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Job Summary:
Charge RN Intermediate ICU Fulltime 7p-7a day shift
Wellstar Paulding campus
The RN Clinical Charge Nurse is responsible for directing and overseeing the daily activities of the unit on an assigned shift to assure successful safe delivery of care. The Charge Nurse is a caregiver and often takes modified patient care assignment. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the WellStar Shared Governance Model. The framework for practice is steered by the WellStar Professional Nursing Practice Model and evidence based practice and research. RN competencies are derived from these models and supported by the WellStar Core Competencies.
The RN Clinical Charge Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. Expectations of practice include: accountability; responsibility and authority for the practice of nursing; effective teamwork; delegation; communication; respect; personal development; and development of team members.
The role contributes to the establishment and maintenance of practices that ensure excellence in patient care, provides for the efficient use of resources, and undertakes leadership task such as staff schedules, unit patient flow, subject matter expertise for clinical concerns, physician rounding, committee involvement, survey readiness, and other task as assigned by the manager, which are basic to the department's ability to function in a smooth and effective manner.
The RN Clinical Charge Nurse is a resource to other areas opportunity to learn about operational functionality and hospital/facility awareness. He/she is assists in the growth and development of team members in the unit to help build department skills sets and to inspire expertise. This leader brings with him or her ability to build rapport between nurses and physicians to continue service to the patients and is a role model to others.
It is expected that all RN Clinical Charge Nurses are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. As a member of the patient services team, it is expected the individual upholds the voice of the patient, system policies and procedures while supporting service excellence goals. She/he possesses (advanced) clinical expertise and utilizes this expertise to support and promote the delivery of safe, age appropriate and culturally aware patient care and serves as a partner in care.
Core Responsibilities and Essential Functions:
Resources and Support
* Monitors equipment inventory, location and utilization to ensure staff have tools and equipment needed to perform their job.
* Participates in planning and requesting resources for providing high quality care and assists in acquiring appropriate staffing during unexpected staffing shortages or surges in census.
* Proactively plans for the care of patients across the care continuum in the course of giving direct patient care. Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e., decrease in re-admission rates; avoidable days; adverse events; etc).
Tactical Responsibilities
* Make Patient Assignments.
* Consideration for new grads, float and type of patient.
* Daily Discharge/Length of Stay Review.
* Round with Physicians/Surgeons.
* Assign Surgery Beds In Conjunction with Surgery Schedule.
* Consult with Supervisor Nursing Administration (House Supervisor) on Bed Flow and Availability.
* Emergency Services: Assignments for sections, manage waiting room, multiple areas open at different times.
Exemplary Practice and Outcomes
* Rounds on every patient daily to evaluate quality and appropriateness of patient care including corrective action when needed utilizing peer coaching and accountability.
* Performs or provides oversight for the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice; analytical/critical thinking insuring that care is individualized; coordinating care through effective partnerships; caring is central to achieve optimal patient care outcomes.
* Provides or provides oversight for relationship based care delivery patient-centered care by partnering with the patient and significant others (as appropriate) using comprehensive hand-off communication processes; interdisciplinary evaluation and communication (i.e., unit rounds, case reviews, peer review, etc.); just in time and planned patient teaching; keeping the patient informed using appropriate communication tools and making the patients goals the focus of the plan of care.
* Practices using current clinical practice standards with a focus on safety and quality .
* Within the Emergency Department Setting: Charge Nurse rounds on patients in a modified method in conjunction with nurses to focus on patient safety concerns and patient care.
Teamwork and Collaboration
* Communicates with nurse manager and/or assistant nurse manager any needs or concerns pertaining to care delivery or employee performance.
* Coordinates the delivery and documentation of safe quality patient care which includes promotion of interdisciplinary communication and regular interdisciplinary planning/rounds; completion of timely documentation and promotion of a respectful, inclusive clinical environment (Interdisciplinary rounds do not apply in the Emergency Services setting).
* Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and retention of all healthcare team members.
* Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary processes and actively supports/participates in shared governance at all levels in the system.
Professional Development
* Ensures patient/family/staff confidentiality and corporate compliance for self (and accountability for team members) requirements including completing all required mandatory education and proficiencies.
* Serves as a preceptor (or mentor) for other professional nurses (and staff or students for all disciplines) to ensure that there is a current and future qualified workforce; modeling the professional practice of nursing and creating a healthy work environment.
Evidence Based Practice and Research
* Promotes Evidence based practice, nursing research and performance improvement in nursing. Participates in activities such as value analysis as part of the decision making process in evaluating patient care products.
* Upholds all health care system/organizational policies and procedures and clinical competencies put forth by this job description and professional.association including legal, regulatory and accreditation requirements and standards ensuring by way of example, such goals as TJC Patient Safety Goals and WellStar Health Systems safety absolutes.
* Participates in data collection, poses relevant clinical questions to advance evidence based practice. Consults appropriate experts and uses appropriate resources, data, and evidence to address practice questions.
Performs other duties as assigned
Complies with all WellStar Health System policies, standards of work, and code of conduct.
Required Minimum Education:
Graduate of an accredited/approved school of nursing as and Associate Degree/Diploma Nurse Required or
Baccalaureate degree in nursing (BSN) from an accredited school of nursing Preferred
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
- BLS - Basic Life Support or BLS-I - Basic Life Support - Instructor
- RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact
- ACLS - Advanced Cardiac Life Support-Preferred or ACLS-I - ACLS - Instructor-Preferred or ACLS-P - ACLS - Provisional-Preferred
- Advanced Cardiac Life Support or ACLS - Instructor or ACLS - Provisional
Additional License(s) and Certification(s):
Required Minimum Experience:
Minimum 1 year nursing experience Required or
Minimum 2 years Preferred and
Experience as relief charge with clinical expertise Preferred
Required Minimum Skills:
Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
We have several positions open to fit your needs! This includes full-time, night shift (with opportunities to move to day or mid shift) and a few hybrid schedules for those who like to shake things up from time to time. Many colleagues who support our Emergency Department (ED) in Boise also have the unique opportunity to float to our freestanding Emergency Department in Eagle, Idaho.
Full time positions are eligible for consideration of a sign on bonus and generous relocation assistance! We also offer competitive wages, on-call pay, and shift differentials depending on work schedules.
The Day To DayOur nurses enjoy autonomy in their naturally fast paced roles, and work closely with a collaborative and interactive emergency physician group, as well as trauma, ortho, and neurosurgeons, among other specialties. Teamwork is at the core of how we function. As a nurse in our ED, you will care for emergency patients, as well as run trauma cases that pass through our doors. We offer advanced treatment protocols, and in addition to being a Level II Trauma Center, are designated as a Level I STEMI Center and a Level I Stroke Center.
We Are Looking ForOur ideal candidates will have prior experience working in a fast-paced emergency department. In addition, they will have some experience taking care of critical patients and will be able to utilize critical thinking and assessment skills to prioritize patient needs. They will have a desire to take care of all types of patients and will want to be part of a team.
The LocationsOur Boise Emergency Department has 34 beds to serve patients of all ages. As the most advanced trauma center in the region, we represent a continuum of care that incorporates the rapid, critical care response of Life Flight, the Emergency Department; comprehensive, multi-specialty surgical expertise including neuroscience, trauma, orthopedics, critical care units, rehabilitation, as well as the state-of-the-art diagnostic and treatment technologies. Click here to learn more about the ED.
Our Eagle Emergency Department is a 14 bed free-standing center that serves our patients 24/7, typically offering a much shorter wait time than experienced at larger facilities. Staffed by board-certified emergency doctors and specially trained staff, we provide a highly collaborative environment that continually seeks innovative ideas to better serve our patients.
About Boise:Idaho's capital city (and third largest city in the Pacific Northwest!) is located in the high desert of southwestern Idaho, right on the Boise River. Offering a stellar quality life, Boise also features a vibrant and urban downtown, cultural and culinary experiences, and a wealth of entertainment options. Boasting over 200 days of sunny weather each year, recreational opportunities abound - most notably the 25 mile-long Boise River Greenbelt, which links together a series of beautiful public parks and the Boise Foothills, which offers an interconnected network of roads and trails through the hills.
Consistently high ranking on various top ten lists relating to safety, affordability and work-life balance, it's easy to see why Boise is the place to be.
Our Requirements- A current Idaho RN license is required.
- Multistate licenses must establish residency with the Idaho Board of Nursing within 60 days from hire.
- All colleagues must provide licensure or proof of application in process for an Oregon RN license within 90 days of the hire date.
- Other certifications may be required as identified in the SAHS Certification Crosswalk.
- At hire, Basic Life Support certification from the American Heart Association or American Red Cross is required. (ACLS and/or PALS may be accepted in lieu of BLS)
- Prefer one or more years of RN experience in an emergency setting
- BLS/HCP certification from either AHA, ARC or the Military Training Network is required at hire in all units, unless currently certified in ACLS and/or PALS as defined in the SAHS Certification Crosswalk.
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health. Visit to learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Summary:
Responsible for patient assessment, patient care planning, and provision of quality nursing care to an assigned group of patients for a defined work period. Provides direction and supervision to LVN/LPNs, nursing assistants, unit secretaries, and other clinical/clerical associates. By assignment, may function as a charge nurse for the unit. Involves provision of patient care/service to older adolescents, young adults, adults, geriatric and pediatric patients.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Patient Care PlanningDevelops a comprehensive nursing care plan which addresses all significant needs and problems identified through nursing assessment.Prepares nursing elements of the interdisciplinary care plan prior to the initial team conference.Reviews and updates nursing care plan and collaborates with team members as changes occur.Patient Care ProvisionImplements patient care as planned in nursing care plan and interdisciplinary care plan.Sets priorities based on knowledge of patient acuity and patient needs.Provides safe and therapeutic care and seeks resources when appropriate.Safely performs and accurately documents procedures, consistent with established nursing policy and procedure.Patient Care EvaluationEvaluates patient response to interventions and attainment of goals in collaboration with interdisciplinary team.Evaluates progress toward nursing goals and revises goals as needed on a weekly basis.Completes nursing progress note for assigned patients on a daily basis.Completes nursing flow sheets for assigned patients on a daily basis.TeachingEvaluates education needs of patient and significant others and documents their response to teaching.Utilizes, adapts, and revises teaching resources to meet patient education needs.Explains procedures, tests, and disease process to patients and families as needed.Acts as role model for health care students and other team members.Acts as preceptor to assigned orientees.Assists in the orientation of new staff by sharing knowledge and experience.Patient Care CommunicationReports and documents accurately and concisely to appropriate persons the patients condition.Maintains patient confidentiality.Applies basic verbal and nonverbal skills to maintain open, effective communication among care team members, patients, and significant others.Encourages direct discussion between staff members when differences occur and seeks assistance to arbitrate differences as needed.Gives and accepts constructive feedback appropriately.Identifies actual and potentially unsafe patient care practices, reports them in the designated manner, and suggests alternatives.
Job Requirements:
Education/Skills
Bachelor of Science Degree in Nursing, preferred
Experience
Six months to a year of experience as a licensed RN or holder of an active GN permit
Licenses, Registrations, or Certifications
BLS requiredRN License in state of employment or compactGraduate Nurse Permit
Associates with an unsuccessful licensure application or on the 75th day following the effective date of the temporary permit; will be transferred to another position within CHRISTUS Health
Position Requirements:
Education/SkillsAll newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Services-specific competency validation.Completion of all annual competency verification requirements.ExperiencePerinatal RN Residency, or recently practicing in a Perinatal Setting is preferred.Licenses, Registrations, or CertificationsCurrent certification required from one of the following: AWHONN Intermediate FHM, AWHONN Intermediate FHM Instructor, AWHONN Advanced FHM Instructor, AWHONN Instructor Trainer, or NCC Electronic Fetal Monitoring (C-EFM)Current NRP certification requiredCurrent ACLS certification requiredIn accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.
Credential Grace Periods:
If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.
Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.
Credential
Grace Periods forExperienced AssociatesGrace Periods forNew Graduates & Experienced Associates New to the SpecialtyBasic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
Responsible for patient assessment, patient care planning, and provision of quality nursing care to an assigned group of patients for a defined work period. Provides direction and supervision to LVN/LPNs, nursing assistants, unit secretaries, and other clinical/clerical associates. By assignment, may function as a charge nurse for the unit. Involves provision of patient care/service to older adolescents, young adults, adults, geriatric and pediatric patients.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Patient Care PlanningDevelops a comprehensive nursing care plan which addresses all significant needs and problems identified through nursing assessment.Prepares nursing elements of the interdisciplinary care plan prior to the initial team conference.Reviews and updates nursing care plan and collaborates with team members as changes occur.Patient Care ProvisionImplements patient care as planned in nursing care plan and interdisciplinary care plan.Sets priorities based on knowledge of patient acuity and patient needs.Provides safe and therapeutic care and seeks resources when appropriate.Safely performs and accurately documents procedures, consistent with established nursing policy and procedure.Patient Care EvaluationEvaluates patient response to interventions and attainment of goals in collaboration with interdisciplinary team.Evaluates progress toward nursing goals and revises goals as needed on a weekly basis.Completes nursing progress note for assigned patients on a daily basis.Completes nursing flow sheets for assigned patients on a daily basis.TeachingEvaluates education needs of patient and significant others and documents their response to teaching.Utilizes, adapts, and revises teaching resources to meet patient education needs.Explains procedures, tests, and disease process to patients and families as needed.Acts as role model for health care students and other team members.Acts as preceptor to assigned orientees.Assists in the orientation of new staff by sharing knowledge and experience.Patient Care CommunicationReports and documents accurately and concisely to appropriate persons the patient's condition.Maintains patient confidentiality.Applies basic verbal and nonverbal skills to maintain open, effective communication among care team members, patients, and significant others.Encourages direct discussion between staff members when differences occur and seeks assistance to arbitrate differences as needed.Gives and accepts constructive feedback appropriately.Identifies actual and potentially unsafe patient care practices, reports them in the designated manner, and suggests alternatives.
Job Requirements:
Education/Skills
Bachelor of Science Degree in Nursing, preferred
Experience
Six months to a year of experience as a licensed RN or holder of an active GN permit
Licenses, Registrations, or Certifications
BLS requiredRN License in state of employment or compactGraduate Nurse PermitAssociates with an unsuccessful licensure application or on the 75th day following the effective date of the temporary permit; will be transferred to another position within CHRISTUS Health
Position Requirements:
Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Services-specific competency validation.Completion of all annual competency verification requirements. Experience Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred. Licenses, Registrations, or Certifications Current certification required from one of the following: AWHONN Intermediate FHM, AWHONN Intermediate FHM Instructor, AWHONN Advanced FHM Instructor, AWHONN Instructor Trainer, or NCC Electronic Fetal Monitoring (C-EFM)Current NRP certification requiredCurrent ACLS certification required
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.
Credential Grace Periods:
If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.
Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.
CredentialGrace Periods forExperienced AssociatesGrace Periods forNew Graduates & Experienced Associates New to the SpecialtyBasic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
We are also known as the Progressive Care Unit or PCU. Our unit is an intermediate unit that is a step down from our intensive care but a step above med/surg as far as patient acuity
Cardiac, Respiratory distress, Septic.
No vents. - Mainly serve cardiac patients, also acute respiratory (no vents/but high flow ) 02 needs/new bipap, etc. then mix of any other disease process in which the physicians determine patient is too sick for floor; but not yet ICU level of care.
Fast paced unit combining aspects of ED and ICU into one department--busyness of ED & critical care aspect of ICU.
Requires and builds strong assessment skills and teamwork
Qualifications:
- Required Education: Practical Nursing Degree from an accredited school
- License: current LPN license in our state or can be obtained within 90 days
- Certifications: Basic Life Support certification through the American Heart Association, IV Certification within 1 year.
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
keyword(s): Critical care
Step down
Cardiac
Progressive care unit
PCU
Acute respiratory care
nurse
patient care
License practical nurse
LPN
Practical nurse
nursing
Patients
full time
sign on bonus
Part time
Graduate nurse
Graduate LPN
G-LPN
nights
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Our family centered care environment provides care to women and families of childbearing age, during the antepartum, intrapartum, and postpartum periods, as well as newborns during the neonatal period. Services include Level IV comprehensive maternal care during labor and delivery, family centered couplet care, Level II Neonatal Care, and Maternal Fetal Medicine. Join our growing team where CHRISTUS values are prioritized and all associates are celebrated and respected while fostering a strong commitment to cultivate a thriving workplace culture.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
Documents patient history, symptoms, medication, and care given.
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
Job Requirements:
Education/Skills
~ Bachelor of Science Degree in Nursing, preferred
Experience
~1 year of experience in the related nursing specialty preferred
Licenses, Registrations, or Certifications
BLS required
RN License in state of employment or compact
Position Requirements:
Education/Skills
All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Services-specific competency validation.
Completion of all annual competency verification requirements.
Experience
~ Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred.
Licenses, Registrations, or Certifications
Current certification required from one of the following: AWHONN Intermediate FHM, AWHONN Intermediate FHM Instructor, AWHONN Advanced FHM Instructor, AWHONN Instructor Trainer, or NCC Electronic Fetal Monitoring (C-EFM)
Current NRP certification required
Current ACLS certification required
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.
Credential Grace Periods:
If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.
Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.
Work Schedule:
7PM - 7AM
Work Type:
Full Time
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Our family centered care environment provides care to women and families of childbearing age, during the antepartum, intrapartum, and postpartum periods, as well as newborns during the neonatal period. Services include Level IV comprehensive maternal care during labor and delivery, family centered couplet care, Level II Neonatal Care, and Maternal Fetal Medicine. Join our growing team where CHRISTUS values are prioritized and all associates are celebrated and respected while fostering a strong commitment to cultivate a thriving workplace culture.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
Documents patient history, symptoms, medication, and care given.
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
Job Requirements:
Education/Skills
~ Bachelor of Science Degree in Nursing, preferred
Experience
~1 year of experience in the related nursing specialty preferred
Licenses, Registrations, or Certifications
BLS required
RN License in state of employment or compact
Position Requirements:
Education/Skills
All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Services-specific competency validation.
Completion of all annual competency verification requirements.
Experience
~ Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred.
Licenses, Registrations, or Certifications
Current certification required from one of the following: AWHONN Intermediate FHM, AWHONN Intermediate FHM Instructor, AWHONN Advanced FHM Instructor, AWHONN Instructor Trainer, or NCC Electronic Fetal Monitoring (C-EFM)
Current NRP certification required
Current ACLS certification required
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.
Credential Grace Periods:
If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.
Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.
Work Schedule:
7PM - 7AM
Work Type:
Full Time
Facilitates vital signs, EKGs, cardiac and respiratory monitoring, suture removal, transportation of patients, disinfecting and preparing instruments, stocking of supplies, and other aspects of patient care under the direction of the RN or physician.Responsibilities:Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Assists with admission, transfer, and discharge of patients.Commensurate with training, observes patient's condition, recognizes changes in patient status, and reports findings to the RN.Escorts stable patients to other departments as required.Cleans, procures and returns equipment and supplies.Assists with ordering and maintaining stock items.Maintains competency to perform special procedures: Venipuncture Splinting Staple and suture removal Nonsterile dressing changes Peak expiration flow rate Pulse Oximetry Crutch Training Demonstrate competence to perform assigned patient care responsibilities in a manner that meets the age-specific and developmental needs of patients served by the department.Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each patient served.Job Requirements:Education/SkillsA High School Diploma or GED is preferredCompletion of one of the following educational programs or previous CHRISTUS Emergency Technician experience is required:Nursing Assistant programMedical Assistant programBasic EMT program, Intermediate EMT programPT Care Tech programMilitary basic combat training and Advanced Individual Training for military medicsExperience1 year of experience as an Emergency Dept Tech required2-3 years of experience as an Emergency Dept Tech preferredLicenses, Registrations, or CertificationsBLS requiredMust maintain one of the following certifications:Certified Nursing Assistant license in the state of employmentCertified Medical AssistantCertified Patient Care TechEmergency Medical Technician (EMT) national registry or state licenseIn 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:7AM
- 7PMWork Type:Full Time
0-1 years of experience: $10,000
1-3 years of experience: $15,000
3+ years of experience: $20,000
POSITION PURPOSE
Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.
ESSENTIAL FUNCTIONS
1. Conducts an initial assessment to gather data.
Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
Completes all areas of the admission assessment database within 24 hours of admission.
2. Identifies patient problems and develops them into an outcome/goal-based plan of care.
Initiates the patient problem list and incorporates relevant medical history into the plan of care.
Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
Determines nursing interventions to achieve those outcomes/goals.
Prioritizes patient care needs/ activities.
Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
3. Implements the outcome/goal- based plan of care.
Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
Organizes and prioritizes care for the patients within the team.
Delegates tasks appropriately to other team members.
Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
Uses nursing judgment to determine the appropriate frequency and components of reassessment.
Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
Participates in develop discharge plan.
Documents discharge instructions for patient and/or significant other and/or other care provider.
4. Evaluates patient progress and revises the outcome/goal-based plan as needed.
Evaluates patient response(s) to interventions.
Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
Updates the problem list and outcomes/goals.
5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.
Communicates relevant clinical information to physicians regarding the patient’s condition.
Reports progress toward outcomes/goals and/or changes in condition to other health team members.
Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
Documents completely, comprehensively and legibly and in accordance with policy.
6. Demonstrates clinical competence.
Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
Assures medication safety by following the “5 Rights” of medication administration.
Prioritizes and implements intervention according to patient assessment.
Demonstrates competency in computer systems and applications required for role.
Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.
Completes assigned shift duties and assures resolution of discrepancies.
7. Manages telemetry and cardiac monitoring when applicable.
Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
Must be capable of managing multiple patients requiring continuous cardiac monitoring.
Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
May be required to assist with data collection and quality improvement initiatives.
Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).
May be asked to participate in unit-based committees and provide education to nursing staff as requested.
8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
9. Collects, analyzes, interprets and applies age-specific data.
Performs tasks/procedures, uses equipment in an age-appropriate manner.
Communicates and works with others in an age-appropriate manner.
10. Adheres to all safety, infection control and colleague health policies and procedures.
Attends required safety programs.
Appropriately and consistently uses the personal protective equipment required of the job.
Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
Reports and removes unsafe equipment/furniture.
Asks for assistance when needed to assure safety for all involved.
Maintains a safe working environment and practices safe working habits.
11. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Core Values:
Reverence: We honor the sacredness and dignity of every person.
Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
Justice: We foster right relationships to promote the common good, including sustainability of Earth.
Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
Integrity: We are faithful to those we say we are.
Schedule:
- Full Time: 36 hours per week (3, 12-hour shifts)
- Available Shifts: Days (7 AM – 7 PM) / Nights (7 PM – 7 AM)
- Every other holiday, and every other weekend
Position Highlights and Benefits:
- Relocation Bonus
- Tuition Reimbursement
- Eligible for a generous Night Shift Differential
MINIMUM QUALIFICATIONS
Associate degree in nursing required
Bachelor of Science in Nursing (BSN) preferred.
Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
American Heart Association Basic Life Support (BLS) required.
American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities.
Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
High language, intermediate to high math, high critical thinking ability. Basic computer skills required.
PH
Apply today and ask about our Sign on Bonus of up to $20,000 and Relocation Bonus!
- 0-1 years of experience: $10,000
- 1-3 years of experience: $15,000
- 3+ years of experience: $20,000
POSITION PURPOSE
Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.
ESSENTIAL FUNCTIONS
1. Conducts an initial assessment to gather data.
- Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
- Completes all areas of the admission assessment database within 24 hours of admission.
2. Identifies patient problems and develops them into an outcome/goal-based plan of care.
- Initiates the patient problem list and incorporates relevant medical history into the plan of care.
- Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
- Determines nursing interventions to achieve those outcomes/goals.
- Prioritizes patient care needs/ activities.
- Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
- Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
3. Implements the outcome/goal- based plan of care.
- Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
- Organizes and prioritizes care for the patients within the team.
- Delegates tasks appropriately to other team members.
- Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
- Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
- Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
- Uses nursing judgment to determine the appropriate frequency and components of reassessment.
- Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
- Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
- Participates in develop discharge plan.
- Documents discharge instructions for patient and/or significant other and/or other care provider.
4. Evaluates patient progress and revises the outcome/goal-based plan as needed.
- Evaluates patient response(s) to interventions.
- Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
- Updates the problem list and outcomes/goals.
5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.
- Communicates relevant clinical information to physicians regarding the patient’s condition.
- Reports progress toward outcomes/goals and/or changes in condition to other health team members.
- Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
- Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
- Documents completely, comprehensively and legibly and in accordance with policy.
6. Demonstrates clinical competence.
- Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
- Assures medication safety by following the “5 Rights” of medication administration.
- Prioritizes and implements intervention according to patient assessment.
- Demonstrates competency in computer systems and applications required for role.
- Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
- Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.
- Completes assigned shift duties and assures resolution of discrepancies.
7. Manages telemetry and cardiac monitoring when applicable.
- Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
- Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
- Must be capable of managing multiple patients requiring continuous cardiac monitoring.
- Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
- May be required to assist with data collection and quality improvement initiatives.
- Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).
- May be asked to participate in unit-based committees and provide education to nursing staff as requested.
8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
9. Collects, analyzes, interprets and applies age-specific data.
- Performs tasks/procedures, uses equipment in an age-appropriate manner.
- Communicates and works with others in an age-appropriate manner.
10. Adheres to all safety, infection control and colleague health policies and procedures.
- Attends required safety programs.
- Appropriately and consistently uses the personal protective equipment required of the job.
- Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
- Reports and removes unsafe equipment/furniture.
- Asks for assistance when needed to assure safety for all involved.
- Maintains a safe working environment and practices safe working habits.
11. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Core Values:
- Reverence: We honor the sacredness and dignity of every person.
- Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
- Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
- Justice: We foster right relationships to promote the common good, including sustainability of Earth.
- Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
- Integrity: We are faithful to those we say we are.
MINIMUM QUALIFICATIONS
- Associate degree in nursing required
- Bachelor of Science in Nursing (BSN) preferred.
- Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
- American Heart Association Basic Life Support (BLS) required.
- American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities.
- Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
- High language, intermediate to high math, high critical thinking ability. Basic computer skills required.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.
2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.
3. Stand; Walk/Move About 76-100% of the time
4. Must possess the ability to comply with Trinity Health policies and procedures.
The most significant duties have been included in this description. Other duties may be assigned as necessary. The facility reserves the right to modify this job description as needed to accurately reflect the duties assigned.
Our Commitment
