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Nurse I - RN Lab Nurse - Med Surg

Company: Austin State Hospital
Location: Austin
Posted on: January 24, 2023

Job Description:

Nurse I - RN Lab NurseNurse I - RN Lab Nurse

Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.

The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers

The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuityas well as 401(k) and 457 Programs under the Employees Retirement System of Texas.

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!

Free CEUs and updated resources through Lippincott access for all nurses.

The RN Lab Nurse performs routine level nursing work providing for the assessment, care and treatment of individuals who reside in a State Supported Living Center (SSLC) within the laboratory setting. Performs phlebotomy procedures and prepares blood specimens for study by a reference laboratory. Prepares other biological specimens for study by a reference laboratory. Reviews results and prepares required reports. Completes data entry, required documentation and reports and maintains records. Coordinates care with dental lab, nursing staff, Primary Care Providers (PCP), and other clerical and administrative staff to ensure efficiency of operations and high quality of care toward individuals. Notifies the supervisor and PCP of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Designs methods for completing work effectively given the specific complex needs and challenges of the individuals served. Maintains the integrity of the lab/worksite and instructs other on proper procedures and requirements. Assists with direct care nursing services provided by RNs, LVNs and Certified Medication Aides (CMA), as needed, and reports needs and/or issues to the appropriate person(s). Provides treatment to HHS employees injured in course and scope of employment. Responds to emergency situations to ensure safety and care of individuals and staff. Works under moderate supervision of the Nurse Manager or Nursing Operations Officer, with limited latitude for the use of initiative and independent judgment.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

This position may also be eligible to earn additional pay for work performed on maximum security locations.

Essential Job Functions:

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

Performs phlebotomy procedures effectively as ordered by the PCP. Prepares necessary supplies, communicates reassuring with the individual in the manner prescribed by his/her individualized plan, positions the individual in accordance with his/her physical needs, and performs the blood draw. Disposes of the supplies in accordance with safety protocols. Communicates with the home staff regarding any issues or complications. Prepares the blood specimens for study by a reference laboratory.

Prepares other biological specimens for study by a reference laboratory in accordance with standardized procedures and training. Fixes, labels, document and maintains specimens properly.

Reviews results and prepares required reports. Completes required forms and data entry including documentation in the Electronic Health Record (EHR). Provides written communication of venipuncture so that home staff will know when the resident has come to the lab for a blood draw.

Coordinates care with dental lab, nursing staff, Primary Care Providers (PCP), and others to promote the efficiency and effectiveness of the nursing department. Designs and shares methods for completing work effectively given the specific complex needs and challenges of the individuals served.

Attends and participates in required staff meetings.

Maintains the integrity of the lab/worksite by keeping work areas clean, well-organized and by ensuring confidentiality in accordance with Health Insurance Portability and Accountability Act (HIPAA). Instructs others on proper procedures and requirements as needed and communicates any issue to the designated supervisor. Performs administrative functions including filing, answering phones, preparing paperwork for the next day, and scheduling next day draws with staff to ensure efficiency of operations.

As assigned, provides direct care nursing services along with RNs, LVNs and CMAs. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. Makes rounds and/or home visits as needed and works in other locations at the SSLC as assigned. Monitors individuals' weight, diet, feedings, and vital signs. Monitors for signs and symptoms of illness and uses appropriate nursing judgement to provide adequate care for the individual, including initiating acute care plans.

Timely and accurately documents and reports pertinent treatments and observations in the individual's medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Prepares reports as required.

Responds to emergency situations to ensure safety of individuals. Provides treatment to HHS employees injured in course and scope of employment. Follows safety and infection control procedures of the SSLC. Provides educational and safety training to SSLC staff upon request. Provides treatment to HHS employees injured in course and scope of employment.

Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge Skills Abilities:

* Knowledge of nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures.
* Knowledge of state and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules, regulations, policy and procedures related to State Supported Living Center or ability to quickly gain that knowledge.
* Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge.
* Knowledge of lab equipment to perform Hemoglobin A1C test, Strep, Flu, Coagulation studies, and Urinalysis Dipstick tests.
* Knowledge of using a centrifuge for spinning specimens to prepare for transport to outside testing facilities.
* Knowledge of Health Insurance Portability and Accountability Act (HIPAA) and its application in the work site.
* Skill in lab and blood draws.
* Skill in performing technical aspects of laboratory, radiology, and electrocardiogram procedures.
* Skill in the use of a computer and applicable software including Word, Excel, and MS Outlook, and basic office equipment.
* Skill in the care and treatment of patients.
* Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications.
* Ability to provide patient care; to prepare and maintain records; to interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment.
* Ability to work independently and productively with all levels of staff.
* Ability to provide support and coaching to LVNs, CMAs and DSPs.
* Ability to communicate with individuals with complex developmental and intellectual disabilities.
* Ability to communicate effectively both orally and in writing with medical professionals.
* Ability to write reports and utilize an Electronic Health Record (EHR).

Registration or Licensure Requirements:

Licensed to practice as a registered nurse in the State of Texas (or a state that recognizes reciprocity through the Nurse Licensure Compact). Initial Selection Criteria:

Experience performing phlebotomy, and/or other types of laboratory work.

At least six (6) months of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred.

Bachelor's Degree is preferred.

Experience working with people who have intellectual/development disabilities or other conditions which making performing laboratory work challenging such as being medically fragile, is preferred.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS OIG List of Excluded Individuals/ Entities. Males between the ages of 18 - 25 must be registered with the Selective Service.

All new hire candidates will be required to receive COVID-19 medical screening (nasal test) as part of the due diligence process.

All State Supported Living Center employees are subject to Random Drug Testing.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

COVID-19 Precaution(s):

Personal protective equipment required and provided

Temperature screenings

Social distancing guidelines in place

Sanitizing, disinfecting, or cleaning procedures in place

Vaccines available for employees

MOS Code:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx

Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Keywords: Austin State Hospital, Austin , Nurse I - RN Lab Nurse - Med Surg, Healthcare , Austin, Texas

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