Rn I, Registered Nurse I - Acute Med/Surg (Hiring Immediately)

**Description** _**Summary:**_Responsible for patient assessment, patient care planning, and provision ofquality nursing care to an assigned group of patients for a defined workperiod. Provides direction and supervision to LVNLPNs, nursing assistants,unit secretaries, and other clinicalclerical associates. By assignment, mayfunction as a charge nurse for the unit. Involves provision of patientcareservice to older adolescents, young adults, adults, geriatric andpediatric patients._**Responsibilities:**_ * Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. * Patient Care Planning * Develops a comprehensive nursing care plan which addresses all significant needs and problems identified through nursing assessment. * Prepares nursing elements of the interdisciplinary care plan prior to the initial team conference. * Reviews and updates nursing care plan and collaborates with team members as changes occur. * Patient Care Provision * Implements patient care as planned in nursing care plan and interdisciplinary care plan. * Sets priorities based on knowledge of patient acuity and patient needs. * Provides safe and therapeutic care and seeks resources when appropriate. * Safely performs and accurately documents procedures, consistent with established nursing policy and procedure. * Patient Care Evaluation * Evaluates patient response to interventions and attainment of goals in collaboration with interdisciplinary team. * Evaluates progress toward nursing goals and revises goals as needed on a weekly basis. * Completes nursing progress note for assigned patients on a daily basis. * Completes nursing flow sheets for assigned patients on a daily basis. * Teaching * Evaluates education needs of patient and significant others and documents their response to teaching. * Utilizes, adapts, and revises teaching resources to meet patient education needs. * Explains procedures, tests, and disease process to patients and families as needed. * Acts as role model for health care students and other team members. * Acts as preceptor to assigned orientees. * Assists in the orientation of new staff by sharing knowledge and experience. * Patient Care Communication * Reports and documents accurately and concisely to appropriate persons the patients condition. * Maintains patient confidentiality. * Applies basic verbal and nonverbal skills to maintain open, effective communication among care team members, patients, and significant others. * Encourages direct discussion between staff members when differences occur and seeks assistance to arbitrate differences as needed. * Gives and accepts constructive feedback appropriately. * Identifies actual and potentially unsafe patient care practices, reports them in the designated manner, and suggests alternatives.CORE COMPETENCIESStandard 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 designated units patient populationStandard II. Patient Throughput & Patient Flow Process * Anticipates and plans for admissiondischargetransfer 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 accuracyStandard 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 industryStandard IV. Safe PracticeQuality CareRegulations * Incorporates patient safety practicesguidelines 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 activitiesTECHNICAL COMPETENCIESClinical 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 techniquesHealth 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 practicesMedical 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 equipmentMedical 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 eachPatient 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 othersPatient 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:_** **EducationSkills** * Bachelor of Science Degree in Nursing, preferred**Experience** * Six months to a year of experience as a licensed RN or holder of an active GN permit**Licenses, Registrations, or Certifications** * BLS required * RN License in state of employment or compact * Graduate Nurse Permit * Associates with an unsuccessful licensure application or on the 75th day following the effective date of the temporary permit; will be transferred to another position within CHRISTUS Health**_Work Schedule:_** 7PM - 7AM**_Work Type:_ **Full Time **EEO is the law - click below for more information:**We endeavor to make this site accessible to any and all users. 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