RN- Health Care (Full-Time

Responsible for patient assessment, patient care planning, and provision of quality nursing care to an assigned group of patients for a defined work period. Provides direction and supervision to LVN/LPNs, nursing assistants, unit secretaries, and other clinical/clerical associates. By assignment, may function as a charge nurse for the unit. Involves provision of patient care/service to older adolescents, young adults, adults, geriatric and pediatric patients.
Patient Care Planning
Develops a comprehensive nursing care plan which addresses all significant needs and problems identified through nursing assessment.
Prepares nursing elements of the interdisciplinary care plan prior to the initial team conference.
Reviews and updates nursing care plan and collaborates with team members as changes occur.
Patient Care Provision
Implements patient care as planned in nursing care plan and interdisciplinary care plan.
Provides safe and therapeutic care and seeks resources when appropriate.
Safely performs and accurately documents procedures, consistent with established nursing policy and procedure.
Patient Care Evaluation
Evaluates progress toward nursing goals and revises goals as needed on a weekly basis.
Completes nursing progress note for assigned patients on a daily basis.
Completes nursing flow sheets for assigned patients on a daily basis.
Evaluates education needs of patient and significant others and documents their response to teaching.
Acts as role model for health care students and other team members.
Assists in the orientation of new staff by sharing knowledge and experience.
Patient Care Communication
Reports and documents accurately and concisely to appropriate persons the patient's condition.
Applies basic verbal and nonverbal skills to maintain open, effective communication among care team members, patients, and significant others.
Encourages direct discussion between staff members when differences occur and seeks assistance to arbitrate differences as needed.
Identifies actual and potentially unsafe patient care practices, reports them in the designated manner, and suggests alternatives.
Standard I: Utilizes the Nursing Process
Spiritual, and development needs of patient and families
Communicates findings to appropriate healthcare team members
Develops and uses a specific plan of care and modifies it to meet individual patient
Implements patient care and therapeutic
monitors and documents progression of treatment and teaching goals
Evaluates the care and treatment(s) provided to the patient and the patient response to
the care and treatment(s). Must be able to perform unit specific competencies based on the specific patient care need for designated unit's patient population
Unit Operations
Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift
Demonstrates good stewardship in proper use and maintenance of equipment and Supplies
Educates and trains others on the operations, ethics, and regulations within the industry
Safe Practice/Quality Care/Regulations
Demonstrates accountability for nursing research and quality improvement activities
Provides evidence-based nursing care
Communicates patient information effectively across the continuum of care
Educates and trains others on the operations, ethics, and regulations within the industry.
Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities
Clinical Policies and Standards
Analyzes policy and standards documentation and ensures organizational compliance
Assists in the development and implementation of specific procedures
Works with control and monitoring mechanisms, tools and techniques
Health Information Documentation
Describes the flow of information between various stations or units
Discusses the functions, features and document flow of electronic documentation
Explains health information documentation best practices and their rationale across health care practices
Medical Equipment
Describes experience with basic medical equipment used in own unit or facility
Uses standard diagnostic tools and techniques to resolves common equipment problems
Educates patients about the appropriate use of home medical equipment
Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety
Inspects, troubleshoots and evaluates incoming equipment
Medical Order Processing
Shares experiences with processing medical orders for one or more groups of patients or conditions
Describes functions and features of the system used to enter, validate, update and forward medical orders
Describes experiences in reading and interpreting patient charts for patients on unit and under own care
Recognizes unexpected readings and alerts nursing or medical staff
Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real time
Bachelor of Science Degree in Nursing, preferred
Licenses, Registrations, or Certifications
Graduate Nurse Permit
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
Full Time
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