RN, Registered Nurse Float III - Float Pool

CHRISTUS Health•Jacksonville, TX

About The Position

The Registered Nurse Float III practices independently in the Emergency Department and other clinical settings, demonstrating awareness of relevant aspects of each situation. The nurse 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 care to help manage the clinical situation. The role requires flexibility of assignment within the ministry, regular communication of availability, and the ability to work on more than one unit. Consistent with the ANA Scope and Standards of Practice, the nurse uses the nursing process to assess, diagnose, plan, intervene, and evaluate care. The nurse addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families; administers medications and treatments using appropriate protocols; monitors effects; documents care; and assesses learning needs to provide education and identify issues and resources. The position also involves patient throughput and discharge planning, unit operations during an assigned shift, staffing and resource participation, safe and evidence-based practice, quality improvement, compliance with healthcare laws and regulations, and use of clinical policies, documentation systems, medical equipment, medical orders, patient charts, and patient-safety procedures.

Requirements

  • Minimum of 2 years of combined experience in both the Emergency Department and one other specialty, such as Med-Surg, Telemetry, IMC, or Critical Care.
  • BLS certification required.
  • ACLS certification required.
  • TNCC certification required in Texas and New Mexico only.
  • PALS certification required within 30 days of hire.
  • RN license in the state of employment or compact RN license required.
  • Obtain required certifications within the designated time frame in accordance with the CHRISTUS Health License, Certification and Registration Verification Policy.

Nice To Haves

  • Bachelor of Science Degree in Nursing preferred.
  • Five years of experience preferred.

Responsibilities

  • Meet the expectations of the applicable OneCHRISTUS competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Maintain flexibility of assignment within the ministry, proactively provide assignment availability on a regular basis, and work on more than one unit as assigned.
  • Provide nursing care using the nursing process, including assessment, diagnosis, planning, intervention, and evaluation.
  • Address patients’ and families’ psychological, emotional, cultural, and social needs 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 histories, symptoms, medications, and care provided.
  • Assess learning needs; educate patients, family members, and caregivers; and identify issues and resources.
  • Use critical thinking to assess patients’ and families’ 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, modifying them to meet patient needs.
  • Implement patient care and therapeutic procedures; monitor and document treatment and teaching goals; evaluate care and patient responses; and complete timely reassessment and documentation.
  • Perform unit-specific competencies based on the patient-care needs and population of the assigned unit.
  • Anticipate admission, discharge, and transfer needs and use communication systems and tools to facilitate patient flow and discharge.
  • Coach others 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 responsibly and participate actively in staffing and resourcing efforts.
  • Educate and train others on industry operations, ethics, and regulations.
  • Apply patient-safety practices and guidelines, provide evidence-based care, participate in nursing research and quality improvement, and communicate patient information across the continuum of care.
  • Follow clinical policies and standards, support organizational compliance, provide feedback on procedures, and assist with procedure development and implementation.
  • Maintain accurate paper and electronic patient documentation, process and validate records and orders, and follow documentation best practices.
  • Ensure medical equipment and related supplies are in proper working order; use standard diagnostic tools and techniques to address common equipment problems; and inspect, troubleshoot, and evaluate incoming equipment.
  • Review patient charts for accuracy and completion, identify and report errors or omissions, and recognize unexpected readings and alert nursing or medical staff.
  • Respond to patient and family safety inquiries, recognize and address signs of problems, document misses and near misses, and participate in real-time investigation, analysis, and reporting.
  • Comply with applicable federal, state, and local healthcare laws and regulations.
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