20,695 Nursing jobs in the United States

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 Planning
• Develops 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 Provision
• Implements 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 Evaluation
• Evaluates 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.
• Teaching
• Evaluates 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 Communication
• Reports 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 required
• RN License in state of employment or compact
• Graduate 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

Work Schedule:

TBD

Work Type:

Full Time

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MINIMUM QUALIFICATIONS:

EDUCATION: Associates Degree in Nursing.  BSN preferred.

CERTIFICATION/LICENSES:   Current valid NM or compact RN License.  BLS required.  ACLS required or must obtain within six months from date of hire or date of transfer.  BLS and ACLS must be issued through the American Heart Association.

SKILLS:  Excellent communication (verbal, written, listening) and problem-solving skills.

EXPERIENCE:  Six months management experience or five years acute care clinical experience.

NATURE OF SUPERVISION:

-Responsible to:  Manager, Nursing Office

ENVIRONMENT:

- Bloodborne pathogen B

Works irregular hours.  Multiple simultaneous activities of patient care.  Exposure to infectious diseases and x-rays.  Exposure to varying unpredictable situations.

PHYSICAL REQUIREMENTS:  Must be able to handle emergency situations, prolonged, extensive or considerable standing.  Has knowledge of and uses good body mechanics.  Occasionally positions, pushes and/or transfers patients or equipment.  Hearing and visual acuity within normal limits.  Manual dexterity and fine motor coordination required.

Nursing Surgical Charge Entry Specialist

MINIMUM QUALIFICATIONS:

EDUCATION:   Graduate of an accredited program for Registered Nursing.  BSN preferred.

CERTIFICATION/LICENSES: R.N. with current New Mexico State license. 

SKILLS:

• Specific knowledge of surgical procedures
• Extensive communication skills

EXPERIENCE: Minimum Qualifications: Registered Nurse with a minimum of five years experience, one year of which is OR experience.  Three (3) years of relevant experience in system applications with a minimum of one (1) year project implementation team lead role required. 

Desired Qualifications: Registered Nurse with a minimum of eight years experience.  BSN preferred.  Strong computer skills required.  Five (5) years of progressive responsibility in large complex information systems environments with a wide variety of Healthcare Management Information Systems applications recommended.  Extensive clinical practice preferred.

NATURE OF SUPERVISION:

Responsible to: Director, Surgical Services

ENVIRONMENT:

-Bloodborne pathogen:  A

General office and hospital setting with exposure to computer room and patient care evironment.

PHYSICAL and SCHEDULING REQUIREMENTS:

1. Some travel required
2. May be required to work outside of normal working hours
3. May be required to work long hours during critical problems or implementations
4. May be required to withhold paid-time off during critical problems or implementations provided adequate notice is given.
5. Ability to lift and transfer objects typically not in excess of 50 lbs.
6. Extended use of video display terminal and keyboard utilizing sound ergonomic principles.

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

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

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• 1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

• BLS required
• RN License in state of employment or compact

Work Schedule:

7PM - 7AM

Work Type:

Per Diem As Needed

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:

Varies

Work Type:

Full Time

Summary:

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

Requirements:

• Currently enrolled in an RN accredited school of professional nursing to obtain either an associate degree or bachelor’s degree as an RN.
• Must have completed their first clinical and be in good standing in the nursing program.
• Proficient in basic nursing tasks.
• Six (6) months experience in a hospital preferred but not required.
• AHA BLS required within two (2) weeks of employment.

Work Schedule:

TBD

Work Type:

Per Diem As Needed

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:

Varies

Work Type:

Full Time

Summary:

Supervises and coordinates activities of nursing personnel in multiple patient care units, plans work of assigned units and coordinates activities with other patient care units and related departments.

Responsibilities:

• Organizing and overseeing patient care delivery during an assigned shift; ensuring proper staffing and smooth operations of a patient care unit
• Supervising individual team members; monitoring and providing feedback on performance and addressing training needs
• Documenting daily staffing and administrative records and maintaining compliance with governmental policies and procedures 
• Providing direction and support to nursing staff; assists with communications with patients and families

Requirements:

Education/Skills

• Graduate of a Registered Nursing program, Bachelor Degree preferred or actively pursuing with completion within 2 years
• Minimum of 1-3 years of clinical patient care experience in a relevant setting
• Incumbents grandfathered based on experience

Experience

• Minimum of 1-3 years of clinical patient care experience in a relevant setting

Licenses, Registrations, or Certifications

• RN Licensure in state(s) of employment
• Registered Nurse (RN) required

Work Type:

Per Diem As Needed

Summary:

A currently enrolled nursing student providing a wide variety of services to the customer under the direct supervision of Nursing.

Requirements:

• Currently enrolled in a RN degree program, with a minimum GPA of 2.5 (must provide unofficial transcript).
• Must not be on academic probation and in good standing with current nursing program.
• Must provide letter of recommendation from a nursing instructor.
• Must submit a 500-word essay identifying why they chose the field of nursing and how they apply the CHRISTUS Core Values to their individual practice.
• Must have successfully completed both a “Fundamentals of Nursing” and at least one first-level Medical-Surgical course.
• AHA BLS certification required.

Work Schedule:

PRN

Work Type:

Per Diem As Needed