Description
Summary :
The competent Nurse, in the
Medsurg or Telemetry clinical setting,
practices independently and demonstrates an awareness of all
relevant aspects of a situation. Provides routine and complex care,
in accordance with patient treatment 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.
Responsibilities : Meets
expectations of the applicable OneCHRISTUS Competencies : Leader of
Self, Leader of Others, or Leader of Leaders.
Meets expectations for flexibility of assignment within the
ministry.
Proactively provide assignment
availability on a regular basis.
Able to be
assigned to more than one unit.
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.
Job
Requirements : Education / Skills
Bachelor of Science Degree in Nursing, preferred
Experience
Minimum of 2 years of combined experience
required in Medsurg and Telemetry
5 years of
experience preferred
Licenses, Registrations, or Certifications
ACLS
required
RN License in the state of
employment or compact required
Work Schedule : MULTIPLE
SHIFTS AVAILABLE
Work Type : Full Time
Registered Nurse Rn Float • Flint, TX, Smith County, TX; Texas, United States