RN, Registered Nurse - Surg General

Description

Summary :

The competent Nurse, in the same or similar clinicalsetting, practices independently and demonstrates an awareness ofall relevant aspects of a situation.

Provides routine and complexcare, with the ability to on long-range goals or plans. Continuesto develop the ability to cope with and manage contingencies ofclinical nursing.

Makes appropriate assignments and delegates toother care providers as a means to help manage the clinicalsituation.

CHRISTUS Santa Rosa Hospital -Medical Center (CSRH-MC), located in the South Texas MedicalCenter, provides a high-level of care through compassionate hands,experience physicians, and advanced technology, including the daVinci Surgical Robot System and the Mako™ Robotic-Arm AssistedSystem.

Services at the 178- bed facility include Acute Care of theElderly Unit, cardiology, diabetes care, emergency care, generalsurgery, kidney transplantation at the CHRISTUS TransplantInstitute, orthopedics, outpatient rehabilitation and aquatictherapy, Senior Behavioral Health Center, urology, and the WoundCare and Hyperbaric Center.

Responsibilities :

• Meets expectations of theapplicable OneCHRISTUS Competencies : Leader of Self, Leader ofOthers, or Leader of Leaders.
• Consistent withthe ANA Scope and Standards of Practice, provides nursing careutilizing the nursing process, including assessment, diagnosis,planning, intervention and evaluation for assignedpatients.
• Addresses increasingly complexpsychological, emotional, cultural, and social needs of patient andfamilies in accordance with their level ofpractice.
• Using the appropriate protocol,administers medications and treatments; monitors for side-effectsand effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and caregiven.
• Assess learning needs and provideseducation to patients, family members and / or care givers; identifyissues and resources.

CORECOMPETENCIES

Standard I : Utilizes the NursingProcess

• Uses critical thinking skillsto assess the basic physical, psychosocial, social, cultural,spiritual, and development needs of patient andfamilies
• Communicates findings to appropriatehealthcare team members
• Develops and uses aspecific plan of care and modifies it to meet individual patientneeds using evidence-based practice
• Implementspatient care and therapeutic procedures; monitors and documentsprogression of treatment and teachinggoals
• Evaluates the care and treatment(s)provided to the patient and the patient response to the care andtreatment(s)
• Performs timely reassessment anddocumentation
• Must be able to performunit-specific competencies based on the specific patient care needfor the designated unit's patient population

Standard II. Patient Throughput & Patient FlowProcess

• Anticipates and plans foradmission / discharge / transfer needs to facilitate patientflow
• Utilizes appropriate systems ofcommunication and tools to facilitate the dischargeprocess
• Coaches on tools and techniques forchecking, cross checking and validating orders to ensureaccuracy

Standard III. UnitOperations

• Plans, directs, andevaluates the overall nursing care and functions in a particularnursing unit during an assignedshift
• Demonstrates good stewardship in properuse and maintenance of equipment andSupplies
• Assesses departmental staffing needs;actively participates in resourcing efforts.
• Educates and trains others on the operations, ethics, andregulations within the industry

Standard IV. Safe Practice / QualityCare / Regulations

• Incorporates patientsafety practices / guidelines to promote a safe environment resultingin positive patient outcomes
• Demonstratesaccountability for nursing research and quality improvementactivities
• Provides evidence-based nursingcare
• Communicates patient informationeffectively across the continuum ofcare
• Educates and trains others on theoperations, ethics, and regulations within theindustry
• Knowledge of federal, state and localhealthcare-related laws and regulations; ability to comply withthese in healthcare practices and activities

TECHNICAL COMPETENCIES

ClinicalPolicies and Standards

• Follows aspecific set of standards and associated clinicalprocedures
• Analyzes policy and standardsdocumentation and ensures organizationalcompliance
• Provides feedback for improvement ofprocedures
• Assists in the development andimplementation of specific procedures
• Workswith control and monitoring mechanisms, tools andtechniques

Health InformationDocumentation

• Shares experiences withmaintaining paper and electronic patientdocumentation
• Walk through the steps andprocedures for receiving, validating and updating patientrecords
• Describes the flow of informationbetween various stations or units
• Discusses thefunctions, features and document flow of electronicdocumentation
• Transcribes verbal orders;explains techniques for ensuring theiraccuracy
• Explains health informationdocumentation best practices and their rationale across health carepractices

MedicalEquipment

• Describes experience withbasic medical equipment used in own unit orfacility
• Uses standard diagnostic tools andtechniques to resolves common equipmentproblems
• Educates patients about theappropriate use of home medicalequipment
• Ensures that all equipment andrelated supplies are in proper working order prior to use to ensurepatient safety
• Inspects, troubleshoots andevaluates incoming equipment

MedicalOrder Processing

• Shares experienceswith processing medical orders for one or more groups of patientsor conditions
• Describes functions and featuresof the system used to enter, validate, update and forward medicalorders
• Discusses common errors, their sourcesand procedures for correcting
• Explainsconsiderations for entering and following standingorders
• Differentiates between standing ordersand preprinted orders and considerations foreach

Patient Chart Reading andInterpretation

• Describes experiencesin reading and interpreting patient charts for patients on unit andunder own care
• Reviews patients’ charts forcompletion and accuracy; identifies and alerts to mistakes oromissions
• Recognizes unexpected readings andalerts nursing or medical staff
• Relatesexamples of mis-readings or misinterpretations and lessonslearned
• Reviews, discusses and validates owninterpretation with others

PatientSafety

• Shares experiences withensuring safety for one or more patient groups orsettings
• Explains key features of safetyguidelines and procedures for those groups andsettings
• Listens and responds to safetyinquiries from patients and familymembers
• Recognizes and addresses physiologicaland psychological signs of problems
• Describesconsiderations for patients who can cause to harm to self, versusharm to others
• Utilizes appropriate systems todocument misses and near misses, participates in immediateinvestigating, analysis and reporting inreal-time

JobRequirements : Education / Skills

Education / Skills

Bachelor of Science Degree in Nursing,preferred

Experience

1 year of experience in the related nursingspecialty preferred

Licenses, Registrations, orCertifications

• BLSrequired
• RN License in state of employment orcompact

WorkSchedule : Varies

Varies

WorkType : FullTime

FullTime

EEO is the law - click below for moreinformation :

https : / / www.eeoc.gov / sites / default / files / 2023-06 / 22-088 EEOC KnowYourRights6.12ScreenRdr.pdf

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