Nurse I - RN Lab Nurse - Med Surg
Company: Austin State Hospital
Posted on: January 24, 2023
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
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 of nursing care standards, the Settlement Agreement and
the Healthcare Guidelines or ability to quickly gain the
* 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
* 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
* Ability to work independently and productively with all levels of
* Ability to provide support and coaching to LVNs, CMAs and
* 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
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
At least six (6) months of experience as a practicing registered
nurse in a health agency, hospital, or health-care facility is
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.
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
All State Supported Living Center employees are subject to Random
Flexibility in work hours may be required for this position. The
position may be required to work overtime and/or extended
All applicants must be at least 18 years of age to be considered
for employment at a state-operated facility.
Personal protective equipment required and provided
Social distancing guidelines in place
Sanitizing, disinfecting, or cleaning procedures in place
Vaccines available for employees
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
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
Keywords: Austin State Hospital, Austin , Nurse I - RN Lab Nurse - Med Surg, Healthcare , Austin, Texas
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