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Baylor St. Luke’s Medical Center
A quaternary care facility that is home of the Texas Heart® Institute, a world-class cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD–consistently ranked as one of the nation’s best in Cardiovascular Services & Heart Surgery.
The first hospital in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award four consecutive times. Baylor St. Luke’s is home to three freestanding community emergency centers (Holcombe, Pearland, and San Felipe) offering adult and pediatric care–treating more than 51,000 patients annually. The hospital holds a collaborative partnership with Baylor College of Medicine and affiliations with The University of Texas Medical School at Houston, The University of Texas Medical Branch (Galveston), Houston Baptist University, and Prairie View A&M University.
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.
Education and Licensure:
• Associates Degree in Nursing or Diploma
• Bachelors in Nursing Preferred
• Licensed to practice as a Registered Nurse in the State of Texas
• BLS with skills demonstration
• No certification required
At least one (1) year of RN experience
Demonstrated competence in Clinical Nurse I performance expectations or meets experience requirements upon hire
Minimum Knowledge and Skills:
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.
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.
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.
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.
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.
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.
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.
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.
Low: Has no desire to understand the experiences of others and why they may see things differently. Cares only for his/her own point of view or opinion.
The physical demands described here are representative of those that must be met by an employee to successful perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weight over 20 pounds.