Overview
Summary: Under the supervision of a licensed RN, the graduate nurse is responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift and periodizing the delivery of care using time and resources efficiently integrating an evidence and standards based framework model.
Type of Opportunity: Full Time FTE: 1.000000 Exempt: No Work Schedule: Varied Days and Hours
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Qualifications
Other information:
1. Associates in Nursing or Bachelors of Science in Nursing
2. Graduate of an academic School of Nursing required
3. Minimum ADN or BSN Preparation
4. State permit to practice as a Graduate Nurse required
5. Degree from an accredited academic school of nursing preferred
6. Permit to practice at the specific PHS facility is completed and approved by the NMBON
7. Permits to practice are valid until the NCLEX examination are disseminated but not to exceed the expiration date on the permit
8. Under the direct supervision of a licensed RN who is physically in the same facility and/or on the same unit who can observe, direct, and evaluate the performance of the GN
9. The Graduate Nurse must be scheduled to take the NCLEX exam
10. Graduate RNs educated in the United States may take the exam a maximum of three times within three years of first being eligible to sit for the exam
11. The applicant must wait 45 days to retest after failing the exam and meet all the NCLEX requirements for retaking the exam (Nurse Practice Act, NM Code R. 16.12.2.10 NMAC)
12. BLS Required
Education: Essential: Associate Degree
Education specialization: Essential: Nursing
Credentials: Essential: Graduate Permit (Nurse)
Responsibilities
Responsibilities:
1. Graduate Nurse, under the direct supervision of a Registered Nurse, assumes these responsibilities
2. Per unit and practice standards, provides direct patient care by assessing, planning, implementing, evaluating, and documenting individual patient needs, actions taken, and patient responses
3. Coordinates patient care through collaboration with patient/family and healthcare team
4. Performs assessment per evidence-based standards and documents in EMR and any designated documentation platforms
5. Initiates, utilizes and documents appropriate protocols and standards of care
6. Administers medication and treatment as prescribed by physician, provider, or standard protocols and documents according to policy
7. Identifies and meets patient and family learning and discharge needs on admission and throughout the episode of care
8. Evaluates patient progression towards outcomes per unit standards and documents
9. Performs at basic competency levels in emergency situations
10. Delegates or assigns aspects of patient care to healthcare team members commensurate with their validated competency to perform task
11. Assumes responsibility for clinical supervision of LPNs and non-licensed assistive personnel
12. Provides leadership through communication about and validation of patient care
13. Assists with various procedures, treatment, surgical techniques or assigns to other healthcare team members as appropriate
14. Completes yearly education per PARTE and PACCER modules and any unit specific requirements on time
15. Demonstrates competencies in required psychomotor skills
16. Assumes professional responsibility for current nursing structure and clinical standards of care
17. Incorporates PHS MVV and CARES in caregiving
18. Supports DON philosophies of shared governance and models of care deliveries
19. Mandatory yearly in-service to include BLS, safety training, bloodborne pathogen/infection/TB training
20. Participates in unit/department governance
21. Documents own continuing education
22. Participates in quality improvement activities
23. Completes mandatory in-services, competencies, and Graduate Nurse requirements on time
Caring Practices: Incorporates nursing activities that create a compassionate, supportive, and therapeutic environment for patients and staff with the aim of promoting comfort and healing and preventing unnecessary suffering.
Critical Elements of Caring Practices Performance:
1. Applies The Promise and incorporates into care interactions
2. Applies Exceptional Patient Experience principles and incorporates into care interactions
3. Applies respect and timely response in interactions with patient, family, health care team members
4. Interacts with patient and family providing compassionate, non-judging, empathetic care
Clinical Judgment and Action: Uses clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the patient care situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence-based guidelines to manage patient care.
Critical Elements of Clinical Judgment and Action Performance:
1. Consistently uses the nursing process to structure and revise care
2. Anticipates, recognizes, and responds to changes in condition
3. Accurately communicates with healthcare team members to relay changes in patient status
4. Consistently provides care based upon need and urgency
5. Consistently applies patient safety principles
6. Develops, plans, and evaluates patient short and long term care goals
7. Charts problems, plans, and goals appropriately in NICP
8. Consistently follows policies, procedures, standing order sets, care bundles, core measure practices
9. Consistently follows red rules: Patient identification and hand-washing
10. Seeks consultation if uncertain on how to respond to patient needs
11. Adjusts care to establish and support care goals
12. Integrates technology into daily care of patient by appropriate initiation of technology, maintenance, troubleshooting, and discontinuation
13. Consistently and accurately documents care per policies & standards
Patient Advocacy: Works on behalf of the patient/family representing their concerns and helps resolve ethical and clinical issues that impact the patient situation.
Critical Elements of Patient Advocacy Performance:
1. Maintains patient confidentiality/personal/medical information
2. Identifies ethical and clinical issues
3. Acts with integrated healthcare team using appropriate resources to resolve ethical/clinical issues
4. Advocates for patient needs, values, and goals
Compliance with JC Rights and responsibilities of the Individual elements.
Benefits
We offer more than the standard benefits!
Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!
Learn more about our employee benefits: here.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About Our Regional Delivery System
Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari.
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
New Mexico continues to grow steadily in population and features a low cost-of living. Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to
USD $51.00
Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
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