About The Position

The competent Nurse in the Emergency Department and other clinical settings practices independently and demonstrates awareness of relevant aspects of each situation. Provides routine and complex care in accordance with patient treatment plans, continues to develop the ability to manage clinical contingencies, and makes appropriate assignments and delegates to other care providers. The role is part of the ED Nursing Float Pool and requires flexibility to work across more than one unit and to regularly provide assignment availability. In accordance with the ANA Scope and Standards of Practice, provides nursing care through assessment, diagnosis, planning, intervention, and evaluation. Addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families; administers medications and treatments according to protocol; monitors treatment effectiveness and side effects; documents patient history, symptoms, medications, and care; and assesses learning needs to provide education and identify resources. The position also includes responsibilities involving patient throughput, unit operations, safe and evidence-based practice, quality improvement, regulatory compliance, clinical policies and standards, health information documentation, medical equipment, medical order processing, patient chart interpretation, and patient safety.

Requirements

  • Minimum of 2 years of combined experience in both the Emergency Department and one other specialty, such as Med-Surg, Telemetry, IMC, or Critical Care.
  • Bachelor of Science in Nursing degree is preferred.
  • Basic Life Support (BLS) certification required.
  • Advanced Cardiovascular Life Support (ACLS) certification required.
  • Trauma Nursing Core Course (TNCC) certification required in Texas and New Mexico only.
  • Pediatric Advanced Life Support (PALS) certification required within 30 days of hire.
  • RN license in the state of employment or a compact RN license required.
  • Obtain required certifications for the position within the time frame designated by CHRISTUS Health policy.

Nice To Haves

  • Five years of experience preferred.
  • Bachelor of Science in Nursing degree preferred.

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, proactively provide assignment availability on a regular basis, and be able to work on more than one unit.
  • Provide nursing care using the nursing process, including assessment, diagnosis, planning, intervention, and evaluation.
  • 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 and evaluate care and therapeutic procedures, treatment progress, and teaching goals.
  • Perform timely patient reassessments and document care and responses to treatment.
  • 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 communication systems and tools to support discharge.
  • Check, cross-check, and validate orders for accuracy and coach others in these techniques.
  • Plan, direct, and evaluate nursing care and unit functions during an assigned shift.
  • Use and maintain equipment and supplies responsibly; assess staffing needs and participate in resourcing efforts.
  • Educate and train others on industry operations, ethics, and regulations.
  • Follow patient-safety practices and guidelines, provide evidence-based 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 standards and procedures, review policy documentation for organizational compliance, provide procedural feedback, and assist with developing and implementing procedures.
  • Maintain accurate paper and electronic patient documentation; receive, validate, and update records; transcribe verbal orders and use techniques to ensure accuracy.
  • 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 follow standing and preprinted orders appropriately.
  • Review patient charts for completion and accuracy, identify omissions or errors, and report unexpected readings or interpretations to nursing or medical staff.
  • Promote patient safety, respond to safety concerns from patients and families, recognize signs of problems, document and report misses and near misses, and participate in real-time investigation and analysis.
  • Administer medications and treatments according to protocol, monitor for side effects and effectiveness, and document patient history, symptoms, medications, and care.
  • Assess patient and family learning needs, provide education, and identify relevant issues and resources.
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