Registered Nurse Surgical Specialty Unit Neurosurgery 5th Floor Zale - Nights


Job Number: 180000F1
Category: Nursing
Location: 5323 Harry Hines Blvd, Dallas, TX
Department: 846105 - 5Th Floor
Regular/Temporary: Regular
Schedule: Full-time

Zale 5th floor is a fast-paced, 28-bed acute surgical specialty unit focusing in the care of complex spine, neurosurgical, and ENT patient populations. Some of the diagnoses we excel in include: spine surgeries, brain and spinal cord tumors, vertebral fractures, hemorrhagic stroke, AVM, aneurysm, craniotomy, craniectomy, interventional vascular coiling, Moya-Moya Disease, normal pressure hydrocephalus, CSF leak, lumbar drain monitoring and maintenance, pain pump and epidural care, central nervous system infections, and a multitude of neurological diseases.
Our unit recognizes high patient acuity by implementing a 3:1 to 4:1 nurse to patient staffing ratio.
Zale 5th Floor is a consecutive winner of the Press-Ganey Pinnacle of Excellence Award and the Guardian of Excellence Award in Quality.
Our nursing staff hold a plethora of certifications such as, CNRN, SCRN, CMSRN, OCN, ONCC, RN-BC and are also recipients of several notable awards including DFW Great 100 Nurses and D Magazine's Excellence in Nursing Awards. Zale 5 nurses are stroke certified and hold current NIHSS certification. Several staff nurses have also implemented new research studies and participated in NNRC studies and have their very own published articles.
Nurses on Zale 5 hold a variety of tenure – longest being 25 years!

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
Experience and Education
Graduate of an approved/accredited nursing program either by a governmental authority, nursing board, or a licensing authority which has jurisdiction over approval/accreditation of nursing programs (Texas BON 217.1).

Must be able to read, write and communicate in English.

Minimum one (1) year of RN experience required. Specialty areas may have increased experience requirements as dictated by unit or standard of care.

Current Texas (or BNE Compact State) license, and American Heart Association ACLS and BLS required.

BSN preferred and professional certification in a nursing organization is preferred.
Job Duties
Performs and accurately documents physical, psychosocial, and emotional assessments. All assessments take into consideration age specific criteria (children, adolescents, adults and elder adults).

Actively anticipates patient's and/or patient's family needs and expectations and utilizes these in conjunction with the assessment to develop an appropriate plan of care for the patient. Utilizes critical thinking skills in planning and prioritizing nursing care. Maintains and utilizes competencies per unit expectation.

Identifies and implements appropriate nursing interventions based on the completed assessment. Completes accurate and timely documentation of these interventions. Active coordinator of the interdisciplinary plan of care. Confers with all members of the health care team in a collaborative fashion. Shares information & observations of the patient and/or patient's family in a manner that advocates for optimal patient care. Appropriately prioritizes nursing interventions based upon completed assessment. Promptly identifies changes in condition as evidenced by nursing assessment, labs, x-rays, etc. Reports changes, takes follow-up action as appropriate. Actively involves patient, family and/or care-giver informed.

Evaluates implemented interventions and modifies care according to the evaluation. Documents interventions and modifications to the plan of care in an accurate and timely manner.

Adheres to appropriate hospital and/or Department of Nursing policies, procedures, clinical pathways and nationally accepted standards of nursing practice. Incorporates ANA standards, into the provision of safe, quality patient care, utilizing current literature, and research. Practices in accordance with our Professional Practice Model - Relationship Based Care & delivers care using our Care Delivery System PACE - Patient Focused, Accountable, Coordinated and Continuous and Evidence Based.
Provides appropriate & timely answers and/or education to patients, patient's families, significant others and/or caregivers. Completes accurate and timely documentation of all education provided including discharge plan of care. Assess competence, obtains feedback/evaluation of understanding from patient, family, significant others and/or /caregivers. Demonstrates effective communication based on individual patient needs and learning preferences

Welcomes and orients patient, family, significant other and/or caregiver to the unit. Encourages patient/family participation in care. Reviews personalized patient plan of care with patient/family every shift. Updates white boards accordingly and sets daily goals with patient input. Explains special diets, tests, procedures and medications in easily understood and appropriate language. Makes hourly rounds on patients and communicates when they will return.

Advocate for resources and support that enhance patient safety and unit/hospital based initiatives. Participates in evaluating data to guide decisions regarding unit / department budget formulation and implementation.

Performs Peer Evaluation to provide constructive feedback to peers regarding performance. Holds co-workers accountable for their behavior and compliance with policies and standards. Actively intervenes when patient safety is at risk.

Performance Improvement: Accountable for patient care and quality/ safety initiatives (EX: patient safety, patient satisfaction, core measures, infection control). Supports efforts to develop and maintain team environment. Participates in multidisciplinary quality and practice improvement teams.

Shares professional and technical information with colleagues & students. Offers self as a resource as needed to others (Ex: preceptor, charge, mentor, unit expert, lends a hand when needed). Participates in meetings & on committees & represents the dept. & hospital in community outreach.
**Other Duties: Performs other duties as assigned.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.