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Medical Registered Nurse

Grimes St.joseph Health Center

This is a Contract position in Navasota, TX posted July 17, 2020.

Overview:

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U. S. , from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

ResponsibilitiesPOSITION SUMMARY Responsible for the delivery of excellence in patient care through assessing, formulating nursing diagnoses and establishing goals, planning and implementing intervention and evaluating patient care outcomes. With the staff nurse’s professional practice he/she Responsible for participating in and maintaining quality, cost effectiveness and guest relations. Provide patient care in compliance with hospital policies and procedures and the standards of professional nursing practice as defined by the Board of Nurse Examiners for the State of Texas. POSITION RESPONSIBILITIES 1. Assessment: Does admission and ongoing assessment of patient’s condition. Provides nursing care to meet the patient’s physical, psychological and spiritual needs. Notifies doctor of changes in assessment that require attention.
2. Planning: Designs, directs, evaluates, and documents the plan of care, patient/family teaching and the transition of care plan to include a safe appropriate level of care discharge. Works with other clinical disciplines to meet specialized patient care and discharge needs. Formulates a plan of care and daily goals that takes into consideration the individualized needs of the patient.
3. Implementation: Prepares patients physically, psychologically, and spiritually for treatments, surgeries and diagnostic studies to help reduce patient anxiety. Knows patients’ conditions and reports significant changes to Charge Nurse/Team Leader, and/or physician. Implements patient safety initiative and protocols including medication safety practices, physician orders, consult notifications.
4. Evaluation: Reassesses patients at appropriate intervals following interventions. Notifies physician as necessary to modify interventions. Adjusts nursing care to meet patient’s emerging and changing needs.
5. Report Skills: Gives and receives report using Bedside Shift Report including family participation. Provides an accurate and comprehensive report to the oncoming shift to help establish continuity of patient care. Receives report from off-going shift and delegates tasks as needed to provide continuity of care according to coworker’s experience, abilities and the patient’s acuity.
6. Environment & Patient Safety: Maintains patient and work environment to maximize safe working space. Promptly removes all used and soiled equipment, linen, etc. to appropriate location. Incorporates national and organizational goals to improve quality, patient safety and satisfaction. Reports all patient safety and hazard concerns immediately.
7. Supplies: Maintains accurate documentation of charges and supplies used to provide patient care through cost containment measures.
8. Time Management: Clocks in and out appropriately according to policy to ensure work is stated and completed on time. Obtains Director/designees/House Supervisor approval before working overtime, including incremental overtime.
9. Documentation: Consistently documents in the patient and unit records according to written health system standards of care in order to meet legal and quality patient care requirements.
10. License and Competency: Maintains RN license to practice in the State of Texas including multi-state licensure requirements. Takes responsibility for meeting competency requirements. Assists with the orientation of new employees and floated staff as requested and assigned.
11. Professional Responsibility: Maintains all professional licenses, certifications, and annual competencies prior to deadline. Attends mandatory in-services, workshops, town halls, and 75% of all unit meetings per year. Stays up-to-date on communication, including emails and current journals to keep abreast of new developments in the medical and nursing fields.
12. Patient Care: Notifies and escalates concerns to appropriate providers of life-threatening changes and notes physician response. Effectively applies the nursing process within the framework of the organization’s professional model of care, using the nursing process to meet the clinical, psychosocial and spiritual needs of the patient and family following the Catholic Ethical and Religious Directives (ERD).
13. Patient Experience: Creates a caring and compassionate patient focused experience by building healing relationships with patients, families, and colleagues. Performs hourly rounding and bedside shift report, updating the patient communication board and providing service recovery as needed.

QualificationsMINIMUM QUALIFICATIONS Education and Licensure Required:* Associates Degree in Nursing or Diploma
* Bachelors in Nursing Preferred
* Licensed to practice as a Registered Nurse in the State of Texas
* BLS with skills demonstration
* No certification required Minimum Experience:* At least one (1) year of RN experience
* Demonstrated competence in Registered Nurse I performance expectations or meets experience requirements upon hire Minimum Knowledge, Skills, and Abilities:* Effective Communication
* Knowledge of the principles and skills of the nursing process to provide patient care and treatment.
* Critical thinking skills
* Demonstrates excellent interpersonal skills both written and verbal
* Basic Computer skills – familiarity with Windows based software programs. Physical Requirements:The physical demands described here are representative of those that must be met by an employee to successful perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weight over 20 pounds.
Definitions:
Not Present: Activity is not required
Rarely: Up to 15% of the shift
Occasionally: From 16-45% of the shift
Frequently: From 46-100% of the shift
Physical Requirements:
* Sitting, bending, kneeling, crouching/squatting, simple grasping, carry – Occasionally
o Carry <50#
* Standing, walking, pushing, pulling, firm grasping, fine motor manipulation – Frequently
o Lift waist to over shoulder, waist to floor, waist to waist – Occasionally <50#
o Push, pull – Frequently >50#
* Vibrating – Rarely
* Visual Acuity, color discrimination, depth perception, hearing – Yes
PPE:
* Ear/hearing, radiation badge – No
* Gloves, eye protection, gowns, mask, respirator, PPE/Other – Yes
Exposures:
* Infectious diseases – Frequently
* Biohazard waste management – Occasionally
* Chemical agents, dust, fumes, gasses – Rarely
* Extreme temperatures (heat, cold, humidity), hazardous materials, unprotected heights, loud noises, cytotoxic drugs – Not Present
Other:
* Driving, operating machinery, hand/foot controls, VDT/CRT use, work with lasers – Not Present
* Phone use – Occasionally
* Exposure to latex – Frequently
Equal Opportunity
CommonSpirit Health is an Equal Opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.
External hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).
CommonSpirit Health participates in E-verify.