Sep 17, 2020

Charge Nurse - Observation - Full time - Night Shift

  • St. Joseph Health & Covenent Health
  • Lubbock, TX, USA

Job Description

Covenant Health is seeking a Full time Night Shift Charge Nurse for Observation Department at Covenant Medical Center.

Job Summary:

The RN independently uses the nursing process to safely, therapeutically and efficiently care for a group of patients. Uses information from a variety of sources to assess, plan, implement, identify outcomes and evaluate patient's plan of care.

Professional Practice Advancement Program:

RN I: Advanced Beginner less than one year of nursing experience; provides nursing care in an effective and safe manner.

RN II: Competent nurse, provides care in a skilled and effective manner, utilizing appropriate technical and decision making skills.

RN III: Proficient nurse, provides nursing care efficiently and effectively using a high level of technical and organizational skills as well as critical thinking ability.

RN IV: Expert nurse, demonstrates a high level of knowledge/expertise in specialty as well as general nursing, is a leader/resource to nursing/healthcare team and engaged in unit/medical center activities. Certification: Specialty certification required. Education: BSN required for promotion to RN IV.

Essential Function:

• COLLABORATION: The process whereby the health care team plan and practice together as colleagues, working interdependently within the boundaries of their scope of practices using shared values and mutual respect for each other’s contribution to care for individuals, their families and communities. Major elements include non-hierarchal relationships and intra-inter professional collegiality:

• Facilitates patient care through developing and maintaining therapeutic & effective communication/ relationships with patient/family and the health care team:

◦ Recognizes and communicates patient condition/care changes to charge nurse, supervisor, medical staff and other team members within an appropriate time frame; completes bedside shift report and documentation in a timely manner.

◦ Anticipates and is prepared to present information to patients and families regarding plan of care.

◦ Utilizes chain of command to resolve differences in a constructive manner and/or begin the service recovery process on behalf of patients/families.

◦ Demonstrates team spirit and readily offers assistance to team members.

◦ Demonstrates honest and direct review of peers with an effort to influence change positively.

◦ Demonstrates and reinforces professional behavior in self and colleagues.

• Participates in shared governance and participative leadership, including appropriate delegation of care:

◦ Adapts to changing clinical situations and delegates to team members appropriately and ensures completion of those tasks.

◦ Determines work priorities and makes assignments according to patient acuity, staff knowledge of age group and competency level.

◦ Capable of serving in the capacity of a leadership role.

◦ Actively participates in unit/service level committee/task force; promotes change to meet unit needs.

◦ Participates with unit manager and fellow associates in defining, implementing, and evaluating unit goals.

• Demonstrates awareness of unit/service budget and guidelines related to staffing and scheduling:

◦ Actively participates in cost effectiveness initiatives, seeks opportunities to eliminate inappropriate and wasteful use of resources.

◦ Articulates fundamental unit budgetary principals, such as equipment charges and staffing ratios.

◦ Assists in the evaluation and selection of products to maximize employee and patient safety while providing patient care.

◦ Follows scheduling guidelines and demonstrates flexibility in order to meet unit and patient needs.

• CLINICAL PRACTICE: The practitioner is accountable to recognize the health and quality of life needs of the patient, family and community and to collaborate with them to achieve mutually agreed upon goals. The practitioner utilizes his/her specialized skills and scientific knowledge to design collaborative and integrated care that binds together all resources in a goal oriented movement toward health. Components of clinical practice are competence, evidenced based practice/continuous quality improvement, advanced practice nursing and practice standards:

• Implements safe and therapeutic care for patients and provides a safe environment specific to age and development of the patient population served:

◦ Adheres to all safety policies and procedures; identifies safety issues or hazards in the work environment and communicates deficiencies appropriately.

◦ Implements plan of care for patients of moderate complexity.

◦ Reprioritizes as necessary to adapt to changing patient condition, work environment and patient assignments.

◦ Responds to individual/developmental/cultural differences in patient/family care.

◦ Identifies real or potential threats to the security of patients, co-workers or visitors.

• Assists in creating an environment that promotes educational growth opportunities for peers and develops ongoing plan for self-development:

◦ Develops and completes annual plan with nurse manager/designee including time frame for obtaining necessary skills/education.

◦ Verbalizes current knowledge of the standard of practice in their nursing specialty.

◦ Seeks opportunities to be taught, coached and mentored, including interest in specialty certification.

◦ Assesses and coaches team members, students and orientees in the use of newly learned skills in the work setting per established standards of care and standards of practice.

◦ Helps identify learning opportunities for team members, students, and orientees in acquisition of skills.

• Assures quality through application of evidenced-based practice to policy, procedure, standards of care, clinical pathways and protocol changes:

◦ Demonstrates awareness of literature in the area of evidence-based practice.

◦ Acts as a resource to other team members when clarification is needed.

◦ Questions orders that deviate from usual standard of practice.

◦ Incorporates performance improvement recommendations into clinical practice.

◦ Participates in data collection for research/studies as directed.

• Maintains clinical competence:

◦ Maintains knowledge of Nurse Practice Act.

◦ Demonstrates and maintains competence in required hospital wide and service specific competency programs.

◦ Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served including knowledge of the principles of growth and development, psychosocial characteristics, and interventions for age-specific requirements of the assigned unit.

• Utilizes nursing process to perform a comprehensive, age-specific assessment of patient & family needs, including identification of formal teaching needs for specific patients/families and communities:

◦ Performs a comprehensive patient/family physical assessment on assigned patients demonstrating the ability to integrate cultural, psychosocial and spiritual needs of the specific population served.

◦ Identifies trends in patients’ clinical course assesses proactively, when necessary.

◦ Utilizes an interdisciplinary approach to assessment.

◦ Serves as a clinical resource in the development of basic assessment skills and interventions.

◦ Identifies ongoing needs and teaching goals with patient/family and utilizes resources to develop complex, interdisciplinary teaching plans.

◦ Assures that patients/families have acquired all necessary skills and referrals for post-hospitalization.

• Utilizes nursing process to develop/revise plan of care and evaluates patient progress toward expected outcomes:

◦ Obtains resources and collaborates with other departments regarding teaching needs.

◦ Initiates discharge planning upon admission and facilitates the discharge plan based upon the patient’s continuing care needs.

◦ Plans for interventions that minimize complications and life-threatening situations.

◦ Involves the interdisciplinary team in evaluating the patient/family progress toward attaining expected outcomes.

◦ Utilizes ongoing assessment data to revise the diagnoses, outcomes, and plan of care as needed.

◦ Evaluates the effectiveness of interventions and the patient’s response in relation to outcomes.

◦ Responsible for accurate, complete, and individualized documentation of patient assessment, goals, plan of care, interventions and care provided, as well as patient’s progress toward discharge goals.

• CULTURE & CARING: The central theme of the CHS Practice Model is the caring relationship that exists between the patient/family and nurse. Caring practices are activities that are responsive to the uniqueness of the patient/family and that create a compassionate and therapeutic environment. Holistic practice addresses physical, emotional, spiritual, cognitive and developmental needs of patients and families across the life span. Care for the body, mind and spirit – from birth to final stage of life – is a desired characteristic of professional practice. Culture is a collection of traditions, beliefs, value and behaviors that make up the context for how care is delivered. Culture forms and develops over time. The desired culture supports and values are:

• Innovative and improvement, openness, risk taking, integrity, trust and mutual respect.

• A nursing code of ethics which is securely integrated into day to day activities.

• Interdisciplinary collaboration.

• Advancement of nursing practice.

• Reward and recognition for professional achievements.

• Demonstrates commitment toward patient advocacy, customer satisfaction, and a culture based on innovation, openness, integrity, trust and mutual respect while maintaining ethical standards. Cross reference the Values Based Competencies:

◦ Participates in performance improvement plans and customer satisfaction enhancement activities.

◦ Follows through on customer dissatisfaction issues in a timely manner.

◦ Individualizes the healthcare environment to meet the diverse needs of the patient and family.

◦ Serves as a patient advocate and supports the patient’s/significant other’s right of self-determination.

◦ Intervenes with the team members regarding incompetent/unsafe/unethical care practices and informs nursing leadership of situation.

◦ Requests consultation from expert resources as needed for problem resolution.

Minimum Position Qualification:

License and Certification:

  • Candidates must meet the criteria to sit for the NCLEX examination and become licensed in the state of Texas.
  • Current licensure in Texas or an approved compact state as a Registered Nurse or proof of application for licensure.
  • Must achieve BLS (AHA) certification with 30 days of employment date.
  • Specialty certification required for promotion to RN IV.

Preferred Position Qualification:

Education: Bachelor's Degree in Nursing. Required for promotion to RN IV.

Covenant Health is celebrating nearly 100 years of serving Lubbock and our South Plains region. As the oldest and largest health system in Lubbock and the region, we currently employ over 5,200 people with a medical staff of over 600 physicians.For nearly 100 years, Covenant has been driven by a mission of providing a Christian ministry of healing and caring for the whole person - mind, body and spirit. Our vision and differentiator is we are the only faith-based, integrated health network in the West Texas/eastern New Mexico region dedicated to a Christian ministry of healing.As an expression of our mission, we believe we hold an important Covenant with our patients and try and treat every interaction as Sacred Encounters.Our ministry includes six hospitals with over 1,100 licensed beds: Covenant Medical Center - CMC Covenant Children’s Covenant Specialty Covenant Plainview - PLV Covenant Levelland - LVL Trustpoint (joint venture: Rehab Hospital of Lubbock) Covenant Medical Group (CMG) Covenant Health Partners Hospice of LubbockCovenant Health's total service area includes 25 counties that covers most of West Texas and eastern New Mexico. The service area covers approximately 750,000 people and approximately 35,000 square miles.Covenant / St. Joseph Health (SJH) provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Covenant / St. Joseph Health (SJH) complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Positions specified as “on call, per diem” refers to employment consisting of shifts scheduled on as “as needed basis” to fill in for staff vacancies.

Company: Covenant Health

Category: Nursing - Other