**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 ofSelf, Leader of Others, or Leader of Leaders. • Patient Care Planning • Develops a comprehensive nursing care plan which addresses all significantneeds and problems identified through nursing assessment. • Prepares nursing elements of the interdisciplinary care plan prior to theinitial team conference. • Reviews and updates nursing care plan and collaborates with team members aschanges occur. • Patient Care Provision • Implements patient care as planned in nursing care plan andinterdisciplinary 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 withestablished nursing policy and procedure. • Patient Care Evaluation • Evaluates patient response to interventions and attainment of goals incollaboration with interdisciplinary team. • Evaluates progress toward nursing goals and revises goals as needed on aweekly 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 documentstheir response to teaching. • Utilizes, adapts, and revises teaching resources to meet patient educationneeds. • Explains procedures, tests, and disease process to patients and families asneeded. • 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 conciselyto appropriate persons the patients condition. • Maintains patient confidentiality. • Applies basic verbal and nonverbal skills to maintain open, effectivecommunication among care team members, patients, and significant others. • Encourages direct discussion between staff members when differences occurand seeks assistance to arbitrate differences as needed. • Gives and accepts constructive feedback appropriately. • Identifies actual and potentially unsafe patient care practices, reportsthem in the designated manner, and suggests alternatives. 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 individualpatient • needs using evidence-based practice. Implements patient care and therapeutic • procedures; monitors and documents progression of treatment and teachinggoals • Evaluates the care and treatment(s) provided to the patient and the patientresponse to • the care and treatment(s). Performs timely reassessment and documentation • Must be able to perform unit specific competencies based on the specificpatient care need for designated units patient population Standard II. Patient Throughput & Patient Flow Process • Anticipates and plans for admissiondischargetransfer needs to facilitatepatient flow • Utilizes appropriate systems of communication and tools to facilitate thedischarge process • Coaches on tools and techniques for checking, cross checking and validatingorders to ensure accuracy Standard III. Unit Operations • Plans, directs, and evaluates the overall nursing care and functions in aparticular nursing unit during an assigned shift • Demonstrates good stewardship in proper use and maintenance of equipment andSupplies • Assesses departmental staffing needs; actively participates in resourcingefforts. • Educates and trains others on the operations, ethics, and regulations withinthe industry Standard IV. Safe PracticeQuality CareRegulations • Incorporates patient safety practicesguidelines to promote a safeenvironment resulting in positive patient outcomes • Demonstrates accountability for nursing research and quality improvementactivities • Provides evidence-based nursing care • Communicates patient information effectively across the continuum of care • Educates and trains others on the operations, ethics, and regulations withinthe industry. • Knowledge of federal, state and local healthcare related laws andregulations; ability to comply with these in healthcare practices andactivities TECHNICAL COMPETENCIES Clinical Policies and Standards • Follows a specific set of standards and associated clinical procedures • Analyzes policy and standards documentation and ensures organizationalcompliance • 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 patientdocumentation • Walk through the steps and procedures for receiving, validating and updatingpatient records • Describes the flow of information between various stations or units • Discusses the functions, features and document flow of electronicdocumentation • Transcribes verbal orders; explains techniques for ensuring their accuracy • Explains health information documentation best practices and their rationaleacross health care practices Medical Equipment • Describes experience with basic medical equipment used in own unit orfacility • Uses standard diagnostic tools and techniques to resolves common equipmentproblems • Educates patients about the appropriate use of home medical equipment • Ensures that all equipment and related supplies are in proper working orderprior 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 ofpatients 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 andconsiderations for each Patient Chart Reading and Interpretation • Describes experiences in reading and interpreting patient charts forpatients on unit and under own care • Reviews patients' charts for completion and accuracy; identifies and alertsto 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 orsettings • Explains key features of safety guidelines and procedures for those groupsand 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, versusharm to others • Utilizes appropriate systems to document misses and near misses,participates in immediate investigating, analysis and reporting in real time _**Requirements:**_ * Bachelor of Science Degree in Nursing, preferred * Six months to a year of experience as a licensed RN or holder of an active GN permit * 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:_ **TBD**_Work Type:_ **Per Diem As Needed **EEO is the law - click below for more information:**We endeavor to make this site accessible to any and all users. If you wouldlike to contact us regarding the accessibility of our website or needassistance completing the application process, please contact us at (844)257-6925.
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