Overview: Summary:Under the supervision of a licensed RN, the graduate nurse is responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift and periodizing the delivery of care using time and resources efficiently integrating an evidence and standards based framework model. Type of Opportunity: Full Time FTE: 1.000000 Exempt: No Work Schedule: Varied Days and Hours Qualifications: Other information:*Associates in Nursing or Bachelors of Science in Nursing*Graduate of an academic School of Nursing required; *Minimum ADN or BSN Preparation; *State permit to practice as a Graduate Nurse required; *degree from an accredited academic school of nursing preferred*Permit to practice at the specific PHS facility is completed and approved by the NMBON*Permits to practice are valid until the NCLEX examination are disseminated but not to exceed the expiration date on the permit*Under the direct supervision of a licensed RN who is physically in the same facility and/or on the same unit who can observe, direct, and evaluate the performance of the GN*The Graduate Nurse must be scheduled to take the NCLEX exam. *Graduate RNs educated in the United States may take the exam a maximum of three times within three years of first being eligible for to sit for the exam. *The applicant must wait 45 days to retest after failing the exam and meet all the NCLEX requirements for retaking the exam. (Nurse Practice Act, NM Code R. 16.12.2.10 NMAC)*BLS Required Education:Essential:* Associate Degree Education specialization:Essential:* Nursing Credentials:Essential:* Graduate Permit (Nurse) Responsibilities: Responsibilities:*Graduate Nurse, Under the direct supervision of a Registered Nurse, assumes these responsibilities*Per unit and practice standards, provides direct patient care by assessing, planning, implementing,evaluating, and documenting individual patient needs, actions taken, and patient responses.*Coordinates patient care through collaboration with patient/family and healthcare team*Performs assessment per evidence-based standards and documents in EMR and any designeddocumentation platforms*Initiates, utilizes and documents appropriate protocols and standards of care*Administers medication and treatment as prescribed by physician, provider, or standard protocols anddocuments according to policy*Identifies and meets patient and family learning and discharge needs on admission and throughout episodeof care*Evaluates patient progression towards outcomes per unit standards and documents*Performs at basic competency levels in emergency situations*Delegates or assigns aspects of patient care to healthcare team members commensurate with theirvalidated competency to perform task*Assumes responsibility for clinical supervision of LPNs and non-licensed assistive personnel*Provides leadership through communication about and validation of patient care*Assists with various procedures, treatment, surgical techniques or assigns to other healthcare teammembers as appropriate*Completes yearly education per PARTE and PACCER modules and any unit specific requirements on time.*Demonstrates competencies in required psychomotor skills*Assumes professional responsibility for current nursing structure and clinical standards of care*Incorporates PHS MVV and CARES in caregiving*Supports DON philosophies of shared governance and models of care deliveries*Mandatory yearly in-service to include BLS, safety training, bloodborne pathogen/infection/TB training.*Participates in unit/department governance.*Documents own continuing education.*Participates in quality improvement activities.*Completes mandatory in-services, competencies and Graduate Nurse requirements on time.Caring PracticesIncorporates nursing activities that create a compassionate, supportive, and therapeuticenvironment for patients and staff with the aim of promoting comfort and healing and preventingunnecessary suffering. Critical Elements of Caring Practices Performance *Applies The Promise andincorporates into care interactions. *Applies Exceptional Patient Experience principles and incorporates into care interactions *Applies respect and timely response in interactions with patient, family, health care team members *Interacts with patient and family providing compassionate, non-judging, empathetic care Clinical Judgment and Action Uses clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the patient care situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence-based guidelines to manage patient care. Critical Elements of Clinical Judgment and Action Performance *Consistently uses the nursing process to structure and revise care *Anticipates, recognizes, and responds to changes in condition *Accurately communicates with healthcare team members to relay changes in patient status *Consistently provides care based upon need and urgency *Consistently applies patient safety principles *Develops, plans, and evaluate patient short and long term care goals. Charts problems, plans and goals appropriately in NICP *Consistently follows policies, procedures, standing order sets, care bundles, core measure practices *Consistently follows red rules: Patient identification and hand-washing *Seeks consultation if uncertain on how to respond to patient needs *Adjusts care to establish and support care goals *Integrates technology into daily care of patient by appropriate initiation of technology, maintenance, troubleshooting, and discontinuation *Consistently and accurately documents care per policies & standards Patient AdvocacyWorks on behalf of the patient/family representing their concerns and helps resolve ethical and clinical issues that impact the patient situation. Critical Elements of Patient Advocacy Performance *Maintains patient confidentiality/personal/medical information *Identifies ethical and clinical issues *Acts with integrated healthcare team using appropriate resources to resolve ethical/clinical issues *Advocates for patient needs, values, and goals *Compliance with JC Rights and responsibilities of the Individual elementsClinical InquiryUses high standards and evidence-based practices along with questioning, research and evaluation skills to provide informed and/or change practice Critical Elements of Clinical Inquiry Performance *Supports process/quality improvement initiatives and incorporation into practice *Follows and is informed on Department outcome measures *Actively participates in changes in practice/roll outs *Seeks advice and consultation on care from colleagues and interdisciplinary teamCollaborationInvolves multidisciplinary team as well as patient/family to promote optimal and realistic goals and outcomes Critical Elements of Collaboration Performance *Provides and coordinates independent, interdependent, and dependent care interventions with interdisciplinary care team *Selects appropriate Screenings from HED to facilitate interdisciplinary care when needed *Appropriately delegates care, monitoring delegated team members care and responds as appropriate with the goal of optimizing care *Interactions with care team in respectful, professional mannerFacilitation of LearningFosters patient/family learning to promote self-care using both formal and informal processes as applicable and at an appropriate level of understanding. Critical Elements of Facilitation of Learning Performance *Self: Completes all required learning modules, programs in specified time *Self: Uses available resources within system to enhance own continuous learning *Self: sets and achieves learning and performance goals yearly *Self: Consults, teaches, supports continuous learning with colleagues *Self: Actively seeks learning/mentorship *Patient: Assess patient's learning style, readiness to learn, challenges to learning and adapts patient education to meet needs *Patient: Incorporates patient in learning about diagnosis(es), care management, medications using appropriate verbal and written communication tools/resourcesResponse to DiversityUses holistic body, mind, spirit approach in provision of care by recognizing, appreciating, and incorporating cultural, spiritual, gender, race, ethnicity, lifestyle, socioeconomic, age, and value differences in practice. Critical Elements of Response to Diversity Performance *Provides communication/ medical interpretation services for population served based upon language preference *Consistently provides care to population served with appreciation to diversity elements as designated above *Consistently communicates and documents patient diversity needs *Uses PHS established internalresources and vendorsSystem ThinkingManages environmental and system resources across the healthcare system and community to meet patient/family needs or provision of quality care. Critical Elements of Systems Thinking Performance *Utilizes internal and PHS resources to provide evidence based care including policy, protocols, procedures, approved specialty resources *Incorporates all patient safety technology, tools, protocols, communications, and initiatives to optimize a safe patient environment *Deploy in the clinical environment processes to enhance care efficiency, cost containment *Plan, maneuver, and deliver services/technology that are available within the system to meet the care needs of the patient *Negotiates within the system to achieve the care needs of the patientMeets professional requirements as follows:*A. In-service requirements:*1. Age-specific training (care-giving, treatment, assessment specific to the age of populations served)*2. Mandatory yearly in-service education including requirements called out by regulatory, content includedin PARTE, PACCER completed on time*B. Performance Standards*1. Adheres to PHS HR policies including Dress Codes, Time and Attendance, Mandatory Requirements forjob; Safety*2. Adheres to all PHS clinical policies as applicable for area of practice*3. Follows the CARES Commitments*4. Follows the Clinical Practice Standards Benefits: We offer more than the standard benefits! Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more! Learn more about our employee benefits: https://www.phs.org/careers/why-work-with-us/benefits Why work at Presbyterian As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more. Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans. About Presbyterian Healthcare Services Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. About Our Regional Delivery System Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities. We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come. About New Mexico New Mexico continues to grow steadily in population and features a low cost-of living. Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes. New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Maximum Offer for this position is up to: USD $51.00/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.