Where compassion meets innovation and technology and our employees are family.

Thank you for your interest in joining our team! Please review the job information below.

GENERAL PURPOSE OF JOB:
The staff nurse is a professional Registered Nurse (RN) who provides direct nursing care to an assigned patient population, service line or clinic department. The staff nurse, utilizing the nursing process, plans and delivers effective patient care within the Texas Nursing Practice Act scope of practice and within the framework of Driscoll Health System’s vision and mission of excellence and integrated care delivery. The staff nurse practices within the established standards of practice, ethical guidelines, policies and guidelines reflective of the American Nurses
Association (ANA) and their specialty service line. The staff nurse completes specific duties and vice line or area of primary work assignment.

ESSENTIAL FUNCTIONS AND BEHAVIORAL EXPECTATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the
immediate supervisor and/or hospital administration as required.

STANDARDS OF NURSING PRACTICE ASSESSMENT
• Collects pertinent data through initial and ongoing focused assessments to analyze the patient’s condition and follows through with appropriate reporting and actions. Conducts comprehensive assessments of patients' physical, psychosocial, and emotional needs
• Utilizes appropriate tools to gather relevant data to inform patient care decisions

DIAGNOSIS/ANALYSIS
• Analyzes assessment data to determine actual or potential diagnoses, problems, and issues
• Verifies the diagnoses, problems, and issues with the healthcare consumer and interprofessional colleagues

OUTCOMES IDENTIFICATION
• Identifies expected outcomes for a plan individualized to the patient or situation
• Collaborates with the patient/family to define outcomes integrating culture, values, and ethical considerations
• Works collaboratively with other healthcare team members which may include other RNs, Licensed Vocational Nurse (LVN), Advanced Practice Nurse Practitioners (NP), Physician Assistants (PA), Physicians and Medical/Nursing Assistants and administrative support staff to address patient needs promptly

PLANNING
• Develops, prioritizes, implements, and modifies an individualized evidence-based plan of care in partnership with the person, family and healthcare team
• Contributes to creating an environment that is patient focused, family centered and is designed to provide continuation of care and patient transition management
• Advocates for compassion, responsible, and appropriate use of interventions

IMPLEMENTATION
• Administers medications and therapeutic treatments using appropriate devices per clinical guidelines and orders
• Recognizes and intervenes to address abnormal responses to medication therapy and initiate's corrective therapy
• Escalates patient care concerns or changing status until resolution is achieved

COORDINATION OF CARE
• Initiates appropriate referrals to the healthcare team based on assessed patient needs
• Communicates with the patient/family, interprofessional team, and community-based resources for safe transitions in continuity of care
• Ensures continuity of care by communicating effectively with patients, families, and healthcare providers
• Acts as a liaison between specialties and sub-specialties, coordinating referrals and follow-up appointments as needed to support the patient continuity of care between inpatient and outpatient care
• Performs phone triage, manages prescription renewals, and coordinates follow-up appointments and care plans tailored to patients’ needs if working in an ambulatory setting

HEALTH TEACHING AND HEALTH PROMOTION
• Identifies barriers to learning, develops and implements education plan based on assessed patient/family needs
• that reflects the patient/family values, beliefs, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture and socioeconomic status
• Uses health promotion and teaching methods, including technologies to communicate health promotion and disease prevention

EVALUATION

 Evaluates and reports pertinent patient response to interventions based on evidence-based
best practice
• Evaluates progress toward attainment of expected outcomes and revises plan as necessary

LICENSE, EDUCATION AND/OR EXPERIENCE:
 BSN preferred.
Current RN license in the State of Texas.

CERTIFICATES, REGISTRATIONS.
• American Heart Association Basic Life Support (CPR) continuously maintained. May onboard with AHA or Red Cross CPR and then transition to AHA upon first renewal.
• Advanced Specialty Courses (ASC) according to Attachment A
o ASC courses should be taken at earliest opportunity but must be completed within time frames specified on Attachment A and continuously maintained ongoing.
• National Certification in specialty must be attempted within 4 years of hire date for eligible role and continuously maintained thereafter.

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Participates in the hospital's quality improvement program; collaborates in setting unit standards of care and monitors indicators of quality projects. Provides direct patient care using consistency in assessing current patient care situations, priorities, and needs. Provides safety, comfort care, and treatment of patients according to established legal, ethical, and institutional standards. Serves as a consultant to patients, families, and staff. Quality And Practice Advisor: Establishes and monitors care standards and makes recommendations for changes in area of clinical practice based on professional standards and evidence. Demonstrates a minimum of proficient level understanding of daily patient care, providing collaboration, direction, and instruction to the staff in the application and utilization of the nursing process. Maintains and teaches others the specialized knowledge and skill necessary to perform techniques and routines in the specialty service area. Consults within nursing services and interprofessional teams in planning, development, execution and evaluation of in the delivery of care to improve quality outcomes and practice compliance. Basic understanding of quality improvement cycles and change management. Participates in the hospital's quality improvement program and monitors indicators of quality and safety trends. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Clinical Nurse Specialist Education: Master's degree in a work-related discipline/field from an accredited college or university. Experience: Three (3) years of progressively responsible and directly related work experience. License/Certification: Registered Nurse by California Board of Registered Nursing Clinical Nurse Specialist by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support Quality And Practice Advisor: Education: Bachelors degree in Nursing; Proof of enrollment in an accredited Clinical Nurse Specialist (CNS) program (preferred). Experience: Three (3) years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse (RN); BLS for healthcare providers; advanced life support for area of specialty (NRP/PALS/ACLS) AND must have a certification in their field of specialty KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. Clinical Nurse Specialist: Ability to communicate effectively, both orally and in writing. Ability to conduct research, document results, draw conclusions and make recommendations. Ability to develop and perform patient assessment and plan of care. Ability to identify competency-based education needs of and implement educational programs for staff. Ability to perform patient assessment and triage. Ability to provide consultation to physicians, nurses and other health care providers in meeting care needs of patients. Ability to provide direct evaluation and consultation to patients. Knowledge of advanced clinical practice education, consultation, research, and administration. Knowledge of clinical operations, workflow and procedures. Knowledge of principles and processes for providing customer and personal services including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of the principles, practices and objectives as well as issues and developments in the field of nursing, especially as applied to the area of nursing specialty. Skill: Advanced nursing skills in area of specialty. Quality And Practice Advisor: Ability to communicate effectively, both orally and in writing. Ability to conduct research, document results, draw conclusions and make recommendations. Ability to develop and perform patient assessment and plan of care. Ability to identify competency-based education needs of and implement educational programs for staff. Ability to perform patient assessment and triage. Ability to provide consultation to physicians, nurses and other health care providers in meeting care needs of patients. Ability to provide direct evaluation and consultation to patients. Ability to speak, read, write, and understand English effectively at a level appropriate for the safe and effective performance of the job. Knowledge of advanced clinical practice education, consultation, research, and administration. Knowledge of clinical operations, workflow and procedures. Knowledge of principles and processes for providing customer and personal services including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of the principles, practices and objectives as well as issues and developments in the field of nursing, especially as applied to the area of nursing specialty. Skill: Advanced nursing skills in area of specialty. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Clinical Nurse Specialist: Minimum to Midpoint Range (Hourly): $87.14 to $108.92 Quality and Practice Advisor: Minimum to Midpoint Range (Hourly): $79.03 to $98.79 Additional Information Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.