RN, Registered Nurse - Emergency Department - PRN (78375)

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. The Emergency Department of CHRISTUS Spohn Hospital Kleberg is a 12-bed unit organized and designed for the immediate treatment of emergency medical and/or surgical conditions. We have amedicalprovider 24 hours per day with An Advance Practitioner 9 hours per day. The Emergency Departmenthadbeendesignateda Level IV Trauma Center byTexasDepartment of Health.The departmentis responsible forinitiatinglifesaving procedures in all types of emergency situations and for providing emergency care for other conditions, including chronic medical problems and minor injuries and illnesses.After emergency measures areimplemented,the patient may be transferred within the hospital, to another institution, or discharged home.Our average daily census is 60.The most frequent medical diagnoses seen are R/O Myocardial Infarction, Congestive Heart Failure, Pneumonia, Cardiovascular conditions, cardiopulmonary conditions, Diabetes Mellitus, Hepatitis, Pancreatitis,URIand Urosepsis.The most frequent surgical conditions are appendicitis, fracturedhipand spontaneous abortion. The ER staff work closely with the community by providing education on diseaseprocessand safety measures. We also volunteer our time and service tohelp outour local naval base during events such as "Wings over Texas" and our surrounding areas with events such as, "Beach to Bay." Our team has been recognized for exceeding the goalfortreating a MI or stroke patient. They have made changes to the overall flow in the ER to improve the door to doctor times andover allpatient experience. We have earned the Silver Award from the American Heart Association for our Stroke Care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation. All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software. Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS certification required Current TNCC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: PRN Work Type: Full Time

Registered Nurse - Post Surgical PACU - PRN (71438)

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perioperative Department-specific competency validation. Completion of all annual competency verification requirements. Experience Perioperative RN Residency, or recently practicing in an OR/Perioperative Setting preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS or ENPC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: PRN Work Type: Per Diem As Needed

Registered Nurse, 5West Medsurg - PRN Tier Plan (77629)

Description PRN - Tier Plan available - Flexible Schedule! Tier 1: Base rate off experience, 3 shifts in a 6-week schedule Tier 2: $40/hr for 6 shifts in a 6-week schedule Tier 3: $45/hr for 12 shifts in a 6-week schedule Tier 4: $50/hr for 18 shifts in a 6-week schedule Shift Differentials also apply for nights and weekends! Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: PRN Work Type: Per Diem As Needed

Registered Nurse - Post Surgical PACU - PRN (71351)

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perioperative Department-specific competency validation. Completion of all annual competency verification requirements. Experience Perioperative RN Residency, or recently practicing in an OR/Perioperative Setting preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS or ENPC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: PRN Work Type: Per Diem As Needed

Registered Nurse - Post Surgical PACU - PRN (71448)

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perioperative Department-specific competency validation. Completion of all annual competency verification requirements. Experience Perioperative RN Residency, or recently practicing in an OR/Perioperative Setting preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS or ENPC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: PRN Work Type: Per Diem As Needed

RN, Registered Nurse Float Pool VI - Nursing Float Pool Women's Services- PRN (75693)

Description Summary: The competent Nurse, in the Antepartum, L&D, NST, OBED, LDRP, or LDRPN, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Meets expectations for flexibility of assignment within the ministry. Proactively provide assignment availability on a regular basis. Able to be assigned to more than one unit. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. CORE COMPETENCIES Standard I: Utilizes the Nursing Process Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families. Communicates findings to appropriate healthcare team members. Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals. Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Performs timely reassessment and documentation. Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population. Standard II. Patient Throughput & Patient Flow Process Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow. Utilizes appropriate systems of communication and tools to facilitate the discharge process. Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy. Standard III. Unit Operations Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift. Demonstrates good stewardship in proper use and maintenance of equipment and Supplies. Assesses departmental staffing needs; actively participates in resourcing efforts. Educates and trains others on the operations, ethics, and regulations within the industry. Standard IV. Safe Practice/Quality Care/Regulations Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes. Demonstrates accountability for nursing research and quality improvement activities. Provides evidence-based nursing care. Communicates patient information effectively across the continuum of care. Educates and trains others on the operations, ethics, and regulations within the industry. Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities. TECHNICAL COMPETENCIES Clinical Policies and Standards Follows a specific set of standards and associated clinical procedures Analyzes policy and standards documentation and ensures organizational compliance Provides feedback for improvement of procedures. Assists in the development and implementation of specific procedures. Works with control and monitoring mechanisms, tools and techniques. Health Information Documentation Shares experiences with maintaining paper and electronic patient documentation. Walk through the steps and procedures for receiving, validating and updating patient records. Describes the flow of information between various stations or units. Discusses the functions, features and document flow of electronic documentation. Transcribes verbal orders; explains techniques for ensuring their accuracy. Explains health information documentation best practices and their rationale across health care practices. Medical Equipment Describes experience with basic medical equipment used in own unit or facility. Uses standard diagnostic tools and techniques to resolves common equipment problems. Educates patients about the appropriate use of home medical equipment. Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety. Inspects, troubleshoots and evaluates incoming equipment. Medical Order Processing Shares experiences with processing medical orders for one or more groups of patients or conditions. Describes functions and features of the system used to enter, validate, update and forward medical orders. Discusses common errors, their sources and procedures for correcting. Explains considerations for entering and following standing orders. Differentiates between standing orders and preprinted orders and considerations for each. Patient Chart Reading and Interpretation Describes experiences in reading and interpreting patient charts for patients on unit and under own care. Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions. Recognizes unexpected readings and alerts nursing or medical staff. Relates examples of mis-readings or misinterpretations and lessons learned. Reviews, discusses and validates own interpretation with others. Patient Safety Shares experiences with ensuring safety for one or more patient groups or settings. Explains key features of safety guidelines and procedures for those groups and settings. Listens and responds to safety inquiries from patients and family members. Recognizes and addresses physiological and psychological signs of problems. Describes considerations for patients who can cause to harm to self, versus harm to others. Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience Minimum of 2 years' experience required in a Perinatal Services setting (e.g., Antepartum, L&D, NST, OBED, LDRP, or LDRPN) Licenses, Registrations, or Certifications BLS is required ACLS is required RN License in the state of employment or compact required NRP is required Current STABLE (Post-resuscitation/Pre-transport Stabilization Care of Sick Infants) certification required from one of the following courses: Participant, Lead Instructor, or Support Instructor Current certification required from one of the following: AWHONN Intermediate FHM, AWHONN Intermediate FHM Instructor, AWHONN Advanced FHM Instructor, AWHONN Instructor Trainer, or NCC Electronic Fetal Monitoring (C-EFM) In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: PRN Work Type: Per Diem As Needed

RN, Registered Nurse - Emergency Department - PRN (78380)

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. The Emergency Department of CHRISTUS Spohn Hospital Kleberg is a 12-bed unit organized and designed for the immediate treatment of emergency medical and/or surgical conditions. We have amedicalprovider 24 hours per day with An Advance Practitioner 9 hours per day. The Emergency Departmenthadbeendesignateda Level IV Trauma Center byTexasDepartment of Health.The departmentis responsible forinitiatinglifesaving procedures in all types of emergency situations and for providing emergency care for other conditions, including chronic medical problems and minor injuries and illnesses.After emergency measures areimplemented,the patient may be transferred within the hospital, to another institution, or discharged home.Our average daily census is 60.The most frequent medical diagnoses seen are R/O Myocardial Infarction, Congestive Heart Failure, Pneumonia, Cardiovascular conditions, cardiopulmonary conditions, Diabetes Mellitus, Hepatitis, Pancreatitis,URIand Urosepsis.The most frequent surgical conditions are appendicitis, fracturedhipand spontaneous abortion. The ER staff work closely with the community by providing education on diseaseprocessand safety measures. We also volunteer our time and service tohelp outour local naval base during events such as "Wings over Texas" and our surrounding areas with events such as, "Beach to Bay." Our team has been recognized for exceeding the goalfortreating a MI or stroke patient. They have made changes to the overall flow in the ER to improve the door to doctor times andover allpatient experience. We have earned the Silver Award from the American Heart Association for our Stroke Care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation. All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software. Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS certification required Current TNCC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: PRN Work Type: Full Time

RN, Registered Nurse - Emergency Department - PRN (78387)

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. The Emergency Department of CHRISTUS Spohn Hospital Kleberg is a 12-bed unit organized and designed for the immediate treatment of emergency medical and/or surgical conditions. We have amedicalprovider 24 hours per day with An Advance Practitioner 9 hours per day. The Emergency Departmenthadbeendesignateda Level IV Trauma Center byTexasDepartment of Health.The departmentis responsible forinitiatinglifesaving procedures in all types of emergency situations and for providing emergency care for other conditions, including chronic medical problems and minor injuries and illnesses.After emergency measures areimplemented,the patient may be transferred within the hospital, to another institution, or discharged home.Our average daily census is 60.The most frequent medical diagnoses seen are R/O Myocardial Infarction, Congestive Heart Failure, Pneumonia, Cardiovascular conditions, cardiopulmonary conditions, Diabetes Mellitus, Hepatitis, Pancreatitis,URIand Urosepsis.The most frequent surgical conditions are appendicitis, fracturedhipand spontaneous abortion. The ER staff work closely with the community by providing education on diseaseprocessand safety measures. We also volunteer our time and service tohelp outour local naval base during events such as "Wings over Texas" and our surrounding areas with events such as, "Beach to Bay." Our team has been recognized for exceeding the goalfortreating a MI or stroke patient. They have made changes to the overall flow in the ER to improve the door to doctor times andover allpatient experience. We have earned the Silver Award from the American Heart Association for our Stroke Care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation. All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software. Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS certification required Current TNCC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: PRN Work Type: Full Time

Registered Nurse Float I, Nursing Float Pool - PRN (77630)

Description Summary: A Registered Professional Nurse is responsible for the delivery of patient care through the process of assessment, diagnosis, planning, implementation and evaluation. In addition, the Registered Professional Nurse prescribes, delegates, coordinates, supervises and evaluates patient teaching and the activities of the ancillary nursing personnel while maintaining the standards of professional nursing. The Registered Nurse is able to provide direct and indirect care to patients. Responsibilities: Collects subjective and objective health data as determined by the patient's condition or needs with the involvement of the patient/significant other/health providers to complete patient/family assessment and formulate problems. Relative data are documented in a retrievable form and completed within specified time frame. Develops written plan of care that prescribes interventions to obtain expected outcomes that are individualized, age appropriate and reflect current nursing practice. Implements interventions in plan of care in a safe and appropriate manner with clear documentation. Coordinates care to provide continuity through the continuum and involves multidisciplinary team as needed. Plan of care reflects potential needs and is updated as needed. Appropriate referrals are initiated. Provides health teaching using methods appropriate to the situation, patient's developmental level, learning needs, readiness, ability to learn, language preference and culture. Documentation reflects evaluation of patient's progress towards outcomes with revised diagnosis, outcomes and plan of care. Evaluates and documents patient progress towards attainment of outcomes. Evaluation is systematic, ongoing and criterion-based. Fosters positive physician/patient relations. Assigns or delegates tasks to team members based on the needs and condition of the patient, potential for harm, stability of the patient's condition, complexity of task, and predictability of the outcome as well as the educational level, licensure, and current competence of the staff member. Uses supplies and equipment based on safety, effectiveness, availability and cost to provide expected patient outcome, documents use in the medical record and records charges appropriately. Follows nursing policy and procedure in administration of medications, IV therapy and blood therapy. Recognizes and responds to overt reactions. Reports errors promptly. Complies with time-keeping system. Accrues no unexcused absences, and no more than three unscheduled absences. Follows hospital and/or unit policy for dress and personal hygiene. Follows necessary safety precautions, hospital policies and departmental policies. Attends infection control and safety programs. Follows hospital policies and/or departmental rules. 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) Associate timely completes all required educational assignments. Identifies normal and abnormal parameters to the patient's physiological, psychological, cultural, developmental and spiritual needs. Physiological measures are planned to manage (prevent or control) specific problems and are related to goals. Psychosocial measures are specific to the patient's problems and to the nursing care goals. 23. Teaching-learning principles are incorporated into the plan of care and objectives for learning are in behavioral terms. Interventions are based on the identification of changing patient needs, revise diagnoses, outcomes and the plan of care. Establishes the plan priorities with the patient, family and others as appropriate. Identifies the patient and family stages in the grieving process. Allows opportunity for individual to express and receive support in the grieving process (i.e. notifies clergy). Seeks experiences that reflect current clinical practice in order to maintain current clinical skills and competence. Acquires knowledge and skills appropriate to the specialty area and practice setting. Identifies areas of strength as well as areas where professional development would be beneficial. Contributes to an environment that is conducive to the clinical education of nursing students, other health care students and other associates as appropriate. Participates in quality of care activities as appropriate to education and position. Identifies aspects of care important for quality monitoring. Development of policies/procedures and practice guidelines. Collection of data to monitor quality and effectiveness of nursing care. Uses research findings in practice to develop plan of care and interventions. Participate in 80% of prescribed in-service programs and departmental meetings. When unable to attend (20% maximum) follows up to obtain information discussed. Participates on committees, councils and teams. Must agree to the Float Standards Requirements: Education/Skills Graduate of a State Board School of Nursing or equivalent. Experience Twelve (12) months experience preferred. Licenses, Registrations, or Certifications Required: Current license or permit to practice professional nursing in the State of Texas. AHA BLS - within two (2) weeks of employment Medication Competence - within two (2) weeks of employment Basic Dysrhythmia (if applicable) - within twelve (12) weeks of employment Required if working in Critical Care Areas: TNCC- within six (6) months of employment if working in MICU or Neuro ICU Critical Care Classes and Examinations -within in sixteen (16) weeks of employment ACLS within sixteen (16) weeks of employment if working ICU, Telemetry, or ED ENPC or PALS Certification - within twelve (12) months of employment if working in the ED. Work Schedule: TBD Work Type: Per Diem As Needed

Nurse Extern I - Nursing Internship - PRN (75658)

Description Summary: This position provides the student nurse an opportunity to work under the direction of a registered nurse and to gain experience in the areas of nursing professional, nursing processes and nursing practice. This hands-on experience will include educational sessions, job shadow, assist in patient care. May provide patient care in a CNA role as approved by manager (see CNA position description). Responsibilities: Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability. Implements measures to promote a safe environment for patients and others. Follows nursing safety standards in the delivery of patient care. Follows approved policies and procedures for infection control. Follows policies and procedures for "high risk for falls" and "restraints". Identifies, reports, and appropriately intervenes in safety hazards. Practices universal precautions by appropriate disposal of waste, hazardous waste, sharps, and wearing personal protective equipment. Keeps patient rooms and other common patient areas free from potential hazards. Respects the patient's right to privacy by protecting confidential information unless obligated or allowed by law to disclose the information. Follows policies and procedures for "no information patients". Awareness of conversations held at nursing stations. No participation in conversations outside patient care environment. Assists in the provision of individualized goal directed nursing care. Assists in admission process; greets the patient, provides linens/gown, orients patient to room and equipment. Provides patient care feedback to the team leader or other responsible person to achieve patient care objective. Takes vital signs on admission and at intervals as the patient's condition warrants. Accurately records vital signs, intake and output and weights. Immediately notifies team leader of any abnormal data. Documents clearly and concisely on appropriate forms according to policy. Participates in patient/family education. Educates patients/family on environmental and safety policies. Acts on direction from team leader in regards to providing ongoing education ?nd reinforcement of teaching plan. Reports any identified teaching needs to the team leader. Requirements: Education/Skills High school diploma or equivalent. Currently enrolled in a nursing program or recent graduate with pending licensure Basic Computer Knowledge Ability to communicate effectively, both verbally and written Licenses, Registrations, or Certifications Maintain current BCLS. Work Schedule: PRN Work Type: Per Diem As Needed

Registered Nurse, Pre Operative - PRN (77630)

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perioperative Department-specific competency validation. Completion of all annual competency verification requirements. Experience Perioperative RN Residency, or recently practicing in an OR/Perioperative Setting preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS or ENPC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: PRN Work Type: Per Diem As Needed

Registered Nurse-IMC Telemetry-PRN (71009)

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a MedSurg specific competency validation. All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software. Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: PRN Work Type: Per Diem As Needed