RN, Registered Nurse Float IV - Float Pool

• Meets expectations for flexibility of assignment within the ministry.

• Proactively provide assignment availability on a regular basis.

• Able to be assigned to more than one unit.

• 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 and/or 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 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 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.

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.

Job

Requirements

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• Minimum of 2 years of combined experience required in both the Critical Care setting and one other specialty (e.g. Medsurg, Telemetry, IMC or Emergency)

• 5 years of experience preferred

Licenses, Registrations, or Certifications

• BLS required

• ACLS required

• RN License in the state of employment or compact required

• PALS is required at CHRISTUS Children’s Hospital

• NRP is required at CHRISTUS Children’s Hospital

Work

Schedule

Mids - 12 hours

Work Type

Full Time