Jobs in Pecos, NM

Description

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:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time

Description

Summary:

The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence.

Responsibilities:

• Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act.
• Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints.
• Champions change by identifying obstacles and requesting resources for effective improvement.
• Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion.
• Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs.
• Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department.
• Monitors, coaches and reinforces associate's compliance with policy and procedures.
• Applies and holds associates accountable for infection control policies and processes.
• Monitors and coaches staff in hourly rounding and use of patient communication boards.
• Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population.
• Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies.
• Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals.
• Facilitates associate participation in unit based multi-disciplinary rounds.
• Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG.
• Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard.
• Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations.
• Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance.
• Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices.
• Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process.
• Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures.
• Accurately interprets monitored rhythms and intervenes according to hospital policies and standards.
• Assists with special procedures as applicable to patient population.
• Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population.
• Communicates appropriate data to the physician and other patient care team members.
• Ensures timely and accurate implementation of physician orders.
• Performs emergency equipment checks at start of shift.
• Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization).
• Code Blue Alert Management – Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life.
• Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end.
• Provides appropriate hand-off communication with patient transitions of care.
• Assists manager/director in development of unit associate time schedule.
• Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates.
• Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process.
• Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated.
• Performs patient care duties when appropriate.

Requirements:

Education:

• Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred.

Experience:

• 3 years relevant experience preferred but not required.
• Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.

Certifications, Registrations, or Licenses:

• Current RN license in the State of New Mexico.
• Current BLS Certification.
• Current ACLS Certification or obtain within 6 months.
• Current PALS/NRP if applicable to area.
• Current TNCC if applicable to area or obtain within 6 months.
• Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department.
• BLS, ACLS and PALS must be issued through American Heart Association.

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time

Description

Summary:

A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications.

In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment.
• Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately.
• Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order.
• Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access.
• Obtains pre- and post-dialysis lab specimens per physician order and organizational policy.
• Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure.
• Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection.
• Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs).
• Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge.
• Participates in the development and implementation of an individualized plan of care for each patient.
• Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed.
• Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures.
• Manages time so that workflow is efficient and consistent.
• Perform other duties as assigned.

Job Requirements:

Education/Skills

• Associate's degree in nursing required
• Bachelor's degree in Science in Nursing (BSN) preferred

Experience

• 1 year of dialysis experience required
• 1 year of acute clinical experience as a registered nurse preferred
• Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred
• Clinical patient care experience in a relevant setting preferred

Licenses, Registrations, or Certifications

• RN license in the state of employment or compact required
• BLS required
• ACLS required
• PALS required at CHRISTUS Children's Hospital

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:

Per Diem As Needed

Description
Summary:

The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence.

Responsibilities:

Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act.
Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints.
Champions change by identifying obstacles and requesting resources for effective improvement.
Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion.
Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs.
Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department.
Monitors, coaches and reinforces associate's compliance with policy and procedures.
Applies and holds associates accountable for infection control policies and processes.
Monitors and coaches staff in hourly rounding and use of patient communication boards.
Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population.
Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies.
Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals.
Facilitates associate participation in unit based multi-disciplinary rounds.
Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG.
Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard.
Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations.
Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance.
Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices.
Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process.
Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures.
Accurately interprets monitored rhythms and intervenes according to hospital policies and standards.
Assists with special procedures as applicable to patient population.
Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population.
Communicates appropriate data to the physician and other patient care team members.
Ensures timely and accurate implementation of physician orders.
Performs emergency equipment checks at start of shift.
Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization).
Code Blue Alert Management – Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life.
Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end.
Provides appropriate hand-off communication with patient transitions of care.
Assists manager/director in development of unit associate time schedule.
Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates.
Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process.
Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated.
Performs patient care duties when appropriate.

Requirements:

Education:

Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred.

Experience:

3 years relevant experience preferred but not required.
Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.

Certifications, Registrations, or Licenses:

Current RN license in the State of New Mexico.
Current BLS Certification.
Current ACLS Certification or obtain within 6 months.
Current PALS/NRP if applicable to area.
Current TNCC if applicable to area or obtain within 6 months.
Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department.
BLS, ACLS and PALS must be issued through American Heart Association.

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time

Description

Summary:

An integral member of the obstetrical team who assists the staff in the care of the obstetrical patient by performing delegated tasks to provide basic nursing care to patients and support for surgeons throughout operative procedures.

Responsibilities:

- Identifies safety needs of the patient in Labor and Delivery.
- Identifies and reports breaks in sterile technique.
- Introduces self and explains role as a member of the surgical team.
- Plans patient care in Labor and Delivery with other members of the surgical team utilizing the surgeon's preference card.
- Identifies immediate and long-term consequences of surgical intervention.
- Understands the legal ramifications of surgical intervention.
- Responds appropriately to emergency situations.
- Demonstrates integrity in technical and aseptic practice. Adheres to established policy based on AORN Standards of Care.
- Prepares and knows the specific use of all equipment and supplies used for the surgical procedure.
- Differentiates sterilization methods for equipment and instruments necessary for specific surgical procedures.
- Maintains accurate count of sponges, needles and instruments at all times.
- Obtains necessary equipment and supplies according to the surgeons preference card prior to the case starting.
- Anticipates the needs of the surgeon in order to expedite the procedure.
- Identifies and is familiar with anatomy and physiology.
- Participates effectively in identification of unsafe patient care practices and assumes responsibility for intervention.
- Obtains medications from RN as verbally ordered by the surgeon and verifies order with physician.
- Clarifies any uncertainties regarding surgical plan of care.
- Displays dexterity in the use of surgical instruments and knowledge of the step by step procedures in specific surgical case.
- Demonstrates initiative in learning new surgical procedures and equipment relating to L&D and the surgical patient.
- Demonstrates self evaluation skills and takes responsibility to seek supervision and guidance as appropriately needed.
- Offers help and responds willingly to requests for assistance from coworkers, nurses and management.
- Keeps staff and management informed of procedure changes affecting the L&D schedule.
- Reports pertinent information to the appropriate person.
- Makes frequent rounds on patients to assure safety and comfort.
- Anticipates work load to assure that routines and supplies are maintained to expedite patient care.
- Carries out procedures according to standards.
- Reports malfunctioning equipment and disturbing incidents that occur in patient rooms and on the unit.
- Charges supplies appropriately, prevents waste of supplies.
- Cleans specified equipment and areas as assigned. Removes trash and used equipment.
- Maintains patient records and charts to ensure an accurate record of the patient's medical treatment including temperature, blood pressure, weight, respiration and pulse.
- Provides personal care assistance to patients, including bathing, dressing, eating, bedpans and transportation.
- Maintains confidentiality of patient and unit care data.
- Participates in educational programs and in-service meetings.
- Orders supplies and equipment as delegated by Nurse Manager.

Requirements:

Education:

- High school diploma or equivalent.

Experience:

- One year Nursing Assistant experience preferred and/or completion of Nursing Assistant course within one year. Two years hospital experience preferred.
- Completion of competency based skills checklist.

Certifications, Registrations, or Licenses:

- BLS certification required.

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time

Description

Summary:

Under the supervision and/or direction of the Registered Nurse, the Nurse Extern II performs various direct patient care activities in accordance with the Nursing Department policies and procedures. The Nurse Extern II can assist with the care of hospitalized patients. The Nurse Extern II may be assigned other functions in accordance with hospital/department policies, procedures, and protocols.

Responsibilities:

- Life-threatening situations are readily identified and reported to the R.N. Initiates and assists with basic life support when needed.
- Observes/reports unusual symptoms to the nurse, i.e., abnormal V/S; IV site redness, edema; suspicious areas of skin breakdown accurately and promptly.
- Reports patient/family-related problems, i.e., patient’s dissatisfaction/refusal of nursing care routines; departure from activity advancements or restrictions.
- Demonstrates a working knowledge of the aseptic/sterile technique. Follows universal precautions.
- Records information accurately and promptly. Reports change in patient’s condition and/or vital signs.
- Assists with laboratory specimens, i.e., collection or delivery.
- Complies with timekeeping system. Accrues no unexcused absences, and no more than three unscheduled absences.
- Uses supplies and equipment appropriately documents use in the medical record and records charges appropriately.
- Participates in 80% of prescribed in-service programs and departmental meetings.
- When unable to attend (20% max) follow up to obtain information discussed.
- Follows hospital and/or unit policy for dress and personal hygiene.
- Follows necessary safety precautions, hospital policies, and departmental policies.
- Attends infection control and safety programs.
- Follows hospital policies and/or departmental rules.
- Follows the CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
- Associate timely completes all required educational requirements.

Requirements:

Education/Skills

- Nurse Extern II - students in RN school in clinicals
- Currently enrolled in a nursing program to obtain either an associate degree or bachelor’s degree to become a registered nurse
- Must have completed their first hospital clinical rotation and be in good standing in the nursing program
- Proficient in basic nursing tasks

Experience

- Six (6) months of experience in patient care preferred

Licenses, Registrations, or Certifications

- AHA BLS required within 2 weeks of employment
- Provides updated transcript at beginning of semester

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Per Diem As Needed

Description
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.
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
1 year of experience in the related nursing specialty preferred
Licenses, Registrations, or Certifications
BLS required
RN License in state of employment or compact
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

Description
Summary:

The Registered Nurse is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner, consistent with the unit’s standards of care. He/she demonstrates performance consistent with the mission, philosophy and goals of the unit and organization. Demonstrates quality and effectiveness in work habits and clinical practice. Treats staff, physicians, patients and families with consideration and respect.

Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Obtains and records initial assessment and establishes priorities according to patient age, symptoms and psychosocial needs.
Re-assesses patients systematically to identify progress and trends that require intervention.
Develops and implements a measurable individualized plan of care for the patient within the time frame established by Nursing Standards of Care.
Makes comprehensive nursing decisions based on the interpretation of facts and evaluations of patient outcome; modifies the plan of care based upon the evaluations.
Participates in patient/significant other health education and discharge planning.
Implements and documents timely interventions appropriate to patient needs.
Evaluates the plan of care.
Performs various Point of Care testing procedures.
Staff Responsibilities:
Utilizes effective communication strategies, which result in intended outcomes.
Delegates unit work assignments appropriately to ensure completion of required patient care support activities.
Coordinates team assignments and makes adjustments based upon patient and unit needs; follows up on delegated patient care tasks for quality and completeness.
Utilizes the appropriate chain of command for resolution of difficult issues.
Participates in orientation of new staff/students on the unit.
Functions as a resource to visitors, physicians and staff; greeting them promptly and courteously.
Promotes a positive work environment as evidenced by demonstrating a professional, supportive attitude for the unit staff.
Being receptive and responsive to new ideas.
Participates in the unit’s growth and development through various mechanisms to improve organizational performance.
Collaborates by working with others to achieve unit and organizational goals.

Job Requirements:

Education/Skills
Graduate of an accredited program for Registered Nursing
Current knowledge and skills appropriate to age/type of patient population served
Knowledgeable and sensitive to patients’ rights in the delivery of care
Communicates in a clear concise manner appropriate to the developmental age of patient.
Experience
All newly hired nurses with two or less years of experience as a Registered Nurse will be hired in at a CN I status. A new hire can be considered for a higher clinical ladder level (level II and III only) based on years of relevant experience to the clinical area, national professional nursing certification, achievement of additional nursing education (B.S.N. and MSN).
Licenses, Registrations, or Certifications
Current New Mexico RN license or current Compact state license. BLS Certification required or within 2 weeks of hire date. All other required certifications must be obtained within 6 months of hire date. If nurse has the required certifications at time of hire, they must maintain the certifications and will not have a grace period to renew.
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:

Per Diem As Needed

Description

Summary:

The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence.

Responsibilities:

• Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act.
• Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints.
• Champions change by identifying obstacles and requesting resources for effective improvement.
• Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion.
• Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs.
• Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department.
• Monitors, coaches and reinforces associate's compliance with policy and procedures.
• Applies and holds associates accountable for infection control policies and processes.
• Monitors and coaches staff in hourly rounding and use of patient communication boards.
• Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population.
• Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies.
• Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals.
• Facilitates associate participation in unit based multi-disciplinary rounds.
• Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG.
• Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard.
• Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations.
• Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance.
• Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices.
• Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process.
• Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures.
• Accurately interprets monitored rhythms and intervenes according to hospital policies and standards.
• Assists with special procedures as applicable to patient population.
• Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population.
• Communicates appropriate data to the physician and other patient care team members.
• Ensures timely and accurate implementation of physician orders.
• Performs emergency equipment checks at start of shift.
• Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization).
• Code Blue Alert Management – Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life.
• Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end.
• Provides appropriate hand-off communication with patient transitions of care.
• Assists manager/director in development of unit associate time schedule.
• Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates.
• Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process.
• Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated.
• Performs patient care duties when appropriate.

Requirements:

Education:

• Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred.

Experience:

• 3 years relevant experience preferred but not required.
• Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.

Certifications, Registrations, or Licenses:

• Current RN license in the State of New Mexico.
• Current BLS Certification.
• Current ACLS Certification or obtain within 6 months.
• Current PALS/NRP if applicable to area.
• Current TNCC if applicable to area or obtain within 6 months.
• Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department.
• BLS, ACLS and PALS must be issued through American Heart Association.

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time

But, if you're looking for a long-term federal law enforcement career, one that makes a difference every day to our country and its citizens, then the U.Border Patrol (USBP) would like you to take the first step to becoming an entry level Border Patrol Agent.

USBP is hiring immediately to fill full-time, entry-level, career positions in federal law enforcement where your prior experience in public safety, security, military police or law enforcement may qualify.

Border Patrol Agents are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional ROTH 401(k) offering.
*Recruitment Incentive
* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102 ) will be eligible for up to $20,000 in incentives.

The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location such as Sierra Blanca, Presidio, Sanderson, Comstock, Freer or Hebbronville, TX; Retention Incentive
* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates' first-choice preferences.

Relocation may be required.

Big Bend Sector Stations
-
*Presidio, Van Horn,
*Sanderson, Alpine,
*Sierra Blanca, Marfa Buffalo Sector Stations
- Wellesley Island Del Rio Sector Stations
- Del Rio, Brackettville,
*Comstock, Eagle Pass North, Eagle Pass South, Carrizo Springs, Uvalde El Paso Sector Stations
- Alamogordo, Clint, Deming, El Paso, Fort Hancock, Las Cruces,
*Lordsburg, Santa Teresa, Ysleta El Centro Sector Stations
- El Centro, Indio, Calexico Grand Forks Sector Stations
- Pembina Havre Sector Stations
- Havre, Malta, Plentywood, Scobey, Sweetgrass Houlton Sector Stations
- Calais, Fort Fairfield, Jackman, Rangeley, Van Buren Laredo Sector Stations
- Laredo South, Cotulla,
*Hebbronville, Laredo West,
*Freer, Laredo North, Zapata Rio Grande Valley Sector Stations
- Rio Grande City, Fort Brown, McAllen, Brownsville, Falfurrias, Weslaco, Kingsville, Harlingen San Diego Sector Stations
- Boulevard, Brownfield, Campo, Chula Vista, Imperial Beach, Murrieta, San Clemente Spokane Sector Stations
- Colville, Curlew, Metaline Falls, Oroville Swanton Sector Stations
- Beecher Falls, Burke, Champlain, Newport, Richford Tucson Sector Stations
-
*Ajo, Tucson, Nogales, Douglas, Brian A Terry, Sonoita, Casa Grande, Three Points Substation, Willcox Yuma Sector Stations
- Blythe, Yuma, Wellton Duties and Responsibilities As a BPA, you will be part of our 60,000 workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation's economic prosperity.

Detecting and questioning people suspected of violating immigration and custom laws and inspecting documents and possessions to determine citizenship or violations Preventing and apprehending undocumented noncitizens and smugglers of noncitizens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operations Interpreting and following tracks, marks, and other physical evidence of illegal entry of persons or contraband Performing farm checks, building checks, traffic checks, city patrols, and transportation checks Patrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.

Qualifications You qualify for the GL-5 grade level if you possess one of the following: Experience: One (1) year of general work experience that demonstrates the ability to take charge, make sound decisions, and maintain composure in stressful situations; to learn regulations, methods, and techniques through classroom training and/or on-the-job instruction; and the ability to gather concise information through questioning, observation, and examination of documents and records; A bachelor's degree or successful completion of a full four-year course of study in any field leading to a bachelor's degree from an accredited college or university; A combination of general work experience AND successfully completed college education.

This will be calculated using your resume and official or unofficial transcripts submitted with your application.

You qualify for the GL-7 grade level if you possess one of the following: Experience: One year of specialized work experience that shows you have the skills necessary to: Make sound judgments and decisions in the use of firearms.

Analyze information rapidly and make prompt decisions where you will be expected to make arrests after the completion of required training and apply these skills in a law enforcement capacity such as criminal code enforcement, determining violations of laws, correctional or rehabilitation work involving criminal offenders, security, military, etc.

Make arrests and exercise sound judgment in the use of firearms; or develop and maintain contact with a network of informants.

A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., Or will receive a bachelor's degree with Superior Academic Achievement.

Or one full year of graduate-level education in a field of study related to law enforcement (e.g., criminal justice, homeland security, justice studies, law enforcement, courts and judicial systems, forensic technology, forensic psychology, or corrections and rehabilitation) from an accredited college or university; OR A Combination of Experience and Education: This will be calculated using your resume and official or unofficial transcripts submitted with your application.

Citizen to apply for this position.

S.

residency (includes protectorates as declared under international law) for at least three of the last five years.

In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions.

Candidates must be referred for selection to the Border Patrol Agent position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03.

The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.Veterans' Preference : You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA).

The age restriction does not apply if you are Veterans' Preference eligible.

Formal Training : Border Patrol Academy in Artesia, New Mexico, for approximately six (6) months of intensive instruction in immigration and nationality laws, law enforcement and USBP-specific operations, driver training, physical techniques, firearms, and other courses.

Border Patrol work requires the ability to speak and read Spanish, as well as English.

Border Patrol Agents will be provided training to become proficient with the Spanish language at the Academy.

Click the Apply button on this site.

You will be linked to the CBP Talent Network registration page.

For Position of Interest, select Border Patrol Agent, then complete the pre-screening questions.

You'll then receive a link(s) to the BPA Job Opening Announcements (JOAs) on USAJOBS, the federal government's official employment site, to complete your application.

Be certain to review ALL details of the job opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) You will be evaluated based on your resume, supporting documents, and the BPA Entrance Exam .

If you have questions about the application process, contact a recruiter through the U.Border Patrol page: /s/usbp .

As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.