RN - Medical/Surgical
Company: CHRISTUS Health
Location: Tyler
Posted on: October 26, 2024
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Job Description:
Job DescriptionDescriptionSummary: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 and/or care
givers; identify issues and resourcesCORE COMPETENCIESStandard 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 populationStandard 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
COMPETENCIESClinical 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 techniquesHealth
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
equipmentMedical 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 eachPatient 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 othersPatient 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:
Keywords: CHRISTUS Health, Garland , RN - Medical/Surgical, Healthcare , Tyler, Texas
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