Jobs in La Coste, TX

CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.

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 Perioperative Department-specific competency validation.
• Completion of all annual competency verification requirements.

Experience

• Perioperative RN Residency, or recently practicing in an OR/Perioperative Setting preferred.

Licenses, Registrations, or Certifications

• Current ACLS certification required
• Current PALS or ENPC certification required at CHILDRENS only

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:

5 Days - 8 Hours

Work Type:

Full Time

Summary:

Responsible for the pulmonary care of critical, non-critical, and chronically ill adult, pediatric, and neonatal patients under the direction of a physician with minimal supervision. Performs patient assessments and institutes respiratory care plans. Performs various technical and diagnostic respiratory therapy procedures in all areas of the hospital.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Include, but are not limited to:
  • Emergency (Code Blue and White) response;
    
  • Airway management including nasotracheal & endotracheal suctioning;
    
  • Delivery of aerosolized drugs;
    
  • Ventilator management (i.E. setup and operation);
    
  • Oral hygiene;
    
  • Airway retaining device placement and maintenance;
    
  • Airway support device management including BiPAP and CPAP devices;
    
  • Oxygen deliverydevices and therapeutic monitoring;
    
  • Chest film analysis;
    
  • Bloodgas collection and analysis;
    
  • EKG analysis;
    
  • Accurate and complete documentation;
    
  • Cleaning and stocking of equipment and supplies as necessary;
    
  • Participate in CAP and JC surveys.
• RRTs may function as Shift Leader or serve in the capacity of Team Leader
• Advanced practice skills may include:
  • Therapeutic gas management and monitoring, including INO and HeO2;
    
  • Pulmonary Function Testing;
    
  • Bronchoscopy assist;
    
  • Hemodynamic Monitoring;
    
  • Waveform analysis;
    
  • Nocturnal SpO2 evaluation (Desaturation Studies);
    
  • Polysomnography;
    
  • Transport duties.

Job Requirements:

Education/Skills

• See licensure and/or certification requirements

Experience

• 1 - 3 years of experience preferred

Licenses, Registrations, or Certifications

• RT or RCP License in state of employment required
• BLS required
• Registered Respiratory Therapist (RRT) by NBRC required

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.

Position Requirements:

Education/Skills

• None

Experience

• None

Licenses, Registrations, or Certifications

• Current ACLS certification required
• Current PALS certification required
• Current NRP certification required

Work Schedule:

NIGHTS - 12 HOURS

Work Type:

Full Time

Summary:

The competent Nurse, in the Medsurg, Telemetry, and Intermediate Care clinical setting, 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 forensuring 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 Medsurg/Telemetry and Intermediate Care
• 5 years of experience preferred

Licenses, Registrations, or Certifications

• BLS required
• ACLS required
• RN License in state of employment or compact required
• PALS required at CHRISTUS Children’s Hospital

Work Schedule:

7AM - 7PM

Work Type:

PRN

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

Work Schedule:

7AM - 7PM

Work Type:

Full Time

Summary:

The Polysomnographic Technologist is responsible for polysomnographic recording, determining testing and treatment parameters/procedures in conjunction with the ordering Physician, Medical Director, and/or SDC protocols. Additionally, this role is responsible for all technical duties related to the polysomnographic evaluation and treatment of sleep disorders, providing high quality results and patient care.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Assesses patient testing modalities and treatment protocols and consults with referring Physician, Medical Director, or Clinical Director as needed to produce optimal polysomnographic procedures.
• Evaluates sleep study related equipment and inventory.
• Performs routine and complex equipment care, maintenance, and repairs.
• Scores sleep/wake stages and clinical events by applying professionally accepted guidelines and SDC-specific protocols, generating accurate reports.
• Demonstrates competence to perform assigned responsibilities in a manner that meets the age-specific and developmental needs of the members served by the department.
• Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each member served.
• Performs other duties as assigned.

Job Requirements:

Education/Skills

• High school diploma or equivalent

Experience

• 1 – 3 years of experience preferred

Licenses, Registrations, or Certifications

• Registered Polysomnographic Technologist (RPSGT) by BRPT required
• BLS required

Work Schedule:

7PM - 7AM

Work Type:

Full Time

CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.

Summary:

Performs a variety of technical duties to assist in preparing and caring for pre-operative patients. Prepares patient skin for surgery in accordance with hospital standards. Maintains aseptic techniques;
actively monitors situations that could lead to breaches in aseptic technique. Provides comfort and support for pre-operative patients by demonstrating sensitivity to patient care and privacy. Transports patients to and from the Operating Room suite. Positions patients according to the type of surgery. Identifies and cares for biological specimens. Prepares the Operating Room by setting up tables, instruments, and supplies according to type of case.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Under the direction of a professional nurse, performs all processes that relate to the delivery of direct patient care and assistance care in the OR prior to and during any surgical procedure.
• Ability to proficiently scrub 3 specialty areas including but not limited to: Transplants, Open Heart, Urology, Neurology, Titanium Rib, Robotics, etc. is highly preferred.
• Establishes and maintains the sterile field, passes instruments, and sutures to the physician, and assists as directed by the physician.
• Use the physician preference card as a beginning point when pulling cases and setting up the OR.
• Ensures that preference cards are kept up to date and as complete as possible.
• Works effectively as a member of the team caring for the patient.
• Cooperates in team planning and execution.
• Maintains a safe environment by always implementing technical and aseptic practices.
• Demonstrates clinical expertise in the use and care of all surgical supplies, instruments, and equipment.
• Adheres to Universal Barrier Precautions for both patient and own safety in all patient care situations.
• Demonstrates competency to monitor and control the surgical environment. Maintains proper traffic control, dress codes, and adherence to OR sanitation policies and procedures.
• Familiar with facility policy and procedure regarding decontamination, processing, and sterilization of all instruments and supplies that are processed within the facility.
• Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department.
• Appropriately adapt assigned patient assessment, treatment and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each patient served.
• Performs other duties as assigned.

Job Requirements:

Education/Skills

• High School Diploma or equivalent is required
• Completion of the Surgical Technology program or an accredited LVN/LPN program is required

Experience

• 2 or more years of experience preferred

Licenses, Registrations, or Certifications

• BLS required
• Certified Surgical Technologist within 180 days of graduation or LVN/LPN License required

Work Schedule:

PRN

Work Type:

Per Diem As Needed

Summary:

The Child Life Specialist II demonstrates progressive skill and knowledge of the therapeutic process of working with children and families;
evaluating their development skills and psychosocial needs and providing them with a variety of appropriate and purposeful medical play and developmental experiences that will elevate their quality of life during the health care visit and enhance their personal development. Facilitates child life advocacy through collaboration with other health care providers. Serves as a leader in the department.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Assesses the patients and families to include development, family stressors, impact of procedures, diagnosis, and health care;
  identifies complex needs for child life intervention
• Observes and interprets the child/family's response to health care and illness
• Implements planned and purposeful play activities /interventions which are supportive of the child's needs during the health care visit
• Assesses and facilitates, through informal interaction and/or formal structured support groups or classes, topics such as stress & coping, adapting to illness & the health care experience, family dynamics, and other parenting-related topics
• Documents observations of patient and family and patient response to interventions
• Plans for, orders, and collects needed materials and equipment to support the therapeutic and educational activities within budgeted guidelines and in consultation with the Manager
• Maintains an accurate account of patient contacts and other related productivity information
• Serves as a resource to patients, families, and other healthcare team members regarding services available through child life and the community
• Evaluates Child Life Programming in collaboration with the Manager
• Supervises and guides interns, volunteers, and students in their Child Life learning experiences to include lectures, patient assignments, performance evaluation, and references, with direction from the Manager

Job Requirements:

Education/Skills

• Bachelor's degree in Child Life or a related field is required.
• Master’s degree in a related field is preferred
• Under the supervision of a Certified Child Life Specialist, must have completed a 600-hour child life internship.
• Bilingual – English/Spanish is preferred.

Experience

• Minimum of 2 years paid experience as a Certified Child Life Specialist.

Licenses, Registrations, or Certifications

• Must maintain Child Life Certification.
• BLS certification is preferred. BLS certification is required within 90 days of hire.

Work Schedule:

Varies

Work Type:

Full Time