RN, Registered Nurse - Labor and Delivery, Recovery, Postpartum, and Nursery (78070)

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. CHRISTUS Santa Rosa Hospital - New Braunfels (CSRH-NB), nestled in the heart of downtown New Braunfels, is a full-service, 94-private bed facility that continues to expand to meet the needs of New Braunfels' strong population growth. Innovative equipment and procedures are utilized, including an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a renovated birthing center, including 24/7 neonatal coverage, emergency care, wound care/hyperbaric center, 3D mammography, and comprehensive heart care, from diagnostics to open-heart surgery. 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 Perinatal Services-specific competency validation. Completion of all annual competency verification requirements. Experience Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred. Licenses, Registrations, or Certifications 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) 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 NRP certification required 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: 7PM - 7AM Work Type: Full Time

RN, Registered Nurse - Hemodialysis - Full Time (75570)

Description Summary: A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications. In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment. Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately. Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order. Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access. Obtains pre- and post-dialysis lab specimens per physician order and organizational policy. Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure. Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection. Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs). Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge. Participates in the development and implementation of an individualized plan of care for each patient. Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed. Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures. Manages time so that workflow is efficient and consistent. Perform other duties as assigned. Requirements: Education/Skills Associate's degree in nursing required Bachelor's degree in Science in Nursing (BSN) preferred Experience 1 year of dialysis experience required 1 year of acute clinical experience as a registered nurse preferred Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred Clinical patient care experience in a relevant setting preferred Licenses, Registrations, or Certifications RN license in the state of employment or compact required BLS required ACLS required PALS required at CHRISTUS Children's Hospital 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: 3 Days - 12 Hours Work Type: Full Time

RN, Registered Nurse Float PII - Nursing Float Pool (78009)

Description Summary: The competent Nurse, in the Medsurg, Telemetry, and Intermediate Care clinical setting, 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 of combined experience required in Medsurg/Telemetry and Intermediate Care 5 years of experience preferred Licenses, Registrations, or Certifications BLS required ACLS required RN License in state of employment or compact required PALS required at CHRISTUS Children's Hospital Work Schedule: 7PM - 7AM Work Type: Full Time

RN, Registered Nurse - Surgical Oncology - Full Time (75658)

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 Work Schedule: 7AM - 7PM Work Type: Full Time

RN, Registered Nurse - Surgical Oncology - Full Time (75601)

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 Work Schedule: 7AM - 7PM Work Type: Full Time

RN, Registered Nurse - Hemodialysis - Full Time (71854)

Description Summary: A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications. In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment. Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately. Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order. Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access. Obtains pre- and post-dialysis lab specimens per physician order and organizational policy. Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure. Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection. Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs). Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge. Participates in the development and implementation of an individualized plan of care for each patient. Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed. Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures. Manages time so that workflow is efficient and consistent. Perform other duties as assigned. Requirements: Education/Skills Associate's degree in nursing required Bachelor's degree in Science in Nursing (BSN) preferred Experience 1 year of dialysis experience required 1 year of acute clinical experience as a registered nurse preferred Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred Clinical patient care experience in a relevant setting preferred Licenses, Registrations, or Certifications RN license in the state of employment or compact required BLS required ACLS required PALS required at CHRISTUS Children's Hospital 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: 3 Days - 12 Hours Work Type: Full Time

RN, Registered Nurse - Surgical Oncology - Full Time (75631)

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 Work Schedule: 7AM - 7PM Work Type: Full Time

RN, Registered Nurse - Hemodialysis - Full Time (75574)

Description Summary: A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications. In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment. Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately. Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order. Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access. Obtains pre- and post-dialysis lab specimens per physician order and organizational policy. Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure. Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection. Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs). Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge. Participates in the development and implementation of an individualized plan of care for each patient. Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed. Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures. Manages time so that workflow is efficient and consistent. Perform other duties as assigned. Requirements: Education/Skills Associate's degree in nursing required Bachelor's degree in Science in Nursing (BSN) preferred Experience 1 year of dialysis experience required 1 year of acute clinical experience as a registered nurse preferred Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred Clinical patient care experience in a relevant setting preferred Licenses, Registrations, or Certifications RN license in the state of employment or compact required BLS required ACLS required PALS required at CHRISTUS Children's Hospital 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: 3 Days - 12 Hours Work Type: Full Time

RN, Registered Nurse - Hemodialysis - Full Time (71029)

Description Summary: A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications. In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment. Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately. Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order. Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access. Obtains pre- and post-dialysis lab specimens per physician order and organizational policy. Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure. Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection. Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs). Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge. Participates in the development and implementation of an individualized plan of care for each patient. Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed. Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures. Manages time so that workflow is efficient and consistent. Perform other duties as assigned. Requirements: Education/Skills Associate's degree in nursing required Bachelor's degree in Science in Nursing (BSN) preferred Experience 1 year of dialysis experience required 1 year of acute clinical experience as a registered nurse preferred Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred Clinical patient care experience in a relevant setting preferred Licenses, Registrations, or Certifications RN license in the state of employment or compact required BLS required ACLS required PALS required at CHRISTUS Children's Hospital 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: 3 Days - 12 Hours Work Type: Full Time

RN - Nurse Residency - January 2026 - Offering $10K Sign-on Bonus Relo (78384)

Description Offering a $10K Sign-on Bonus and $5K relocation assistance if applicable COHORT START DATE: January 26th, 2026 (accepting GN permit) The Spohn RN Residency program is accepting applications for the next cohort at CHRISTUS Spohn Shoreline, South, Kleberg, Beeville, and Alice facilities. If you are a recent nursing graduate, new grad nurse, or an RN with less than 12 months of work experience, the Nurse Residency Pathway at CHRISTUS can transition you into the fast-paced hospital world with greater confidence, more comprehensive knowledge, and an enhanced set of skills. Designed by nurses for nurses, the Residency offers a program that organizes and oversees all aspects of your learning with the ultimate goal of better, safer, and more consistent patient care. In this nationally recognized, comprehensive, and evidence-based program, you'll be supported professionally and emotionally by our nurses who act as mentors, preceptors, and de-briefers, guiding and evaluating your growth at every step. Augmenting your clinical learning will be interactive virtual classes taught by subject matter experts to strengthen your educational foundation. We welcome all new grad nurse applicants who are planning to complete the RN examination/licensure process and have their GN permit before the beginning of our next cohort. We are excited about our journey to nursing excellence, providing the best care, and achieving the best possible outcomes for our patients. This is accomplished with a nursing staff having the best preparation possible in evidence-based practices and research-supported knowledge. Our fully hosted Web-based suite of development applications offers 24/7 access to curriculum, clinical performance tracking, evaluation materials, and real-time reporting. Rapid feedback enables you to track your clinical progress, connect with preceptors and other residents, and much more. APPLICATION PROCESS:Apply to this position to be considered for available specialty unit openings. A recruiter will discuss your area of interest and opportunities available during the prescreening process. Virtual interviews will be held with unit hiring managers. No need to apply to other job postings to be considered for various units.$10K Sign-on Bonus and $5K relocation assistance if applicable COHORT START DATE: January 26th, 2026 (accepting GN permit) Qualifications Required: Registered Nurse with a valid, unencumbered Texas license or GN Permit BLS certification required (American Heart Association) Must have working knowledge of the nursing process as well as in-depth knowledge of therapeutic, physical, psychosocial, spiritual, cultural, and developmental needs for a select category of patients. Strong communication skills, both written and verbal. To learn more about our CHRISTUS Spohn - South Texas Nurse Residency program click the link below: For additional questions contact the Spohn Residency recruiter Steven Flores: @christushealth.org

Manager RN, Registered Nurse - Stone Oak Surgery Center *Hiring Incentive Available* (78148)

Description Summary: Assumes primary responsibility and 24/7 accountability for effective implementation of nursing practice and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of hospital and departmental philosophy, goals, policies, and procedures. Facilitates intra and interdepartmental communication and collaboration to promote excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically effective patient care is provided in a safe and cost effective manner. Promotes the professional development of patient care and administrative support staff assigned for areas. Responsibilities: Participates in the establishment and implementation of yearly goals for the units. Monitors operations of the unit. Measures progress towards goals, identifying problems and taking corrective actions. Serves as an advocate for patients/families, assuring that patient/family rights are respected, patient satisfaction issues are addressed, and associates adhere to the core values of the corporation. Directs patient care in compliance with regulatory standards such as Joint Commission and state licensure requirements. Participates in the development, communication, and implementation of nursing and organizational policy and procedure. Participates on intra and interdepartmental committees and task forces which are focused on improving patient care. Collaborates with other Department Managers and Hospital Leadership to resolve unit/staff issues. Participates and directs staff in hospital plans for emergency and disasters. Develops, communicates and updates unit(s), standards, protocols, policies and procedures to meet trends in nursing practice and patient services. Collaborates with Human Resources to recruit and hire qualified associates. Counsels, guides, and disciplines associates to enhance patient care through compliance with established hospital policies and procedures. Evaluates staff job performance on a timely basis and in a manner that recognizes associate's accomplishments, enhances performance and facilitates professional development. Provides HR with information to maintain associate files with current licensure, credentialing records, certifications, orientation documentation, skills checklists, and continuing education requirements. Facilitates and encourages staff participation in the professional practice model. Confronts and resolves conflicts involving staff, physicians, patients/families, interdepartmental and intra departmental issues. Empowers associates through effective delegation, maintaining accountability. Directs and ensures staff participation in process improvement activities for the unit/hospital. Conducts regularly scheduled staff meetings which address unit issues, process improvement, and safety; Ensures staff meeting minutes are available on a timely basis. Establishes and enforces with staff a method for ongoing maintenance and upkeep of the unit supplies and equipment. Maintains and ensures documentation of quality control aspects of the clinic(s) (e.g. POCT logs, refrigerator temps, etc which are required by Joint Commission) Collaborates effectively with physicians, administrators, patients, families, other departments, and the community to provide quality patient care and enhance patient outcomes. Maintains core staffing within established guidelines that assure patient safety and considers skill mix and experience of staff. Oversees daily staffing of the unit and collaborates with Lead Associates on the development and revision of the staffing schedule. Ensures assessment of competency of all associates as a part of the orientation program and on an ongoing basis. Identifies, plans, develops and/or arranges for programs to meet the educational/skills needs of the associates upon hiring and on an ongoing basis. Identifies, plans, develops methods to meet the educational needs of the patient population. On an annual basis, contributes to the development of operating and capital budgets to meet the needs of the unit. Assures effective and appropriate utilization of material and human resources, Reviews financial and productivity management reports and takes appropriate actions. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the age specific and developmental needs of patients served by the department. Appropriately reviews patient assessment, treatment, and/or care methods performed by nursing to accommodate the unique physical, psychosocial, cultural, spiritual, age specific and other developmental needs of each patient served. Demonstrates adherence to the Mission and CORE values of CHRISTUS Health System. GG. Performs other duties as assigned. Requirements: Bachelor's Degree RN License in state of employment or compact BLS Work Type: Full Time EEO is the law - click below for more information: We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) -.

Clinical Nurse (RN) Med Surg Renal / Part-Time (87535)

Description POSITION SUMMARY: The Registered Nurse is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner, consistent with the unit's standards of care. He/she demonstrates performance consistent with the mission, philosophy and goals of the unit and organization. Demonstrates quality and effectiveness in work habits and clinical practice. Treats staff, physicians, patients and families with consideration and respect. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing. CERTIFICATION/LICENSES: Current New Mexico RN license or current Compact state license. BLS Certification required or within 2 weeks of hire date. All other required certifications must be obtained within 6 months of hire date. If nurse has the required certifications at time of hire, they must maintain the certifications and will not have a grace period to renew. (See Required Department Certification List detailed on the last page of this document.) SKILLS: Current knowledge and skills appropriate to age/type of patient population served Knowledgeable and sensitive to patients' rights in the delivery of care Communicates in a clear concise manner appropriate to the developmental age of patient. EXPERIENCE: NATURE OF SUPERVISION: -Responsible to: Patient Care Director or Manager ENVIRONMENT: Bloodborne pathogen C (OR, PACU, L & D); Bloodborne pathogen B (other Patient Care areas). Exposure to infectious diseases and x-rays. Works in a clean, well lighted, ventilated smoke-free environment. Subject to stressful professional relationships. Working hours are varied, with flexibility due to unexpected changes in schedule and emergencies. PHYSICAL REQUIREMENTS: Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing and walking. Requires heavy physical effort to position, push and/or transfer patients or equipment and supplies. Requires considerable reaching, stooping, bending, kneeling and crouching. Ability to judge distance and space relationships, see peripherally, distinguish and identify different colors. Hearing and visual acuity within normal or correctable limits. Manual dexterity and fine motor coordination required.