Registered Nurse Float PII - Nursing Float Pool

CHRISTUS Health•San Antonio, TX

About The Position

The Registered Nurse Float PII provides routine and complex nursing care in Medsurg, Telemetry, and Intermediate Care settings in accordance with patient treatment plans. The nurse practices independently, recognizes relevant aspects of clinical situations, manages contingencies, and makes appropriate assignments and delegations. The role requires flexibility across assignments and the ability to work on more than one unit, with assignment availability provided regularly. Using the nursing process and evidence-based practice, the nurse assesses, diagnoses, plans, implements, and evaluates care for assigned patients. Responsibilities include addressing patients’ and families’ increasingly complex psychological, emotional, cultural, and social needs; administering medications and treatments under appropriate protocols; monitoring treatment effects; documenting histories, symptoms, medications, and care; and assessing learning needs and educating patients, families, and caregivers. The position also supports patient throughput and discharge planning, unit operations, staffing and resource efforts, safe and quality care, regulatory compliance, and the effective use of clinical policies, health information systems, medical equipment, orders, and patient charts. The nurse performs unit-specific competencies based on the needs of the designated patient population.

Requirements

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

Nice To Haves

  • 5 years of experience preferred.

Responsibilities

  • Meet the expectations of the applicable OneCHRISTUS competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Meet expectations for flexibility of assignment within the ministry, provide assignment availability regularly, 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 patients’ and families’ psychological, emotional, cultural, and social needs in accordance with the nurse’s level of practice.
  • Administer medications and treatments according to protocol and monitor for side effects and effectiveness.
  • Document patient histories, symptoms, medications, and care provided.
  • Assess learning needs and educate patients, family members, and caregivers; identify issues and resources.
  • Assess patients’ physical, psychosocial, social, cultural, spiritual, and developmental needs, communicate findings to the healthcare team, and develop and modify individualized plans of care using evidence-based practice.
  • Implement patient care and therapeutic procedures; monitor and document treatment and teaching goals; evaluate care and patient responses; and perform 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 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 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 federal, state, and local healthcare laws and regulations.
  • Follow clinical policies and standards, support organizational compliance, provide feedback on procedures, and assist with developing and implementing procedures.
  • Maintain, receive, validate, and update paper and electronic patient documentation; support accurate transcription of verbal orders.
  • Use and check medical equipment and related supplies for proper working order, troubleshoot common equipment problems, and educate patients on home medical equipment use.
  • Process medical orders, identify and correct common errors, and follow applicable standing and preprinted orders.
  • Read and interpret patient charts, review them for accuracy and completion, recognize unexpected readings, and alert nursing or medical staff to concerns.
  • Document safety misses and near misses, participate in real-time investigation and reporting, and respond to patient and family safety inquiries.
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