Med/Surg RN (Nights) - Per Diem* **IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.** POSITION SUMMARY: The Med-Surg Registered Nurse (RN) is responsible for providing comprehensive nursing care to patients in the Medical-Surgical Unit utilizing the nursing process. This role involves performing patient assessments, administering medications, managing care plans, documentation, critical thinking, and collaborating with the healthcare team to ensure high-quality patient care. The Med-Surg RN plays a critical role in patient recovery, education, and support, while adhering to hospital policies and regulatory standards. POSITION REQUIREMENTS: Minimum Education: • Graduate of an accredited school of nursing • Minimum of an Associate’s Degree in Nursing. License Required: • Current Nevada RN license required. Certificate Required: • BLS for Healthcare Providers required. • ACLS (may obtain within 90 days of hire). Minimum Work Experience • Previous department specific experience preferred. • Professional customer service skills. • Ability to read and communicate in English, bilingual abilities preferred. POSITION ESSENTIAL FUNCTIONS: Patient Assessment • Conduct thorough assessments of patients’ physical, emotional, and psychosocial health, and document findings accurately. • Identify patient care needs and develop, implement, and evaluate individualized care plans in collaboration with the healthcare team. • Monitor patient status and respond to changes in condition, including initiating appropriate interventions. • Accurately assesses and documents patient and family needs to provide quality care to assigned patients and ensures integration of information among the multi-disciplinary health care team. • Demonstrates timely, accurate and complete EHR and/or paper documentation per “Nursing Documentation” policy. • Develops patient-centered plan of care based on assessment findings, care goals, and patient input. Medication Management • Administer medications accurately and safely, following the CVH “Ten Rights of Medication Administration” policy. • Manage controlled substance medications per policy • Maintain an accurate medication administration record (MAR) • Utilize barcode scanning for medication administration • Monitor patients for adverse reactions or side effects and report any issues to the healthcare provider. • Educate patients and families on medication purposes, potential side effects, and proper administration. Communication • Communicate effectively with patients, families, and the healthcare team to provide clear and accurate information about patient care and treatment plans. • Participate in bedside shift handoffs, interdisciplinary meetings, and care coordination to ensure continuity of care. • Address patient and family concerns with professionalism, empathy, and timely responses. Seek assistance from more experienced staff as needed. Documentation • Accurately and timely document all patient care activities, assessments, interventions, and outcomes in the electronic health record (EHR). • Ensure documentation meets hospital standards and regulatory requirements, and reflects the care provided. Clinical Resource • Actively seek guidance and mentorship from experienced nurses and other healthcare professionals to enhance clinical skills and knowledge. • Participate in ongoing education and training opportunities to stay current with best practices and evidence-based care. • Utilize available resources, including policies, procedures, and clinical tools, to ensure safe and effective patient care. • Stay current with best practices, clinical guidelines, and continuing education opportunities. Judgment • Demonstrates the skills and judgment necessary to implement nursing plan of care, nursing interventions, and procedures as necessary for the care of the patient. • Demonstrates knowledge of hospital policies and procedures. • Demonstrates knowledge of commonly used medications: action, dose, and side effects. • Observes the rights of medication administration. • Demonstrates proper procedures in all methods of medication administration. • Administers blood and blood products following hospital policy and procedures. • Initiates and maintains IV access according to hospital policy and procedures. • Assesses and documents IV site per unit standard. • Uses critical thinking and efficient time management. Scope of Service • Performs consistent, purposeful hourly rounding • Provide nursing care to a diverse patient population, including those with acute, chronic, and complex medical conditions. • Assesses, evaluates, and carries out nursing interventions and teaching as applicable for med-surg and swing bed patients. • Work within the scope of nursing practice as defined by state laws, hospital policies, and professional standards. • Contribute to the continuous improvement of patient care services through participation in quality improvement initiatives. • Demonstrates skill and knowledge in nursing management of emergency situations. • Demonstrates knowledge and skill in using equipment. • Demonstrates knowledge of setting up and maintaining sterile field for minor sterile procedures such as insertion of central lines, chest tubes, etc. • Demonstrates knowledge of current policies and procedures pertaining to vaccination of patients and the documentation of teaching done. • Demonstrates knowledge and skill in specific areas of clinical experience, as applicable. CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE "BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026! WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!! Med/Surg Registered Nurse - Per Diem* (*2 days of availability per month, work at least one summer and one winter holiday). The position will fill in for individuals who take unplanned and/or planned time off;