Rn, Registered Nurse - Tyler, United States - CHRISTUS Health
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.
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 sideeffects 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 evidencebased 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 unitspecific competencies based on the specific patient care need for the designated unit's patient population
- 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.
- 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.
- 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 evidencebased 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 healthcarerelated 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
- 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.
- 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
- Shares experiences with processing medical orders for one or more groups
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