Are you ready to embark on an exciting career with ADB Companies, a leading nationwide provider of technology infrastructure solutions We are currently seeking a Foreman to join our wireline team and lead the installation of fiber optic cable for various telecommunication projects. This is an excellent opportunity for individuals seeking growth in the utility construction industry, and ADB is committed to providing extensive development within the trade. At ADB, we prioritize the safety, well-being, and career growth of our team members above all else. Our renowned world-class culture, work stability, and career development opportunities have set us apart in the industry. Join our team and become part of an ALL IN culture that values safety, wellness, learning, diversity, inclusion, and community engagement. As a Foreman, you will play a crucial role in our operations. Your responsibilities will include proficient-level manual labor, equipment operations, leading crews, and ensuring the successful completion of projects on various safety-sensitive utility construction sites. You will demonstrate your expertise in utility print and map reading, while also providing guidance and training to other construction crew members on fiber installation practices, print reading, equipment operations, and OSHA requirements. Safety is our top priority, and you will be expected to lead by example, following and enforcing all required safety practices. Additionally, your strong communication skills will be essential as you engage directly with customers, subcontractors, homeowners, and address any complaints or issues that may arise. Here's an overview of the key responsibilities: Perform proficient-level manual labor and operations, including hand digging with a shovel, setting up traffic control, operating entry-level equipment, placing fiber, loading materials, leading crews, and more on various safety-sensitive utility construction sites.Showcase your proficiency in utility print and map reading, ensuring accurate project execution.Demonstrate at least 1 year of independent operating experience with various equipment, such as directional drills, mini, plow, hydro, etc. You will be fully trained in all safety regulations related to operating heavy equipment.Lead and support the setup and shutdown of utility construction projects, including traffic control, in diverse conditions such as highways, side streets, parking lots, and downtown locations.Exemplify a safety-first approach, ensuring compliance with all required safety practices during safety-sensitive duties.Communicate professionally with customers, subcontractors, homeowners, and effectively address any complaints or issues that may arise.Train and mentor other construction crew members on fiber installation practices, print reading, equipment operations, OSHA requirements, and more.Load and unload materials and equipment from vehicles at construction yards and jobsites.Lead by example, ensuring adherence to safety rules and regulations, and effectively guide others on jobsites.Engage in on-the-job training with Senior Foreman and/or Supervisors to further develop your skills in the utility construction trade.Foster a culture of hazard identification by utilizing the pre-task process.Perform other duties as requested, contributing to the overall success of the team. To be considered for this role, you should have a minimum of 2 years of utility construction experience, preferably as a crew leader or foreman. Additionally, you should possess at least 1 year of heavy equipment operating experience, including Hydro, Drill, Mini, and Plow. A valid driver's license with a clean driving record is necessary, and a CDL License (or the ability to obtain one) is required. This position starts at $24 an hour & is determined by experience & skillset. Join the ADB Companies team today and unlock endless opportunities for growth in the utility construction industry. Experience our supportive, safety-focused environment and be part of a company that values your well-being and career advancement.Licenses & CertificationsRequiredDL Class A CDL

About the RoleAt Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams. You work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for.Benefits forLicensed Vocational Nurses (LVNs) $1,500 Sign on bonus for eligible LVNsPaid Time Off (PTO) and flexible scheduleMedical, dental, and vision coverage401(k) retirement plan with company matchBi-Weekly pay and direct depositEmployee eventsNumerous Top Workplace awards24/7 on-call for supportTraining opportunitiesNurse Referral BonusCompetitive pay with overtime built into your scheduleResponsibilities forLicensed Vocational Nurses (LVNs)Medication administration per physician ordersPhysician ordered treatments for:Nutrition via a feeding tubeTracheostomy careSuctioningnasal, oral and/or endotrachealVentilation careSeizure assessment and treatmentRequirements for Licensed Vocational Nurses (LVNs) Current, active Texas LVN licenseCurrent BLS CPR card (obtained in-person, not online)G-tube, trach, vent experience, or willing to trainMust be available to work nights and weekendsAbout Care Options for Kids Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.*Bonus for eligible cases only. The eligible employee will receive $500 for every 250 billable hours worked up to $1,500. Eligible employees must complete the pre-onboarding process within 10 days of submission of the initial application. Valid for first-time employees only and on completion of all required documents. Parents and/or Guardians of a Care Options for Kids clients or a potential Care Options for Kids clients are not eligible to receive a bonus. Not to be combined with any other Care Options for Kids offers. Talk with your dedicated recruiter for more information.#APPNUCCCare Options for Kids is proud to be an Equal Opportunity Employer. We celebrate diversity and do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, status as a protected veteran, status as an individual with a disability, or any other status protected under federal, state, or local law.

About the RoleAt Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams. You work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for.Benefits forLicensed Vocational Nurses (LVNs) Paid Time Off (PTO) and flexible scheduleMedical, dental, and vision coverage401(k) retirement plan with company matchBi-Weekly pay and direct depositEmployee eventsNumerous Top Workplace awards24/7 on-call for supportTraining opportunitiesNurse Referral BonusCompetitive pay with overtime built into your scheduleResponsibilities forLicensed Vocational Nurses (LVNs)Medication administration per physician ordersPhysician ordered treatments for:Nutrition via a feeding tubeTracheostomy careSuctioningnasal, oral and/or endotrachealVentilation careSeizure assessment and treatmentRequirements for Licensed Vocational Nurses (LVNs) Current, active Texas LVN licenseCurrent BLS CPR card (obtained in-person, not online)G-tube, trach, vent experience, or willing to trainAbout Care Options for Kids Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.#APPNUCCCare Options for Kids is proud to be an Equal Opportunity Employer. We celebrate diversity and do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, status as a protected veteran, status as an individual with a disability, or any other status protected under federal, state, or local law.

About the RoleAt Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams. You work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for.Benefits forLicensed Vocational Nurses (LVNs) Paid Time Off (PTO) and flexible scheduleMedical, dental, and vision coverage401(k) retirement plan with company matchBi-Weekly pay and direct depositEmployee eventsNumerous Top Workplace awards24/7 on-call for supportTraining opportunitiesNurse Referral BonusCompetitive pay with overtime built into your scheduleResponsibilities forLicensed Vocational Nurses (LVNs)Medication administration per physician ordersPhysician ordered treatments for:Nutrition via a feeding tubeTracheostomy careSuctioningnasal, oral and/or endotrachealVentilation careSeizure assessment and treatmentRequirements for Licensed Vocational Nurses (LVNs) Current, active Texas LVN licenseCurrent BLS CPR card (obtained in-person, not online)G-tube, trach, vent experience, or willing to trainAbout Care Options for Kids Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.#APPNUCCCare Options for Kids is proud to be an Equal Opportunity Employer. We celebrate diversity and do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, status as a protected veteran, status as an individual with a disability, or any other status protected under federal, state, or local law.

About the RoleAt Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams. You work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for.Benefits forLicensed Vocational Nurses (LVNs) $1,500 Sign on bonus for eligible LVNsPaid Time Off (PTO) and flexible scheduleMedical, dental, and vision coverage401(k) retirement plan with company matchBi-Weekly pay and direct depositEmployee eventsNumerous Top Workplace awards24/7 on-call for supportTraining opportunitiesNurse Referral BonusCompetitive pay with overtime built into your scheduleResponsibilities forLicensed Vocational Nurses (LVNs)Medication administration per physician ordersPhysician ordered treatments for:Nutrition via a feeding tubeTracheostomy careSuctioningnasal, oral and/or endotrachealVentilation careSeizure assessment and treatmentRequirements for Licensed Vocational Nurses (LVNs) Current, active Texas LVN licenseCurrent BLS CPR card (obtained in-person, not online)G-tube, trach, vent experience, or willing to trainMust be available to work nights and weekendsAbout Care Options for Kids Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.*Bonus for eligible cases only. The eligible employee will receive $500 for every 250 billable hours worked up to $1,500. Eligible employees must complete the pre-onboarding process within 10 days of submission of the initial application. Valid for first-time employees only and on completion of all required documents. Parents and/or Guardians of a Care Options for Kids clients or a potential Care Options for Kids clients are not eligible to receive a bonus. Not to be combined with any other Care Options for Kids offers. Talk with your dedicated recruiter for more information.#APPNUCCCare Options for Kids is proud to be an Equal Opportunity Employer. We celebrate diversity and do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, status as a protected veteran, status as an individual with a disability, or any other status protected under federal, state, or local law.

About the RoleAt Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams. You work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for.Benefits forLicensed Vocational Nurses (LVNs) $1,500 Sign on bonus for eligible LVNsPaid Time Off (PTO) and flexible scheduleMedical, dental, and vision coverage401(k) retirement plan with company matchBi-Weekly pay and direct depositEmployee eventsNumerous Top Workplace awards24/7 on-call for supportTraining opportunitiesNurse Referral BonusCompetitive pay with overtime built into your scheduleResponsibilities forLicensed Vocational Nurses (LVNs)Medication administration per physician ordersPhysician ordered treatments for:Nutrition via a feeding tubeTracheostomy careSuctioningnasal, oral and/or endotrachealVentilation careSeizure assessment and treatmentRequirements for Licensed Vocational Nurses (LVNs) Current, active Texas LVN licenseCurrent BLS CPR card (obtained in-person, not online)G-tube, trach, vent experience, or willing to trainMust be available to work nights and weekendsAbout Care Options for Kids Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.*Bonus for eligible cases only. The eligible employee will receive $500 for every 250 billable hours worked up to $1,500. Eligible employees must complete the pre-onboarding process within 10 days of submission of the initial application. Valid for first-time employees only and on completion of all required documents. Parents and/or Guardians of a Care Options for Kids clients or a potential Care Options for Kids clients are not eligible to receive a bonus. Not to be combined with any other Care Options for Kids offers. Talk with your dedicated recruiter for more information.#APPNUCCCare Options for Kids is proud to be an Equal Opportunity Employer. We celebrate diversity and do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, status as a protected veteran, status as an individual with a disability, or any other status protected under federal, state, or local law.

About the RoleAt Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams. You work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for.Benefits forLicensed Vocational Nurses (LVNs) Paid Time Off (PTO) and flexible scheduleMedical, dental, and vision coverage401(k) retirement plan with company matchBi-Weekly pay and direct depositEmployee eventsNumerous Top Workplace awards24/7 on-call for supportTraining opportunitiesNurse Referral BonusCompetitive pay with overtime built into your scheduleResponsibilities forLicensed Vocational Nurses (LVNs)Medication administration per physician ordersPhysician ordered treatments for:Nutrition via a feeding tubeTracheostomy careSuctioningnasal, oral and/or endotrachealVentilation careSeizure assessment and treatmentRequirements for Licensed Vocational Nurses (LVNs) Current, active Texas LVN licenseCurrent BLS CPR card (obtained in-person, not online)G-tube, trach, vent experience, or willing to trainAbout Care Options for Kids Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.#APPNUCCCare Options for Kids is proud to be an Equal Opportunity Employer. We celebrate diversity and do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, status as a protected veteran, status as an individual with a disability, or any other status protected under federal, state, or local law.

Description**Now Offering a $10K Sign-on Bonus for this position! 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 Spohn Hospital Alice – a Texas Ten Steps Designated Facility - Women’s Services is comprised of Registered Nurses, License Vocational Nurses and OB scrub techs. We deliver excellent care to our soon-to-be moms, laboring moms, delivering moms and new moms, and help them prepare for the most exciting experience of being a new mom or new parents. As a team this is our second family. We depend on each other in a lot of things to cover the needs of our department. As a team we are committed to train and nurture you to be part of our team and our second family. If you are looking to join a rapidly growing faith-based organization that encourages professional development, we want you to become a part of the CHRISTUS Spohn family! 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 resourcesCORE COMPETENCIESStandard 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 populationStandard 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 COMPETENCIESClinical 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 techniquesHealth 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 equipmentMedical 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 eachPatient 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 othersPatient 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. Requirements: Experience: Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred. 1 year of experience in the related nursing specialty preferred. Education: Bachelor of Science Degree in Nursing, preferred. 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 Department-specific competency validation. Completion of all annual competency verification requirements. Licenses/Certifications/Registrations: RN License in state of employment or compactBLS requiredCurrent certification from NCC Electronic Fetal Monitoring (C-EFM) or one of the following AWHONN courses: Intermediate FHM, Intermediate FHM Instructor, Advanced FHM Instructor, or Instructor Trainer at time of hire for experienced nurses; within 6 months of hire for new graduates and experienced nurses new to the specialty then required to maintain course certification thereafter. Current STABLE (Post-resuscitation/Pre-transport Stabilization Care of Sick Infants) certification from one of the following courses: Participant, Lead Instructor, or Support Instructor at time of hire for experienced nurses; within 4 months of hire for new graduates and experienced nurses new to the specialty then required to maintain course certification thereafter. Current ACLS certification within 30 days of hire for experienced nurses; within 90 days of hire for new graduates then required to maintain certification thereafter. Current NRP certification at time of hire for experienced nurses; within 60 days for new graduates and experienced nurses new to the specialty then required to maintain certification thereafter. Work Schedule: 7AM - 7PM Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf 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 .

DescriptionSummary: The Registered Nurse (RN) provides professional nursing care for the comfort and well-being of patients. The Registered Nurse (RN) prepares equipment and assists physician during examinations and treatments. The Registered Nurse (RN) administers prescribed medications, changes dressings, cleans wounds, and monitors patient vital signs. The Registered Nurse (RN) observes and maintains records on patient care, condition, reaction, and progress. The Registered Nurse (RN) participates as primary nurse, associate nurse, a team member or team leader in the planning and implementing of patient care. The Registered Nurse (RN) directs and assists in carrying out safe aseptic technique and procedures. The Registered Nurse (RN) offers leadership and direction to all support staff within department. The Intensive Care Unit is a 10-bed, modern unit specializing in the care of the critically ill adult and elderly adult. Special procedures include but are not limited to: intubations with mechanical ventilator management, arterial lines, TEE, insertion of temporary pacemakers and external pacing, and cardiac drips. We have an average daily census of 8. This unit also monitors as many as 24 telemetry units. The most frequent medical diagnoses seen are Myocardial Infarction, Congestive Heart Failure, Arrhythmias, COPD, Septic Shock, CVA, Overdoses, Hypertensive Crisis, Pneumonia and DKA. Common surgical conditions are Appendectomy, Exploratory laparotomy, Cholecystectomy (laparoscopic and open procedures), Bowel Resection, Hysterectomy and Amputation. Requirements: Education/Skills Graduate of an accredited school of nursing. Able to assess, plan, implement and evaluate nursing care Experience One-year experience in nursing preferred. Will accept new graduate. Licenses, Registrations, or Certifications Current Texas State RN License CPR (American Heart Association)ACLS required within 6 months of hire/transfer dateUnit Specific RequirementsSsh Icu/Micu (A3), Ssh Coronary Oth (A4), Ssh Cardio Icu (Cvicu), Ssh Icu/Micu 3 & Ssh Trauma Icu: NIHSS required within 90 days of hire/transfer dateSsh Icu/Micu (A3), Ssh Cardio Icu (Cvicu) & Ssh Icu/Micu 3: EKG within 90 days of hire/transfer dateSsh Trauma Icu: TNCC required within 18 months of hire/transfer dateSsh Trauma Icu: ENPC or PALS required within 18 months of hire/transfer date Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf 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 .

DescriptionSummary: 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 Spohn Hospital Alice was built in 1999 to serve the healthcare needs of people in Alice and the surrounding communities. The hospital is a Level IV Trauma Center and is licensed for 186 beds and offers comprehensive medical and surgical services including pediatrics, obstetrics, skilled nursing, emergency and intensive care, as well as cardiac and comprehensive services. At CHRISTUS Spohn Hospital Alice, Coastal Bend nurses can feel confident they have a place to work that will support them and help them grow professionally. The hospital has achieved the Pathway to Excellence® designation by the American Nurses Credentialing Center (ANCC), recognizing hospitals which support and nurture their nurses’ development. 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. 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 familiesCommunicates findings to appropriate healthcare team membersDevelops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practiceImplements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goalsEvaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)Performs timely reassessment and documentationMust 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 flowUtilizes appropriate systems of communication and tools to facilitate the discharge processCoaches 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 shiftDemonstrates good stewardship in proper use and maintenance of equipment and SuppliesAssesses 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 outcomesDemonstrates accountability for nursing research and quality improvement activitiesProvides evidence-based nursing careCommunicates patient information effectively across the continuum of careEducates and trains others on the operations, ethics, and regulations within the industryKnowledge 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 proceduresAnalyzes policy and standards documentation and ensures organizational complianceProvides feedback for improvement of proceduresAssists in the development and implementation of specific proceduresWorks with control and monitoring mechanisms, tools and techniques Health Information Documentation Shares experiences with maintaining paper and electronic patient documentationWalk through the steps and procedures for receiving, validating and updating patient recordsDescribes the flow of information between various stations or unitsDiscusses the functions, features and document flow of electronic documentationTranscribes verbal orders; explains techniques for ensuring their accuracyExplains 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 facilityUses standard diagnostic tools and techniques to resolves common equipment problemsEducates patients about the appropriate use of home medical equipmentEnsures that all equipment and related supplies are in proper working order prior to use to ensure patient safetyInspects, troubleshoots and evaluates incoming equipment Medical Order Processing Shares experiences with processing medical orders for one or more groups of patients or conditionsDescribes functions and features of the system used to enter, validate, update and forward medical ordersDiscusses common errors, their sources and procedures for correctingExplains considerations for entering and following standing ordersDifferentiates 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 careReviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissionsRecognizes unexpected readings and alerts nursing or medical staffRelates examples of mis-readings or misinterpretations and lessons learnedReviews, discusses and validates own interpretation with others Patient Safety Shares experiences with ensuring safety for one or more patient groups or settingsExplains key features of safety guidelines and procedures for those groups and settingsListens and responds to safety inquiries from patients and family membersRecognizes and addresses physiological and psychological signs of problemsDescribes considerations for patients who can cause to harm to self, versus harm to othersUtilizes 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 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS requiredRN License in state of employment or compactACLS within 90 days of hire for new graduates; within 30 days of hire for experienced nurses. PALS within 90 days of hire for new graduates; within 30 days of hire for experienced nurses. TNCC within 18 months for new hires and experienced nurses new to the specialty; within 60 days for experiences nurses in the specialty. TCAR within 18 months for new hires and experienced nurses new to the specialty; within 60 days for experiences nurse in the specialty. CPI/De-Escalation within 12 months of hire. Work Schedule: 5 Days - 8 Hours Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf 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 .