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Many candidates spend months learning frameworks and finishing courses, only to freeze during technical screens, system questions, or behavioral rounds.
The result is painful: "almost hired” over and over again, while the confidence drops.
The truth is that interviewing is its own skill, and most bootcamps don't teach it deeply.
They teach how to code—but not how to think out loud, structure answers, debug in real time, defend trade-offs, and communicate like an engineer.
Since 2010, SynergisticIT has helped candidates land full-time roles with many major employers.
The best way to understand this: you can be smart and still fail interviews if you don't know what the interview is truly measuring.
Interviews rarely test "can you write code at home.” They test: Can you solve problems under constraints and time pressure? Can you communicate your approach clearly? Can you handle edge cases and complexity? Can you explain trade-offs and design choices? Can you show job-ready project depth, not just toy examples? SynergisticIT focuses on roles such as entry-level software programmers, Java full stack developers, Python/Java developers, Data Analysts, Data Engineers, Data Scientists, and Machine Learning Engineers.
The focus areas include Java / Full Stack / DevOps and Data tracks like Data Engineering, Data Analytics/BI, ML/AI, because those are the roles employers continue to hire for.
If your pattern is "I reach interviews but don't clear them,” you likely need three upgrades: Stronger project narratives (what you built, why it matters, how it works) Stronger technical foundations (DSA, OOP, APIs, SQL, pipeline design) Mock interview reps (realistic simulation, feedback, improvement loops) Many jobseekers underestimate how much hiring is about clarity.
You don't need to be perfect—you need to show you can think, collaborate, and deliver.
That's why guided mock interviews and structured interview coaching can be a game-changer.
Please read our blogs Why do Tech Companies not Hire recent Computer Science Graduates | SynergisticIT What Recruiters Look for in Junior Developers | SynergisticIT Software engineering or Data Science as a career? How OPT Students Can Land Tech Jobs – SynergisticIT Ideal candidates for this version include: Candidates who get interviews but repeatedly fall short Jobseekers stuck in "screen round limbo” Developers who panic during live coding Candidates who can build projects but struggle to explain them Professionals who haven't interviewed in years and feel rusty Career changers who fear "I'm behind CS grads” (often untrue with support) SynergisticIT provides support for candidates navigating STEM OPT extension, H1B filing, and Green Card processes (where applicable), which can matter when timing is critical.
Event videos (OCW, JavaOne, Gartner): USA Today feature If you're tired of failing interviews and want a structured plan to convert interviews into offers, start here: Contact SynergisticIT: Because getting hired isn't about trying harder—it's about preparing smarter, practicing correctly, and having the right guidance.
Please note: Resume databases are shared with clients and interested clients will reach out directly if they find a qualified candidate for their req.
Resume submissions may be shared with our JOPP team database also.
Please unsubscribe if contacted or if you don't want to be contacted please don't submit your resume.
Get Hired by taking action.
If you just graduated (or you're about to) and the job search is already feeling confusing, you're not imagining it.
A degree proves you can learn—but employers hire for job readiness: projects that look like real work, current tech stacks, interview confidence, and the ability to contribute on day one.
That's why many new grads send hundreds of applications and still hear nothing back.
It's not because you're "not smart enough.” It's because most entry-level pipelines are crowded, and hiring teams filter heavily for candidates who look production-ready.
We are actively considering candidates for entry-level software engineering and data roles, especially Java full stack, Java/Python development, DevOps automation, data analytics, data engineering, data science, and ML/AI—full-time opportunities aligned to client needs.
Our core emphasis remains Java/Full Stack/DevOps and Data/Analytics/Engineering/ML.
SynergisticIT focuses on two high-demand lanes: Java / Full Stack / DevOps and Data (Data Analyst, Data Engineer, Data Scientist) + ML/AI—so you don't graduate with scattered skills, you graduate with an employable stack.
SynergisticIT since 2010, has helped candidates land full-time roles at major organizations (examples often cited include Google, Apple, PayPal, Visa, Western Union, Wells Fargo, Client, Banking, Wayfair, Client, Client, and more) with offers commonly in the $95k–$154k range depending on role and skill depth.
For a new grad, the bigger message isn't the number—it's that results require a structured pathway, not random applications.
Here's a realistic way to think about your advantage as a fresh graduate: you're early enough to build the right foundation before bad habits set in.
If you master fundamentals—coding, debugging, data structures, system thinking—and then layer modern tools on top (frameworks, cloud, CI/CD, analytics stacks), you become the kind of "entry-level” candidate who actually feels like a safe hire.
What roles are companies hiring for right now? A typical market demand pattern is clear: organizations still need entry-level software programmers, Java full stack developers, Python/Java developers, DevOps-focused engineers, and on the data side data analysts, BI analysts, data engineers, data scientists, and machine learning engineers.
The strongest candidates aren't "tool collectors”—they're people who can show end-to-end capability: build an API, connect a database, deploy a service, analyze data, explain results, and handle interviews calmly.
Why fresh grads get stuck— Fresh grads often struggle for four predictable reasons: Resume doesn't match job keywords (ATS filters you out).
Projects look like school assignments (not production-aligned).
Interview skills are undertrained (DSA, system design, SQL, behavioral).
No structured pipeline (random applying without feedback loops).
A job-placement-first approach addresses these systematically: build the right portfolio, practice the right interview questions, align your tech stack to roles, and keep improving until the market says "yes.” Who this path fits best If you're a recent graduate, you'll likely fit if you match any of these: New grads in CS, Engineering, Math, or Statistics with limited job experience Students finishing Bachelor's or Master's programs who need a real hiring plan Candidates who apply consistently but don't get callbacks Candidates who reach interviews but struggle to close International students on F-1/OPT who need a job plan for STEM extension/H-1B timing Graduates with strong academics but thin practical experience SynergisticIT helps STEM extension and work authorization pathways, and for candidates who need long-term stability, support related to H-1B and green card processes as part of employer-side realities.
If you're tired of guessing, stop treating your job search like a lottery.
Treat it like a project with milestones: skills → portfolio → interview readiness → targeted applications → scheduled interviews → offer.
If you want to explore, here are the key links: Event videos (OCW, JavaOne, Gartner): USA Today feature Contact & get a roadmap: Please read our blogs Why do Tech Companies not Hire recent Computer Science Graduates | SynergisticIT What Recruiters Look for in Junior Developers | SynergisticIT Software engineering or Data Science as a career? How OPT Students Can Land Tech Jobs – SynergisticIT Bottom line for fresh grads: Your degree is the starting line, not the finish line.
If you want to get hired faster, you don't need "more random courses.” You need a guided, job-focused path and the right people around you.
In tech, it's not just what you learn—it's how you learn and who you build with that decides how far you go.
Please note: Resume databases are shared with clients and interested clients will reach out directly if they find a qualified candidate for their req.
Resume submissions may be shared with our JOPP team database also.
Please unsubscribe if contacted or if you don't want to be contacted please don't submit your resume
Summary:
Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and assists physicians/healthcare providers in the treatment of patients.
Responsibilities:
- 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 psychological, emotional, cultural, and social needs of patient and families.
- Administering medications and treatments; monitoring for side-effects and effectiveness of the treatment prescribed; documenting patient history, symptoms, medication, and care given.
- Assess learning needs and provide education to patients, family members and/or care givers; identifying issues and resources.
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 designated unit's patient population
Patient Throughput & Patient Flow Process
- Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow
Unit Operations
- Demonstrates good stewardship in proper use and maintenance of equipment and supplies
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
Leadership
- Serves as a leader of patient care
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
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
- 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 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
Requirements:
Education/Skills
- Graduate of a Registered Nursing program, Bachelor's Degree preferred
- Excellent written and verbal communication skills
Experience
- Completion of Nurse Residency Program
- Six (6) months' to one (12) months clinical patient care experience in a relevant setting
Licenses, Registrations, or Certifications
- RN license in good standing in state of employment or a compact state , if applicable
- American Heart Association Basic Life Support
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Check with the hiring manager for up to date shifts available.
We offer a great FULL TIME benefits and perks package!
Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Health Advocate (Employee Assistance Program)-for Employee, Spouse, Dependents, Parents, and Parents in Law.
Examples that are available for help: Medical (BCBS)-for Employee, Spouse, and/or Dependents.
HSA (Health Savings Account) is optional if Medical is selected. Great tax benefit!
Dental (Guardian)-for Employee, Spouse, and/or Dependents.
Hospital Indemnity (Guardian)-for Employee, Spouse, and/or Dependents.
Metlife Legal (Legal Shield)-for Employee, Spouse, and/or Dependents.
Assistance with Adoption, Lawyers, Wills and Trusts and much more!
No waiting periods, no claim forms, no deductibles!
Wide range of coverages for your fur babies!
All dog and cat breeds are covered.
~ Tuition Reimbursement
Worked Holidays Paid @ Double Time!
Bonuses:
Resident Referral Bonus Opportunities
Employee Referral Bonus Opportunities
Shift Pick Up Bonuses
Training Bonuses
We offer a great PART TIME perks package too!
Worked Holidays Paid @ Double Time!
Bonuses:
Resident Referral Bonus Opportunities
Employee Referral Bonus Opportunities
Shift Pick Up Bonuses
Training Bonuses
NEW Graduates Welcome!
Our LPN responsibilities include:
• Our Licensed Practical Nurses provide direct nursing care to residents, prepare and administer medications, perform routine charting and documentation duties, and perform other duties necessary to ensure that our residents’ total regimens of care are maintained.
Experience in a nursing capacity in a senior living setting is helpful, but not required.
• We are seeking Licensed Practical Nurses (LPNs) who are outstanding in their profession and would work well with our team.
If you’re ready to make a difference in the lives of our residents and our teams, apply now.
Danbury Senior Living provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Check with the hiring manager for up to date shifts available.
We offer a great FULL TIME benefits and perks package!
Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Health Advocate (Employee Assistance Program)-for Employee, Spouse, Dependents, Parents, and Parents in Law.
Examples that are available for help: Medical (BCBS)-for Employee, Spouse, and/or Dependents.
HSA (Health Savings Account) is optional if Medical is selected. Great tax benefit!
Dental (Guardian)-for Employee, Spouse, and/or Dependents.
Hospital Indemnity (Guardian)-for Employee, Spouse, and/or Dependents.
Metlife Legal (Legal Shield)-for Employee, Spouse, and/or Dependents.
Assistance with Adoption, Lawyers, Wills and Trusts and much more!
No waiting periods, no claim forms, no deductibles!
Wide range of coverages for your fur babies!
All dog and cat breeds are covered.
~ Tuition Reimbursement
Worked Holidays Paid @ Double Time!
Bonuses:
Resident Referral Bonus Opportunities
Employee Referral Bonus Opportunities
Shift Pick Up Bonuses
Training Bonuses
We offer a great PART TIME perks package too!
Worked Holidays Paid @ Double Time!
Bonuses:
Resident Referral Bonus Opportunities
Employee Referral Bonus Opportunities
Shift Pick Up Bonuses
Training Bonuses
NEW Graduates Welcome!
Our LPN responsibilities include:
• Our Licensed Practical Nurses provide direct nursing care to residents, prepare and administer medications, perform routine charting and documentation duties, and perform other duties necessary to ensure that our residents’ total regimens of care are maintained.
Experience in a nursing capacity in a senior living setting is helpful, but not required.
• We are seeking Licensed Practical Nurses (LPNs) who are outstanding in their profession and would work well with our team.
If you’re ready to make a difference in the lives of our residents and our teams, apply now.
Danbury Senior Living provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Part Time- 8 hour or 12 hour shifts- 3p-11p, 11p-7a, 7a-7p, 7p-7a
Full Time - 8 hour or 12 hour shifts- 3p-11p, 11p-7a, 7a-7p, 7p-7a
We offer a great FULL TIME benefits and perks package!
Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Health Advocate (Employee Assistance Program)-for Employee, Spouse, Dependents, Parents, and Parents in Law.
Examples that are available for help: Medical (BCBS)-for Employee, Spouse, and/or Dependents.
HSA (Health Savings Account) is optional if Medical is selected. Great tax benefit!
Dental (Guardian)-for Employee, Spouse, and/or Dependents.
Hospital Indemnity (Guardian)-for Employee, Spouse, and/or Dependents.
Metlife Legal (Legal Shield)-for Employee, Spouse, and/or Dependents.
Assistance with Adoption, Lawyers, Wills and Trusts and much more!
No waiting periods, no claim forms, no deductibles!
Wide range of coverages for your fur babies!
All dog and cat breeds are covered.
~ Tuition Reimbursement
Worked Holidays Paid @ Double Time!
Bonuses:
Employee Referral Bonus Opportunities
Shift Pick Up Bonuses
Training Bonuses
We offer a great PART TIME perks package too!
Worked Holidays Paid @ Double Time!
Bonuses:
Employee Referral Bonus Opportunities
Shift Pick Up Bonuses
Training Bonuses
You walk in the door to a work family who wants to make the day count. We truly believe our employees and residents are a family that comes together to enjoy the good things in life, including one another. When our employees feel special, so do our residents. What do you do as an LPN at Danbury?
~ Our Licensed Practical Nurses provide direct nursing care to residents, prepare and administer medications, perform routine charting and documentation duties, and perform other duties necessary to ensure that our residents’ total regimens of care are maintained.
What experience or skills do you need to be a Licensed Practical Nurse at Danbury?
Experience in a nursing capacity in a senior living setting is helpful, but not required.
We are seeking Licensed Practical Nurses (LPNs) who are outstanding in their profession and would work well with our team.
If you’re a Licensed Practical Nurse (LPN) and want to make our residents’ days better then apply now for immediate consideration!
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
We are currently seeking applicants for a Licensed Practical Nurse (LPN) position. This position is also often referred to as Practical Nurse or PN. Danbury does not require employees to be vaccinated.
Shift Hours:
- Part Time- 8 hour or 12 hour shifts- 3p-11p, 11p-7a, 7a-7p, 7p-7a
- Full Time - 8 hour or 12 hour shifts- 3p-11p, 11p-7a, 7a-7p, 7p-7a
We offer a great FULL TIME benefits and perks package!
- Company Paid Benefits:
- Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
- Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
- Life and AD&D (Guardian)
- Health Advocate (Employee Assistance Program)-for Employee, Spouse, Dependents, Parents, and Parents in Law.
- Examples that are available for help: Emotional Support-Stress, Realtionships, Addictions, Mental Illness, Anger, Loss, Depression, Time Management.
- Work and Life Balance Specialists
- Employee Optional Benefits:
- Medical (BCBS)-for Employee, Spouse, and/or Dependents.
- HSA (Health Savings Account) is optional if Medical is selected. Great tax benefit!
- Dental (Guardian)-for Employee, Spouse, and/or Dependents.
- Vision (Guardian VSP)-for Employee, Spouse, and/or Dependents.
- Additional Voluntary Life (Guardian)-for Employee, Spouse, and/or Dependents.
- Additional Voluntary AD&D (Guardian)
- Critical Illness (Guardian)-for Employee, Spouse, and/or Dependents.
- Hospital Indemnity (Guardian)-for Employee, Spouse, and/or Dependents.
- Accident (Guardian)
- Metlife Legal (Legal Shield)-for Employee, Spouse, and/or Dependents.
- Assistance with Adoption, Lawyers, Wills and Trusts and much more!
- No waiting periods, no claim forms, no deductibles!
- Metlife Pet Insurance
- Wide range of coverages for your fur babies!
- All dog and cat breeds are covered.
- Wide range of coverages for your fur babies!
- Identity Theft (All State)
- 401(k) with Matching (TransAmerica)
- Tuition Reimbursement
- Medical (BCBS)-for Employee, Spouse, and/or Dependents.
- Perks:
- Vacation from 90th Day of Employment
- Worked Holidays Paid @ Double Time!
- On Demand Pay Option
- Bonuses:
- Employee Referral Bonus Opportunities
- Shift Pick Up Bonuses
- Training Bonuses
We offer a great PART TIME perks package too!
- Perks:
- Worked Holidays Paid @ Double Time!
- On Demand Pay Option
- Opportunity for Advancement within the Company!
- Benefits:
- 401(k) with Matching (TransAmerica)
- Bonuses:
- Employee Referral Bonus Opportunities
- Shift Pick Up Bonuses
- Training Bonuses
At Danbury, you don’t just clock in at a job. You walk in the door to a work family who wants to make the day count. We truly believe our employees and residents are a family that comes together to enjoy the good things in life, including one another. When our employees feel special, so do our residents. That’s the Danbury Difference.
What do you do as an LPN at Danbury?
- Our Licensed Practical Nurses provide direct nursing care to residents, prepare and administer medications, perform routine charting and documentation duties, and perform other duties necessary to ensure that our residents’ total regimens of care are maintained.
What experience or skills do you need to be a Licensed Practical Nurse at Danbury?
- We are looking for applicants who are licensed by the State of Ohio.
- Experience in a nursing capacity in a senior living setting is helpful, but not required.
- We are seeking Licensed Practical Nurses (LPNs) who are outstanding in their profession and would work well with our team.
If you’re a Licensed Practical Nurse (LPN) and want to make our residents’ days better then apply now for immediate consideration!
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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Part Time- 8 hour or 12 hour shifts- 3p-11p, 11p-7a, 7a-7p, 7p-7a
Full Time - 8 hour or 12 hour shifts- 3p-11p, 11p-7a, 7a-7p, 7p-7a
We offer a great FULL TIME benefits and perks package!
Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Health Advocate (Employee Assistance Program)-for Employee, Spouse, Dependents, Parents, and Parents in Law.
Examples that are available for help: Medical (BCBS)-for Employee, Spouse, and/or Dependents.
HSA (Health Savings Account) is optional if Medical is selected. Great tax benefit!
Dental (Guardian)-for Employee, Spouse, and/or Dependents.
Hospital Indemnity (Guardian)-for Employee, Spouse, and/or Dependents.
Metlife Legal (Legal Shield)-for Employee, Spouse, and/or Dependents.
Assistance with Adoption, Lawyers, Wills and Trusts and much more!
No waiting periods, no claim forms, no deductibles!
Wide range of coverages for your fur babies!
All dog and cat breeds are covered.
~ Tuition Reimbursement
Worked Holidays Paid @ Double Time!
Bonuses:
Employee Referral Bonus Opportunities
Shift Pick Up Bonuses
Training Bonuses
We offer a great PART TIME perks package too!
Worked Holidays Paid @ Double Time!
Bonuses:
Employee Referral Bonus Opportunities
Shift Pick Up Bonuses
Training Bonuses
You walk in the door to a work family who wants to make the day count. We truly believe our employees and residents are a family that comes together to enjoy the good things in life, including one another. When our employees feel special, so do our residents. What do you do as an LPN at Danbury?
~ Our Licensed Practical Nurses provide direct nursing care to residents, prepare and administer medications, perform routine charting and documentation duties, and perform other duties necessary to ensure that our residents’ total regimens of care are maintained.
What experience or skills do you need to be a Licensed Practical Nurse at Danbury?
Experience in a nursing capacity in a senior living setting is helpful, but not required.
We are seeking Licensed Practical Nurses (LPNs) who are outstanding in their profession and would work well with our team.
If you’re a Licensed Practical Nurse (LPN) and want to make our residents’ days better then apply now for immediate consideration!
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Summary:
Manages and coordinates activities of nursing personnel on evening and night shift to maintain continuity for around the clock patient care.
Responsibilities:
- Coordinating and monitoring the flow of patients between units; overseeing interfacility transfers, emergencies, and on call systems.
- Providing leadership, coaching, and mentoring to staff; providing supervision for assigned staff, including performance evaluations and problem solving
- Maintaining ongoing communications with patients, families and physicians concerning patient care and ensuring compliance with patient rights policies.
- Overseeing the performance and development of the nursing team and key staff.
CORE COMPETENCIES
- Nursing Assessment and Care- Level 2 - Working experience
- Shares experiences with developing and implementing nursing care plans within a nursing specialty.
- Describes the tools and procedures used for initial assessment and progress assessment.
- Builds rapport with the patient and explains the condition and course of action effectively.
- Discusses common care approaches and typical responses and adjustments to the care plan.
- Monitors pain levels; communicates with patients and family on pain management alternatives.
- Clinical Risk Management- Level 2 - Working experience
- Shares experiences with cases where a patient is judged to be more vulnerable because of risk factors.
- Reviews specific preventive measures in own area.
- Identifies key steps of a unit-specific clinical risk management process and associated procedures.
- Makes use of organizational resources for risk avoidance and management.
- Reviews and interprets risk assessments and clinical incident reports.
- Nursing Code of Ethics- Level 2 - Working experience
- Describes experiences with situations involving ethical issues and associated resolutions.
- Discusses the obligations, duties and responsibility of nurses to patients and society at large.
- Identifies and communicates when medical or nursing ethics violations or unsafe conditions are observed.
- Cites examples of unusual ethical concerns for patients, families and healthcare providers.
- Reviews previous solutions and outcomes for ethical conflicts in own area or specialty. Health Teaching and Health Promotion- Level 2 - Working experience
- Describes experiences working with patients on specific conditions, diseases and associated treatments.
- Provides first-level response to patient and care giver questions and concerns.
- Demonstrates self-care skills for patients and care givers to use once the patient is discharged.
- Validates that patients and care givers understand treatments and medications.
- Supplies the patient with tools and resources to improve health or prevent deterioration and disease.
- Clinical Decision Making and Judgment- Level 2 - Working experience
- Shares experiences with own nursing judgement and lessons learned.
- Identifies, obtains, and organizes clinical and patient information needed for assessment.
- Reviews major tools, techniques and evidence used to identify alternatives.
- Describes when and how to utilize the Emergency Severity Index to determine the urgency of care.
- Discusses common patient's preferences and their impact on decision making.
- Nursing Resource Management- Level 2 - Working experience
- Describes experiences with managing resources for own team and self.
- Reviews common resource constraints and how they are dealt with.
- Delegates, monitors and follows up on simple tasks.
- Demonstrates the ability to apportion resources to different components of a task.
- Seeks help if necessary; initiates requests or mobilizes the necessary resources.
FOUNDATIONAL COMPETENCIES
- Accuracy and Attention to Detail- Level 2 - Working experience
- Processes limited amounts of detailed information with good accuracy.
- Utilizes specific approaches and tools for checking and cross-checking outputs.
- Develops and uses checklists to insure that information goes out error-free.
- Accurately gauges the impact and cost of errors, omissions, and oversights.
- Learns from mistakes and applies lessons learned.
- Planning and Organizing- Level 2 - Working experience
- Creates action plans that ensure the accomplishment of responsibilities.
- Breaks tasks into manageable steps that can be incorporated into a personal work plan.
- Raises awareness of potential bottlenecks and disruptions to the schedule.
- Monitors progress continuously and adjusts tactics for handling situations on a case by case basis.
- Escalates concerns over competing or conflicting priorities.
TECHNICAL COMPETENCIES
- Clinical Policies and Standards- Level 2 - Working experience
- 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.
Requirements:
Education/Skills
- Graduate of an accredited Registered Nursing program, Bachelor Degree required
- Master's Degree preferred
- Excellent customer service, negotiation and communication skills
Experience
- Minimum of 3 years clinical patient care experience in a relevant setting
- Minimum of 1 years of healthcare management experience, preferred
Licenses, Registrations, or Certifications
- RN Licensure in state(s) of employment
- Registered Nurse (RN) required
- BLS and ACLS
- ENPC or PALS preferred
Work Schedule:
10:30PM - 7AM
Work Type:
Full Time
CHRISTUS Spohn Hospital Corpus Christi - Shoreline overlooking Corpus Christi Bay is the largest and foremost acute care medical facility in the region, with a full range of diagnostic and surgical specialty services in cardiac, cancer, and stroke care. It is the leading emergency facility in the area with a Level II Trauma Center in the Coastal Bend, staffed with physicians and nurses specially trained in emergency services.
- The Pavilion and North Tower house a state-of-the-art emergency department, ICU, Cardiac Cath Lab and surgical suites
- A teaching facility in affiliation with the Texas A&M University System Health and Science Center College of Medicine
- Accredited Chest Pain Center
- Accredited Joint Commission Stroke Team
Summary:
The competent Nurse, in the Critical Care and similar 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 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 of combined experience required in both the Critical Care setting and one other specialty (e.g. Medsurg, Telemetry, IMC or Emergency)
- 5 years of experience preferred
Licenses, Registrations, or Certifications
- BLS required
- ACLS required
- RN License in the state of employment or compact required
- PALS is required at CHRISTUS Children's Hospital
- NRP is required at CHRISTUS Children's Hospital
Work Schedule:
7PM - 7AM
Work Type:
Full Time