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Clinical Nurse Specialist
2 months ago
Overview:
The skilled Nurse, operating within a similar clinical environment, works autonomously and shows an understanding of all pertinent elements of a scenario. Delivers both routine and intricate care, with the capability to focus on long-term objectives or strategies. Continues to enhance the ability to manage and adapt to the challenges of clinical nursing. Appropriately assigns tasks and delegates responsibilities to other healthcare providers to assist in managing the clinical situation.
CHRISTUS Santa Rosa Hospital - New Braunfels (CSRH-NB) is a comprehensive, 94-bed facility located in a vibrant area, continually evolving to cater to the growing population of New Braunfels. The facility employs innovative technologies and methodologies, featuring an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a modernized birthing center with 24/7 neonatal support, emergency services, a wound care/hyperbaric center, 3D mammography, and extensive cardiac care, ranging from diagnostics to open-heart procedures.
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, provides nursing care utilizing the nursing process, which includes assessment, diagnosis, planning, intervention, and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families according to their level of practice.
• Administers medications and treatments per established protocols; monitors for side effects and the effectiveness of prescribed treatments.
• Accurately documents patient history, symptoms, medications, and care provided.
• Assesses educational needs and provides instruction to patients, family members, and/or caregivers; identifies issues and available resources.
Core Competencies:
Standard I: Utilizes the Nursing Process
• Employs critical thinking skills to evaluate the basic physical, psychosocial, social, cultural, spiritual, and developmental needs of patients and families.
• Communicates findings to relevant healthcare team members.
• Develops and implements a specific care plan, modifying 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 goals.
• Evaluates the care and treatments provided to patients and their responses.
• Conducts timely reassessments and documentation.
• Must perform unit-specific competencies based on the designated patient population's needs.
Standard II: Patient Throughput & Flow Process
• Anticipates and plans for admission, discharge, and transfer needs to enhance patient flow.
• Utilizes effective communication systems and tools to facilitate the discharge process.
• Coaches on techniques for verifying and validating orders to ensure accuracy.
Standard III: Unit Operations
• Plans, directs, and evaluates overall nursing care and functions within a specific nursing unit during assigned shifts.
• Demonstrates responsible stewardship in the use and maintenance of equipment and supplies.
• Assesses staffing needs and actively participates in resource allocation efforts.
• Educates and trains others on industry operations, ethics, and regulations.
Standard IV: Safe Practice/Quality Care/Regulations
• Integrates patient safety practices and guidelines to foster a safe environment, resulting in 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 industry operations, ethics, and regulations.
• Knowledgeable of federal, state, and local healthcare-related laws and regulations; ensures compliance in healthcare practices and activities.
Technical Competencies:
Clinical Policies and Standards
• Adheres to a specific set of standards and clinical procedures.
• Analyzes policy and standards documentation to ensure organizational compliance.
• Provides feedback for the enhancement of procedures.
• Assists in developing and implementing specific procedures.
• Works with control and monitoring mechanisms, tools, and techniques.
Health Information Documentation
• Shares experiences in maintaining both paper and electronic patient documentation.
• Walks through the procedures for receiving, validating, and updating patient records.
• Describes the flow of information between various units.
• Discusses the functions and features of electronic documentation.
• Transcribes verbal orders and explains techniques for ensuring their accuracy.
• Explains best practices for health information documentation and their rationale across healthcare practices.
Medical Equipment
• Describes experience with basic medical equipment used in the unit or facility.
• Utilizes standard diagnostic tools and techniques to resolve common equipment issues.
• Educates patients on the appropriate use of home medical equipment.
• Ensures 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 in 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 correction procedures.
• 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 care.
• Reviews patient charts for completeness and accuracy; identifies and alerts to mistakes or omissions.
• Recognizes unexpected readings and alerts nursing or medical staff.
• Relates examples of misreadings or misinterpretations and lessons learned.
• Reviews, discusses, and validates 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 problems.
• Describes considerations for patients who may cause harm to themselves versus others.
• Utilizes appropriate systems to document incidents and near misses, participating in immediate investigations, analysis, and reporting in real-time.
Qualifications:
Experience:
- Preferred: Perinatal RN Residency or recent practice in a Perinatal Setting.
- Preferred: 1 year of experience in the relevant nursing specialty.
Education:
RN License in the state of employment or compact BLS required. Current STABLE (Post-resuscitation/Pre-transport Stabilization Care of Sick Infants) certification from one of the following courses: Participant, Lead Instructor, or Support Instructor 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:
Varies
Work Type:
Full Time
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