RN, Registered Nurse - San Antonio, 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. 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.

CHRISTUS Santa Rosa is proud to bring more than 145 years of Catholic, faith-based, health care excellence to Alamo Heights, an area known for its rich history and quality. Overlooking the Quarry Golf Course, the 36-bed short stay surgical hospital provides state-of-the-art technology including electronic medical records complemented by highly specialized services, physicians, and clinical care teams.

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 s