Surgical First Assistant -CVOR - Full Time

Description Summary: As defined by the American College of Surgeons (ACS), surgical assistants provide aid in exposure, hemostasis, closure, and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for the patient. In addition to intraoperative duties, the surgical assistant also performs preoperative and postoperative duties to better facilitate proper patient care. The surgical assistant performs these functions under the direction and supervision of the surgeon and in accordance with hospital policy and appropriate laws and regulations. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. The surgical assistant is responsible for assisting the surgeon under direct and indirect supervision throughout preoperative, intraoperative, and post-operative dillies and procedures at all times. The surgical assistant facilitates the safe positioning of the patient according to the surgeon's preference, patient's anatomical and physiological limits, and surgical procedure to be performed. A preoperative introduction visit may be done to assess the surgical site to better aid in positioning. Assists circulator and anesthesia provider in preparation of the patient to include but not limited to: Foley catheter placement, tourniquet application, placement of intravenous catheters, cricoid pressure application, and other procedures as needed. The surgical assistant performs specific tasks according to individual surgeon preference utilizing appropriate techniques including, but not limited to: incision and layered closure of surgical sites, providing exposure, achieving hemostasis by means of injection, manual, and topical methods, and application of appropriate energy sources, manipulation and dissection/removal of tissues, aides in implanting, securing, and/or removal of devices and drains, and applying appropriate dressing material specific to procedure. The surgical assistant applies any other specific dressing material such as splints or casts. Assesses skin integrity, assists in transfer of the patient, and follows the patient to recovery if needed or directed by surgeon. The surgical assistant who has appropriate training also performs under surgeon supervision other procedures including but not limited to: vein and graft harvesting, and graft and implant preparation. The surgical assistant performs additional duties as delegated by the surgeon in cooperation with state and local policy. Job Requirements: Education/Skills High School Diploma or equivalent is required Graduation from an accredited Surgical First Assist Program, State Board accredited Vocational School of Nursing, or Graduate of School of Surgical technology required Experience 2 years of Surgical Tech experience preferred Licenses, Registrations, or Certifications BLS required Certified Surgical Technologist First Assistant required ACLS preferred Work Schedule: 3 Days - 12 Hours Work Type: Full Time

Certified Surgical Technologist - Surg General

Description Summary: Performs a variety of technical duties to assist in preparing and caring for pre-operative patients. Prepares patient skin for surgery in accordance with hospital standards. Maintains aseptic techniques; actively monitors situations that could lead to breaches in aseptic technique. Provides comfort and support for pre-operative patients by demonstrating sensitivity to patient care and privacy. Transports patients to and from the Operating Room suite. Positions patients according to the type of surgery. Identifies and cares for biological specimens. Prepares the Operating Room by setting up tables, instruments, and supplies according to type of case. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Under the direction of a professional nurse, performs all processes that relate to the delivery of direct patient care and assistance care in the OR prior to and during any surgical procedure. Ability to proficiently scrub 3 specialty areas including but not limited to: Transplants, Open Heart, Urology, Neurology, Titanium Rib, Robotics, etc. is highly preferred. Establishes and maintains the sterile field, passes instruments, and sutures to the physician, and assists as directed by the physician. Use the physician preference card as a beginning point when pulling cases and setting up the OR. Ensures that preference cards are kept up to date and as complete as possible. Works effectively as a member of the team caring for the patient. Cooperates in team planning and execution. Maintains a safe environment by always implementing technical and aseptic practices. Demonstrates clinical expertise in the use and care of all surgical supplies, instruments, and equipment. Adheres to Universal Barrier Precautions for both patient and own safety in all patient care situations. Demonstrates competency to monitor and control the surgical environment. Maintains proper traffic control, dress codes, and adherence to OR sanitation policies and procedures. Familiar with facility policy and procedure regarding decontamination, processing, and sterilization of all instruments and supplies that are processed within the facility. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Appropriately adapt assigned patient assessment, treatment and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each patient served. Performs other duties as assigned. Job Requirements: Education/Skills High School Diploma or equivalent is required Completion of the Surgical Technology program or an accredited LVN/LPN program is required Experience 2 or more years of experience preferred Licenses, Registrations, or Certifications BLS required Certification of Surgical Technologist from The National Board of Surgical Technology and Surgical Assisting within 180 days of graduation or LVN/LPN License required Work Schedule: 4 Days - 10 Hours Work Type: Full Time

Ambulatory Service Representative - Business Office

Description Summary: Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits Reviews and audits billing discrepancy reports and researches errors for resolution Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required Requirements: High School Diploma Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time

Certified Surgical Technician - Ambulatory Surgery Center

Description Summary: Performs a variety of technical duties to assist in preparing and caring for pre-operative patients. Prepares patient skin for surgery in accordance with hospital standards. Maintains aseptic techniques; actively monitors situations that could lead to breaches in aseptic technique. Provides comfort and support for pre-operative patients by demonstrating sensitivity to patient care and privacy. Transports patients to and from the Operating Room suite. Positions patients according to the type of surgery. Identifies and cares for biological specimens. Prepares the Operating Room by setting up tables, instruments, and supplies according to type of case. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Under the direction of a professional nurse, performs all processes that relate to the delivery of direct patient care and assistance care in the OR prior to and during any surgical procedure. Ability to proficiently scrub 3 specialty areas including but not limited to: Transplants, Open Heart, Urology, Neurology, Titanium Rib, Robotics, etc. is highly preferred. Establishes and maintains the sterile field, passes instruments, and sutures to the physician, and assists as directed by the physician. Use the physician preference card as a beginning point when pulling cases and setting up the OR. Ensures that preference cards are kept up to date and as complete as possible. Works effectively as a member of the team caring for the patient. Cooperates in team planning and execution. Maintains a safe environment by always implementing technical and aseptic practices. Demonstrates clinical expertise in the use and care of all surgical supplies, instruments, and equipment. Adheres to Universal Barrier Precautions for both patient and own safety in all patient care situations. Demonstrates competency to monitor and control the surgical environment. Maintains proper traffic control, dress codes, and adherence to OR sanitation policies and procedures. Familiar with facility policy and procedure regarding decontamination, processing, and sterilization of all instruments and supplies that are processed within the facility. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Appropriately adapt assigned patient assessment, treatment and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each patient served. Performs other duties as assigned. Job Requirements: Education/Skills High School Diploma or equivalent is required Completion of the Surgical Technology program or an accredited LVN/LPN program is required Experience 2 or more years of experience preferred Licenses, Registrations, or Certifications BLS required Certified Surgical Technologist within 180 days of graduation or LVN/LPN License required Work Schedule: PRN Work Type: Per Diem As Needed

Child Life Specialist II - Anc Child Life

Description Summary: The Child Life Specialist II demonstrates progressive skill and knowledge of the therapeutic process of working with children and families; evaluating their development skills and psychosocial needs and providing them with a variety of appropriate and purposeful medical play and developmental experiences that will elevate their quality of life during the health care visit and enhance their personal development. Facilitates child life advocacy through collaboration with other health care providers. Serves as a leader in the department. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assesses the patients and families to include development, family stressors, impact of procedures, diagnosis, and health care; identifies complex needs for child life intervention Observes and interprets the child/family's response to health care and illness Implements planned and purposeful play activities /interventions which are supportive of the child's needs during the health care visit Assesses and facilitates, through informal interaction and/or formal structured support groups or classes, topics such as stress & coping, adapting to illness & the health care experience, family dynamics, and other parenting-related topics Documents observations of patient and family and patient response to interventions Plans for, orders, and collects needed materials and equipment to support the therapeutic and educational activities within budgeted guidelines and in consultation with the Manager Maintains an accurate account of patient contacts and other related productivity information Serves as a resource to patients, families, and other healthcare team members regarding services available through child life and the community Evaluates Child Life Programming in collaboration with the Manager Supervises and guides interns, volunteers, and students in their Child Life learning experiences to include lectures, patient assignments, performance evaluation, and references, with direction from the Manager Job Requirements: Education/Skills Bachelor's degree in Child Life or a related field is required. Master’s degree in a related field is preferred Under the supervision of a Certified Child Life Specialist, must have completed a 600-hour child life internship. Bilingual – English/Spanish is preferred. Experience Minimum of 2 years paid experience as a Certified Child Life Specialist. Licenses, Registrations, or Certifications Must maintain Child Life Certification. BLS certification is preferred. BLS certification is required within 90 days of hire. Work Schedule: Varies Work Type: Full Time

Paramedic - ECC Emergency Care - PRN

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 staffof more than 700 Associatesworkswith 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 andoffersa variety of specialty care services including medical imaging, rehabilitation, hospice, women’s services and more. Summary: The Paramedic is a certified and/or licensed paramedic and is part of the hospital’s Emergency Department patient care team. Reporting to the ED Nursing Director or Nursing Manager, the Paramedic collaboratively works in a complementary and assistive role with nursing. Under the direct clinical supervision of the licensed physician present in the same area or adjacent area, the paramedic provides assistance and performs procedures, and is authorized to provide advanced life support, administer medications and perform a patient evaluation of signs and symptoms based on their field skill sets. The Paramedic assists the nursing staff in providing patient care in accordance with training, competence and skill. He/she is knowledgeable of and follows all hospital policies and procedures. Consistently assists the patient care team with maintaining a clean, well-organized, adequately stocked and safe patient environment. Responsibilities: Completely operates patient monitoring equipment, records, rhythm strips, runs 12 lead EKGs, biomarkers, and glucometer readings under the direction of the licensed physician. Performs phlebotomy, collects laboratory specimens as ordered and inserts saline lock, Foley catheter and nasal gastric tubes under the direction of the licensed physician. Assist in patient care, obtains and documents vital signs, provides patient hygiene, maintains clear and respectful communications with patients, families, and the healthcare team. Maintains a clean and safe environment and manages all assigned supplies and equipment. Demonstrates proficiency in setting up and performing procedures as delegated. Transports patients to radiology and nursing units (except ICU) utilizing appropriate transport and monitoring equipment. It is the responsibility of the Paramedic to comply with the Hospital’s defined job description and competencies. Performs other duties as assigned. Requirements: Education/Skills High School Graduate or equivalent required Successfully passed paramedic exam Experience One year of experience as a Paramedic in a 9-1-1 or hospital setting required; 3 years preferred. Licenses, Registrations, or Certifications Current certification as an EMT-P in the state of Texas Current BLS, ACLS and PALS Certifications NRP within 90 days of hire Work Schedule: 6PM - 6AM 12 HR Shift Work Type: Per Diem As Needed