Registered Nurse, IMC Medical-Surgical Unit

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