Registered Nurse

Overview

Position - PCU RN within the Burn Unit

 

Location: Fort Sam Houston

 

Schedule:  The contractor shall provide nursing support a seven (7) day a week, 24- hour a day operation to include holidays. Below is an example of the most common shift times which consist of eight (8) work hours with a non-paid 30-minute lunch or dinner break, a ten (10) hour shift and a 12-hour shift with a non-paid lunch or dinner break. The maximum number of shift hours to be scheduled in a twenty-four (24) hour period is twelve (12), unless an emergency occurs.

Day Shift - 0645-1515

Evening Shift - 1445-2315

Night Shift - 2245-0715

7A-7P - 0645-1915

7P-7A - 1845-0715

 

Pay: $51.46/hr & Health & Wellness $4.57*/hr worked (in lieu of benefits)

 

Holidays: Required

 

Benefits: Vested vacation, sick leave, holiday leave, Life, Accidental Death and Dismemberment, Short Term Disability

 

Optional Benefits: Medical, Dental, Vision, 401(K) matching with employee participation in 401(K) plan

Responsibilities

• Obtains patient history, pertinent family history and advanced medical directive information. Observes, assesses and records symptoms, reactions, and progress; assists physician during treatments and examinations; administers medication and prescribed treatment, completes admissions and discharges and promote convalescence and rehabilitation. RNs are responsible for monitoring and interpretation of collected data by the LVNs and unlicensed assisted personnel, informing the medical staff as appropriate.
• Assesses patient/family knowledge level, develops, and implements a plan of instruction and documents demonstrated level of understanding. Each nurse will manually and/or electronically document all patient care given and the progress of the patient utilizing the BAMC documentation standards in the patient's medical record.
• The RN assesses the patient and plans for appropriate nursing care. The care provided is documented in their patient's medical record along with their progress. RNs also develop and manage nursing care plans; instructs patient and their families in proper care and helps individuals and groups take steps to improve or maintain their help.
• Communicates pertinent patient information to charge nurse and/or physician as appropriate. The RN verifies transcription of physician orders.
• Administers medication and blood products with the knowledge of actions and usual dosages of commonly used drugs. Medications shall be administered within the scope of nursing practice and include intravenous ,subcutaneous, oral, transdermal, rectal and intramuscular. Each nurse will have knowledge of actions, adverse effects, interactions and dosages.
• Performs a vast array of direct patient care procedures to include buy not limited to: range of motion exercises, lifting, turning, transporting and positioning patients, personal hygiene care, changing linen and clothing and feeding patients.
• Manages care of patients for a wide range of procedures of an advanced nature and difficulty where there is a high risk for infection and bodily functions are mechanically assisted by life support.
• Manages and ensure proper procedures are followed with the tissue/skin bank and blood bank.
• Registered nurses shall provide professional oversight for licensed practical nurses and unlicensed ancillary personnel. Plans and implements care with the collaboration of other healthcare providers. Calls report to the appropriate unit/ward and provides pertinent data such as surgical procedures performed, patient problems, nursing diagnosis and actions, patient response, specialized care, and equipment necessary to support the patient.
• Demonstrates the ability to react with alertness and sill in any emergency, e.g., cardiac, or respiratory arrest, hemorrhage, shock, severe physical trauma, and psychiatric reaction. Initiates life saving measures in the absence of a physician. Depending on position and protocol may serve as member of resuscitation or emergency code team.
• Demonstrates the ability to manage interpersonal relationships and maintains composure and reacts appropriately while relating to patients and families; manage distraught, irritable, unreasonable, or angry individuals; and maintain positive rapport with all individuals involved in patient care.
• Assesses patients' conditions for potential crises and distinguishes between normal and abnormal physical findings. Knowledgeable of the pharmacology of most used emergency drugs, anticipated results, usual dosages, and their location on crash cart. Capable of emergency equipment operation; defibrillator, EKG machine, cardiac monitor