Clinical Nurse Specialist

1 week ago

Alamogordo, New Mexico, United States Christus Health Full time

Overview:

The skilled Nurse, operating within a similar clinical environment, works autonomously and exhibits a comprehensive understanding of all pertinent aspects of patient care. Delivers both routine and intricate care, focusing on long-term objectives and strategies. Continues to enhance the capability to handle and navigate the complexities of clinical nursing. Appropriately assigns tasks and delegates responsibilities to other healthcare providers to effectively manage the clinical environment.

Key Responsibilities:


• Adheres to 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 the increasingly intricate psychological, emotional, cultural, and social requirements of patients and their families, in accordance with their level of practice.

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

• Maintains accurate documentation of patient history, symptoms, medications, and care provided.

• Evaluates learning needs and provides 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 fundamental physical, psychosocial, social, cultural, spiritual, and developmental needs of patients and families.

• Communicates findings to appropriate healthcare team members.

• Develops and implements a tailored plan of care, modifying 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 patients and their responses.

• Conducts timely reassessments and documentation.

• Must be proficient in unit-specific competencies based on the designated patient care needs for the unit's patient population.

Standard II. Patient Throughput & Patient Flow Process

• Anticipates and plans for admission, discharge, and transfer needs to enhance patient flow.

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

• Provides guidance on tools and techniques for verifying and validating orders to ensure accuracy.

Standard III. Unit Operations

• Plans, directs, and evaluates the overall nursing care and operations within a specific nursing unit during assigned shifts.

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

• Assesses departmental staffing requirements; 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 and 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 sector.

• Possesses knowledge 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 associated clinical procedures.

• Analyzes policy and standards documentation to ensure organizational compliance.

• Provides constructive feedback for procedural improvements.

• Assists in the development and implementation of specific procedures.

• Engages with control and monitoring mechanisms, tools, and techniques.

Health Information Documentation

• Shares experiences in 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 units or stations.

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

• Transcribes verbal orders; explains techniques for ensuring their accuracy.

• Clarifies best practices in 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 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 adhering to standing orders.

• Differentiates between standing orders and preprinted orders, along with considerations for each.

Patient Chart Reading and Interpretation

• Describes experiences in reading and interpreting patient charts for individuals 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 colleagues.

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 their families.

• Recognizes and addresses physiological and psychological signs of problems.

• 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.

Qualifications:

A. Education/Skills

  • Bachelor of Science Degree in Nursing is preferred.

B. Experience

  • 1 year of experience in the relevant nursing specialty is preferred.

C. Licenses, Registrations, or Certifications

  • BLS certification is required.
  • RN License in the state of employment or compact is required.

Work Schedule:

Varies

Work Type:

Full Time

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