Summary:

The competent Nurse, in the same or similar clinicalsetting, practices independently and demonstrates an awareness ofall relevant aspects of a situation. Provides routine and complexcare, with the ability to on long-range goals or plans. Continuesto develop the ability to cope with and manage contingencies ofclinical nursing. Makes appropriate assignments and delegates toother care providers as a means to help manage the clinicalsituation.

The CHRISTUS Children'sHospital, established in 1959, was the first children's hospital inSouth-Central Texas. Located downtown, this 190-plus-bed hospitalserves more than 70,000 children annually from San Antonio, SouthTexas and around the world. The hospital (in partnership withBaylor College of Medicine) is the only academic children'shospital in San Antonio. Our highly specialized services meet theunique medical needs of children, from Pediatric and NeonatalIntensive Care to Children's Emergency Services, the latesttreatments for deformities of the spine including titanium ribimplants and halo traction, a Heart Center, a specialized asthmaprogram, a highly regarded Cancer and Blood Disorders Center, andgrowing maternal services to include consultation, delivery, andmaternal fetal medicine.

Responsibilities:

Meets expectations of the applicable OneCHRISTUSCompetencies: Leader of Self, Leader of Others, or Leader ofLeaders.
Consistent with the ANA Scope and Standardsof Practice, provides nursing care utilizing the nursing process,including assessment, diagnosis, planning, intervention andevaluation for assigned patients
Addressesincreasingly complex psychological, emotional, cultural, and socialneeds of patient and families in accordance with their level ofpractice
Using the appropriate protocol, administersmedications and treatments; monitors for side-effects andeffectiveness of the treatment prescribed
Documentspatient history, symptoms, medication, and care given
Assess learning needs and provides education to patients, familymembers and/or care givers; identify issues and resources
CORE COMPETENCIES
Standard I: Utilizes the NursingProcess
Uses critical thinking skills to assess thebasic physical, psychosocial, social, cultural,
Spiritual, and development needs of patient and families
Communicates findings to appropriate healthcare teammembers
Develops and uses a specific plan of care andmodifies it to meet individual patient needs using evidence-basedpractice.
Implements patient care and therapeuticprocedures; monitors and documents progression of treatment andteaching goals
Evaluates the care and treatment(s)provided to the patient and the patient response to the care andtreatment(s).
Performs timely reassessment anddocumentation
Must be able to perform unit-specificcompetencies based on the specific patient care need for thedesignated unit's patient population
Standard II.Patient Throughput & Patient Flow Process
Anticipates and plans for admission/discharge/transfer needs tofacilitate patient flow
Utilizes appropriate systemsof communication and tools to facilitate the discharge process
Coaches on tools and techniques for checking, crosschecking and validating orders to ensure accuracy.
Standard III. Unit Operations
Plans, directs, andevaluates the overall nursing care and functions in a particularnursing unit during an assigned shift
Demonstratesgood stewardship in proper use and maintenance of equipment andSupplies
Assesses departmental staffing needs;actively participates in resourcing efforts.
Educatesand trains others on the operations, ethics, and regulations withinthe industry.
Standard IV. Safe Practice/QualityCare/Regulations
Incorporates patient safetypractices/guidelines to promote a safe environment resulting inpositive patient outcomes
Demonstrates accountabilityfor nursing research and quality improvement activities
Provides evidence-based nursing care
Communicates patient information effectively across the continuumof care
Educates and trains others on the operations,ethics, and regulations within the industry.
Knowledge of federal, state and local healthcare-related laws andregulations; ability to comply with these in healthcare practicesand activities.
TECHNICAL COMPETENCIES
Clinical Policies and Standards
Follows aspecific set of standards and associated clinical procedures
Analyzes policy and standards documentation and ensuresorganizational compliance
Provides feedback forimprovement of procedures
Assists in the developmentand implementation of specific procedures
Works withcontrol and monitoring mechanisms, tools and techniques
Health Information Documentation
Sharesexperiences with maintaining paper and electronic patientdocumentation
Walk through the steps and proceduresfor receiving, validating and updating patient records
Describes the flow of information between various stations orunits
Discusses the functions, features and documentflow of electronic documentation
Transcribes verbalorders; explains techniques for ensuring their accuracy
Explains health information documentation best practices andtheir rationale across health care practices.
MedicalEquipment
Describes experience with basic medicalequipment used in own unit or facility
Uses standarddiagnostic tools and techniques to resolves common equipmentproblems
Educates patients about the appropriate useof home medical equipment
Ensures that all equipmentand related supplies are in proper working order prior to use toensure patient safety
Inspects, troubleshoots andevaluates incoming equipment
Medical OrderProcessing
Shares experiences with processing medicalorders for one or more groups of patients or conditions
Describes functions and features of the system used toenter, validate, update and forward medical orders
Discusses common errors, their sources and procedures forcorrecting
Explains considerations for entering andfollowing standing orders
Differentiates betweenstanding orders and preprinted orders and considerations foreach
Patient Chart Reading and Interpretation
Describes experiences in reading and interpreting patientcharts for patients on unit and under own care
Reviewspatients' charts for completion and accuracy; identifies and alertsto mistakes or omissions
Recognizes unexpectedreadings and alerts nursing or medical staff
Relatesexamples of mis-readings or misinterpretations and lessonslearned
Reviews, discusses and validates owninterpretation with others
Patient Safety
Shares experiences with ensuring safety for one or more patientgroups or settings
Explains key features of safetyguidelines and procedures for those groups and settings
Listens and responds to safety inquiries from patients andfamily members
Recognizes and addresses physiologicaland psychological signs of problems
Describesconsiderations for patients who can cause to harm to self, versusharm to others
Utilizes appropriate systems todocument misses and near misses, participates in immediateinvestigating, analysis and reporting in real-time.

Requirements:

Experience:

• 1 year ofexperience in the related nursing specialty preferred.
• Perinatal RN Residency, or recentlypracticing in a Perinatal Setting ispreferred.

Education:

• Bachelor of Science Degree in Nursing,preferred.
• All newly hired experienced RNsmust attend New Nurses Orientation within the first 30 days ofhire.
• New hires are precepted by adesignated trained staff member and initial on-boardingrequirements are validated through successful completion of thedesignated organizational entry competency validation and aPerinatal Department-specific competency validation.
• Completion of all annual competencyverification requirements.

Licenses/Certifications/Registrations:

• RN License in state of employment orcompact
• BLS required
• Current certification from NCC ElectronicFetal Monitoring (C-EFM) or one of the following AWHONN courses:Intermediate FHM, Intermediate FHM Instructor, Advanced FHMInstructor, or Instructor Trainer at time of hire for experiencednurses; within 6 months of hire for new graduates and experiencednurses new to the specialty then required to maintain coursecertification thereafter.
• CurrentSTABLE (Post-resuscitation/Pre-transport Stabilization Care of SickInfants) certification from one of the following courses:Participant, Lead Instructor, or Support Instructor at time of hirefor experienced nurses; within 4 months of hire for new graduatesand experienced nurses new to the specialty then required tomaintain course certification thereafter.
• Current ACLS certification within 30 days of hire for experiencednurses; within 90 days of hire for new graduates then required tomaintain certification thereafter.
• Current NRPcertification at time of hire for experienced nurses; within 60days for new graduates and experienced nurses new to the specialtythen required to maintain certificationthereafter.

WorkSchedule:

7AM -7PM

Work Type:

Full Time

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