Jobs in Josserand Texas

Summary:

The competent Nurse, in the Nursery, Mother Baby Unit, Postpartum, NICU, PICU, or Acute Pediatric practices, independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment 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.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• 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’ experience required in a Perinatal Services setting (e.g., Nursery, MBU, Postpartum, or NICU)

Licenses, Registrations, or Certifications

• BLS is required
• PALS required if working in a Pediatric department
• RN License in the state of employment or compact required
• NRP is required
• Current STABLE (Post-resuscitation/Pre-transport Stabilization Care of Sick Infants) certification required from one of the following courses: Participant, Lead Instructor, or Support Instructor

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.

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time

Summary:

Provides care under supervision of physician or registered nurses for clinic patients, according to established standards and practices. Performs various lab procedures when necessary and in accordance with competency.

Responsibilities:

• Under the direction of the physician; performs basic patient care duties including, but not limited to, obtaining vital signs, weighing patients, and collecting specimens [including phlebotomy (specific to site). Assists provider(s) in examination and treatment of patients and with procedures. Assist with patient flow through the clinic.
• Answers phone/records phone messages, and assists provider(s) with patient related calls.
• Assists in scheduling test appointment, results and pre-certification.
• Documents any information related to patient.
• Assists provider(s) with medication refills.
• Administers medications/immunizations according to provider order.
• Cleans and restocks exam rooms. Cleans equipment in accordance with policy. Orders stock supplies from supply department (specific to site maintains sterile technique and utilizes universal protocol.
• Performs routine clerical duties assigned, including but not limited to locating patient charts, filing and the completion of routine forms.
• Attends/completes required meetings and in-service training and performs other duties as assigned.

Requirements:

• CERT
• LVN License in state of employment or compact
• BLS

Work Schedule:

PRN

Work Type:

Per Diem As Needed

Summary:

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.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• 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. 

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• 1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

• BLS required
• RN License in state of employment or compact

Position Requirements:

Education/Skills

• 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 Perinatal Services-specific competency validation.
• Completion of all annual competency verification requirements.

Experience

• Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred.

Licenses, Registrations, or Certifications

• Current certification required from one of the following: AWHONN Intermediate FHM, AWHONN Intermediate FHM Instructor, AWHONN Advanced FHM Instructor, AWHONN Instructor Trainer, or NCC Electronic Fetal Monitoring (C-EFM)
• Current NRP certification required
• Current ACLS certification required

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.

Credential Grace Periods: 

If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. 

• Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an  Experienced Associate.
• Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an  Experienced Associate New to the Specialty. 

Grace Periods for
Experienced Associates

Grace Periods for
New Graduates & Experienced Associates New to the Specialty

Work Schedule:

7PM - 7AM

Work Type:

Per Diem As Needed

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Summary:

Performs clinical testing in assigned section/s such as general laboratory, Blood Bank and Microbiology sections, with all duties necessary for accurate and timely results including quality control, performance improvement, proficiency testing, and preventative maintenance of equipment. Recognizes abnormal critical values and follows proper guidelines for notifying medical team members of results. Performs clerical, general, and phlebotomy duties related to daily operations in the laboratory. Provides/dispenses blood products as requested by medical staff.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Ensures that the company philosophy and core values are evident in the service delivered to customers.
• Specimen Collection/Handling/Processing– obtains blood specimens via venipuncture and/or fingerstick, accurately identifies and labels appropriately;
  answers pneumatic tube system;
  follows procedures for processing and testing specimens, including operating various centrifuges;
  obtains other designated patient specimens as listed in procedure manuals.
• Result Reporting – recognizes errors or improbable results and takes appropriate action;
  reports critical valuesper Policy and Procedure;
  performs tests within established timeframe;
  performs laboratory testing, if designated, in the following sections: Hematology, Urinalysis, Coagulation, Chemistry, Special Chemistry, ER Stat Lab, and Microbiology;
  performs blood bank procedures, including crossmatching, ab id’s, and dispensing of blood products;
  operates laboratory automated analyzers according to established procedures.
• Performs, analyzes, and records QC according to Policy & Procedure following CLIA, CAP, AABB, and JCAHO guidelines;
  performs and records Performance Improvement indicators and reports results.
• Performs established daily and periodic preventative maintenance with documentation;
  troubleshoots minor problems and initiates service calls as needed;
  orders (or notifies assigned associate) and restocks supplies/reagents;
  reviews policy & procedure manual;
  dates reagents and discards expired reagents.
• Takes responsibility for seeking and achieving professional growth and continued education.
• Assists in training new associates and students in Laboratory practices.
• Follows CAP, AABB, Compliance, CLIA, JCAHO, and OSHA standards.
• Follows established protocols for safety, infection control, security, compliance, and the use of hazardous materials.
• Utilizes LIS and HIS computer systems appropriately to perform, charge, and report laboratory results.
• Completes annual competency assessment successfully and by assigned date.

Job Requirements:

Education/Skills

• Associates Degree or higher in clinical laboratory science or medical laboratory technology from an accredited institution or equivalent laboratory training and experience meeting the requirements defined in the CLIA regulation 42CFR493.1489:

  • Successfully completed an official U.S. military medical laboratory procedures training course of at least 50 weeks duration and currently hold the military enlisted occupational specialty of medical laboratory specialist (laboratory technician);
    

    OR

  • 60 semester hours or equivalent from an accredited institution that, at a minimum, includes either 24 semester hours of medical laboratory technology courses, OR 24 semester hours of science courses that include six semester hours of chemistry, six semester hours of biology, and 12 semester hours of chemistry, biology or medical laboratory technology in any combination;
    

    AND

  • Laboratory training including either completion of a clinical laboratory training program approved or accredited by the ABHES, NAACLS, or other organization approved by HHS (note that this training may be included in the 60 semester hours listed above), or at least three months documented laboratory training in each specialty in which the individual performs high complexity testing.

Experience

• No experience required for graduates of a clinical laboratory training program approved or accredited by NAACLS, or other organizations approved by HHS.

  OR

• Six Months of approved clinical laboratory experience, which must include a clinical rotation through the following sections of the laboratory: Blood Banking, Microbiology, Chemistry, and Hematology, Immunology, and Urinalysis/Body Fluids in the U.S. or with an accredited laboratory within the last 5 years. (This meets the AMT MLT eligibility requirement).

Licenses, Registrations, or Certifications

• Louisiana requires State Licensure.
• New Graduate that is Board Certified or eligible (must complete Board Certification in 1 year of hire, Louisiana excluded).

Work Schedule:

TBD

Work Type:

Part Time

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