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:
Physical Setting:
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
