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RN, Registered Nurse

1 month ago

San Antonio, Texas, United States CHRISTUS Health Full time

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Our 27-bed Emergency Department is designated as a Level 4 Trauma Center. The ED is capable of providing emergency, urgent and non-urgent care to patients of all ages. Patients in need of medical-surgical and sub-specialty services are seen and treated in the Emergency Department. The patients seeking care have a wide range of needs from basic ambulatory care to trauma intervention and life support. We are a primary Percutaneous Coronary Intervention (PCI) center and Primary Stroke Center. Currently working on an ED expansion plan to include the addition of patient treatments rooms as well as CT, X-Ray and Laboratory all located inside the Emergency Department.

CHRISTUS Health has a very strict Code of Ethics Guide. It is implemented in the highest standards and is part of our everyday responsibilities. Our actions are filled with a spirit of mutual respect, which encourages us to treat those we serve with compassion, respect and dignity.

Do you want to work in a friendly, professional and supportive faith-based organization? Come and join our Westover hills family

Responsibilities:


• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.

• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.

• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.

• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.

• Documents patient history, symptoms, medication, and care given.

• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.

CORE COMPETENCIES
Standard I: Utilizes the Nursing Process

• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families

• Communicates findings to appropriate healthcare team members

• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice

• Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals

• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)

• Performs timely reassessment and documentation

• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population

Standard II. Patient Throughput & Patient Flow Process

• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow

• Utilizes appropriate systems of communication and tools to facilitate the discharge process

• Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy

Standard III. Unit Operations

• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift

• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies

• Assesses departmental staffing needs; actively participates in resourcing efforts.

• Educates and trains others on the operations, ethics, and regulations within the industry

Standard IV. Safe Practice/Quality Care/Regulations

• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes

• Demonstrates accountability for nursing research and quality improvement activities

• Provides evidence-based nursing care

• Communicates patient information effectively across the continuum of care

• Educates and trains others on the operations, ethics, and regulations within the industry

• Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities

TECHNICAL COMPETENCIES
Clinical Policies and Standards

• Follows a specific set of standards and associated clinical procedures

• Analyzes policy and standards documentation and ensures organizational compliance

• Provides feedback for improvement of procedures

• Assists in the development and implementation of specific procedures

• Works with control and monitoring mechanisms, tools and techniques

Health Information Documentation

• Shares experiences with maintaining paper and electronic patient documentation

• Walk through the steps and procedures for receiving, validating and updating patient records

• Describes the flow of information between various stations or units

• Discusses the functions, features and document flow of electronic documentation

• Transcribes verbal orders; explains techniques for ensuring their accuracy

• Explains health information documentation best practices and their rationale across health care practices

Medical Equipment

• Describes experience with basic medical equipment used in own unit or facility

• Uses standard diagnostic tools and techniques to resolves common equipment problems

• Educates patients about the appropriate use of home medical equipment

• Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety

• Inspects, troubleshoots and evaluates incoming equipment

Medical Order Processing

• Shares experiences with processing medical orders for one or more groups of patients or conditions

• Describes functions and features of the system used to enter, validate, update and forward medical orders

• Discusses common errors, their sources and procedures for correcting

• Explains considerations for entering and following standing orders

• Differentiates between standing orders and preprinted orders and considerations for each

Patient Chart Reading and Interpretation

• Describes experiences in reading and interpreting patient charts for patients on unit and under own care

• Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions

• Recognizes unexpected readings and alerts nursing or medical staff

• Relates examples of mis-readings or misinterpretations and lessons learned

• Reviews, discusses and validates own interpretation with others

Patient Safety

• Shares experiences with ensuring safety for one or more patient groups or settings

• Explains key features of safety guidelines and procedures for those groups and settings

• Listens and responds to safety inquiries from patients and family members

• Recognizes and addresses physiological and psychological signs of problems

• Describes considerations for patients who can cause to harm to self, versus harm to others

• Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time

Requirements:

  • Associate's Degree in Nursing
  • One year experience in nursing preferred.
  • Current Texas State RN License or Compact RN License
  • BLS (American Heart Association)
  • ACLS required at time of hire for experienced RNs. New graduate nurses must obtain ACLS by the end of the clinical orientation period.
  • PALS required at time of hire for experienced RNs. New graduate nurses must obtain PALS by the end of the clinical orientation period.
  • Crisis intervention training required within 12 months of hire/transfer date
  • For trauma designated facilities, TNCC required within 6 weeks of hire for experienced RNs. New graduate nurses must obtain TNCC within 18 months of hire/transfer date

Work Schedule:

7AM - 7PM

Work Type:

Per Diem As Needed

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