RN, Registered Nurse - Ldrp
Company: Christus Health
Location: San Antonio
Posted on: September 26, 2024
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.
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.
- 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 and/or 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 unit's patient
population
-Standard II. Patient Throughput & Patient Flow Process
- Anticipates and plans for admission/discharge/transfer 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 Practice/Quality Care/Regulations
- Incorporates patient safety practices/guidelines 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
Job 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 Perinatal Department-specific
competency validation.
- Completion of all annual competency verification
requirements.
Experience
- 1 year of experience in the related nursing specialty
preferred
- Perinatal RN Residency, or recently practicing in a Perinatal
Setting is preferred.
Licenses, Registrations, or Certifications
- BLS required
- RN License in state of employment or compact
- Current certification from NCC Electronic Fetal Monitoring
(C-EFM) or one of the following AWHONN courses: Intermediate FHM,
Intermediate FHM Instructor, Advanced FHM Instructor, or Instructor
Trainer at the time of hire for experienced nurses. If previously
uncertified, certification must be obtained within 30 days of hire
as they cannot practice independently without it. For new graduates
and experienced nurses new to the specialty, certification must be
obtained within 4 months of hire and maintained thereafter.
- Current STABLE (Post-resuscitation/Pre-transport Stabilization
Care of Sick Infants) certification from one of the following
courses: Participant, Lead Instructor, or Support Instructor at the
time of hire for experienced nurses. If previously uncertified,
certification must be obtained within 30 days of hire as they
cannot practice independently without it. For new graduates and
experienced nurses new to the specialty, certification must be
obtained within 4 months of hire and maintained thereafter.
- Current ACLS certification within 30 days of hire for
experienced nurses; within 90 days of hire for new graduates then
required to maintain certification thereafter.
- Current NRP certification at time of hire for experienced
nurses; within 60 days for new graduates and experienced nurses new
to the specialty then required to maintain certification
thereafter.
Work Schedule:
7AM - 7PM
Work Type:
Full Time
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Keywords: Christus Health, San Antonio , RN, Registered Nurse - Ldrp, Healthcare , San Antonio, Texas
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