Information Technology Jobs in Adkins Texas

U.S. Customs and Border Protection Career Expo 3/24 – 3/26 – San Antonio

If you’re ready to explore the rewards and challenges of serving in today’s highly-skilled U.S. Customs and Border Protection, don’t miss the live, three-day CBP Career Expo this March 24 – 26 in San Antonio, TX.

Our expansive, in-person hiring event is free and open to all, with registration required in advance. Event hours will be:

March 24 – 25, 2026, 9 AM – 8 PM CT

March 26, 2026, 9 AM – 2 PM CT

Recruiters will be on hand throughout the event to answer questions and provide valuable input, including resume tips. Plus, to help accelerate your application process, CBP is also offering onsite application submission.

See what it takes to serve as part of the vital CBP mission, providing security for our nation’s borders from those who threaten legitimate trade and travel, safety from harmful substances like fentanyl, and humanitarian aid to those in need.

We will be recruiting for mission-critical roles in both law enforcement and mission operations support. Federal hiring regulations apply to all mission-critical positions. At a minimum, U.S. Citizenship is required.

Federal civil service is a great place to start building a career in law enforcement and learn about the qualifications you’ll need to get your career started. In addition:

Border Patrol Agents that are newly appointed can earn up to $60,000 in incentives. Conditions apply.

CBP Officers have up to $60,000 in incentives available, paid $15,000 per year. Location based.

Air Interdiction Agents and Marine Interdiction Agents can receive $10,000 incentive upon successful completion of academy.

Specific location and schedule details will be provided to all registered attendees in advance.


Register Today!

Border Patrol Agent (BPA) Entry Level

NEW RECRUITMENT AND RETENTION INCENTIVES!

IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.

U.S. 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.

DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW

The U.S. Border Patrol (USBP) offers those interested in a career in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America.

If you seek an exciting and rewarding job that provides excellent pay, exceptional federal benefits, and job stability, now is the time to make your move. U.S. Border Patrol (USBP), within the U.S. Customs and Border Protection (CBP), is hiring immediately for these full-time, entry-level, career Law Enforcement Officer (LEO) opportunities.

Salary and Benefits

Annual Base Salary for newly appointed BPAs varies per grade, as follows:

GL-5/GL-7 $49,739 - $89,518 per year

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others. A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014. This is a career ladder position with a grade level progression of GL-5, GL-7, GL-9, GS-11, and GS-12. You will be eligible for a promotion to the next higher grade level (without reapplying) once you successfully complete 52 weeks in each grade level.

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 offered up to a $20,000 incentive. 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. Prioritized locations include Sierra Blanca, TX; Presidio, TX; Sanderson, TX; Comstock, TX; Lordsburg, NM; Freer, TX; Hebbronville, TX; Ajo, AZ.

*Retention Incentive* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

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. Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include:

• 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; OR

Education Substitution: 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; OR

Combination of Experience and Education: 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.
• Deal effectively with people in a courteous and tactful manner in connection with law enforcement matters.
• 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.

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

Education Substitution for the GL-7 grade level: A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., GPA of 3.0 or higher out of a possible 4.0), or (3) honor society membership. 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.

Note: If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GL-9 and or GS-11 grade level. Please refer to the BPA GL-9 - 11 announcement.

Other Requirements

Citizenship: You must be a U.S. Citizen to apply for this position.

Residency: You must have had primary U.S. residency (includes protectorates as declared under international law) for at least three of the last five years.

Age Restriction: 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.S.C. 8336(c) or Title 5 U.S.C. 8412(d).

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: After you are hired, you will be detailed to the U.S. 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.

How to Apply:

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.) to submit. 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.S. 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.

Border Patrol Agent (BPA) Entry Level

NEW RECRUITMENT AND RETENTION INCENTIVES!

IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.

U.S. 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.

DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW

The U.S. Border Patrol (USBP) offers those interested in a career in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America.

If you seek an exciting and rewarding job that provides excellent pay, exceptional federal benefits, and job stability, now is the time to make your move. U.S. Border Patrol (USBP), within the U.S. Customs and Border Protection (CBP), is hiring immediately for these full-time, entry-level, career Law Enforcement Officer (LEO) opportunities.

Salary and Benefits

Annual Base Salary for newly appointed BPAs varies per grade, as follows:

GL-5/GL-7 $49,739 - $89,518 per year

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others. A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014. This is a career ladder position with a grade level progression of GL-5, GL-7, GL-9, GS-11, and GS-12. You will be eligible for a promotion to the next higher grade level (without reapplying) once you successfully complete 52 weeks in each grade level.

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 offered up to a $20,000 incentive. 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. Prioritized locations include Sierra Blanca, TX; Presidio, TX; Sanderson, TX; Comstock, TX; Lordsburg, NM; Freer, TX; Hebbronville, TX; Ajo, AZ.

*Retention Incentive* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

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. Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include:

• 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; OR

Education Substitution: 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; OR

Combination of Experience and Education: 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.
• Deal effectively with people in a courteous and tactful manner in connection with law enforcement matters.
• 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.

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

Education Substitution for the GL-7 grade level: A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., GPA of 3.0 or higher out of a possible 4.0), or (3) honor society membership. 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.

Note: If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GL-9 and or GS-11 grade level. Please refer to the BPA GL-9 - 11 announcement.

Other Requirements

Citizenship: You must be a U.S. Citizen to apply for this position.

Residency: You must have had primary U.S. residency (includes protectorates as declared under international law) for at least three of the last five years.

Age Restriction: 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.S.C. 8336(c) or Title 5 U.S.C. 8412(d).

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: After you are hired, you will be detailed to the U.S. 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.

How to Apply:

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.) to submit. 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.S. 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.

Border Patrol Agent (BPA) Entry Level

NEW RECRUITMENT AND RETENTION INCENTIVES!

IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.

U.S. 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.

DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW

The U.S. Border Patrol (USBP) offers those interested in a career in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America.

If you seek an exciting and rewarding job that provides excellent pay, exceptional federal benefits, and job stability, now is the time to make your move. U.S. Border Patrol (USBP), within the U.S. Customs and Border Protection (CBP), is hiring immediately for these full-time, entry-level, career Law Enforcement Officer (LEO) opportunities.

Salary and Benefits

Annual Base Salary for newly appointed BPAs varies per grade, as follows:

GL-5/GL-7 $49,739 - $89,518 per year

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others. A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014. This is a career ladder position with a grade level progression of GL-5, GL-7, GL-9, GS-11, and GS-12. You will be eligible for a promotion to the next higher grade level (without reapplying) once you successfully complete 52 weeks in each grade level.

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 offered up to a $20,000 incentive. 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. Prioritized locations include Sierra Blanca, TX; Presidio, TX; Sanderson, TX; Comstock, TX; Lordsburg, NM; Freer, TX; Hebbronville, TX; Ajo, AZ.

*Retention Incentive* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

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. Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include:

• 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; OR

Education Substitution: 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; OR

Combination of Experience and Education: 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.
• Deal effectively with people in a courteous and tactful manner in connection with law enforcement matters.
• 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.

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

Education Substitution for the GL-7 grade level: A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., GPA of 3.0 or higher out of a possible 4.0), or (3) honor society membership. 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.

Note: If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GL-9 and or GS-11 grade level. Please refer to the BPA GL-9 - 11 announcement.

Other Requirements

Citizenship: You must be a U.S. Citizen to apply for this position.

Residency: You must have had primary U.S. residency (includes protectorates as declared under international law) for at least three of the last five years.

Age Restriction: 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.S.C. 8336(c) or Title 5 U.S.C. 8412(d).

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: After you are hired, you will be detailed to the U.S. 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.

How to Apply:

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.) to submit. 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.S. 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.

Summary:

The competent Nurse, in the Medsurg, Telemetry, and Intermediate Care clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Meets expectations for flexibility of assignment within the ministry.
• Proactively provide assignment availability on a regular basis.
• Able to be assigned to more than one unit.
• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.

CORE COMPETENCIES

Standard I: Utilizes the Nursing Process

• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
• Communicates findings to appropriate healthcare team members.
• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
• Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals.
• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
• Performs timely reassessment and documentation.
• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.

Standard II. Patient Throughput & Patient Flow Process

• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
• Utilizes appropriate systems of communication and tools to facilitate the discharge process.
• Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.

Standard III. Unit Operations

• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies.
• Assesses departmental staffing needs; actively participates in resourcing efforts.
• Educates and trains others on the operations, ethics, and regulations within the industry.

Standard IV. Safe Practice/Quality Care/Regulations

• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
• Demonstrates accountability for nursing research and quality improvement activities.
• Provides evidence-based nursing care.
• Communicates patient information effectively across the continuum of care.
• Educates and trains others on the operations, ethics, and regulations within the industry.
• Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.

TECHNICAL COMPETENCIES

Clinical Policies and Standards

• Follows a specific set of standards and associated clinical procedures.
• Analyzes policy and standards documentation and ensures organizational compliance.
• Provides feedback for improvement of procedures.
• Assists in the development and implementation of specific procedures.
• Works with control and monitoring mechanisms, tools and techniques.

Health Information Documentation

• Shares experiences with maintaining paper and electronic patient documentation.
• Walk through the steps and procedures for receiving, validating and updating patient records.
• Describes the flow of information between various stations or units.
• Discusses the functions, features and document flow of electronic documentation.
• Transcribes verbal orders; explains techniques 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 Medsurg/Telemetry and Intermediate Care
• 5 years of experience preferred

Licenses, Registrations, or Certifications

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

Work Schedule:

7PM - 7AM

Work Type:

Full Time

Summary:

The competent Nurse, in the Medsurg, Telemetry, and Intermediate Care clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Meets expectations for flexibility of assignment within the ministry.
• Proactively provide assignment availability on a regular basis.
• Able to be assigned to more than one unit.
• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.

CORE COMPETENCIES

Standard I: Utilizes the Nursing Process

• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
• Communicates findings to appropriate healthcare team members.
• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
• Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals.
• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
• Performs timely reassessment and documentation.
• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.

Standard II. Patient Throughput & Patient Flow Process

• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
• Utilizes appropriate systems of communication and tools to facilitate the discharge process.
• Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.

Standard III. Unit Operations

• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies.
• Assesses departmental staffing needs; actively participates in resourcing efforts.
• Educates and trains others on the operations, ethics, and regulations within the industry.

Standard IV. Safe Practice/Quality Care/Regulations

• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
• Demonstrates accountability for nursing research and quality improvement activities.
• Provides evidence-based nursing care.
• Communicates patient information effectively across the continuum of care.
• Educates and trains others on the operations, ethics, and regulations within the industry.
• Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.

TECHNICAL COMPETENCIES

Clinical Policies and Standards

• Follows a specific set of standards and associated clinical procedures.
• Analyzes policy and standards documentation and ensures organizational compliance.
• Provides feedback for improvement of procedures.
• Assists in the development and implementation of specific procedures.
• Works with control and monitoring mechanisms, tools and techniques.

Health Information Documentation

• Shares experiences with maintaining paper and electronic patient documentation.
• Walk through the steps and procedures for receiving, validating and updating patient records.
• Describes the flow of information between various stations or units.
• Discusses the functions, features and document flow of electronic documentation.
• Transcribes verbal orders; explains techniques 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 Medsurg/Telemetry and Intermediate Care
• 5 years of experience preferred

Licenses, Registrations, or Certifications

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

Work Schedule:

7AM - 7PM

Work Type:

PRN

Summary:

The Registered Nurse Lactation Counselor provides expert lactation support and education to breastfeeding mothers and infants, utilizing the nursing process to assess, plan, implement, and evaluate individualized care. This role involves providing in-person consultations, telephone follow-ups, and outpatient services to address lactation challenges, enhance breastfeeding success, and ensure mothers and infants receive optimal care. The Lactation Counselor works closely with lactation consultants, physicians, nursing staff, and other healthcare providers to coordinate care, provide education, and ensure continuity of lactation support after discharge. The role also includes patient education, staff training, and promotion of lactation resources.

Responsibilities:

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

Patient Education and Counseling:

• Educate mothers and families about proper breastfeeding techniques, infant feeding cues, and the benefits of breastfeeding.
• Develop and implement personalized care plans that support breastfeeding success.
• Provide emotional support and encouragement to empower families to meet their breastfeeding goals.
• Document all interactions, assessments, and care provided in accordance with hospital policies and patient privacy regulations.
• Offer timely and responsive assistance to mothers requiring follow-up care, ensuring they feel supported in their breastfeeding journey.

Collaboration and Coordination of Care:

• Collaborate with physicians, nurses, and other healthcare providers to ensure seamless continuity of care for breastfeeding families.
• Communicate and coordinate effectively with hospital staff to ensure lactation needs are addressed during hospital stays and post-discharge.
• Follow up with patients to monitor progress, address any concerns, and adjust care plans as needed.

Outpatient Lactation Support:

• Provide individualized lactation support to mothers and infants through outpatient follow-up, including in-person visits and telephone consultations.
• Assess breastfeeding techniques, infant latch, milk supply, and overall breastfeeding goals.
• Address common lactation challenges, including sore nipples, low milk supply, latch issues, and breastfeeding pain, using evidence-based strategies.
• Provide guidance and support for mothers and infants experiencing more complex issues.

Training and Education for Staff:

• Assist in the training and education of hospital staff, including nurses and other healthcare providers, to ensure accurate and consistent lactation information is provided to patients.
• Promote best practices in lactation care across the hospital through in-service training and educational resources.

Program Development and Improvement:

• Contribute to the development and improvement of lactation services, ensuring they align with current evidence-based guidelines.
• Participate in quality improvement initiatives and audits to enhance patient outcomes and satisfaction.

Additional Responsibilities:

• Carries out other duties as assigned.

Job Requirements:

Education/Skills

• Associate Degree in Nursing (ADN) required
• Bachelor's degree in nursing or related field preferred

Experience

• In hospital experience preferred
• Outpatient follow-up care experience preferred
• In-depth knowledge of lactation practices, breastfeeding management, and maternal-infant health required
• Must have strong clinical assessment and critical thinking skills to address patient needs effectively
• Excellent communication, counseling, and interpersonal skills required
• Must be able to work collaboratively in a multidisciplinary team and support diverse patient populations
• Strong organizational and documentation skills needed

Licenses, Registrations, or Certifications

• RN License in the state of employment or compact required
• IBCLC (International Board-Certified Lactation Consultant) certification required
• BLS (Basic Life Support) required.

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

Work Schedule:

4 Days - 10 Hours

Work Type:

Full Time