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Clinical Nurse Specialist

2 months ago

Alamogordo, New Mexico, United States Christus Health Full time

Overview:

The proficient Nurse, operating within a similar clinical environment, functions autonomously and exhibits an understanding of all pertinent aspects 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 navigate the complexities of clinical nursing. Appropriately assigns tasks and delegates responsibilities to other care providers as a strategy to assist in managing the clinical situation.

Key Responsibilities:


• Meets the standards of the relevant 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 increasingly intricate psychological, emotional, cultural, and social needs of patients and families in accordance with their level of practice.

• Administers medications and treatments using the appropriate protocols; monitors for side effects and the effectiveness of prescribed treatments.

• Documents 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: Utilizes the Nursing Process

• Employs critical thinking skills to assess 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 and modifies it to meet individual patient needs using 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 the patient and their responses.

• Conducts timely reassessments and documentation.

• Must be capable of performing unit-specific competencies based on the specific patient care needs 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 communication systems and tools to streamline the discharge process.

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

Standard III. Unit Operations

• Plans, directs, and evaluates the overall nursing care and functions within a specific nursing unit during an assigned shift.

• Demonstrates responsible stewardship in the proper use and maintenance of equipment and supplies.

• Assesses departmental staffing needs; actively participates in resource allocation efforts.

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

Standard IV. Safe Practice/Quality Care/Regulations

• Integrates patient safety practices/guidelines to foster a safe environment leading 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 operations, ethics, and regulations within the healthcare industry.

• Knowledgeable of federal, state, and local healthcare-related laws and regulations; capable of complying with these in healthcare practices and activities.

Technical Competencies
Clinical Policies and Standards

• Adheres to a specific set of standards and associated clinical procedures.

• Analyzes policy and standards documentation to ensure organizational compliance.

• Provides 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 stations or units.

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

• Transcribes verbal orders; 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 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 one or more 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 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 interpretations with others.

Patient Safety

• Shares experiences with 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 misses and near misses, participating in immediate investigation, analysis, and reporting in real-time.

Qualifications:

A. Education/Skills

  • Bachelor of Science Degree in Nursing, preferred

B. Experience

  • 1 year of experience in the related nursing specialty preferred

C. Licenses, Registrations, or Certifications

  • BLS required
  • RN License in state of employment or compact

Work Schedule:

Varies

Work Type:

Full Time