• Description:

  Provides continuous nursing assessments and care to all surgical patients utilizing the nurse process and AORN standards. Functions competently in both the scrub and circulating nurse roles during surgical procedures. Is a knowledgeable resource for each operative procedure. This position requires providing service to all age populations, neonatal through elderly, in a manner that demonstrates an understanding of the functional and developmental age of the individual served. This position includes responsibility for participating in the 24 hour/day 7 days/week staffing to cover patients requiring elective, urgent, and emergent surgery

  should be trauma certified and have a well rounded experience in the OR scrubbing and circulating role. 

  Candidates may have to take call!!

  Location:  Philadelphia Campus/Tabor Road 
  Hours:  Mon-Fri/3pm-11pm 

  13 weeks  and 40 hrs/week guaranteed

  Requirements:

  • CNOR Preferred

  • ACLS

  • BLS

  • Active PA License

  • License Verification 

•  

  • Years of experience:  3 years of heavy OR experience

• Ability to perform a head-to-toe assessment on all patients and reassessments as per policy.  This includes pediatric, adult, adolescent, geriatric, and the general patient population.
• Ability to formulate an individualized plan of care, revise the plan as indicated by the patient’s response to treatment, and evaluate the overall plan daily for effectiveness.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served.  Able to interpret data about the patient’s status in order to identify each patient’s age-specific needs and provide the care needed by the patient group.
• Knowledge of medications and their correct administration based on the age of the patient and their clinical condition.
• Follows the seven (7) medication rights and reduces the potential for medication errors.
• Performs patient care responsibilities considering needs specific to the standard of care for patient’s age.
• Ability to monitor the hemodynamic status of the patient and correctly interpret the results.
• Ability to adequately assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and family regarding pain management.
• Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias, and intervenes appropriately.
• Provides care to patients with compromised nutritional/metabolic status.
• Provides care to patients requiring extensive fluid and electrolyte management.
• Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Supports and maintains a culture of safety and quality.
• Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills.
• Demonstrates ability to perform treatments and provide services to level licensure.
• Treats patients and their families with respect and dignity.  Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families.  Functions as liaison between administration, patients, physicians, and other healthcare providers.
• Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.
• Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the patient care unit’s policies and procedures.
• Ability to interpret results of waived tests; take appropriate action on waived test results.
• Communicates appropriately and clearly to the immediate supervisor, co-workers, and physicians.
• Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
• Provides care appropriate to the disease condition and age of the patient.
• Coordinates and supervises patient care as necessary.
• Demonstrates an ability to assist physicians with procedures in the Medical-Surgical / Telemetry Unit.
• Demonstrates an ability to be flexible, organized, and function well under stressful situations.
• Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.
• Maintains a good working relationship both within the department and with other departments.
• Documentation meets current standards and policies.
• Participates in performance improvement activities.
• Stays current in critical care nursing through continuing education, conferences, professional journals, and societies.

• Graduate of an accredited school of nursing.
• Current state Registered Nurse Licensure in the state of Texas.
• Successful completion of a dysrhythmia recognition course or successful completion of cardiac rhythm interpretation test as per Nursing Education.
• Current BLS and ACLS certification.

• FL RN License and/or approved multistate license
• Current BLS and ACLS certifications thru American Heart Association
• NIHSS certification is a plus
• 1 years experience in hospital setting preferred
• New Grads Welcome

MED/SURG- RN'S -DAYS & NIGHTS

$5,000 SIGN-ON !!!

Provides nursing services that require substantial specialized judgment and skill, is an advocate for the patient and patient’s family, and promotes safety. The planning and delivery of professional nursing care is based on knowledge and application of biological, physical and social sciences. RN’s utilize the nursing process to include assessment, planning, implementation, evaluation, and re-assessment to establish the plan of care. The RN’s duty to the patient is to provide safe, compassionate, and comprehensive nursing care. The RN will know and conform to the Texas Nursing Practice Act and the nursing board’s rules and regulations as well as federal, state, or local laws, rules or regulations affecting the nurse’s current area of nursing practice.

JOB DUTIES AND RESPONSIBILITIES • Promotes and implements measures to provide a safe environment for patients and others. • Knows the rationale for and the effects of medications and treatments. • Correctly administers medication and treatments. • Accurately and completely reports and documents patient’s status including signs and symptoms; nursing care rendered; physician orders; administration of medication and treatments; patient’s response to interventions; contacts with other health care team members concerning significant events regarding patient’s status. • Promotes and participates in education and counseling to patients and where applicable the family/significant other based on health needs. • Obtains instruction and supervision as necessary when implementing nursing procedures or practices. • Makes a reasonable effort to obtain orientation/training when encountering new equipment and technology or unfamiliar care situations. • Notifies the appropriate supervisory person when leaving a nursing assignment. • Knows, recognizes and maintains the professional boundaries of the nurse-patient relationship. • Complies with the mandatory reporting requirements of the Texas Occupational Code Chapter 301 (NPA), Subchapter I. • Provides, without discrimination, nursing services regardless of age, disability, economic status, gender, national origin, race, religion, health problems, or sexual orientation of the patient served. • Institutes appropriate nursing interventions required to stabilize a patient’s condition and/or prevent complications. • Clarifies physician orders if any question of accuracy or potential contraindications. • Makes assignments based on patient need and the experience, training and skill level of the person to whom the assignment is made. • Supervises nursing care (specific delegated tasks) provided by unlicensed persons and LVN’s and makes assignments based on educational preparation, experience, knowledge, and physical and emotional abilities. • Performs a comprehensive assessment of the patient; collects and documents the patient’s current health status and medical history. • Forms nursing diagnosis based on needs assessment. Develops and implements a plan of care based on assessment and nursing diagnosis. • Interacts professionally with the patient and family and involves patient and family in the formation of the plan of care.

• Demonstrates knowledge of developmental theory. Performs age appropriate focused assessment and provides safe and effective care to pediatric, adolescent, adult and geriatric patient populations. • Documents, using medical terminology, and maintains a patient record that is legible, timely, accurate, legally acceptable, reflective of all nursing care provided and the patient's response to care given. • Adequately assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. • Evaluates patient’s status and response to nursing interventions and revises plan of care as needed. • Evaluates discharge planning needs re: patient/family education, equipment, home health. Facilitates the identification and resolution of patient’s discharge planning. • Responds appropriately and timely to patient care needs. • Calculates figures and amounts in computing doses of medications and IV fluids and calculates patient's weight in pounds and kilograms. • Responds to crisis in a calm, efficient manner, directing others concisely. • Responds promptly to changes in workload as necessary to achieve optimal productivity and efficiency. • Demonstrates the knowledge of proper identification and reporting medical/health errors. Promptly involves the proper hospital leaders in risk management situations. • Orients new staff members to the unit. • Demonstrates the ability to assist physicians with procedures. • Maintains patient confidentiality. • Demonstrates clinical competence according to licensure and according to hospital/unit specific standards. • Meets the attendance policy standards. • Complies with hospital policies and procedures. • Complies with hospital/department Infection Control and Safety Policies. • Attends appropriate in-service, departmental meeting and mandatory in-services. • Performs other duties as assigned or requested within scope of practice.

QUALIFICATIONS (Education, Experience and Certifications) • Current Texas Registered Nurse license • BLS, ACLS and PALS required. Current BLS at time of hire; ACLS and PALS at time of hire or within thirty (30) days of hire. • Minimum two years of experience in hospital setting Graduation from high school or equivalent • Knowledge of Microsoft Office. • Must be eligible to work in the United States.

KNOWLEDGE, SKILLS AND ABILITIES Ability to multi-task, utilize critical thinking skills, organize, determine priority of duties, some computer skills, effective oral and written communication skills, work independently, work with frequent interruptions, and manage stressful situations. Coordinates nursing care for assigned patients, participates in patient and family teaching and provides leadership; work cooperatively with ancillary, nursing and other patient care team members while maintaining standards of professional nursing practice in the clinical setting.

Job Type: Full-time

Wheeler Staffing Partners has partnered with a 763-bed healthcare facility located in Asheville, North Carolina. The hospital is known for being the region's only Level II trauma center, as well as being home to the only children's hospital in the western portion of the state. The Hospital offers a variety of services, including women's services, sports medicine, and neurological care. The hospital's cardiovascular services include the only open heart and interventional cardiology in the region. The quality of the facility's services has earned much recognition, such as being named among the nation's best hospitals by U.S. News & World Report, Truven Health Analytics, and Healthgrades.

Our critical care float pool serves all our adult ICU areas which consist of Medical-Surgical ICU (24 beds), Neuro-Trauma ICU (20 beds), Cardiac ICU (16 beds), Cardiovascular ICU (19 beds) and a mixed Overflow ICU (12 beds). They also float to our 6 progressive care units which cover Medical Cardiology Step Down, Medical Cardiology Surgical Step Down, Cardiovascular Progressive Care, Pulmonary Medical Progressive Care, Intermediate Care Unit, and Chest Pain Observation Unit.

Role Summary: Provides leadership which facilitates the delivery of professional nursing care for the comfort and well-being of patients. Utilizes the nursing process of assessment, planning, implementation, and evaluation, to provide, delegate, supervise and document care and teaching of patients and family. Implements medically prescribed interventions.

QUALIFICATIONS

• Required Education: Bachelor of Science in Nursing. Effective 3/1/18 Bachelor of Science in Nursing OR enroll in a BSN or advanced degree program within 6 months AND obtain a BSN within 4 years of hire date into RN position. Previous signed BSN commitment letter OR grandfathering will be accepted between departments and the entities. Exemptions may be approved with CNO System Council approval.
• Preferred Education: Masters in Nursing.
• Required License or Certifications: Must have and maintain current licensure as registered nurse with the North Carolina Board of Nursing. eNLC (Enhanced Nurse License Compact) license may apply, licensee should confirm with NCBON Certificate: BLS Healthcare Provider.Preferred License or
• Certifications: National Certification in area of specialty.
• Required Experience: One-year hospital nursing experience
• Preferred Experience: 2+ years in large ICU setting in trauma center

• Assesses, plans and evaluates the nursing care needs of the patient in the immediate post-operative or post-procedural period. 
• Provides comfort and support for post-operative patients.
• Evaluates responses to treatments and interventions.
• Carries out physician orders.

• Current FL RN license required or appropriate compact licensure.  If compact license held, active FL RN license required within 90 days of hire.
• Current BLS certifications thru AHA
• Previous experience in acute care setting
• Previous experience in OR preferred
• Min one year circulating experience within the past 2 years
• Surgery center experience is ok
• Robotics is a PLUS