CH
Posted 6 days ago
RN Health Informatics - Multiple Shifts Available
CHRISTUS Health
📍 san jose
Healthcare - NursingFull-time
Job description
<strong>Description </strong><br>Summary:<br>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.<br>Responsibilities:<br><ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. </li><li>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. </li><li>Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. </li><li>Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. </li><li>Documents patient history, symptoms, medication, and care given. </li><li>Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. </li> </ul>CORE COMPETENCIES<br>Standard I: Utilizes the Nursing Process<br><ul><li>Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families </li><li>Communicates findings to appropriate healthcare team members </li><li>Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice </li><li>Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals </li><li>Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s) </li><li>Performs timely reassessment and documentation </li><li>Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population </li> </ul>Standard II. Patient Throughput & Patient Flow Process<br><ul><li>Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow </li><li>Utilizes appropriate systems of communication and tools to facilitate the discharge process </li><li>Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy </li> </ul>Standard III. Unit Operations<br><ul><li>Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift </li><li>Demonstrates good stewardship in proper use and maintenance of equipment and Supplies </li><li>Assesses departmental staffing needs; actively participates in resourcing efforts. </li><li>Educates and trains others on the operations, ethics, and regulations within the industry </li> </ul>Standard IV. Safe Practice/Quality Care/Regulations<br><ul><li>Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes </li><li>Demonstrates accountability for nursing research and quality improvement activities </li><li>Provides evidence-based nursing care </li><li>Communicates patient information effectively across the continuum of care </li><li>Educates and trains others on the operations, ethics, and regulations within the industry </li><li>Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities </li> </ul>TECHNICAL COMPETENCIES<br>Clinical Policies and Standards<br><ul><li>Follows a specific set of standards and associated clinical procedures </li><li>Analyzes policy and standards documentation and ensures organizational compliance </li><li>Provides feedback for improvement of procedures </li><li>Assists in the development and implementation of specific procedures </li><li>Works with control and monitoring mechanisms, tools and techniques </li> </ul>Health Information Documentation<br><ul><li>Shares experiences with maintaining paper and electronic patient documentation </li><li>Walk through the steps and procedures for receiving, validating and updating patient records </li><li>Describes the flow of information between various stations or units </li><li>Discusses the functions, features and document flow of electronic documentation </li><li>Transcribes verbal orders; explains techniques for ensuring their accuracy </li><li>Explains health information documentation best practices and their rationale across health care practices </li> </ul>Medical Equipment<br><ul><li>Describes experience with basic medical equipment used in own unit or facility </li><li>Uses standard diagnostic tools and techniques to resolves common equipment problems </li><li>Educates patients about the appropriate use of home medical equipment </li><li>Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety </li><li>Inspects, troubleshoots and evaluates incoming equipment </li> </ul>Medical Order Processing<br><ul><li>Shares experiences with processing medical orders for one or more groups of patients or conditions </li><li>Describes functions and features of the system used to enter, validate, update and forward medical orders </li><li>Discusses common errors, their sources and procedures for correcting </li><li>Explains considerations for entering and following standing orders </li><li>Differentiates between standing orders and preprinted orders and considerations for each </li> </ul>Patient Chart Reading and Interpretation<br><ul><li>Describes experiences in reading and interpreting patient charts for patients on unit and under own care </li><li>Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions </li><li>Recognizes unexpected readings and alerts nursing or medical staff </li><li>Relates examples of mis-readings or misinterpretations and lessons learned </li><li>Reviews, discusses and validates own interpretation with others </li> </ul>Patient Safety<br><ul><li>Shares experiences with ensuring safety for one or more patient groups or settings </li><li>Explains key features of safety guidelines and procedures for those groups and settings </li><li>Listens and responds to safety inquiries from patients and family members </li><li>Recognizes and addresses physiological and psychological signs of problems </li><li>Describes considerations for patients who can cause to harm to self, versus harm to others </li><li>Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time </li> </ul> Job Requirements:<br><strong>Education/Skills </strong><br><ul><li>Bachelor of Science Degree in Nursing, preferred </li> </ul><strong>Experience </strong><br><ul><li>1 year of experience in the related nursing specialty preferred </li> </ul><strong>Licenses, Registrations, or Certifications </strong><br><ul><li>BLS required </li><li>RN License in state of employment or compact </li> </ul>In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.<br>Work Schedule:<br>MULTIPLE SHIFTS AVAILABLE<br>Work Type:<br>Full Time