Nurse Specialist

1 month ago

Tyler, Texas, United States Christus Health Full time
Job 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.

This position is specific to the Labor and Delivery Department.

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.
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:PreferredJob Industries
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