CentralCare, Inc. is currently looking for a Registered Nurse - Medical/Surgical to fill an opening with a facility located at Tripler Army Medical Center in Hawaii. Interested candidates must be a graduate of a nursing program accredited by the American Association of Colleges of Nursing and National League for Nursing. If candidate is an international nurse graduate from jurisdictions other the U.S., must possess a valid certification for Full Education Course-by-Course Report by the Commission on Graduates of Foreign Schools, a degree from an accredited program and hold a current, active and unrestricted license with at least three (1) year of experience within the last (3) years caring for adult patients in medical/surgical care settings as a registered nurse.
Job Responsibilities. Registered Nurse – Med/Surg’s areas of responsibility shall include but not necessarily be limited to the following.
Critical Care Medications (monitor, mix in emergency situations, administer/titrate): Care for patients with peripheral inserted central catheters and central lines, to include dressing changes, blood drawing, and administration of drugs.
Provide nursing care and monitoring of patients undergoing chemotherapy and radiation therapy.
Provide nursing care and monitoring of patients requiring Telemetry Service; whether it be on a telemetry unit or monitored remotely. Recognize arrhythmias and respond with appropriate interventions.
Pass Telemetry and Medication Exam within a week of starting work on the unit.
Utilizes the nursing process and critical thinking skills to provide comprehensive nursing care to hospitalized patients on the medical-surgical inpatient wards. Reviews medical record to assess patient’s medical history; identifies nursing and health related conditions; creates, implements and reevaluates the nursing care in partnership with, but not limited to, patient/family, spiritual, cultural values, beliefs and practices. Collaborates with members of the interdisciplinary team to assess and revise the medical and nursing plan of care. Applies broad knowledge of biologic, psychological, and social sciences during the delivery of comprehensive nursing care in order to achieve an optimal level of wellness or improve the patient’s quality of life. Delivers care in a manner that preserves and protects patient’s autonomy, dignity, rights, values, and beliefs.
Assesses and evaluates the patient’s clinical condition, treatment and services. Notifies provider of alterations in the health condition and implements appropriate and timely action. Reviews prescribed medical and treatment orders and clarifies written orders when needed; implements the medical orders as prescribed from the admitting or consulting medical or surgical service. Documents nursing care and actions in the electronic and/or paper medical records.
Prepares patient/family for medical, surgical and/or diagnostic procedures performed at the bedside and/or within a specialty area within the hospital, such as but not limited to, the operating room, special procedures, interventional radiology, cardiac catherization lab, specialty medical and surgical clinics; plans, prepares, and coordinates patient discharges (.e.g. home, assisted living, rehab, long term care facilities); coordinates and transfers patients to another level of care in coordination with the healthcare team.
Assesses, monitors, and evaluates prescribed medical devices and equipment, such as but not limited to, oxygen administration, resuscitation devices, post procedure drains and fluid collection devices, feeding tubes and pumps, nasal, oral, and gastric suction devices, hyper/hypothermia cooling and warming equipment, and intravenous pumps for patient controlled analgesia and prescribed medications
Provides care via implementing medical, nursing, and treatment orders as prescribed. Administers medications, complementary and alternative therapies. Demonstrates understanding and applies principles of medication administration IAW hospital policies and standards of nursing practice; applies pharmacology and pharmacokinetic principles when assessing and evaluating the medication’s effects and desired outcomes. Delivers medications through various routes, such as oral, parenteral, topical, nasal, and ocular. Collects specimens and/or assists the healthcare team with diagnostic procedures to obtain specimens such as, but not limited to, intravenous blood draws and urethral catheterization for sterile urine collection.
Utilizes various medical communication devices for the purpose of receiving and providing pertinent patient information. Orients and trains new newly assigned personnel to the inpatient unit about current and newly implemented practice guidelines, processes and procedures.
Provides health teaching and discharge planning throughout hospital stay and at discharge based on current scientific knowledge, research, epidemiological principals and the patient/family’s health beliefs and practices. Provides information on risks and benefits, intended effects and potential adverse effects of proposed therapies and healthcare practices.
Performs other duties as assigned based on the mission and organizational requirements. Additional duties include, but are not limited to, floating/work detail to another inpatient unit and/or outpatient service based on the mission’s needs; assisting with performance and quality improvement initiatives; completing all command directed and mandatory clinical training requirements; assisting and supporting organizational committees and initiatives to improve the delivery of healthcare services.
This position may be required to work in another clinical area should there be temporary need elsewhere form their primary work center within the scope of the position specialty and previous experience.
The Registered Nurse – position is mission essential.
Certifications: Must hold current American Heart Association Basic Life Support for Healthcare Provider (BLS).
Staffing and Scheduling:
The performance hours of the MTF are as follows:
Work schedule may include rotating 8, 10, 12-hour or part-time shifts per week including nights, days, weekends, and federal holidays. Work will not exceed 12 hours in a 24-hour period and 80 hours in a consecutive 14-day period.
Why Work Here?
CAN BE LICENSED IN ANY STATE!!