Registered Nurse Float II - Nursing Float Pool

CHRISTUS Health•San Antonio, TX

About The Position

The competent Nurse in the Medsurg, Telemetry, and Intermediate Care clinical settings practices independently and demonstrates awareness of relevant aspects of a situation. Provides routine and complex care in accordance with patient treatment plans, continues developing the ability to manage clinical contingencies, and makes appropriate assignments and delegates to other care providers to help manage the clinical situation. The role requires flexibility to work across more than one unit and proactive communication of assignment availability. The nurse provides care using the nursing process, including assessment, diagnosis, planning, intervention, and evaluation. The role includes addressing patients’ and families’ increasingly complex psychological, emotional, cultural, and social needs; administering medications and treatments using appropriate protocols; monitoring treatment effectiveness and side effects; documenting patient histories, symptoms, medications, and care; and assessing learning needs and providing education to patients, families, and caregivers. The position also contributes to patient throughput and unit operations, promotes safe, evidence-based care and regulatory compliance, and supports accurate health information documentation, medical order processing, patient chart interpretation, and safe use of medical equipment.

Requirements

Bachelor of Science Degree in Nursing is preferred.
Minimum of 2 years of combined experience in Medsurg/Telemetry and Intermediate Care is required.
BLS certification is required.
ACLS certification is required.
RN license in the state of employment or compact RN license is required.

Nice To Haves

5 years of experience preferred.
Bachelor of Science Degree in Nursing preferred.

Responsibilities

Meet expectations of the applicable OneCHRISTUS competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Meet expectations for assignment flexibility within the ministry, proactively provide assignment availability on a regular basis, and be able to work on more than one unit.
Provide nursing care using the nursing process, including assessment, diagnosis, planning, intervention, and evaluation.
Address the psychological, emotional, cultural, and social needs of patients and families in accordance with the nurse’s level of practice.
Administer medications and treatments according to appropriate protocols and monitor for side effects and effectiveness.
Document patient history, symptoms, medication, and care provided.
Assess learning needs and provide education to patients, family members, and caregivers; identify issues and resources.
Use critical thinking to assess patients’ physical, psychosocial, social, cultural, spiritual, and developmental needs, and communicate findings to appropriate healthcare team members.
Develop and use individualized plans of care based on evidence-based practice, modifying them to meet patient needs.
Implement patient care and therapeutic procedures; monitor and document treatment and teaching goals; evaluate patient responses; and complete timely reassessment and documentation.
Perform unit-specific competencies based on the designated unit’s patient-care needs.
Anticipate and plan for admission, discharge, and transfer needs to facilitate patient flow; use communication systems and tools to support discharge.
Coach on checking, cross-checking, and validating orders for accuracy.
Plan, direct, and evaluate nursing care and unit functions during an assigned shift.
Use and maintain equipment and supplies appropriately; assess staffing needs and participate in resourcing efforts.
Educate and train others on industry operations, ethics, and regulations.
Apply patient safety practices and guidelines, participate in nursing research and quality-improvement activities, provide evidence-based care, and communicate patient information across the continuum of care.
Comply with applicable federal, state, and local healthcare laws and regulations.
Follow clinical policies, standards, and procedures; support compliance and provide feedback or assistance with procedure development and implementation.
Maintain and update patient documentation and records, support accurate processing of medical orders, and review patient charts for accuracy and completeness.
Ensure medical equipment and related supplies are in proper working order before use; troubleshoot common equipment problems and educate patients on appropriate home medical equipment use.
Recognize unexpected patient readings and safety concerns, alert appropriate staff, document misses and near misses, and participate in immediate investigation, analysis, and reporting.