RN, Registered Nurse - Acute Medsurgical B

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.

The CHRISTUS Children’sHospital, established in 1959, was the first children’s hospital inSouth-Central Texas. Located downtown, this 190-plus-bed hospitalserves more than 70,000 children annually from San Antonio, SouthTexas and around the world.

The hospital (in partnership withBaylor College of Medicine) is the only academic children’shospital in San Antonio. Our highly specialized services meet theunique medical needs of children, from Pediatric and NeonatalIntensive Care to Children’s Emergency Services, the latesttreatments for deformities of the spine including titanium ribimplants and halo traction, a Heart Center, a specialized asthmaprogram, a highly regarded Cancer and Blood Disorders Center, andgrowing maternal services to include consultation, delivery, andmaternal fetal medicine.

Responsibilities :

• Meets expectations of the applicable OneCHRISTUSCompetencies : Leader of Self, Leader of Others, or Leader ofLeaders.
• Consistent with the ANA Scope and Standardsof Practice, provides nursing care utilizing the nursing process,including assessment, diagnosis, planning, intervention andevaluation for assigned patients.
• Addressesincreasingly complex psychological, emotional, cultural, and socialneeds of patient and families in accordance with their level ofpractice.
• Using the appropriate protocol, administersmedications and treatments; monitors for side-effects andeffectiveness of the treatment prescribed.
• Documentspatient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, familymembers and / or care givers; identify issues and resources.

CORE COMPETENCIES

Standard I : Utilizesthe Nursing Process

• Uses critical thinking skills toassess the basic physical, psychosocial, social, cultural,spiritual, and development needs of patient and families
• Communicates findings to appropriate healthcare teammembers
• Develops and uses a specific plan of care andmodifies it to meet individual patient needs using evidence-basedpractice
• Implements patient care and therapeuticprocedures; monitors and documents progression of treatment andteaching goals
• 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 perform unit-specificcompetencies based on the specific patient care need for thedesignated unit's patient population

Standard II. Patient Throughput & Patient FlowProcess

• Anticipates and plans foradmission / discharge / transfer needs to facilitate patient flow
• Utilizes appropriate systems of communication and tools tofacilitate the discharge process
• Coaches on tools andtechniques for checking, cross checking and validating orders toensure accuracy

Standard III. UnitOperations

• Plans, directs, and evaluates the overallnursing care and functions in a particular nursing unit during anassigned shift
• Demonstrates good stewardship in properuse and maintenance of equipment and Supplies
• Assessesdepartmental staffing needs; actively participates in resourcingefforts.
• Educates and trains others on theoperations, ethics, and regulations within the industry

Standard IV. Safe Practice / QualityCare / Regulations

• Incorporates patient safetypractices / guidelines to promote a safe environment resulting inpositive patient outcomes
• Demonstrates accountabilityfor nursing research and quality improvement activities
• Provides evidence-based nursing care
• Communicates patient information effectively across the continuumof care
• Educates and trains others on the operations,ethics, and regulations within the industry
• Knowledgeof federal, state and local healthcare-related laws andregulations; ability to comply with these in healthcare practicesand activities

TECHNICAL COMPETENCIES

Clinical Policies and Standards

• Follows aspecific set of standards and associated clinical procedures
• Analyzes policy and standards documentation and ensuresorganizational compliance
• Provides feedback forimprovement of procedures
• Assists in the developmentand implementation of specific procedures
• Works withcontrol and monitoring mechanisms, tools and techniques

Health Information Documentation

• Shares experiences with maintaining paper and electronic patientdocumentation
• Walk through the steps and proceduresfor receiving, validating and updating patient records
• Describes the flow of information between various stations orunits
• Discusses the functions, features and documentflow of electronic documentation
• Transcribes verbalorders; explains techniques for ensuring their accuracy
• Explains health information documentation best practices andtheir rationale across health care practices

Medical Equipment

• Describes experience with basicmedical equipment used in own unit or facility
• Usesstandard diagnostic tools and techniques to resolves commonequipment problems
• Educates patients about theappropriate use of home medical equipment
• Ensures thatall 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 withprocessing medical orders for one or more groups of patients orconditions
• Describes functions and features of thesystem used to enter, validate, update and forward medicalorders
• Discusses common errors, their sources andprocedures for correcting
• Explains considerations forentering and following standing orders
• Differentiatesbetween standing orders and preprinted orders and considerationsfor each

Patient Chart Reading andInterpretation

• Describes experiences in reading andinterpreting patient charts for patients on unit and under owncare
• Reviews patients’ charts for completion andaccuracy; identifies and alerts to mistakes or omissions
• Recognizes unexpected readings and alerts nursing or medicalstaff
• Relates examples of mis-readings ormisinterpretations and lessons learned
• Reviews,discusses and validates own interpretation with others

Patient Safety

• Shares experienceswith ensuring safety for one or more patient groups orsettings
• Explains key features of safety guidelinesand procedures for those groups and settings
• Listensand responds to safety inquiries from patients and familymembers
• Recognizes and addresses physiological andpsychological 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 in real-time

Requirements :

• Bachelor of Science Degree in Nursing,preferred.
• 1 year of experience in the relatednursing specialty preferred.
• BLSrequired
• RN License in state of employment orcompact

WorkSchedule : Varies

Varies

WorkType : FullTime

FullTime

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