RN, Registered Nurse Lead - ICU Pediatric - CHRISTUS Health

DescriptionSummary : Supports and coordinates day-to-day activities of nursing personnel in patient care units, provides direction to Clinical Staff, implements work of assigned units, and coordinates activities with other patient care units and related departments.

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 to help manage the clinical situation.The CHRISTUS Children’s Hospital, established in 1959, was the first children’s hospital in South-Central Texas.

Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world.

The hospital (in partnership with Baylor College of Medicine) is the only academic children’s hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.

Responsibilities : Meets expectations of the applicable OneCHRISTUS Competencies : Leader of Self, Leader of Others, or Leader of Leaders.

Organizing and overseeing patient care delivery during an assigned shift, ensuring proper staffing and smooth operations of a patient care unit.

Coaching / counseling individual team members; monitoring and providing feedback on performance and addressing training needs.

Documenting daily staffing, operational, and administrative records; maintaining compliance with governmental policies and procedures.

Providing direction and support to nursing staff demonstrating and promoting respect for the dignity and rights of every patient;

assisting with communications with patients and familiesAllocates team resources responsibly and equitably, delegates appropriate levels of responsibility and authority, and provides oversight and guidance.

Mediates and resolves conflicts among individuals, groups, and departments.CORE COMPETENCIESStandard I : Utilizes the Nursing ProcessUses critical thinking skills to assess the basic physical, psychosocial, social, cultural, Spiritual, and development needs of patient and familiesCommunicates findings to appropriate healthcare team membersDevelops 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 goalsEvaluates the care and treatment(s) provided to the patient and the patient’s response to the care and treatment(s)Performs timely reassessment and documentationMust be able to perform unit-specific competencies based on the specific patient care need for designated unit's patient populationStandard II.

Patient Throughput & Patient Flow ProcessAnticipates and plans for admission / discharge / transfer needs to facilitate patient flowUtilizes appropriate systems of communication and tools to facilitate the discharge processCoaches on tools and techniques for checking, cross checking and validating orders to ensure accuracyStandard III.

Unit OperationsPlans, directs and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shiftDemonstrates good stewardship in the proper use and maintenance of equipment and SuppliesAssesses departmental staffing needs;

actively participates in resourcing efforts.Educates and trains others on the operations, ethics, and regulations within the industryStandard IV.

Safe Practice / Quality Care / RegulationsIncorporates patient safety practices / guidelines to promote a safe environment resulting in positive patient outcomesDemonstrates accountability for nursing research and quality improvement activitiesProvides evidence-based nursing careCommunicates patient information effectively across the continuum of careEducates 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 activitiesStandard V.

LeadershipServes as a subject matter expert for patient careGives continuing feedback, recognizes achievement, and recommends improvement as a patient care subject matter expert.

• Supports proper allocation of team resources, delegates appropriate levels of responsibility and authority, and provides support and guidance for high-quality patient careMediates and resolves conflicts among individuals, groups, and departmentsTECHNICAL COMPETENCIESClinical Policies and StandardsFollows a specific set of standards and associated clinical proceduresAnalyzes policy and standards documentation and ensures organizational complianceProvides feedback for improvement of proceduresAssists in the development and implementation of specific proceduresWorks with control and monitoring mechanisms, tools and techniquesHealth Information DocumentationShares experiences with maintaining paper and electronic patient documentationWalk through the steps and procedures for receiving, validating and updating patient recordsDescribes the flow of information between various stations or unitsDiscusses the functions, features and document flow of electronic documentationTranscribes verbal orders;
• explains techniques for ensuring their accuracyExplains health information documentation best practices and their rationale across health care practicesMedical EquipmentDescribes experience with basic medical equipment used in own unit or facilityUses standard diagnostic tools and techniques to resolves common equipment problemsEducates patients about the appropriate use of home medical equipmentEnsures that all equipment and related supplies are in proper working order prior to use to ensure patient safetyInspects, troubleshoots and evaluates incoming equipmentMedical Order ProcessingShares experiences with processing medical orders for one or more groups of patients or conditionsDescribes functions and features of the system used to enter, validate, update and forward medical ordersDiscusses common errors, their sources and procedures for correctingExplains considerations for entering and following standing ordersDifferentiates between standing orders and preprinted orders and considerations for eachPatient Chart Reading and InterpretationDescribes experiences in reading and interpreting patient charts for patients on unit and under own careReviews patients’ charts for completion and accuracy;

identifies and alerts to mistakes or omissionsRecognizes unexpected readings and alerts nursing or medical staffRelates examples of misreadings or misinterpretations and lessons learnedReviews, discusses and validates own interpretation with othersPatient SafetyShares experiences with ensuring safety for one or more patient groups or settingsExplains key features of safety guidelines and procedures for those groups and settingsListens and responds to safety inquiries from patients and family membersRecognizes and addresses physiological and psychological signs of problemsDescribes considerations for patients who can cause to harm to self, versus harm to othersUtilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis, and reporting in real-timeJob Requirements : Education / Skills Bachelor of Science Degree in Nursing, preferred.

All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Critical Care Department-specific competency validation.

All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program’s tracking software.

Completion of all annual competency verification requirements. Experience 2 years of clinical patient care experience in a relevant setting.

Licenses, Registrations, or Certifications BLS required RN License in state of employment or compactCurrent PALS certification at time of hire for experienced RNs or completion by the end of the clinical orientation period for new graduate nurses and maintain certification thereafter for ICU units that are exclusively pediatric, or as needed by facility requirements.

Current ACLS certification at time of hire for experienced RNs or completion by the end of the clinical orientation period for new graduate nurses and maintain certification thereafter.

Work Schedule : 7AM - 7PMWork Type : Full TimeEEO is the law - click below for more information : https : / / www.eeoc.gov / sites / default / files / 2023-06 / 22-088 EEOC KnowYourRights6.

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