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NICU Staff Nurse

2 months ago


Longview, Texas, United States CHRISTUS Health Full time


Overview:

The skilled Registered Nurse, operating within a similar clinical environment, functions autonomously and maintains a comprehensive understanding of all pertinent elements of a situation. Delivers both routine and intricate care, with a focus on long-term objectives and strategies. Continues to enhance the capability to manage and adapt to the complexities of clinical nursing. Appropriately assigns tasks and delegates responsibilities to other healthcare providers to effectively oversee the clinical scenario.

This role is dedicated to the Neonatal Intensive Care Unit (NICU).

Key Responsibilities:

Meets the expectations outlined in the OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
In alignment with the ANA Scope and Standards of Practice, delivers nursing care through the nursing process, which includes assessment, diagnosis, planning, intervention, and evaluation for designated patients.
Addresses the increasingly intricate psychological, emotional, cultural, and social requirements of patients and their families in accordance with their level of expertise.
Administers medications and treatments following established protocols; monitors for side effects and the effectiveness of prescribed treatments.
Records patient history, symptoms, medications, and care provided.
Evaluates learning needs and offers education to patients, family members, and/or caregivers; identifies issues and available resources.

Core Competencies:

Standard I: Application of the Nursing Process
Employs critical thinking to assess the fundamental physical, psychosocial, social, cultural, spiritual, and developmental needs of patients and their families.
Communicates findings to relevant healthcare team members.
Develops and implements a tailored plan of care, adjusting it to meet individual patient needs based on evidence-based practices.
Executes patient care and therapeutic procedures; monitors and documents the progress of treatment and educational objectives.
Evaluates the care and treatments administered to patients and their responses.
Conducts timely reassessments and documentation.
Must be capable of performing unit-specific competencies based on the unique patient care requirements of the designated unit's patient population.

Standard II: Patient Flow Management
Anticipates and plans for admission, discharge, and transfer needs to enhance patient flow.
Utilizes effective communication systems and tools to streamline the discharge process.
Provides guidance on tools and techniques for verifying and validating orders to ensure accuracy.

Standard III: Unit Operations
Plans, directs, and assesses the overall nursing care and operations within a specific nursing unit during an assigned shift.
Demonstrates responsible stewardship in the proper use and maintenance of equipment and supplies.
Evaluates departmental staffing requirements; actively engages in resource allocation efforts.
Educates and trains others on operational practices, ethics, and regulations within the healthcare industry.

Standard IV: Quality Care and Safety Regulations
Integrates patient safety practices and guidelines to foster a secure environment that leads to positive patient outcomes.
Demonstrates accountability for nursing research and quality improvement initiatives.
Provides evidence-based nursing care.
Effectively communicates patient information across the continuum of care.
Educates and trains others on operational practices, ethics, and regulations within the healthcare sector.
Possesses knowledge of federal, state, and local healthcare-related laws and regulations; demonstrates the ability to comply with these in healthcare practices and activities.

Technical Competencies:

Clinical Policies and Standards
Adheres to a defined set of standards and associated clinical procedures.
Analyzes policy and standards documentation to ensure organizational compliance.
Provides constructive feedback for the enhancement 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 related to maintaining both paper and electronic patient documentation.
Outlines the steps and procedures for receiving, validating, and updating patient records.
Describes the flow of information between various departments or units.
Discusses the functions, features, and document flow of electronic documentation.
Transcribes verbal orders; explains techniques for ensuring their accuracy.
Discusses best practices in health information documentation and their rationale across healthcare practices.

Medical Equipment
Describes experience with essential medical equipment utilized in the unit or facility.
Employs standard diagnostic tools and techniques to resolve common equipment issues.
Educates patients on the appropriate use of home medical equipment.
Ensures that all equipment and related supplies are in proper working order prior to use to guarantee patient safety.
Inspects, troubleshoots, and evaluates incoming equipment.

Medical Order Processing
Shares experiences with processing medical orders for various patient groups or conditions.
Describes the functions and features of the system used to enter, validate, update, and forward medical orders.
Discusses common errors, their sources, and procedures for correction.
Explains considerations for entering and following standing orders.
Differentiates between standing orders and preprinted orders and the considerations for each.

Patient Chart Reading and Interpretation
Describes experiences in reading and interpreting patient charts for patients under their care.
Reviews patient charts for completeness and accuracy; identifies and alerts to mistakes or omissions.
Recognizes unexpected readings and notifies nursing or medical staff.
Relates examples of misreadings or misinterpretations and lessons learned.
Reviews, discusses, and validates their interpretations with others.

Patient Safety
Shares experiences in ensuring safety for various 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 issues.
Describes considerations for patients who may pose a risk to themselves versus others.
Utilizes appropriate systems to document incidents and near misses, participating in immediate investigations, analysis, and reporting in real-time.

Meets all requirements outlined in this position description.

Qualifications:

Experience:
  • Preferred: 1 year of experience in the relevant nursing specialty
  • Preferred: Completion of a Perinatal RN Residency or recent practice in a Perinatal Setting.
Education:
  • Preferred: Bachelor of Science Degree in Nursing
  • All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
  • New hires will be precepted by a designated trained staff member, and initial onboarding requirements will be validated through successful completion of the designated organizational entry competency validation and a Perinatal Department-specific competency validation.
  • Completion of all annual competency verification requirements.
Licenses/Certifications/Registrations:
  • RN License in the state of employment or compact
  • BLS certification required
  • Current STABLE (Post-resuscitation/Pre-transport Stabilization Care of Sick Infants) certification from an approved course at the time of hire or prior to the end of orientation for experienced nurses; within 90 days of hire for new graduates and experienced nurses new to the specialty, then required to maintain course certification thereafter.
  • Current NRP certification at the time of hire for experienced nurses; within 60 days for new graduates and experienced nurses new to the specialty, then required to maintain certification thereafter.
Work Schedule:


6AM - 6PM 12 HR Shift

Work Type:


Per Diem As Needed

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