Summary:

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.

Responsibilities:

? 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.

Requirements:

• Bachelor of Science Degree in Nursing, preferred. 
• 1 year of experience in the related nursing specialty preferred. 
• BLS required. 
• RN License in state of employment or compact.

Work Schedule:

TBD

Work Type:

Full Time

EEO is the law - click below for more information: 

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

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