Job Description
**Description**
_**Summary:**_
The competent Nurse, in the same or similar clinical setting, practices
independently and demonstrates an awareness of all relevant aspects of a
situation. 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 as a means to help manage the clinical situation.
_**Responsibilities:**_
• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of
Self, Leader of Others, or Leader of Leaders.
• Consistent with the ANA Scope and Standards of Practice, provides nursing
care utilizing the nursing process, including assessment, diagnosis, planning,
intervention and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and
social needs of patient and families in accordance with their level of
practice.
• Using the appropriate protocol, administers medications and treatments;
monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, family members
andor care givers; identify issues and resources.
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 the 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
* 1 year of experience in the related nursing specialty preferred
* BLS required
* RN License in state of employment or compact
**_Work Schedule:_
**
7AM - 7PM
**_Work Type:_
**
Full Time
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Job Tags
Full time, Local area, Immediate start, Shift work,