RN, Registered Nurse Lead - ICU Pediatric
Company: Christus Health
Location: San Antonio
Posted on: October 23, 2024
Job Description:
Description
Summary:
Supports and coordinates day-to-day activities of nursing personnel
in patient care units, provides direction to Clinical Staff,
implements work of assigned units, and coordinates activities with
other patient care units and related departments. 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 to help manage the clinical
situation.
The CHRISTUS Children's Hospital, established in 1959, was the
first children's hospital in South-Central Texas. Located downtown,
this 190-plus-bed hospital serves more than 70,000 children
annually from San Antonio, South Texas and around the world. The
hospital (in partnership with Baylor College of Medicine) is the
only academic children's hospital in San Antonio. Our highly
specialized services meet the unique medical needs of children,
from Pediatric and Neonatal Intensive Care to Children's Emergency
Services, the latest treatments for deformities of the spine
including titanium rib implants and halo traction, a Heart Center,
a specialized asthma program, a highly regarded Cancer and Blood
Disorders Center, and growing maternal services to include
consultation, delivery, and maternal fetal medicine.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies:
Leader of Self, Leader of Others, or Leader of Leaders.
- Organizing and overseeing patient care delivery during an
assigned shift, ensuring proper staffing and smooth operations of a
patient care unit.
- Coaching/counseling individual team members; monitoring and
providing feedback on performance and addressing training
needs.
- Documenting daily staffing, operational, and administrative
records; maintaining compliance with governmental policies and
procedures.
- Providing direction and support to nursing staff demonstrating
and promoting respect for the dignity and rights of every patient;
assisting with communications with patients and families
- Allocates team resources responsibly and equitably, delegates
appropriate levels of responsibility and authority, and provides
oversight and guidance.
- Mediates and resolves conflicts among individuals, groups, and
departments.
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's 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 designated unit's patient
population
Standard II. Patient Throughput & Patient Flow Process
- Anticipates and plans for admission/discharge/transfer 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 the 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 Practice/Quality Care/Regulations
- Incorporates patient safety practices/guidelines 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
Standard V. Leadership
- Serves as a subject matter expert for patient care
- Gives continuing feedback, recognizes achievement, and
recommends improvement as a patient care subject matter
expert.
- Supports proper allocation of team resources, delegates
appropriate levels of responsibility and authority, and provides
support and guidance for high-quality patient care
- Mediates and resolves conflicts among individuals, groups, and
departments
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 misreadings 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
Job Requirements:
Education/Skills
- Bachelor of Science Degree in Nursing, preferred.
- All newly hired experienced RNs must attend New Nurses
Orientation within the first 30 days of hire.
- New hires are precepted by a designated trained staff member
and initial on-boarding requirements are validated through
successful completion of the designated organizational entry
competency validation and a -Critical Care Department-specific
competency validation.
- All newly licensed RNs may participate in a residency program
or other specific orientation. Skills completion and competency
completion will be achieved with the preceptor at the bedside and
documented through the program's tracking software.
- Completion of all annual competency verification requirements.
Experience
- 2 years of clinical patient care experience in a relevant
setting.
Licenses, Registrations, or Certifications
- BLS required
- RN License in state of employment or compact
- Current PALS certification at time of hire for experienced RNs
or completion by the end of the clinical orientation period for new
graduate nurses and maintain certification thereafter for ICU units
that are exclusively pediatric, or as needed by facility
requirements.
- Current ACLS certification at time of hire for experienced RNs
or completion by the end of the clinical orientation period for new
graduate nurses and maintain certification thereafter.
Work Schedule:
7AM - 7PM
Work Type:
Full Time
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Keywords: Christus Health, New Braunfels , RN, Registered Nurse Lead - ICU Pediatric, Healthcare , San Antonio, Texas
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