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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.
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
Requirements:
Experience:
- 1 year of experience in the related nursing specialty preferred
Education:
- Bachelor of Science Degree in Nursing, preferred
Licenses/Certifications/Registrations:
- RN License in state of employment or compact
- BLS required
Work Schedule:
TBD
Work Type:
Full Time
EEO is the law – click below for more information:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
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