Licensed Vocational Nurse - Emergency Department (Hiring Immediately)

Description Summary: Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the team setting to facilitate quality care for the patient. Responsibilities: Performs general nursing care to patients. Administers treatments in accordance with nursing standards. Assists with the preparation of equipment and aids provider during treatment, examination, and testing of patients. Observes, records, and reports patients’ condition and reaction to drugs or treatments to providers. Oversees appointment bookings and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients. Greets patients and obtains well-documented history and vitals. Prepares patients for physical exam. Instructs patients in collection of samples and tests. May perform the following tasks in accordance with established procedures and as prescribed by applicable licensure/certification: Obtain/record vital signs; perform initial assessment on patient; coordinate patient transfer to hospital and/or discharge; give telephone orders; accept telephone test results; perform telephone triage; call in provider approved prescription refills; specimen collection including stool and urine midstream; catheterize patient; indwelling catheter urine collection; obtainthroatculture; pregnancy testing; administer urine dip; obtain wound culture; perform Snellen vision screening; eye injury management; administer optic/otic meds; assist with lumbar punctures; sputum collection; occult blood testing; assist with vaginal exam; teach crutch/cane walking; teach use of walker; apply Velcro splint; assist with plaster splint; apply moist heat and/or cold packs; administer enema; remove fecal impaction; administer oxygen; teach respiratory hygiene; administer chest physiotherapy; perform oral suction and/or infant suction bulb; wound care; apply sterile dressing; assist with circumcision; perform umbilical care; apply colloidal dressing; open sterile tray; apply topical medications; administer rectal and/or vaginal medications; give oral medications; and, give sublingual medications to adults and/or pediatric patients. May perform the following tasks only if appropriate training has been obtained: Blood collection by lancet; pulse oximetry; incentive Spirometry; suture and/or staple removal; ear irrigation; administer breathing treatment; give allergy/insulin/immunization medications to adult and/or pediatric patients; give intramuscular and/or subcutaneous injections to adult and/or pediatric patients; give injections Z track to adult patients. May perform the following tasks after providing verification of completion of special training: Blood collection venipuncture; audiometry exam; Titmus vision screening; EKG; administer electrical stimulation; assist/process biopsies; draw blood from portocath; assist endoscopy, start saline lock or IV fluids and monitor IV fluids. May administer IV push medications and/or add medications to IV only after completion of special training and only under direct supervision of licensed practitioner. May make arrangements for patient testing and admissions. May be required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care. Responds to incoming telephone calls and (per provider instructions) calls in refills and prescriptions to pharmacy. Per provider and/or established protocol, instructs patients and/or family with regard to medication and treatment and documents the same. Formulates and updates patient care plans. Orders, prepares, and inspects patient charts. Posts tests and examination results. Reviews patient’s tests and examination results with provider; documents instructions and notifies patient. Maintains patient files, records and other information in a professional manner following policies and procedures regarding documentation. Ensures preparation of exam rooms including re-stocking of treatment areas. Attends required meetings and participates in committees as requested. Participates in professional development activities and maintains professional licensure and affiliations. Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Maintains strict confidentiality. Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission. Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control. Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health’s cultural diversity objectives. Supports and adheres to CHRISTUS Health Service Guarantee. Performs other related work as required. Requirements: Education/Skills Graduate from an accredited school of practical nursing or vocational nursing. Experience Previous medical office experience preferred. Licenses, Registrations, or Certifications Valid state license to practice nursing. Current BLS certification through the American Heart Association or the American Red Cross Work Schedule: 3 Days - 12 Hours Work Type: Full Time

Trauma Registrar - Emergency Department (Hiring Immediately)

Description CHRISTUS Santa Rosa Hospital – San Marcos, which originated in 1923 as Hays County Soldiers, Sailors and Marines Memorial Hospital, opened at its current Wonder World Drive location in 1983. Our staff of more than 700 Associates works with more than 300 active and consulting physicians to provide quality services to patients and their families. For more than 20 consecutive years, we have been named The Best Hospital in Hays County in the annual “Best of Hays” publication released by the San Marcos Daily Record. In addition to interventional cardiac services, CHRISTUS Santa Rosa Hospital – San Marcos is a Certified Chest Pain Center and an accredited Primary Stroke Center. We lead the region in da Vinci robotic-assisted surgery and offers a variety of specialty care services including medical imaging, rehabilitation, hospice, women’s services and more. Summary: The Trauma Registrar will provide data entry support for the Trauma Registry. The Trauma Registrar will be responsible for assistance in maintaining the CHRISTUS Health Care System's Trauma Registry in compliance with all requirements of the Department of State Health Services, as outlined in the State Trauma Rules. The Trauma Registry is critical to the development and maintenance of an effective performance improvement program for trauma. The Trauma Registry also provides data needed for research and epidemiological studies. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Provides clerical, statistical, and informational support to the Trauma Service. Maintains a database to allow for easy retrieval of trauma statistics. Accurately identifying trauma patients, abstracting requisite data, and entering them into the trauma registry based on trauma inclusion criteria. The ability to perform ICD-10 and Abbreviated Injury Scaling (AIS) coding. Updates and maintains all trauma registry records including essential elements as defined by trauma center leadership, State Designating Department, National Trauma Data Standards, and Trauma Quality Improvement Program (TQIP), as indicated based on trauma center level of designation. Demonstrates proficiency in capturing and entering data that contributes to accurate calculations of ISS, Trauma Score, TRISS, Probability of Survival Score; GCS, ICD/AIS coding, among others. Completes record abstraction, entry, and validation, in compliance with American College of Surgeons (ACS), State Designating Department, and the current policies and practices of the Trauma Program. Completes data uploads to regional, state, and national registries as required by State Designating Department and the ACS. Maintains confidentiality of written and verbal communication, autopsy reports, mortality and morbidity data, performance improvement activities and peer review data. Participates in trauma-related activities within their Regional Advisory Council, as requested. Participates in ongoing education regarding TQIP, if applicable, and other trauma related topics. Consistently promotes a professional image in demeanor, appearance, attitude, and behaviors. Supports Trauma Program initiatives such as injury prevention, outreach, and education as directed. Responsible for other duties assigned. Job Requirements: Education/Skills High school diploma or equivalent years of experience required Trauma Registry software training is required within 90 days of employment Must accrue 24 hours of trauma-related continuing education during the designation/verification period (3 years) The following courses are required within 12 months of hire Abbreviated Injury Scale course by the Association for the Advancement of Automotive Medicine (AAAM) ICD-10 course in trauma; needs to be renewed every 5 years A Trauma registrar course by the American Trauma Society (ATS) Experience 1 to 2 years of experience preferred Licenses, Registrations, or Certifications Certified Abbreviated Injury Scale Specialist (CAISS) certification preferred Work Schedule: 5 Days - 8 Hours Work Type: Part Time

Certified Occupational Therapist Assistant - Pediatric Therapy (Hiring Immediately)

Description Summary: A professional who plans, implements, coordinates, monitors, and evaluates patient care activities. He/she has clinical and/or functional knowledge of the position for which they are accountable either directly or indirectly through delegation of tasks. Incumbent is accountable to the Administrative Team. Collaborates with other Clinical Associates to meet individual needs using communication and available resources to promote quality, cost effective care. Responsibilities: Documents progress notes and treatments administered according to established departmental policies, procedures, and goals in all practice settings as appropriate. Delivers treatment to referred patients by clinical protocols resulting in patient satisfaction. Identifies barriers to patient and physician satisfaction and assists with improving entire process. Responsible for implementing optimal patient care within assigned caseload in an efficient, cost- effective manner. Associate makes suggestions for treatments and tasks appropriately and makes suggestions for improvement in skill mix and patient care delivery including demonstrating cross training and flexibility with scheduling. Responsible for charge entry including accurate documentation of treatment and equipment given Utilizing appropriate unit/minute guidelines. Enters charges timely on PTR or in computer and turns charges in on a daily basis. Responsible for communicating effectively with all members of the health care team including patient, family, and physicians and identifies barriers to effective communication and teamwork. Develops, educates, and instructs patient on safe and appropriate exercises during treatment sessions. Provides written home exercise program instruction and ensures patient understanding. Responsible for promoting educational growth by attending appropriate educational in-services and meetings. Contributes to the education of co-workers, students, and/or community by developing or presenting educational materials Responsible for assisting with preparing patient and family for discharge. Ensures resources are in place prior to patient discharge. Attends patient case conferences and/or completes appropriate paperwork in a timely manner. Associate performs clinical skills accurately and professionally in assigned area. Associate is recognized for a specialized level of therapy services and assists with program development and marketing to physicians Associate cleans completely after each patient or delegates task and ensures completion. Associate identifies environment of care concerns and seeks resolution. Associate assists with overall cleanliness of department. Attends meetings as required Requirements: Associate Degree required OTA License required BLS certification required Work Schedule: 5 Days - 8 Hours Work Type: Full Time

Speech Pathologist - Pediatric Therapy (Hiring Immediately)

Description Summary: Under the supervision of the Director of Physical Therapy, the Speech Pathologist has the responsibility and accountability for assessing, planning, evaluating and implementing care for the patients assigned. Speech Pathologist is responsible for adhering to all standards of Speech Therapy Practice Act as they apply for providing technical therapy care, supplies, equipment and interventions to a designated patient population. Per the Departments Scope of Practice, this position requires providing services to Therapy Patients, ages between pediatric to geriatrics in a manner that demonstrates an understanding of the functional/developmental age of the individuals served. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St. Frances Cabrini Hospital. The position provides observation, assistance and guidance to Rehabilitative Technicians that are caring for the SLP’s patients. It is expected that the associate demonstrate behavior consistent with the Core Values. The associate shall support the CHRISTUS St. Frances Cabrini’s strategic plan and the goals and direction of their Performance Improvement Plan (PIP). Responsibilities: Assesses the physical, psycho-social, spiritual, cultural, functional, high risk and discharge needs of the patient and family: Completes and documents initial assessment/care within required time frames. Performs, reassessments/care at intervals as required or appropriate to the patient’s needs. Ensures physical assessment/care includes all major body systems. Ensures spiritual assessment/care includes actual/expressed needs. Incorporates cultural and ethnic factors into assessment/care. Establishes long and short-term goals. Timely reporting of weekly progress in interdisciplinary staffing and outcome measures as directed. Assesses swallowing via bedside swallow exam/modified barium swallow Establishes presence of consent/order prior to treatment/procedure. Demonstrates the ability to accurately access and document staffing, patient care activities and hospital processes: Uses computer system(s) appropriately. Documents in the medical record according to policy/procedure. Documents daily and weekly progress notes as directed. Turns in charge log within 24 hrs. After treatment. Does daily charges on the computer prior to leaving work each day. Completes documentation of evaluations within 72 hours after admit and discharge summary within 5 days of discharge as directed. Obtains knowledge of, and demonstrates compliance with infection control policies and procedures: Practices Standard Precautions in patient care activities. Practices appropriate disease specific isolation as required. Appropriately handles and disposes of sharps. Demonstrates good hand washing. Complies with FOAM IN/FOAM OUT of all patient rooms Complies with fingernail policy. Wears PPE when applicable. Provides for the education/training of the patient/family: Identifies and documents patient/family educational needs upon initial assessment and thereafter. Identifies barriers to learning. Provides and documents teaching based on identified needs. Teaches at a level of understanding related to the patient/family member’s level of education. Evaluates the effectiveness of instruction provided. Assessment and teaching that incorporates cultural and ethnic factors. Assessment and teaching that incorporates functional needs. Oversees patient care on basis of patient classification and staff expertise to ensure quality of care: Initiates assessment of patient within 24 hours of consult or functional screen as directed. Demonstrates empathetic and positive attitude when working with patients. Conducts chart audits for accuracy and adequate documentation as directed. Visits and interviews patient and communicates with families when present or necessary. Re-evaluates and modifies the plan of care, based on the patient’s response to the interventions. Ensures proper orientation of new therapy associates. Ensures competencies and licensure are current. Appropriately coordinated or delegates to technical support. Assists in supervising and monitoring compliance of duties assigned to the techs. Completes MBS, interprets results, and makes recommendations for an appropriate diet. Initiates and implements MBS report. Provides documentation for physician and medical record. Takes appropriate action to address issues. Demonstrates sound clinical judgement in decision-making regarding patient care. Provides for the plan for therapy care into the interdisciplinary care and management of the patient/family: Communicates effectively with associates, physicians and allied health team. Coordinates therapy care with other disciplines involved. Provides assessment for swallowing. Coordinates and implements dysphagia program with other disciplines. Communicates with nursing staff any changes in swallowing status and diet recommendations for patients. Actively participates in 50% of departmental in-services and meets with manager for information missed in other meetings as documented on sign in sheet (attendance is for full time associates, relief associates may read the minutes). Assures the rights of the patient/family are respected and maintained: Allows for privacy in the provision of care. Identifies self by name and title to patient/family. Utilizes AIDET when interacting with patients. Reports suspected cases of abuse/neglect, if identified. Understands role of, and how to access, the Ethics Committee. Demonstrates knowledge of unit specific policies and procedures and the ability to safely and competently use unit specific patient care equipment in the delivery of quality patient care: Completes Unit Specific Annual Competency Checklist. Complies with fingernail policy. Wears PPE when applicable. Requirements: Education/Skills Master’s Degree in Speech Language Pathology is required Vital Stim, FES, MBSIMP, and E-Swallow certifications are preferred Experience English required, bilingual preferred. Excellent written and verbal communication skills Certifications in Vital Stim, FEES, Metronome, Big and Loud are preferred Licenses, Registrations or Certifications Current Louisiana SLP License Current BLS ASHA (American Speech and Hearing Association) Certification, after completing the requirements of the clinical fellowship year Work Schedule: 5 Days - 8 Hours Work Type: Full Time

Medical Lab Scientist MLS - Expert in Diagnostic Analysis (SAN ANTONIO)

POSITION SUMMARY/RESPONSIBILITIES Performs procedures for testing or analysis on specimens submitted to the laboratory. Evaluates test results for accuracy and submits results for the purpose of aiding the physician in diagnostic and therapeutic treatment of patients. Performs analyses that may involve a complex network of steps, variable fine-line discriminations of several parameters, correction of a variety of errors, and the operation and maintenance of complicated instruments. Mentors and accounts for work of trainees and other supportive technical personnel employed by the laboratory. Performs assigned duties rapidly and accurately. Plans work activities and makes decisions connected with own work. Recognizes unusual results and/or abnormalities and takes prompt and appropriate action to assure the accuracy and validity of test result. Assumes accountability for the dissemination of patient information to ensure the confidentiality and privacy of patients. Duties may also include performance of procedures associated with procurement of specimens from patients. EDUCATION/EXPERIENCE Requires at least three (3) years for experience in Microbiology Bachelor's degree in medical technology or an appropriate biological/chemical/medical science from an accredited college or university, and Successful completion of a structured clinical program (CAHEA approved), and certification in clinical laboratory sciences by a recognized certifying agency. OR: Bachelor's degree in medical technology or an appropriate biological/chemical/medical science from an accredited college or university, and Successful completion of a structured clinical program (CAHEA approved) and must obtain a certification in clinical laboratory sciences or laboratory categorical within the first six (6) months from date of hire. OR: Completion of an accredited structured clinical program in Medical Technology (NOTE: For Military Training, the 60-week program must have been successfully completed.) and Certification by a recognized certifying agency, both prior to 1963. OR: Bachelor's degree or Master's Degree in an appropriate biological/chemical/medical science from an accredited college or university and A clinical laboratory categorical certification (certification after obtaining degree is preferred). LICENSURE/CERTIFICATION Certification by the American Society for Clinical Pathology Board of Certification (ASCP-BOC) or American Medical Technologists (AMT) is required. Certification in Specialty for area of laboratory employment required without a Medical Laboratory Science (or equivalent) certification. Must maintain certification status in compliance with specifications for continuing education required by the certification agency.

Clinical Laboratory Technologist (SAN ANTONIO)

POSITION SUMMARY/RESPONSIBILITIES Performs procedures for testing or analysis on specimens submitted to the laboratory. Evaluates test results for accuracy and submits results for the purpose of aiding the physician in diagnostic and therapeutic treatment of patients. Performs analyses that may involve a complex network of steps, variable fine-line discriminations of several parameters, correction of a variety of errors, and the operation and maintenance of complicated instruments. Mentors and accounts for work of trainees and other supportive technical personnel employed by the laboratory. Performs assigned duties rapidly and accurately. Plans work activities and makes decisions connected with own work. Recognizes unusual results and/or abnormalities and takes prompt and appropriate action to assure the accuracy and validity of test result. Assumes accountability for the dissemination of patient information to ensure the confidentiality and privacy of patients. Duties may also include performance of procedures associated with procurement of specimens from patients. EDUCATION/EXPERIENCE Requires at least three (3) years for experience in Microbiology Bachelor's degree in medical technology or an appropriate biological/chemical/medical science from an accredited college or university, and Successful completion of a structured clinical program (CAHEA approved), and certification in clinical laboratory sciences by a recognized certifying agency. OR: Bachelor's degree in medical technology or an appropriate biological/chemical/medical science from an accredited college or university, and Successful completion of a structured clinical program (CAHEA approved) and must obtain a certification in clinical laboratory sciences or laboratory categorical within the first six (6) months from date of hire. OR: Completion of an accredited structured clinical program in Medical Technology (NOTE: For Military Training, the 60-week program must have been successfully completed.) and Certification by a recognized certifying agency, both prior to 1963. OR: Bachelor's degree or Master's Degree in an appropriate biological/chemical/medical science from an accredited college or university and A clinical laboratory categorical certification (certification after obtaining degree is preferred). LICENSURE/CERTIFICATION Certification by the American Society for Clinical Pathology Board of Certification (ASCP-BOC) or American Medical Technologists (AMT) is required. Certification in Specialty for area of laboratory employment required without a Medical Laboratory Science (or equivalent) certification. Must maintain certification status in compliance with specifications for continuing education required by the certification agency.

Biomedical Laboratory Scientist (SAN ANTONIO)

POSITION SUMMARY/RESPONSIBILITIES Performs procedures for testing or analysis on specimens submitted to the laboratory. Evaluates test results for accuracy and submits results for the purpose of aiding the physician in diagnostic and therapeutic treatment of patients. Performs analyses that may involve a complex network of steps, variable fine-line discriminations of several parameters, correction of a variety of errors, and the operation and maintenance of complicated instruments. Mentors and accounts for work of trainees and other supportive technical personnel employed by the laboratory. Performs assigned duties rapidly and accurately. Plans work activities and makes decisions connected with own work. Recognizes unusual results and/or abnormalities and takes prompt and appropriate action to assure the accuracy and validity of test result. Assumes accountability for the dissemination of patient information to ensure the confidentiality and privacy of patients. Duties may also include performance of procedures associated with procurement of specimens from patients. EDUCATION/EXPERIENCE Requires at least three (3) years for experience in Microbiology Bachelor's degree in medical technology or an appropriate biological/chemical/medical science from an accredited college or university, and Successful completion of a structured clinical program (CAHEA approved), and certification in clinical laboratory sciences by a recognized certifying agency. OR: Bachelor's degree in medical technology or an appropriate biological/chemical/medical science from an accredited college or university, and Successful completion of a structured clinical program (CAHEA approved) and must obtain a certification in clinical laboratory sciences or laboratory categorical within the first six (6) months from date of hire. OR: Completion of an accredited structured clinical program in Medical Technology (NOTE: For Military Training, the 60-week program must have been successfully completed.) and Certification by a recognized certifying agency, both prior to 1963. OR: Bachelor's degree or Master's Degree in an appropriate biological/chemical/medical science from an accredited college or university and A clinical laboratory categorical certification (certification after obtaining degree is preferred). LICENSURE/CERTIFICATION Certification by the American Society for Clinical Pathology Board of Certification (ASCP-BOC) or American Medical Technologists (AMT) is required. Certification in Specialty for area of laboratory employment required without a Medical Laboratory Science (or equivalent) certification. Must maintain certification status in compliance with specifications for continuing education required by the certification agency.