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Charge Nurse – Palliative Medicine Unit -Full time – Night Shift

St. Joseph Health

This is a Full-time position in Lubbock, TX posted February 10, 2021.

Covenant Health is seeking a full time Charge Nurse with the Palliative Medicine Unit 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.On call, and after hours, with occasional weekend and night work.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 IVEssential Functions:* 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. Mayor 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 the expertise of team members to identify and creatively coordinate resources to provide the highest quality care.* Recognizes the potential for conflict and applies skills to proactively resolve issues.* Recognized as a role model related to effective communication and building effective relationships.* Demonstrates a leadership role in empowering patient/family to maximize participation and sense of control.* Provides emotional and situational support for colleagues.* Participates in shared governance and participative leadership, including appropriate delegation of care:* Displays professional leadership utilizing shared governance model to affect identified change.* Demonstrates ability to synthesize critical incidents, develop recommendations to prevent reoccurrence and mentor other team members’ development in management of critical situations.* Role models the coordination of team assignments.* Serves as a clinical expert in coordinating and delegating team activities in complex patient and family situations.* Participates in and provides input to educational efforts for standards of practice and delegation skills.* Demonstrates awareness of unit/service budget and guidelines related to staffing and scheduling:* Collaborates with nurse manager in analyzing cost variances and making recommendations for decreased cost variances.* Participates in approved research and benchmarking to identify and implement recommendations for improved clinical practices that reduce morbidity, mortality, and expenses.* Serves in a leadership role through coordinating, facilitating and evaluating, self-scheduling process.* CLINICAL PRACTICE: The practitioner is accountable to recognize the health and quality of life needs of patients, 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:* Promotes established safety policies and procedures; mediates identified safety issues or hazards in the work environment.* Recommends changes in plan of care based on benchmark/community and research standards.* Acts as an expert clinical resource in anticipating and responding to problems and patient complications in complex high risk patients/populations.* Facilitates effective mediation of real or potential threats to 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:* Serves as a resource for staff in the development and promotion of expert nursing practice.* Serves as a clinical and leadership mentor.* Serves as role model through achievement of personal self-development plan, which includes coaching assigned colleagues in their development and the importance of active membership in professional organizations.* Develops and presents formal education based on assessed unit learning needs.* Mentors others to achieve specialty certification.* Maintains certification in specialty area of current practice.* Assures quality through application of evidenced based practice to policy, procedure, standards of care, clinical pathways and protocol changes:* Questions appropriateness of current practice, policies/procedures and guidelines based on patient responses, review of the literature, research and/or education/learning.* Designs and performs activities that contribute to the ongoing development of nursing knowledge.* Teaches and mentors team members in research utilization.* Assists with development, implementation, and evaluation of evidence based protocols and/or care plans.* Maintains clinical competence:* Assists colleagues in identification of clinical practice problems and recommends solutions, which result in improved nursing practice.* Demonstrates advanced critical thinking skills.* Demonstrates and maintains, advanced clinical competencies.* 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:* Serves as an expert clinical resource for advanced assessment.* Acts as a clinical resource to coworkers when the need for development of complex teaching plan is identified.* Participates in organizational/community educational programs.* Participates in the development, selection and/or acquisition of educational materials and resources.* Utilizes nursing process to develop/revise plan of care and evaluates patient progress toward expected outcomes:* Coordinates plan of care among interdisciplinary team and integrates recommendations.* Analyzes patient acuity and clinical outcomes.* Initiates resolution of patient care and system issues that interfere with effective patient care delivery.* 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:* Anticipates patient/family needs and challenges; adapts systems and environment to optimize patient/family care.* Serves as a resource for complicated patient advocacy initiatives.* Coordinates and facilitates resolution of ethical dilemmas related to patient care.* Acts as an expert clinical resource for ethical dilemmas.Minimum Position Qualifications:Education:* Candidates must meet the criteria to sit for the NCLEX examination and become licensed in the state of Texas.* Bachelor’s Degree in Nursing; for promotion to RN IV.Licenses and Certifications:* Current Texas R.N. license required or approved compact state as a Registered Nurse.* BLS (AHA) certification upon hire.* ACLS within 1 year* Specialty certification required for promotion to RN IV.Covenant Health is celebrating over 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 over 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 – CMCCovenant Children’sCovenant SpecialtyCovenant Plainview – PLVCovenant Levelland – LVLTrustpoint (joint venture: Rehab Hospital of Lubbock)Covenant Medical Group (CMG)Covenant Health PartnersHospice 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 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 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.

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