Registered Nurse Float PIV - Nursing Float Pool

CHRISTUS Health•San Antonio, TX

About The Position

The competent Nurse in a Critical Care or similar clinical setting practices independently and demonstrates awareness of relevant aspects of the clinical situation. The nurse provides routine and complex care according to patient treatment plans, continues to develop the ability to manage clinical contingencies, and makes appropriate assignments and delegates to other care providers. This float role requires flexibility across the ministry and the ability to work on more than one unit, with assignment availability provided proactively on a regular basis. Consistent with the ANA Scope and Standards of Practice, the nurse uses the nursing process to assess, diagnose, plan, intervene, and evaluate care for assigned patients. The nurse addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families; administers medications and treatments under appropriate protocols; monitors treatment effects; documents patient history, symptoms, medications, and care; and assesses learning needs to educate patients, families, and caregivers and identify issues and resources. The role also includes supporting patient throughput and discharge processes, planning and evaluating nursing care and unit functions during an assigned shift, contributing to staffing and resource efforts, maintaining equipment and supplies, and promoting safe, evidence-based, high-quality care in accordance with applicable healthcare laws and regulations. The nurse maintains accurate health information and medical order documentation, interprets patient charts, uses and checks medical equipment, and participates in patient safety reporting and quality improvement activities.

Requirements

Minimum of 2 years of combined experience in both a Critical Care setting and one other specialty, such as Medsurg, Telemetry, IMC, or Emergency.
BLS certification required.
ACLS certification required.
RN license in the state of employment or compact RN license required.
PALS required at CHRISTUS Children’s Hospital.
NRP required at CHRISTUS Children’s Hospital.

Nice To Haves

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

Responsibilities

Meet the expectations of applicable OneCHRISTUS competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Maintain flexibility of assignment within the ministry, proactively provide assignment availability, and work on more than one unit as assigned.
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 level of practice.
Administer medications and treatments using appropriate protocols and monitor for side effects and effectiveness.
Document patient history, symptoms, medications, and care provided.
Assess learning needs and educate patients, family members, and caregivers; 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 progress; and evaluate patient responses.
Perform timely reassessments and documentation, and demonstrate unit-specific competencies for the designated 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 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, provide evidence-based care, communicate patient information across the continuum of care, and participate in nursing research and quality improvement activities.
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; receive, validate, update, and route patient records and ensure verbal orders are accurately transcribed.
Use medical equipment safely, troubleshoot common equipment problems, educate patients about home medical equipment, and ensure equipment and supplies are in proper working order before use.
Process medical orders, correct common errors, and apply appropriate considerations for standing and preprinted orders.
Review patient charts for completion and accuracy, identify and report mistakes or omissions, recognize unexpected readings, and validate interpretations with others.
Respond to patient and family safety inquiries, recognize signs of problems, document misses and near misses, and participate in immediate investigation, analysis, and reporting.