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 BLS required
ACLS required RN License in the state of employment or compact
required Work Schedule : MULTIPLE SHIFTS AVAILABLE Work Type :
Full Time
Rn Unit • Texas, Texas, United States