Clinical Nurse I - Medical/Surgical Unit (Hiring Immediately)

Description

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 LVNLPNs, nursing assistants,

unit secretaries, and other clinicalclerical associates. By assignment, may

function as a charge nurse for the unit. Involves provision of patient

careservice 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 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 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 designated units patient population

Standard 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 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 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

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
• 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 : Work Type :

Work Type : Per Diem As Needed

Per Diem As Needed

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