**Description:**
St. Joseph Medical Center, part of CHI Franciscan Health, has exciting and rewarding careers with competitive salaries and benefits. We are a part of a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.
Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!
Job Summary
This job is responsible for providing a wide variety of professional nursing services which focus on the provision of quality patient care consistent with Franciscan Health System (FHS) standards/values, applicable regulatory requirements and scope of practice for the nursing profession. Work also includes developing, implementing and assessing the patient plan of care during time of stay in collaboration with physicians, interdisciplinary teams, and the patient/family. An incumbent is engaged in direct patient care, including assessing, planning, coordinating, evaluating and delegating work to members of the patient care team, and for providing education and consultation with patients, families, physicians and other staff members in implementing appropriate nursing interventions for optimal patient care.
Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician. Requires the use of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, seek resources at the unit/department level, and delegate appropriate tasks.
This position is responsible for providing care for the emergency patients presenting with a wide variety of medical conditions across all populations.
Essential Duties
* Adheres to the department’s and hospital’s policies and procedures, including safety, risk management and regulatory standards. Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility.
* Administers, oversees and documents the administration of medications (e.g., topically, orally, intramuscularly, subcutaneously and intravenously) as ordered by the healthcare practitioner and in accordance with hospital policy.
* Assesses patient to include physical, psychosocial, cultural, behavioral/emotional, developmental and spiritual needs. Gathers data relevant for patient care. Implements appropriate patient interventions and evaluates outcomes. Plans care appropriately based on needs identified during initial and on-going assessments. Provides holistic, comprehensive, and professional nursing care to patient within the scope of practice. Implements appropriate patient interventions and evaluates outcomes. Prepares patient for discharge and assists with coordinating post discharge needs.
* Cultural Sensitivity and Competence: Demonstrates proper use of available communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Populations Served: Demonstrates knowledge and proper skills associated with the department’s defined specific populations served.
* Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self accountability to meet stated deadlines for all mandatory requirements.
* Documents care delivered and patient status utilizing the nursing process in accordance with FHS standards of care, for example, changes in patient condition, patient responses to intervention and reassessments of pertinent findings. Receives and assures appropriateness, accuracy, timeliness and execution of physician orders.
* Identifies opportunities for, and participates in, performance/quality improvement activities to improve clinical outcomes, healthcare delivery systems and address patient safety/satisfaction and cost containment.
* Incorporates critical thinking into daily practice as demonstrated by quality of care provided, transfer of knowledge, follow through and patient outcomes. Leads, coordinates, and communicates the ongoing delivery of patient care services provided by members of assigned patient care teams(s); considers patient acuity and the competencies of care team members in delegating and assigning work and in adjusting assignments as necessary; assesses and monitors team performance to ensure the quality of care provided is consistent with the FHS standards and regulatory requirements. Coordinates nursing care and advocates for patient needs so that all appropriate disciplines are informed of and participating in the plan of care.
* Prepares patient for examination/procedure. Routinely explains delays. Assesses, monitors, and intervenes as indicated during and post examination or procedure.
* Provides health care education and guidance to patient and/or families. Educates regarding results, findings and diagnoses to patient and/or patient’s family within scope of practice.
* Assess and manage patients with varying acuity and conditions, from minor/non-urgent to critical/emergent, across all populations and age groups.
* Provide stabilization and emergency care for patients to include special procedures such as: triage; orthopedic splinting; cardiac pacing, cardioversion, and defibrillation; eyes, ears, nose and throat procedures (i.e., Morgen lens insertion, irrigation, nasal packing); wound repair; complex medication administration (to include complex drips); cardio-respiratory resuscitation; gynecological and obstetrical procedures (i.e., precipitous delivery and sexual assault management); multi-system trauma care (i.e., c-spine immobilization, use of auto-transfuser, Level 1 warmer); management of psychiatric emergencies; management of pediatric emergencies; decontamination procedure for biological, chemical, or nuclear exposures.
* Performs related duties as required.
Additional Responsibilities
* Adheres to and exhibits our Core Values of/Reverence, Integrity, Compassion and Excellence./
**Qualifications:**
Education/Work Experience Requirements
* Graduation from an accredited school of nursing. Possession of a BSN degree is preferred.
* Previous E.D. experience current within the last 2 years preferred, OR
* Critical care experience, current within the last 2 years preferred, OR
* New graduate or RNs without E.D. or Critical Care experience AND successful completion of the E.D. residency program.
Licensure/Certification
* Current licensure as a Registered Nurse issued by the Washington State Board of Nursing.
* Specialty certification, as appropriate to the assigned work unit, is strongly preferred.
* Must maintain current Basic Life Support (BLS) – CPR and Advanced Cardiac Life Support (ACLS) (1-month grace period allowed for ACLS if expired).
* Completion of a NRP (Neonatal Resuscitation Provider) class is required at sites that do not provide labor and delivery services within twelve months of date of hire and must be maintained as current thereafter.
* Trauma Nurse Core Curriculum (TNCC) within twelve months of date of hire. Certification must be maintained as current thereafter.
* National Institutes of Health Strokes Scale (NIHSS) certification within six months of date of hire, and maintained as current thereafter.
* Emergency Nurse Pediatric Certification (ENPC) OR Pediatric Advanced Life Support (PALS) within twelve months of date of hire. Certification(s) must be maintained as current thereafter.
* Neonatal Resuscitation Program (NRP) and/or Certified Emergency Nurse (CEN) certification is preferred.
/Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic./
/CB//
**Job:** Nursing - RN
**Primary Location:** WASHINGTON-TACOMA-ST JOSEPH MEDICAL CENTER
**Shift:** 1
**Scheduled Hours per 2-week Pay Period:** 72
**Weekends Required:** Every Other
**Req ID:** 1500007717