Get ready for an exciting opportunity at ADB! We're a leading nationwide provider of technology infrastructure solutions, serving a wide range of clients, including commercial, government, and service providers. At ADB, our team members are our top priority, and we prioritize their safety, well-being, and career growth. Our vibrant culture emphasizes safety, wellness, learning, diversity and inclusion, and community engagement.Join our wireline aerial team as an Aerial Foreman and unleash your skills in manual labor, cable placement, and equipment operations. In this role, you'll be responsible for installing fiber optic cable for various telecommunication projects. Don't worry if you're new to the tradeADB provides comprehensive training and equips you with the necessary tools to thrive. You'll have ample opportunities for growth and development within the company. With our world-class culture, stable work environment, career advancement prospects, and top-notch vehicles and equipment, ADB is the place to be. We're seeking a candidate who prioritizes safety, customer satisfaction, and quality, and who possesses a strong work ethic and an "ALL IN" attitude.RESPONSIBILITIES:As an Aerial Foreman at ADB, you'll be responsible for:Proficiently performing aerial installation tasks, such as hand digging, traffic control setup, equipment operations, fiber placement, pole climbing, and material handling on various utility construction sites.Demonstrating advanced skills in reading prints and maps.Having at least 3 years of experience in independent aerial cable placement and installation, with a solid understanding of safety regulations and basic operating skills.Having at least 1 year of experience operating various equipment, such as directional drills, mini excavators, plows, and hydro equipment.Climbing utility poles or utilizing lifts to install cables according to print designs and maps.Testing cable placement using aerial equipment and interpreting the results.Assisting in the setup and shutdown of utility construction projects, including traffic control, in diverse conditions.Prioritizing safety by adhering to required safety practices throughout all duties.Maintaining professionalism in communication with customers, subcontractors, and homeowners, addressing any issues or complaints that may arise.Training other aerial crew members on fiber installation practices, print reading, equipment operations, and OSHA requirements.Loading and unloading materials and equipment at construction yards and jobsites.Leading by example, ensuring compliance with safety rules and regulations, and guiding others on jobsites.Engaging in on-the-job training with Senior Foreman and/or Supervisors to enhance skills in utility construction and aerial work.Fostering a hazard-identifying culture by utilizing the pre-task process.Fulfilling other position duties as required.EXPERIENCE AND EDUCATION:To excel in this role, you should possess:3+ years of experience as a foreman or crew leader in the telecommunications industry, specializing in lineman work.1+ year of hands-on experience operating heavy equipment, such as hydro, directional drills, mini excavators, and plows.Formalized training and certification as a lineman from an accredited technical school.A valid driver's license with a clean driving record.CDL License (or the ability to obtain one).A high school diploma or equivalent qualification.Join ADB today and embark on a thrilling career journey in the telecommunications industry. We offer excitement, growth opportunities, and a supportive work environment. Apply now and become part of our team!

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

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 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 accuracyStandard 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 industryStandard 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 activitiesTECHNICAL 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 practicesMedical 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 Meets all requirements identified in this position description. Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferredAll 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. Experience 1 year of experience in the related nursing specialty preferredPerinatal RN Residency, or recently practicing in a Perinatal Setting is preferred. Licenses, Registrations, or Certifications BLS requiredRN License in state of employment or compactCurrent 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 the time of hire for experienced nurses. If previously uncertified, certification must be obtained within 30 days of hire as they cannot practice independently without it. For new graduates and experienced nurses new to the specialty, certification must be obtained within 4 months of hire and maintained 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 the time of hire for experienced nurses. If previously uncertified, certification must be obtained within 30 days of hire as they cannot practice independently without it. For new graduates and experienced nurses new to the specialty, certification must be obtained within 4 months of hire and maintained 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: Varies 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 .

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 .

DescriptionRN, Registered Nurse - Med/Surg - Alice, TX *** $10,000 sign-on bonus and $5K relocation available for this position *** Summary: 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 Medical Surgical Telemetry Pediatrics department at Christus Spohn Alice has a daily average census of approximately 25 patients. We often see patients with CHF, Pneumonia, Skin Abscess, Chest Pain, COPD, Diabetes, Appendicitis, Cholecystectomy, EGD's, Colonoscopy, Pediatrics with Asthma, Bronchitis, Viral Syndrome, and Pneumonia. Our associates feel very proud to work in this department. Med Surg Tele Peds is a unit in which you can develop all of your nursing skills and train to float to other units if desired. MSP requires hard work and critical thinking skills due to range in age of patients and disease processes involved. We are a group of highly skilled nurses that are willing to teach and grow our own nurses to the fullest potential. 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! Requirements: Graduate of an accredited school of nursing. Able to assess, plan, implement and evaluate nursing care. One-year experience in nursing preferred. Current Texas State RN LicenseCPR (American Heart Association)ACLS (American Heart Association) within 6 months of hire/transfer datePALS (American Heart Association) within 18 months of hire/transfer date. NIHSS required within 90 days 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 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. Licenses, Registrations, or Certifications Current Texas State RN License CPR (American Heart Association)ACLS required within 6 months of hire/transfer date NIHSS required within 90 days 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 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. Kleberg Med/Surg Telemetry/Pediatrics is a 32-bed Unit. We take care of patients from infants, to end of life Geriatric. We have very few pediatric patients annually, compared to the majority of our patients who are Cardiac and Telemetry. We also take care of Post-Operative and General Med/Surg patients. It’s a wonderful opportunity to enhance, utilize, and grow your nursing skills. 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. Licenses, Registrations, or Certifications Current Texas State RN LicenseCPR (American Heart Association)ACLS (American Heart Association) within 6 months of hire/transfer datePALS (American Heart Association) within 18 months of hire/transfer date. NIHSS required within 90 days 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. The Emergency Department of CHRISTUS Spohn Hospital Kleberg is a 12-bed unit organized and designed for the immediate treatment of emergency medical and/or surgical conditions. We have a Medical provider 24 hours per day with An Advance Practitioner 9 hours per day. The Emergency Department had been designated a Level IV Trauma Center by Texas Department of Health. The department is responsible for initiating lifesaving procedures in all types of emergency situations and for providing emergency care for other conditions, including chronic medical problems and minor injuries and illnesses. After emergency measures are implemented the patient may be transferred within the hospital, to another institution, or discharged home. Our average daily census is 60. The most frequent medical diagnoses seen are R/O Myocardial Infarction, Congestive Heart Failure, Pneumonia , Cardiovascular conditions, cardiopulmonary conditions, Diabetes Mellitus, Hepatitis, Pancreatitis, URI and Urosepsis. The most frequent surgical conditions are appendicitis, fractured hip and spontaneous abortion. The ER staff work closely with the community by providing education on disease process and safety measures. We also volunteer our time and service to help out our local naval base during events such as “Wings over Texas” and our surrounding areas with events such as, “Beach to Bay.” Our team has been recognized for exceeding the goal for treating a MI or stroke patient. They have made changes to the overall flow in the ER to improve the door to doctor times and over all patient experience. We have earned the Silver Award from the American Heart Association for our Stroke Care. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. 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 Associate's Degree in Nursing Experience One year experience in nursing preferred. Licenses, Registrations, or Certifications Current Texas State RN License or Compact RN LicenseBLS (American Heart Association)ACLS required at time of hire for experienced RNs. New graduate nurses must obtain ACLS by the end of the clinical orientation period. PALS required at time of hire for experienced RNs. New graduate nurses must obtain PALS by the end of the clinical orientation period. Crisis intervention training required within 12 months of hire/transfer dateFor trauma designated facilities, TNCC required within 6 weeks of hire for experienced RNs. New graduate nurses must obtain TNCC within 18 months of hire/transfer date. Work Schedule: 7PM - 7AM 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 .

Description**Now Offering a $10K Sign-on bonus for this position Summary: 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. 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. Requirements: Graduate of an accredited school of nursing. Able to assess, plan, implement and evaluate nursing care. One-year experience in nursing preferred. Current Texas State RN LicenseCPR (American Heart Association)ACLS (American Heart Association) within 6 months of hire/transfer datePALS (American Heart Association) within 18 months of hire/transfer date. NIHSS required within 90 days 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: October RN Residency program now accepting applications for the summer cohort Shoreline, South, Kleberg, Beeville and Alice facilities! If you are a recent nursing graduate, or a RN with less than 6 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. The ultimate goal: 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 applicants who are planning to complete the RN examination/licensure process prior to the beginning of our next cohort. We are excited about our journey to nursing excellence and 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. COHORT START DATE: October 2024 (Must have RN license prior to start date) Qualifications Required: Registered Nurse with valid, unencumbered Texas licenseBLS 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 Nurse Residency locations, please click links below: https://www.christushealth.org/spohn/shoreline https://www.christushealth.org/spohn/south https://www.christushealth.org/spohn/alice https://www.christushealth.org/spohn/kleberg https://www.christushealth.org/spohn/beeville 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 .