with other clinical department to improve the patient experience. 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. Seeks advice and guidance as necessary to ensure proper understanding. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, and appropriate utilization of supplies and materials. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor and implements and monitors results as appropriate in support of the overall goals and mission of the assigned area and Parkland. 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. Attends one national or regional wound care conference annually and shares information learned to peers for integration into daily practice. Requisition ID: 995372

Registered Nurse - Centralized Staffing Office - Labor and Delivery - PRN

Location: Parkland: 1st FLR BLK 600 NIGHT SHIFT 12hr PRN POSITION: As needed Primary Purpose . Provides care to assigned patient population in accordance with established protocols and multidisciplinary plan of care utilizing independent, dependent, and interdependent interventions to restore stability, prevent complications, and achieve and maintain optimal patient responses for all patients through patient centered/patient valued care. Minimum Specifications . Education:Must be a graduate from an accredited school of nursing. Prefer Bachelor of Science in Nursing. Experience: Must have two years of Labor & Delivery experience; OR Must have successfully completed Parkland's Labor & Delivery Registered Nurse Residency Program or Parkland's Labor & Delivery Registered Nurse Fellowship Program and have one year of Labor & Delivery experience. Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing; or, valid Compact RN license. Must have current healthcare provider CPR course completion card from one of the following: American Heart Association American Red Cross Military Training Network. Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification on hire or placement in role. Certification must be from one of the following: American Heart Association American Red Cross Military Training Network Must have one of the following, upon hire or transition into the role. Current incumbents as of January 29, 2024 must obtain by February 15, 2024. AWHONN Intermediate Electronic Fetal Monitoring Certificate OR, AWHONN Advanced Electronic Fetal Monitoring certificate OR, National Corporation Certification (NCC) Electronic Fetal Monitoring Certification. Must retake every two years from completion date of previous certificate: AWHONN Intermediate Electronic Fetal Monitoring OR, AWHONN Advanced Electronic Fetal Monitoring OR, National Electronic Fetal Monitoring Certification must be renewed every three years. Skills or Special Abilities Provides care for assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Applicants must pass Medication Examination prior to hospital orientation. Current Parkland employees requesting reassignment to role must have current Medication Examination on file. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff and serve as a preceptor. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Responsibilities 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 to facilitate development of a therapeutic relationship and environment that promotes wellness. Serves as a resource for specific clinical patient care issues. Provides patient care educational information and training to patient and family members. 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. Maintains current knowledge of procedures and practice for patients requiring induction of pregnancy. Performs appropriate patient assessments including continuous surveillance. Recognizes changes in a patients condition and provides appropriate interventions as necessary. Consults with other team members as required, notifies providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to the laboring patient, stable neonate, recovering, ECU and postpartum patient. Performs appropriate duties during the laboring process, during a vaginal delivery, cesarean delivery and during the immediate postpartum period. Supports breastfeeding and provides education related to newborn. Provides safe medication administration using the patients 6 rights, provides maintenance, maintenance and management of IV access, performs POC monitoring and demonstrates safe infection control practices. Supports appropriate positioning, assessment and management of pain and provides emergency resuscitation care to the neonate and patient in the Labor and Delivery area. Completes appropriate documentation. Maintains accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the assigned department and Parkland. Works with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals and objectives of the department and Parkland. Provides appropriate hand off any time care is relinquished. Seeks and utilizes direction from more experience staff and team members as needed. Serves as a preceptor or trainer to newer nursing staff members, as needed. 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 department and Parkland. 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. Employee commits to working a minimum of two shifts per pay period when the Hospital has the need. These shifts may include weekends, and one major and minor holidays. Employee will be required to float to areas within skillset. . (Major Holidays: Christmas Eve, Christmas Day, New Years Eve and New Years Day //Minor Holidays: Labor Day, Thanksgiving, Easter, Memorial Day, Fourth of July//Weekends are defined as 3:00PM Friday to 7:00AM Monday) The employee will not be eligible for pay increases with evaluations. The employee will be required to float to areas within skillset as needed and must maintain competency. Employees in the RN PRN program will be classified in a regular relief status with no benefit eligibility. Employees in this program will accept the assignments given by the Hospital, to include accepting on-call assignments. Employees will be expected to float as needed to clinical departments for which the Hospital has deemed them qualified and competent. The Hospital does not guarantee any work or minimum number of hours per week. Employees must have two years of prior work experience in their specialty area to be eligible to participate in the RN PRN program but also must have two years overall nursing experience. Employees identified as not meeting the scheduling requirements set forth in the job description. Should they not meet the scheduling requirements, staff will be performance managed and encouraged to seek roles for which they can meet the scheduling requirements. LI-SY1 Requisition ID: 991357

Nurse Manager - General Medicine

Location: Acute Care Hospital Tower Location : General Medicine 8 Gold Shift: Full-Time Days Primary Purpose Responsible for the daily management of assigned unit to include staff supervision and development, planning, budget, quality, and facility operations and coordinating patient services to ensure high quality patient care and optimal outcomes. Minimum Specifications Education Must have a Bachelor's of Science degree in Nursing. Experience Must have four years of professional nursing experience. Equivalent Education and/or Experience None Certification/Registration/Licensure Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. Must have current healthcare provider CPR course completion card from one of the following: American Heart Association American Red Cross Military Training Network. Skills or Special Abilities Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must be capable of serving as a clinical resource for staff. Must demonstrate advanced knowledge of assigned department operations including policies, personnel and budget management. Must have effective verbal and written communication skills in working with a diverse population of physicians, patients, nursing staff, management and administration. Must be capable of leadership and have effective organization skills. Must demonstrate patient centered/patient valued behaviors. Responsibilities Responsible for managing daily unit activities to ensure high quality patient care and optimal outcomes. Communicates with physicians, social work and other department staff to promote integrated, effective care. Serves as patient advocate, follows up on patient care issues and outcomes, oversees/arranges discharge support. Documents and supervises unit/patient information including charts, surveys, reports, research, correspondence, statistics and quarterly reports to ensure efficient, accurate data. Selects, trains, supervises, motivates and evaluates assigned staff. Assesses patient needs and staff capabilities, scheduling staff to ensure maximum utilization of individual and group capabilities, while providing optimal service to internal and external customers. Ensures assigned staff receive opportunities to further their knowledge. Serves as a role model and resource. Evaluates staff competencies and delegates tasks effectively. Directs staff meetings, interviews, trains, counsels and provides other personnel activities to ensure that clinical activities meet department and Parkland goals and mission objectives. Serves as a clinical resource, maintains skills and promotes staff development. Stays abreast of the latest developments, advancements and trends in the specialty area by attending seminars or workshops, reading professional journals, actively participating in professional organizations and maintaining Texas RN licensure. Integrates knowledge gained into current work practices. Serves as an educational resource for patients, families and Parkland staff. Responsible for maintaining Nursing Standards and Practices on the unit. Responsible for establishing and maintaining effective unit procedures. Develops and evaluates staff activities to promote knowledge of all rules, regulations, policies, procedures, laws and guidelines, including The Joint Commission, that impact the unit and ensures compliance. Collaborates with Directors, Quality/Risk Management and Nursing Administration. Maintains communication on hospital wide practices through committee participation. Responsible for a collaborative work team to ensure positive working relationships. Communicates effectively with physicians, students, and other departments such as Respiratory Therapy, Pharmacy, Environmental and Linen Services. Maintains good communication with other hospitals, government/regulatory agencies and community representatives. Responsible for performance improvement practices on the unit. Collaborates with staff, physicians, administration and risk management to evaluate and improve patient services. Identifies and analyzes the design of jobs, work processes and flows in the unit and implements appropriate changes to improve effectiveness, productivity and efficiency that support the overall goals of the department and Parkland. Responsible for effective facility management as measured by cleanliness, proper type, amount and functioning of equipment and overall environmental safety. Oversees timely and effective maintenance of equipment and rooms. Responsible for space planning, including renovations, capital repairs and acquisitions. Ensures informed use of department resources through clear policies including equipment, supplies, personnel hiring/training practices and service utilization. Develops and administers the annual budget (capital, operating and payroll) to ensure that the unit has the necessary funds to carry out established goals and objectives. Monitors charges and supplies, initiates orders, requisitions and supervises capital improvements. Develops, implements and evaluates unit annual goals and personal goals consistent with Parkland and Department mission and goals. Serves on multidisciplinary and Departmental committees as selected and assigned. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Requisition ID: 985061

Senior Registered Nurse - Wound Ostomy and Continence

Location: Main Hospital Bldg - 6th Floor PRIMARY PURPOSE A Registered Nurse (RN) with > 2 years of experience. 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 Must be a graduate from an accredited school of nursing. BSN, preferred Prefer graduates of a Wound, Ostomy and Continence Nursing Education Program (WOCNEP) accredited by the Wound, Ostomy and Continence Nurses Society (WOCN). Experience Must have two years of nursing experience. Prefer experience in an acute care setting. Equivalent Education and/or Experience N/A Certification/Registration/Licensure Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or valid Compact RN license. Must have current healthcare provider CPR course completion card from one of the following: American Heart Association American Red Cross Military Training Network Must obtain Wound Care Ostomy and Continence Certification (WOC) within 18 months of hire. Skills or Special Abilities Provides care for assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multi-disciplinary plan of care, and clinical area specific standards. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care and takes initiative in recommending changes to care plan. Must be able to demonstrate effective communication skills to facilitate a multidisciplinary care approach involving the patient, family, interdisciplinary team members to include peers and community health care. Must demonstrate advanced analytical ability to prioritize, assess, evaluate, and recognize variances in the patient or family that may require adjustments in the plan of care to promote optimal outcomes. Must demonstrate skills of self-direction, time management, flexibility and adaptability with patient care. Must initiate changes in patient care utilizing independent judgment with minimum supervision. Must possess leadership abilities. Must demonstrate knowledge of and comfort with application, management and guidelines of negative pressure wound therapies. Must demonstrate and maintain basic knowledge of operating room techniques for negative pressure therapy application. Responsibilities Provides complex clinical specialty care to patients with wounds and ostomies to include performing and documenting a focused assessment related to the specialty patients needs. Collaborates with the health care team to implement a plan of care and maintains verbal or written communication with the patients team. Communicates the plan of care to the patient, family and primary nursing team. Provides staged teaching plans for patients and families with complex learning needs by providing verbal coaching, return demonstration and written material at correct educational level and in native language where possible. Designs teaching plan to be reinforced by the primary nurse whenever possible. Works with case management and primary team to promote discharge planning with appropriate specialty supplies and home care when appropriate. Serves as the resident expert regarding the specialty supply formularies for wound, ostomy and continence supplies and function as a clinical expert in the management of patients on pressure reducing specialty beds and mattresses. Serves as a clinical resource to health care providers regarding wound, ostomy and continence issues with patients to include providing educational lectures as needed for new nursing and medical residents. Serves as a preceptor and mentor to students at all levels and across multiple disciplines. Identifies areas of education needs among peers and other health care providers and develops educational programs to address these needs. Prepares and conducts an in-service educational program for the assigned department, at least once per year. Participates in the development of hospital policy and practices related to wound ostomy continence specialty area. Develops and revise policies and practices related to the Wound Care Service role. Attends multidisciplinary rounds and interdisciplinary committees as assigned Collaborates with other clinical department to improve the patient experience. 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. Seeks advice and guidance as necessary to ensure proper understanding. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, and appropriate utilization of supplies and materials. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor and implements and monitors results as appropriate in support of the overall goals and mission of the assigned area and Parkland. 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. Attends one national or regional wound care conference annually and shares information learned to peers for integration into daily practice. Requisition ID: 995372

Care Coordinator - Care Management

Location: Main Hospital Bldg - 1st Flr Shift- Days Work Hours (Monday-Friday) *This position will be onsite only Employment Type: Full Time Primary Purpose Establishes and maintains an efficient, cost effective care management process by determining patient financial and medical eligibility, medical necessity, and by developing, implementing and monitoring individual patient plans of care and communicating these plans to patients, families, and Parkland staff to ensure quality patient care throughout the healthcare continuum and compliance with program/Parkland policies and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification. Minimum Specifications Education Must be a graduate of an accredited school of Nursing. Experience Must have two (2) years of hospital or community based patient care nursing, preferably in assigned clinical area. Equivalent Education and/or Experience Certification/Registration/Licensure Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Required Tests for Placement Skills or Special Abilities Provides care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must be able to communicate and collaborate effectively with a diverse group of patients, families and healthcare staff. Must be able to demonstrate a working knowledge of specific patient populations, and be able to demonstrate knowledge of disease processes affecting this group. Must be able to demonstrate a working knowledge of PC operations and the ability to use word processing software in a Windows environment. Must be able to demonstrate a working knowledge of the laws and regulations governing Medicare, Medicaid and community-based funding sources. Must be self-directed and capable of priority setting and problem solving. Must be able to demonstrate patient centered/patient valued behaviors. Responsibilities Conducts assessment of patients on assigned Care Coordination team to develop a case management plan of care. Gathers information from patient, physicians, other pertinent members of the healthcare team. Determines funding sources for patients and potential eligibility if appropriate. Plans and develops specific objectives, goals and actions designed to meet the patient's needs as identified through the assessment process. Utilizes hospital approved review criteria to ensure appropriate bed status. Identifies at-risk populations using approved screening tool and follows established reporting procedures. Ensures appropriate admission status is documented. Collaborates with all members of the multidisciplinary team and the patient to implement the plan of care. Monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective. Communicates all financial counseling as appropriate. Addresses and resolves system barriers impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge. Ensures/maintains plan consensus from patient/family, physician, and payer. Serves as patient advocate to secure coverage for needed community services. Mobilizes resources and coordinates the effort to the health care team to achieve a positive patient transition to appropriate next level of care. Communicates plan of care to patient and their family providing updates and reassesses the plan of care to determine effectiveness. Completes appropriate coordinator management documentation. Evaluates the plan of care at appropriate intervals to determine effectiveness in meeting outcomes and goals. Works with nursing and other disciplines to ensure that discharge needs, including teaching, are met. Collaborates with the healthcare team to identify 'best' practices for achieving patient outcomes. Develops reporting mechanisms to communicate outcomes to physicians and other members of the health care team. Responsible for Utilization Management activities for assigned patients. Applies approved utilization criteria to monitor appropriateness of admissions and continued stays, and documents findings based on department standards. Monitors length of stay (LOS) and ancillary resource use on an ongoing basis and takes action to achieve continuous improvement in both areas. Monitors and addresses outcome variances. Identifies causes of outcome variances and implements actions to improve the variances. Seeks the most efficient, cost effective ways to provide appropriate care. Supports cost containment efforts through the recommendation of performance improvement opportunities by the health care team. Communicates with Care Management team to facilitate covered-day reimbursement certification and/or authorization for assigned patients. Discusses payer criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payers as needed. Transitions patients through the health care system based upon individual and patient population needs. Directs liaison activities to appropriately integrate the patient into the health care continuum including procuring of services, health promotion and counseling, disease prevention, health education and screening, and community resource linkage. Engages in special projects and serves on committees, as assigned. Requisition ID: 985140