Registered Nurse Float PIV - Nursing Float Pool

CHRISTUS Health•Longview, TX

About The Position

The Registered Nurse Float PIV practices independently in critical care and similar clinical settings, providing routine and complex care in accordance with patient treatment plans. The nurse demonstrates awareness of relevant clinical circumstances, continues to develop the ability to manage clinical contingencies, and makes appropriate assignments and delegates care to other providers. The role requires flexibility across the ministry, regular communication of assignment 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 for assigned patients. The role includes addressing increasingly complex psychological, emotional, cultural, and social needs; administering medications and treatments according to protocol; monitoring treatment effectiveness and side effects; documenting patient histories, symptoms, medications, and care; and assessing learning needs and educating patients, families, and caregivers. The position also supports patient throughput and unit operations, promotes safe and evidence-based care, communicates effectively across the continuum of care, and complies with applicable healthcare laws and regulations. Unit-specific competencies depend on the designated unit’s patient population.

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 expectations for applicable OneCHRISTUS competencies and flexibility of assignment within the ministry.
Proactively provide assignment availability on a regular basis and be available for assignment to 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; educate patients, family members, and caregivers; and identify issues and resources.
Assess patients’ physical, psychosocial, social, cultural, spiritual, and developmental needs; communicate findings to appropriate healthcare team members.
Develop and modify individualized plans of care using evidence-based practice; implement therapeutic procedures and monitor and document treatment and teaching progress.
Evaluate care and treatment and patient responses; perform timely reassessments 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 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.
Promote patient safety and positive outcomes; participate in nursing research and quality improvement activities; provide evidence-based care and communicate patient information across the continuum of care.
Follow clinical policies, standards, and procedures; analyze compliance, provide feedback, and assist with procedure development and implementation.
Maintain and update patient documentation and records, describe information flow and electronic documentation processes, and transcribe verbal orders accurately.
Ensure medical equipment and supplies are in proper working order, troubleshoot common equipment problems, and educate patients about appropriate use of home medical equipment.
Process and validate medical orders, correct common errors, and apply appropriate considerations for standing and preprinted orders.
Review patient charts for accuracy and completeness, recognize unexpected readings, and alert nursing or medical staff to mistakes, omissions, or concerns.
Respond to patient and family safety inquiries, recognize signs of problems, and document, investigate, analyze, and report safety misses and near misses in real time.
Comply with applicable federal, state, and local healthcare-related laws and regulations.