Job Description
**Description**
_**Summary:**_
The competent Nurse, in the same or similar clinical setting, practices
independently and demonstrates an awareness of all relevant aspects of a
situation. Provides routine and complex care, with the ability to on long-
range goals or plans. Continues to develop the ability to cope with and manage
contingencies of clinical nursing. Makes appropriate assignments and delegates
to other care providers as a means to help manage the clinical situation.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital
serving the fastest growing area of San Antonio. Specialized care includes
orthopedic and surgical services, ICU, women’s services, a newborn nursery,
comprehensive cardiovascular care from diagnostics to open heart surgery,
vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss
Institute, wound care, rehabilitation, and more. The campus also boasts an
Outpatient Imaging Center and three medical plazas, one of which houses our
CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa
Family Health Center.
_**Responsibilities:**_
• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of
Self, Leader of Others, or Leader of Leaders.
• Consistent with the ANA Scope and Standards of Practice, provides nursing
care utilizing the nursing process, including assessment, diagnosis, planning,
intervention and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and
social needs of patient and families in accordance with their level of
practice.
• Using the appropriate protocol, administers medications and treatments;
monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, family members
andor care givers; identify issues and resources.
CORE COMPETENCIES
Standard I: Utilizes the Nursing Process
• Uses critical thinking skills to assess the basic physical, psychosocial,
social, cultural, 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 needs using evidence-based practice
• Implements patient care and therapeutic procedures; 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)
• Performs timely reassessment and documentation
• Must be able to perform unit-specific competencies based on the specific
patient care need for the designated units patient population
Standard II. Patient Throughput & Patient Flow Process
• Anticipates and plans for admissiondischargetransfer needs to facilitate
patient flow
• Utilizes appropriate systems of communication and tools to facilitate the
discharge process
• Coaches on tools and techniques for checking, cross checking and validating
orders to ensure accuracy
Standard III. 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
• Assesses departmental staffing needs; actively participates in resourcing
efforts.
• Educates and trains others on the operations, ethics, and regulations within
the industry
Standard IV. Safe PracticeQuality CareRegulations
• Incorporates patient safety practicesguidelines to promote a safe
environment resulting in positive patient outcomes
• 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
TECHNICAL COMPETENCIES
Clinical Policies and Standards
• Follows a specific set of standards and associated clinical procedures
• Analyzes policy and standards documentation and ensures organizational
compliance
• Provides feedback for improvement of procedures
• Assists in the development and implementation of specific procedures
• Works with control and monitoring mechanisms, tools and techniques
Health Information Documentation
• Shares experiences with maintaining paper and electronic patient
documentation
• Walk through the steps and procedures for receiving, validating and updating
patient records
• Describes the flow of information between various stations or units
• Discusses the functions, features and document flow of electronic
documentation
• Transcribes verbal orders; explains techniques for ensuring their accuracy
• 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
• Discusses common errors, their sources and procedures for correcting
• Explains considerations for entering and following standing orders
• Differentiates between standing orders and preprinted orders and
considerations for each
Patient Chart Reading and Interpretation
• Describes experiences in reading and interpreting patient charts for
patients on unit and under own care
• Reviews patients’ charts for completion and accuracy; identifies and alerts
to mistakes or omissions
• Recognizes unexpected readings and alerts nursing or medical staff
• Relates examples of mis-readings or misinterpretations and lessons learned
• Reviews, discusses and validates own interpretation with others
Patient Safety
• Shares experiences with ensuring safety for one or more patient groups or
settings
• Explains key features of safety guidelines and procedures for those groups
and settings
• Listens and responds to safety inquiries from patients and family members
• Recognizes and addresses physiological and psychological signs of problems
• Describes considerations for patients who can cause to harm to self, versus
harm to others
• Utilizes appropriate systems to document misses and near misses,
participates in immediate investigating, analysis and reporting in real-time
_**Requirements:**_
* Bachelor of Science Degree in Nursing, preferred.
* 1 year of experience in the related nursing specialty preferred.
* RN License in state of employment or compact
* BLS required
**_Work Schedule:_
**
5 Days - 8 Hours
**_Work Type:_
**
Full Time
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Job Tags
Full time, Local area, Immediate start, Shift work,