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    Registered Nurse - Texarkana, TX, United States - CHRISTUS Health

    CHRISTUS Health
    CHRISTUS Health Texarkana, TX, United States

    3 weeks ago

    CHRISTUS Health background
    Full time
    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.

    This position is specific to the NICU Department.


    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, anal

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