RN, Registered Nurse I - Emergency Department

Description

The Emergency Department of CHRISTUS Spohn Hospital Kleberg is a 12-bed unit organized and designed for the immediate treatment of emergency medical and / or surgical conditions. We have a Medical provider 24 hours per day, with An Advance Practitioner 9 hours per day. The Emergency Department had been designated a Level IV Trauma Center by Texas Department of Health. The department is responsible for initiating lifesaving procedures in all types of emergency situations and for providing emergency care for other conditions, including chronic medical problems and minor injuries and illnesses. After emergency measures are implemented the patient may be transferred within the hospital, to another institution, or discharged home. Our average daily census is 60. The most frequent medical diagnoses seen are R / O Myocardial Infarction, Congestive Heart Failure, Pneumonia, Cardiovascular conditions, cardiopulmonary conditions, Diabetes Mellitus, Hepatitis, Pancreatitis, URI and Urosepsis. The most frequent surgical conditions are appendicitis, fractured hip and spontaneous abortion.

The ER staff work closely with the community by providing education on disease process and safety measures. We also volunteer our time and service to help out our local naval base during events such as “Wings over Texas” and our surrounding areas with events such as, “Beach to Bay.” Our team has been recognized for exceeding the goal for treating a MI or stroke patient. They have made changes to the overall flow in the ER to improve the door to doctor times and over all patient experience. We have earned the Silver Award from the American Heart Association for our Stroke Care.

Summary :

Responsible for patient assessment, patient care planning, and provision of quality nursing care to an assigned group of patients for a defined work period. Provides direction and supervision to LVN / LPNs, nursing assistants, unit secretaries, and other clinical / clerical associates. By assignment, may function as a charge nurse for the unit. Involves provision of patient care / service to older adolescents, young adults, adults, geriatric and pediatric 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 patient's 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.

Job Requirements : Education / Skills

Experience

Licenses, Registrations, or Certifications

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

Position Requirements :

Education / Skills

Experience

Licenses, Registrations, or Certifications

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.

Credential Grace Periods :

If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.

Credential

Grace Periods for

Experienced Associates

Grace Periods for

New Graduates & Experienced Associates New to the Specialty

Basic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire.

Work Schedule : 7AM - 7PM

Work Type : Full Time