Registered Nurse I - Acute Cardiac

CHRISTUS Health•Tyler, TX

About The Position

Responsible for assessing patients, planning patient care, and providing quality nursing care to an assigned group of patients during a defined work period. Provides direction and supervision to LVN/LPNs, nursing assistants, unit secretaries, and other clinical or clerical associates. May function as a unit charge nurse by assignment. Provides care and services to older adolescents, young adults, adults, geriatric patients, and pediatric patients. The nurse develops, implements, evaluates, and updates comprehensive nursing care plans in collaboration with the interdisciplinary team. The role includes prioritizing and delivering safe, therapeutic care; performing and documenting procedures; evaluating patient responses and progress toward goals; and completing daily progress notes and flow sheets. The nurse assesses patient and family education needs, explains procedures and disease processes, and supports the learning and orientation of students, orientees, and new staff. The nurse communicates patient information accurately and concisely, maintains confidentiality, promotes effective communication among care team members, gives and accepts constructive feedback, and reports unsafe practices while suggesting alternatives. Associates must meet applicable OneCHRISTUS competencies and complete required orientation, competency validation, and annual competency requirements. Work schedule is 7 AM–7 PM; work type is full time.

Requirements

  • Bachelor of Science Degree in Nursing preferred.
  • Six months to one year of experience as a licensed RN or holder of an active GN permit.
  • BLS certification required; AHA or Red Cross certification accepted at time of hire, with no grace period.
  • RN license in the state of employment or a compact RN license, or Graduate Nurse Permit.
  • Current ACLS certification required; the posting specifies a grace period of 30 days for experienced associates and 90 days for new graduates or experienced associates new to the specialty.
  • All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
  • New hires must complete designated organizational entry competency validation and MedSurg-specific competency validation, with precepting by a designated trained staff member.
  • Newly licensed RNs may participate in a residency program or other specific orientation; skills and competencies are completed with a bedside preceptor and documented through program tracking software.
  • Complete all annual competency verification requirements.
  • Associates with an unsuccessful licensure application or on the 75th day following the effective date of the temporary permit will be transferred to another position within CHRISTUS Health.
  • Obtain required certifications for the position within the designated time frames under the CHRISTUS Health License, Certification and Registration Verification Policy.

Nice To Haves

  • One year of experience in a related nursing specialty preferred.
  • Bachelor of Science Degree in Nursing preferred.

Responsibilities

  • Develop comprehensive nursing care plans addressing needs and problems identified through nursing assessment.
  • Prepare nursing elements of the interdisciplinary care plan before the initial team conference; review and update the plan and collaborate with team members as patient needs change.
  • Implement patient care according to nursing and interdisciplinary care plans, prioritizing based on patient acuity and needs.
  • Provide safe, therapeutic care; seek resources when appropriate; and perform and document procedures according to nursing policies and procedures.
  • Evaluate patient responses to interventions and attainment of goals with the interdisciplinary team; assess progress toward nursing goals and revise goals as needed on a weekly basis.
  • Complete daily nursing progress notes and nursing flow sheets for assigned patients.
  • Evaluate patient and significant others’ education needs, document responses to teaching, and adapt or revise teaching resources as needed.
  • Explain procedures, tests, and disease processes to patients and families as needed.
  • Act as a role model for healthcare students and team members, precept assigned orientees, and assist in orienting new staff.
  • Accurately and concisely report and document patient conditions to appropriate persons while maintaining patient confidentiality.
  • Promote open, effective communication among care team members, patients, and significant others; encourage direct discussion when differences occur and seek assistance to arbitrate as needed.
  • Give and accept constructive feedback, identify and report actual or potentially unsafe patient care practices, and suggest alternatives.
  • Provide direction and supervision to LVN/LPNs, nursing assistants, unit secretaries, and other clinical or clerical associates; function as charge nurse when assigned.
  • Meet applicable OneCHRISTUS competency expectations and complete required orientation and annual competency verification.
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