Christus Integrated Care is becoming the standard care delivery model, within the med/surg and telemetry units, across our acute care facilities.
This model is built upon a team of three caregivers, a RN, LVN and CNA, working in collaboration, which is designed to maximize the amount of actual care hours available to our patients.
The 2 North (Telemetry) Registered Nurse has the responsibility and accountability for assessing patient/family health problems and resources, taking a leadership role in the planning, implementation and evaluation of the nursing plan of care provided by the nursing team. Providing technical nursing care and interventions to a designated patient populations. Per the Departments Scope of Practice, this position requires providing services to Medical-Surgical Patients, ages eighteen and above in a manner that demonstrates an understanding of the functional/developmental age of the individuals served. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St. Frances Cabrini Hospital. It is expected that the associate demonstrate behavior consistent with the Core Values. The associate shall support the CHRISTUS St. Frances Cabrini's strategic plan and the goals and direction of their Performance Improvement Plan (PIP).
Action Oriented -- Taking on new opportunities and tough challenges with a sense of urgency, high energy and enthusiasm.
Customer Focus -- Building strong customer relationships and delivering customer-centric solutions.
Communicates Effectively -- Developing and delivering multi-mode communications that convey a clear understanding of the
unique needs of different audiences.
Decision Quality -- Making good and timely decisions that keep the organization moving forward.
Collaborates -- Building partnerships and working collaboratively with others to meet shared objectives.
Nimble Learning -- Actively learning through experimentation when tackling new problems, using both successes and failures
as learning fodder.
Demonstrates Self-Awareness -- Using a combination of feedback and reflection to gain productive insight into personal
strengths and weaknesses.
Goals -- Completes quarterly goals
Delivering the Mission -- Performs duties as defined in this job description and demonstrates mastery of role
1. Assesses the physical, psychosocial, spiritual, cultural, functional, high risk and discharge needs of the patient and family.
· Completes and documents initial assessment/care within required time frames.
· Performs, reassessments/care at intervals as required or appropriate to the patient's needs.
· Ensures physical assessment/care includes all major body systems.
· Ensures spiritual assessment/care includes actual/expressed needs.
· Incorporates cultural and ethnic factors into assessment/care.
· Correctly differentiates between normal and abnormal findings.
Makes appropriate referrals for positive high-risk screen
2. Demonstrates the ability to accurately access and document patient care activities and hospital processes.
Uses computer system(s) appropriately
Documents in the medical record according to policy/procedure
Complies with incident reporting and notification requirements
Attends/reviews department staff meetings for information
Establishes presence of consent prior to treatment/procedure.
3. Obtains knowledge of, and demonstrates compliance with infection control policies and procedures.
· Practices Standard Precautions in-patient care activities.
· Practices appropriate disease specific isolation as required.
· Appropriately handles and disposes of sharps.
4. Provides for the education/training of the patient/family
· Identifies and documents patient/family educational needs upon initial assessment and thereafter.
· Identifies barriers to learning.
· Provides teaching based on identified needs.
· Evaluates the effectiveness of instruction provided.
· Assessment and teaching incorporates cultural and ethnic actors.
· Assessment and teaching incorporates functional needs.
5. Develops implements and evaluates a nursing plan of care for the patient/family.
· Develops and implements the plan of care based on assessment findings.
· Establishes the plan of care within time frame specific to assigned Department/unit.
· Re-evaluates and modifies the plan of care, based on the patients response to interventions
· Communicates the plan of care to members of the nursing team.
· Prioritizes and delegates patient care activities based on patient assessment and staff capabilities.
· Appropriately coordinates and /or delegates aspects of the plan of care.
· Involves the patient/family in developing plan of care.
· Demonstrates sound clinical judgment in decision-making regarding patient care.
6. Incorporates the plan for nursing care into the multidisciplinary care and management of the patient/family.
· Communicates effectively with physicians and health team.
· Coordinates nursing care with other disciplines involved.
· Actively participates in multidisciplinary care conferences
7. Assures the rights of the patient/family are respected and maintained.
· Allows for privacy and modesty in the provision of care.
· Identifies self by name and title to patient/family
· Reports suspected cases of abuse/neglect, if identified.
· Understands role of, and how to access, the Ethics Committee.
8. Demonstrates the ability to safely and competently administer medications, intravenous therapy and basic fluid management.
Understands actions, side-effects, contra-indications of drugs
Follows five "rights" of medication administration.
Adheres to medication policies, practices and standards.
Administers medication, intravenous therapy and fluid management only under physician order and guidance.
9. Demonstrates knowledge of unit specific policies and procedures and the ability to safely and competently use unit specific patient care equipment in the delivery of quality patient care.
· Obtains necessary training prior to initial equipment use.
· Assures equipment is in operating order prior to use.
· Uses medical equipment in accordance with manufacturer's operating guidelines
· Reports potential equipment/user error incidents to RN.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.