Registered Nurse Float PII - Nursing Float Pool

CHRISTUS Health•Longview, 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 to work across more than one unit and to provide assignment availability regularly. Consistent with the ANA Scope and Standards of Practice, the nurse uses the nursing process to assess, plan, implement, and evaluate care. Responsibilities include addressing the increasingly complex psychological, emotional, cultural, and social needs of patients and families; administering medications and treatments under appropriate protocols; monitoring treatment effects; documenting patient histories, symptoms, medications, and care; and assessing learning needs and providing education to patients, families, and caregivers. The nurse also supports patient throughput and unit operations, including anticipating admission, discharge, and transfer needs; coordinating communication and discharge processes; planning and evaluating nursing care during an assigned shift; stewarding equipment and supplies; and participating in staffing and resourcing. The position promotes safe, evidence-based, high-quality care, follows healthcare laws and regulations, contributes to quality improvement and nursing research activities, and helps educate and train others. Unit-specific competencies are based on the patient-care needs of the assigned unit.

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 a compact RN license is required.

Nice To Haves

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

Responsibilities

Meet the expectations of applicable OneCHRISTUS competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Remain flexible in assignments within the ministry, regularly provide assignment availability, 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’ increasingly complex 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, families, 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 the healthcare team.
Develop and modify individualized plans of care using evidence-based practice; implement care and therapeutic procedures; monitor and document treatment and teaching goals; and evaluate patient responses.
Perform timely reassessment and documentation, and meet unit-specific competencies for the assigned patient population.
Anticipate admission, discharge, and transfer needs and use communication systems and tools to facilitate patient flow and discharge.
Coach others in 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 departmental staffing needs, and participate in resourcing efforts.
Educate and train others on industry operations, ethics, and regulations.
Apply patient-safety practices and guidelines, provide evidence-based care, communicate patient information across the continuum of care, and participate in nursing research and quality improvement activities.
Comply with applicable 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 and update patient documentation and records; support accurate verbal-order transcription and electronic documentation practices.
Ensure medical equipment and related supplies are in proper working order; troubleshoot common equipment problems and educate patients about home medical equipment as appropriate.
Process medical orders, validate and update them, and recognize and correct common errors.
Review patient charts for completion and accuracy, identify omissions or mistakes, recognize unexpected readings, and communicate concerns to nursing or medical staff.
Promote patient safety, respond to safety inquiries, recognize signs of problems, document and report misses and near misses, and participate in real-time investigation and analysis.