Registered Nurse - GN

St. Luke’s Health Patients Medical Center (PMC), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, has a great opportunity for an experienced Catheterization Technologist to join our talented cardiac team. We hold accreditations in Computer Tomography (CT), Magnetic Resonance Imaging (MRI), Ultrasound (US), and Nuclear Medicine from the American College of Radiology (ACR), which is recognized as the gold standard in medical imaging.

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

Responsible for the delivery of excellence in patient care through assessing, formulating nursing diagnoses and establishing goals, planning and implementing intervention and evaluating patient care outcomes. With the staff nurse's professional practice he/she Responsible for participating in and maintaining quality, cost effectiveness and guest relations.   Provide patient care in compliance with hospital policies and procedures and the standards of professional nursing practice as defined by the Board of Nurse Examiners for the State of Texas.

1. Assessment:  Does admission and ongoing assessment of patient’s condition.  Provides nursing care to meet the patient’s physical, psychological and spiritual needs.  Notifies doctor of changes in assessment that require attention. 
2. Planning:  Designs, directs, evaluates, and documents the plan of care, patient/family teaching and the transition of care plan to include a safe appropriate level of care discharge.  Works with other clinical disciplines to meet specialized patient care and discharge needs.  Formulates a plan of care and daily goals that takes into consideration the individualized needs of the patient.
3. Implementation: Prepares patients physically, psychologically, and spiritually for treatments, surgeries and diagnostic studies to help reduce patient anxiety. Knows patients' conditions and reports significant changes to Charge Nurse/Team Leader, and/or physician. Implements patient safety initiative and protocols including medication safety practices, physician orders, consult notifications.
4. Evaluation: Reassesses patients at appropriate intervals following interventions. Notifies physician as necessary to modify interventions. Adjusts nursing care to meet patient's emerging and changing needs.
5. Report Skills: Gives and receives report using Bedside Shift Report including family participation. Provides an accurate and comprehensive report to the oncoming shift to help establish continuity of patient care. Receives report from off-going shift and delegates tasks as needed to provide continuity of care according to coworker's experience, abilities and the patient's acuity.
6. Environment & Patient Safety: Maintains patient and work environment to maximize safe working space.  Promptly removes all used and soiled equipment, linen, etc. to appropriate location. Incorporates national and organizational goals to improve quality, patient safety and satisfaction. Reports all patient safety and hazard concerns immediately.
7. Supplies: Maintains accurate documentation of charges and supplies used to provide patient care through cost containment measures.
8. Time Management:  Clocks in and out appropriately according to policy to ensure work is stated and completed on time.  Obtains Director/designees/House Supervisor approval before working overtime, including incremental overtime.
9. Documentation:  Consistently documents in the patient and unit records according to written health system standards of care in order to meet legal and quality patient care requirements.
10. License and Competency: Maintains RN license to practice in the State of Texas including multi-state licensure requirements. Takes responsibility for meeting competency requirements. Assists with the orientation of new employees and floated staff as requested and assigned.
11. Professional Responsibility:  Maintains all professional licenses, certifications, and annual competencies prior to deadline.  Attends mandatory in-services, workshops, town halls, and 75% of all unit meetings per year.   Stays up-to-date on communication, including emails and current journals to keep abreast of new developments in the medical and nursing fields. 
12. Patient Care:  Notifies and escalates concerns to appropriate providers of life-threatening changes and notes physician response. Effectively applies the nursing process within the framework of the organization’s professional model of care, using the nursing process to meet the clinical, psychosocial and spiritual needs of the patient and family following the Catholic Ethical and Religious Directives (ERD).
13. Patient Experience:  Creates a caring and compassionate patient focused experience by building healing relationships with patients, families, and colleagues. Performs hourly rounding and bedside shift report, updating the patient communication board and providing service recovery as needed.

BEHAVIORS

COMPASSIONATE
Cares for others with a kind heart
• High: Consistently shows an interest in others and their well-being. Offers to help and goes beyond where possible. Treats everyone in a friendly and welcoming manner. Good influence on co-workers and mentors others to demonstrate the same behaviors of respect and courtesy.
• Solid: Usually shows an interest in others and their well-being. Offers to help others. Treats patients and guests with respect and courtesy. May be influenced by mood when interacting with co-workers
• Low: Avoids being around those with viewpoints different than their own. Prefers to withdraw, rather than helping to maintain calm in stressful situations. Has difficulty relating to others whose background is different from their own. Sees protocols as a necessary but painful part of getting a job done.

MINDFUL
Attention to the present moment, respectfully, with purpose and non-judgmentally.
• High: Always carefully listens, considering the viewpoint and values of others. Maintains composure in all situations. Remains calm, considerate of emotions and the situation at all times. Follows all protocols and advocates delivering safe, quality care.
• Solid: Strives to listen carefully and to consider viewpoints of others. Sees the value of being
considerate of emotions and remaining calm in most situations. Strives to understand protocols and follow them whenever possible.
• Low: Treats patients or customers as an inconvenience; often rude. Inconsistently uses AIDET.  Ignores service recovery, hopes someone else will take care of it. Does not do more than what is necessary.

INNOVATIVE
Desire for continuous improvement through original and creative thinking.
• High: Always identifying ways to improve and taking action. Contributes to the development and implementation of best practices. Thinks outside the box. Positively promotes progress and adjusts accordingly. Engages others in improvement. Implements continuous improvement as a result of measurements.
• Solid: Creates an environment of continuous improvement. Seeks out and utilizes best practices. Tries new approaches and takes appropriate risk. Measures progress against plans and stated goals.
• Low: Has little regard for improvement. Does not follow best practices; does things their own way. Resistant to change. Regularly loses sight of goals; gets off track if left unmonitored.

CONFIDENT
Trust and faith in the ability of oneself and colleagues.
• High: Always takes responsibility for being knowledgeable and skilled in their job and about the organization. Understands personal limits and utilizes subject matter experts as needed. Puts others at ease during times of uncertainty. Respects others through empowerment.
• Solid: Knowledgeable and skilled in their job and about the organization. Sees personal limits, but at times unsure as to how to overcome them. Feels sure in times of uncertainty.
• Low: Lacks knowledge and skill for tasks on the job and is not interested in gaining them. Sees their own limits, but blames others for lack of knowledge or resources. Adds to uncertainty in the organization.

TRUSTWORTHY
Commitment to personal integrity and competence at all times.
• High: Builds strong, high trust relationships through effective communication. Keeps commitments and is accountable for follow through and getting results. Fosters a feeling of reliability among others. Maintains honesty and integrity always.
• Solid: Values relationships and communicates effectively to build trust. Keeps commitments to meet expectations. Maintains honesty and integrity.
• Low: Avoids communication. Does not keep commitments or meet expectations. Cannot be counted on as a reliable team member. Lacks honesty and integrity.

EMPATHETIC
Understand and share the feelings of another.
• High: Uses one’s own experience to understand and care about others. Takes initiative to learn about other’s experiences in order to place oneself in another’s position. Always sees another’s point of view, listens attentively, and feels with the heart of another.
• Solid: Often uses one’s own experience to understand and care about others. Sees others point of view, listens attentively, and feels with the heart of another. Is challenged when personal experience is not available for reflection.

Required Education:

• Associates Degree in Nursing or Diploma
• Bachelors in Nursing Preferred*
*Medical Center - “*Bachelor’s degree in Nursing (BSN) within 2 years from date of hire. Current employees grandfathered before July 2020.”
• Licensed to practice as a Registered Nurse in the State of Texas
• Certifications for Nursing Specialty, if applicable (see Addendum)
• BLS with skills demonstration
• No certification required

Required Experience: 

• At least one (1) year of RN experience
• Demonstrated competence in Registered Nurse I performance expectations or meets experience requirements upon hire

Skills Needed:

• Effective Communication
• Knowledge of the principles and skills of the nursing process to provide patient care and treatment.
• Critical thinking skills
• Demonstrates excellent interpersonal skills both written and verbal
• Basic Computer skills – familiarity with Windows based software programs.