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.

· 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

· Must be able to perform unit-specific competencies based on the specific patient care need 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 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

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

Job Type: Full-time

Pay: $26.00 - $46.40 per hour

Benefits:

401(k)
Dental insurance
Flexible schedule
Health insurance
Paid time off
Tuition reimbursement
Vision insurance

Medical Specialty:

Medical-Surgical

Physical Setting:

Inpatient

Supplemental Pay:

Differential pay
Overtime pay

Experience:

Nursing: 1 year (Required)

License/Certification:

AHA BLS Certification (Required)
RN License (Required)

Ability to Relocate:

San Antonio, TX 78207: Relocate before starting work (Required)

Work Location: In person

CHRISTUS Children's Hospital

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