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GN Residency Med/Surg Oncology

Description - External
Graduate Nurse Residency - October 2022 
Are you looking for a rewarding career with an award-winning company? We’re looking for a New Graduate Nurse to join our Texas Health family. 
Position Highlights 
  • Work location: Texas Health Stephenville 411 N Belknap St, Stephenville, TX 76401 

  • Work environment: Med/Surg
  • Work hours: Full-time, (3)-12 hour shifts; Rotating weekends, Holidays, and on call shifts required
 
Texas Health Harris Methodist Hospital Stephenville is a full-service, 98-bed hospital serving Erath and surrounding counties since 1926. The hospital offers surgical services, women’s and infants’ services, advanced diagnostic imaging, sleep lab and a wound care program. Texas Health Stephenville has received accreditation as a Level IV trauma center, Cycle III Chest Pain Center by Society of Chest Pain Centers and Breast Imaging Center of Excellence. The hospital was named a Baby-Friendly Hospital by the World Health Organization and received Pathway to Excellence® designation by the American Nurses Credentialing Center. Stephenville is about an hour away from Fort Worth, so if peaceful surroundings in a rural area are the style you're looking for in your career, consider Texas Health Stephenville. 
 
Graduate Nurse Residency Program Overview 
 
The Texas Health Nurse Residency Program is a comprehensive, evidence based on-boarding program with a 15 month employment commitment that offers new graduate nurses an exciting opportunity to gain the experience, judgment, skills and confidence to successfully navigate the complexity of hospital life.  
Integrated into a Hospital’s education structure, the Texas Health Nurse Residency Program includes a guided clinical experience with an instructor-led core curriculum, a formal mentoring program, informative debriefing/self-care sessions and supportive 360-degree evaluations. Residents not only participate in the learning experience on their personally selected home units, they also rotate through other departments to gain an expanded nursing experience vital to the complex patient care. 
Qualifications - External
Please provide the following during the application: 
 
 • Resume  
 • Official nursing school transcript (Unofficial transcript accepted until official is available) 
 • Exemplar/Essay: In one-to-two pages, tell a story of a clinical situation that was especially meaningful to you as a student nurse and that has helped shape your practice today 
 
Position Qualifications 
• ADN (Associates Nursing Degree) is required upon hire; BSN preferred  
• Graduated within the last 12 months preferred  
• Less than one-year experience at the time the residency begins preferred  
• Have not previously completed a THR nursing residency preferred 
• Enrolled or completed a DEU with THR preferred 
• Current RN licensure (Texas or Compact State). Boards MUST be passed, and results verified by noon the Wednesday prior to start date. 
• BCLS - Basic Cardiac Life Support prior to providing independent patient care and maintained quarterly required  
 
Why Texas Health As a Texas Health Registered Nurse you’ll enjoy top-notch benefits including 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, wellness programs to keep you and your family healthy, tuition reimbursement, a student loan repayment program and more.  
At Texas Health, our people make this a great place to work every day. Our inclusive, supportive, people-first, excellence-driven culture make Texas Health a great place to work.  
Here are a few of our recent awards: 
  • 2021 FORTUNE Magazine’s “100 Best Companies to Work For®” (7th year in a row) 

  • Becker's Healthcare "150 Great Places to Work in Healthcare" (4 years running) 

  • “America’s Best Employers for Diversity” list by Forbes 
  • A “100 Best Workplaces for Millennials" by Fortune and Great Place to Work®  
 
Additional perks of being a Texas Health Registered Nurse:  
  • Gain a sense of accomplishment by contributing in a teamwork environment 

  • Positively impact patients’ quality of life 

  • Receive excellent mentorship, comprehensive training and dedicated clinical leadership resources 
  • Enjoy opportunities for growth 
 
Explore our Texas Health careers site for info like BenefitsJob Listings by Category, recent Awards we’ve won and more.  
 
Do you still have questions or concerns? Feel free to email your questions to THRGN@texashealth.org
 
Job Description
1. Basic Human Needs - Responds to others' priorities regarding safety, physical, psychological and social needs.

The professional nurse exhibits understanding of basic human needs by demonstrating:

a. Attention to emotional, social, and self-esteem needs

b. Regular assessment and maintenance of comfort

c. Knowledge of basic physiology and pathophysiology

d. Knowledge of human emotions during health and illness

e. Knowledge of human development across the life span

f. Knowledge of pain and suffering, pain interventions and pain comfort/theories.

g. Provides safe patient care as evidenced by:

1. Using barcode medication verification (BMV) during medication administrations

2. Completing accurate documentation in the electronic health record

3. Completing assessments accurately and in a timely manner

4. Individualizing care plans specific to the needs of the patient

5. Providing consistent attention to airway, intake, elimination, sleep, rest, mobility and hygiene needs 5%

2. Human Respect - Honors worth of humans through unconditional acceptance as evidenced by:

a. Handling of the body with care

b. Demonstrating knowledge of patient rights and incorporating into daily practice

c. Calling patients by their preferred name

d. Demonstrating use of eye contact and physical contact appropriately

e. Speaking respectfully and professionally in a soothing tone 5%

3. Appreciation of Unique Meanings - Concerned with understanding others frame of reference.

The professional nurse demonstrates an appreciation of unique meanings by:

a. Using active listening

b. Exemplifying a non-judgmental attitude

c. Tolerating both positive and negative ideas or expressions

d. Demonstrating flexibility

e. Eliciting patient values and preferences

f. Recognizing and appreciating diversity

g. Developing personal relationships with patients/significant others 5%

4. Affiliation Needs - Engages family/caregivers in health care situations.

The professional nurse demonstrates recognition and understanding of affiliation needs by:

a. Demonstrating knowledge of individual patient's family situation and routines

b. Demonstrating knowledge of family theories

c. Being responsive to families

d. Engaging family members in health decisions per patients' wishes

e. Allowing family members' presence

f. Involving family

g. Conducting routine family meetings

h. Sharing available resources with families

i. Establishing, maintaining and discontinuing appropriately therapeutic relationships with patients/families 5%

5. Mutual Problem Solving - Professional behaviors that help patients and families understand how to confront, learn about, and think about their health and illness; involves a reciprocal, shared approach with resulting decisions acceptable to involved parties.

The professional nurse demonstrates mutual problem solving by:

a. Providing information, using up to date literature, approved tools including EMMI and demonstrates knowledge of patient's unique learning approach.

b. Validating patient knowledge through use of teach back method

c. Accepting feedback from patients and adopting patient ideas

d. Prioritizing and individualizing care delivery based on professional judgment

e. Using listening skills and demonstrating knowledge of how to engage others 5%

6. Attentive Reassurance - Listens and concentrates on others. Is reliable, available and attentive.

The professional nurse demonstrates attentive reassurance by being:

a. Optimistic

b. Accessible to patients and families

c. Available and re-confirming that availability

d. Confident; demonstrating assertiveness knowledge

e. Reassuring

f. Self-reliant and demonstrating self- knowledge

g. Clarifying misperceptions-Using HEART as needed 5%
Job Qualifications
Education Associate's Degree Nursing Req Bachelor's Degree Nursing Upon hire Pref Experience Acceptance into a THR residency program Req Licenses and Certifications RN - Registered Nurse Upon Hire Req And BCLS - Basic Cardiac Life Support prior to providing independent patient care and maintained quarterly Req Skills A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment. Supervision Individual Contributor ADA Requirements Extreme Heat 1-33% Extreme Cold 1-33% Extreme Swings in Temperature 1-33% Extreme Noise 1-33% Working Outdoors 1-33% Working Indoors 67% or more Mechanical Hazards 1-33% Electrical Hazards 1-33% Explosive Hazards 1-33% Fume/Odor Hazards 67% or more Dust/Mites Hazards 1-33% Chemical Hazards 34-66% Toxic Waste Hazards 1-33% Radiation Hazards 1-33% Wet Hazards 1-33% Heights 1-33% Other Conditions 1-33% OSHA Tasks involving exposure to blood, body fluids, or tissues. Physical Demands Medium Work
Job Description Overflow
7. Encouraging Manner - The professional nurse communicates an attitude that is supportive, open, positive and tolerant by demonstrating:

a. Knowledge and effective use of THR communication tools (AIDET, HEART, Team STEPPs)

b. Supportive verbal and non-verbal demeanor

c. Enthusiasm

d. Positive feedback

e. Supportive view of the system

f. Empowering, inspiring behaviors 5%

8. Healing Environment - The professional nurse creates settings that provide privacy, safety, confidentiality and tranquility demonstrated by:

a. Establishing a safe environment

b. Using frequent checks/surveillance including national patient safety goals(NPSG)

c. Providing safety information and associated teach-backs

d. Validating the call system is in place

e. Completing accurate, timely and comprehensive hand offs

f. Maintaining privacy and confidentiality

g. Ensuring clean and pleasant surroundings

h. Demonstrating knowledge of and effectively using TeamSTEPPS safety/communication tools.

i. Demonstrating knowledge of current evidence related to prevention of adverse outcomes.

j. Using safety enhancing technologies recognizing the benefits and limitations of them.

k. Demonstrating understanding of the ethical standard, fidelity 5%

Teamwork -- "Individuals caring for individuals, together"

1. Communicates and collaborates with all members of the health care team:

a. Delegates effectively by making efficient use of staff time and expertise

b. Uses SBAR format in communicating with physicians and other interdisciplinary team members

c. Uses hand off communication tool and/or processes appropriately for any change in caregivers across shifts and departments.

d. Identifies patient needs and coordinates care and resources to facilitate patient throughput/flow

e. Manages up other team members, intra and inter-departmentally looking for opportunities to positively recognize co-workers to leaders, patients, families and team.

f. Demonstrates flexibility and helps co-workers when needed

g. Follows attendance commitments by being timely and reliable

2. Incorporates and participates in TeamSTEPPS

3. Promotes a cost effective team

a. Demonstrates judicious use of resources including supplies, products and equipment

b. Identifies ineffective and costly practices and provides suggestions for improvement

c. Incorporates innovation and technology in daily practice to enhance efficiencies

4. Leads by example by giving priority to doing the right thing for patient care

5. Adapts to changes in workload by demonstrating flexibility related to patient needs, staffing and patient acuity 25%

Shared Decision Making
Job Description Additional Overflow
a. Follows guidelines and recommendations defined by regulatory or professional practice agencies

b. Provides daily care that achieves outcome targets for core measures, NPSG, employee satisfaction, patient satisfaction, NDNQI and other unit/organizational metrics

3. Demonstrates commitment to lifelong learning and development.

a. Maintains annual competencies

b. Attends in-services and training useful to area of practice

c. Shares with peers evidence based practice updates, policy changes, new technology and other pertinent information from conferences or meetings.

4. Demonstrates a commitment to advancing the professional practice of nursing.

a. Incorporates ethical principles from the ANA Code of Ethics

b. Adheres to the Nursing Practice Act

c. Identifies realistic and measurable goals at least annually

d. Identifies and participates in MyJourney

e. Participates in advancing professional practice as evidenced by:

1. Advancing Education

2. Certification

3. NCAP participation for eligible nursing staff

4. Professional organization membership

5. Other as described in employee comments 15%