Registered Nurse - Adult Medical Surgical

If you want to be challenged in a new energetic and innovative patient-centered 19 to 27 bed unit that employs a multidisciplinary team approach for excellent safe and compassionate care, join our team. Unit 900 is an adult medical-surgical floor that cares for adult patients who are acutely ill with a wide variety of medical conditions or are recovering from surgery.

Conditions include, but are not limited to, diseases or disorders of the pulmonary, gastrointestinal, renal, endocrine, circulatory, and neurological systems, as well as infectious diseases and autoimmune disorders.

Coordinates patient care planning with other disciplines utilizing the nursing process and critical thinking skills to maintain patient safety and well-being.

• Provides direct patient care, evaluates outcomes, consults with other specialists as required, and adjusts nursing care processes to ensure safe patient care.
• Writes or obtains initial nursing histories, assesses patients, develops individual care plans, and maintains patient documentation.
• Receives and reviews preceding shift reports and floor nurse reports; makes complete rounds of all units and notes patients  condition.
• Notifies appropriate physician regarding any unusual or unexpected events or problems requiring direct physician consultation.
• Works with the interdisciplinary patient care team, reinforces patient instructional needs with patient and family, and provides informational materials and notes areas of concern.
• Evaluates outcomes of patient care, consults with other specialists as needed, and adjusts nursing care processes to optimize patient care.
• Identifies and resolves workplace health and safety issues.
• Provides appropriate direct patient care utilizing aseptic techniques.
• May manage IV lines, ensure sterile techniques are adhered to, and oversee patient movement and positioning to ensure safe handling.
• May administer pharmacological vasodilator medications for nuclear myocardial perfusion imaging; complies with examination competency as defined in Imaging Services Practice Standards.
• Complies with policies, procedures, regulations, and standards and takes corrective action when violations occur.
• Orients, instructs, and educates assigned personnel.
• Adheres to and supports TMCH values of integrity, community, compassion, and dedication; follows organizational and department safety, confidentiality, values, policies and standards.
• Performs related duties as assigned.

• EDUCATION: Graduation from a qualified, nationally-accredited nursing program. Some positions may require additional training related to specific skill areas, such as EP (intra-cardio echocardiogram and electrophysiology), including 30 ablation procedures.
• EXPERIENCE: One year of nursing experience in an acute care setting preferred. For EP positions, two (2) years of EP experience or demonstrated competency in all EP Lab procedures.
• LICENSURE OR CERTIFICATION: Current RN licensure permitting work in the State of Arizona and Basic Life Support (BLS) certification required. Some departments (e.g., OR, Ambulatory Surgery, Pediatrics/PICU, PACU, GI Lab) require advanced life support certification (ACLS and PALS). Additional certification may be required for certain specialties, such as EP certification from the International Board of Heart Rhythm Examiners or equivalent.
• For Hospice & Pediatrics areas: valid Arizona Fingerprint Clearance Card within 6 months of hire and Crisis Prevention Instruction (CPI) required for Mental Health areas.

• Knowledge of direct patient care and critical care procedures and techniques to ensure optimal patient care.
• Knowledge of exam indicators, contraindications, and patient preparation.
• Clear and concise communication with staff involved in critical care and physicians to ensure proper patient care.
• Ability to read 12-lead EKG.
• Skill demonstrated in assigned disciplines such as EP and direct patient care.
• Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to complete routine reports and correspondence.
• Ability to listen and accurately interpret others  communication or instructions to take appropriate action.
• Ability to speak and communicate effectively.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret a variety of instructions and deal with several abstract and concrete variables.