Registered Nurse Float PIII - Nursing Float Pool

CHRISTUS Health•Longview, TX

About The Position

The Registered Nurse Float PIII provides routine and complex nursing care in the Emergency Department and other clinical settings in accordance with patient treatment plans. The nurse practices independently, demonstrates awareness of relevant circumstances, continues to develop the ability to manage clinical contingencies, and makes appropriate assignments and delegates care to other providers. The position requires flexibility to work across multiple units and regular communication of assignment availability. The nurse uses the nursing process to assess, diagnose, plan, implement, and evaluate patient care; administers medications and treatments using appropriate protocols; monitors treatment effects; documents patient history and care; and assesses and addresses patients’ and families’ learning needs. The role also supports patient flow, unit operations, safe and evidence-based care, quality improvement, regulatory compliance, and the appropriate use and maintenance of equipment and supplies.

Requirements

  • Minimum of 2 years of combined experience in both the Emergency Department and one other specialty, such as Medsurg, Telemetry, IMC, or Critical Care.
  • BLS certification required.
  • ACLS certification required.
  • PALS certification required within 30 days of hire.
  • RN license in the state of employment or a compact license required.
  • Obtain required certifications for the position 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.
  • TNCC required in Texas and New Mexico only.

Responsibilities

  • Meet the expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Remain flexible in assignments 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 increasingly complex psychological, emotional, cultural, and social needs of patients and families.
  • Administer medications and treatments according to appropriate protocols and monitor for side effects and effectiveness.
  • Document patient history, 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’ physical, psychosocial, social, cultural, spiritual, and developmental needs, and communicate findings to the healthcare team.
  • Develop and use individualized plans of care, modifying them as needed using evidence-based practice.
  • Implement patient care and therapeutic procedures; monitor and document treatment progress and teaching goals.
  • Evaluate care and treatment and patient responses; perform timely reassessment and documentation.
  • Perform unit-specific competencies based on patient care needs and the designated unit’s patient population.
  • Anticipate and plan for admission, discharge, and transfer needs to facilitate patient flow; use appropriate 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 functions in a nursing unit 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, provide evidence-based nursing care, and communicate patient information across the continuum of care.
  • Participate in nursing research and quality improvement activities and comply with applicable healthcare laws and regulations.
  • Follow clinical policies, standards, and procedures; analyze documentation for compliance, provide feedback, and assist with procedure development and implementation.
  • Maintain, receive, validate, and update paper and electronic patient documentation; support accurate verbal-order transcription.
  • Use standard diagnostic tools and techniques to address common medical-equipment problems, educate patients on home equipment, and ensure equipment and supplies are in working order before use.
  • Process medical orders, validate and forward them, correct common errors, and follow standing and preprinted orders appropriately.
  • Review patient charts for accuracy and completeness, recognize unexpected readings, and alert nursing or medical staff.
  • Respond to patient and family safety inquiries, recognize signs of problems, and document and report safety misses and near misses, including participation in real-time investigation and analysis.
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