Registered Nurse ER .6 FTE (DAY)

Okanogan County Public Hospital District #3•Omak, WA

15h•$41 - $74•Onsite

About The Position

This position involves planning work assignments to meet the needs of patients and peers, ensuring effective communication within the Acute Care area and other hospital departments, and planning for the administration of policies and procedures. The role requires forecasting the need for special equipment and supplies, coordinating activities with the Acute Care supervisor, and utilizing knowledge of medical, surgical, and pediatric procedures for patient care. The Registered Nurse will coordinate daily patient care with staff and physicians, organize their time effectively, and identify patient, physician, and staff needs to set priorities. Adherence to standards of care, department objectives, and hospital policies and procedures is essential. The role includes identifying deficiencies in patient care and initiating corrective action, participating in appropriate committees, and potentially completing RN/LPN chart reviews in the EMR System if team leading. Effective communication with nursing staff, physicians, and other hospital staff is crucial, as is communicating anticipated and critical changes in patient care to the supervisor and physician. The position serves as a professional role model, participates in the administering and assessment of nursing care, and identifies and participates in activities to meet patient needs and maintain self-motivation. Regular attendance at general in-service programs, unit in-service, and other educational experiences is expected. Developing skills for effective delegation of responsibilities and participating in goal setting for self and department are also key aspects. Recommendations to the Acute Care Supervisor for activities benefiting nursing staff are encouraged. Specific nursing assessment and documentation requirements include obtaining and completing nursing assessments within 2 hours of admission, identifying and documenting psychosocial needs and patient/family expectations, and providing and documenting appropriate patient teaching. Alertness and skill in recognizing and identifying symptoms, with appropriate action taken, are required. Prioritization and care based on problem-solving needs, with the ability to complete work within scheduled time, are necessary. The role involves responsibility for medication administration, blood transfusions, IV medications and fluids, starting IVs, special treatments, bedside nursing care, serving trays, answering lights and telephones, admitting, transferring, and discharging patients, maintaining supplies and equipment, and providing appropriate patient teaching. Familiarity with basic cardiac rhythms, emergency drugs and equipment, and completing charting each shift are required. Performing or appropriately delegating ADL's for patients, assisting physicians with procedures, understanding basics of post-partum and nursery care, and performing appropriate discharge teaching are also part of the responsibilities. Accurate documentation and knowledge of procedures for handling the deceased are required. The Registered Nurse must understand and be able to explain advanced directives to patients when requested and interact with other team members to keep them informed of any changes in patients' condition. Checking narcotics with each shift change or as procedure dictates, participating in teaching and orienting co-workers, and documenting continuing education are also expected. Planning work assignments to meet patient and peer needs, keeping the primary physician informed of patient's condition and any acute changes are general responsibilities. Reporting for scheduled shifts on time and prepared, wearing proper uniform, adhering to meal break times, varying work schedules as needed, obtaining approval for overtime, scheduling time off with approval, and strictly adhering to attendance/tardiness policies are required. Performing all duties as assigned and wearing an I.D. badge visibly at all times are mandatory. Attending and participating in meetings, being responsible for information communicated, and attending all mandatory in-service programs are required. Participating as an active team member at staff meetings and reading communications and acting upon them positively and informatively are also expected. Assisting all patients, family members, physicians, visitors, and employees in a professional and courteous manner, extending special attention and sensitivity, and assisting in maintaining an atmosphere of cooperation with other departments and allied professionals are crucial. Demonstrating respect and cooperation in all staff relationships, a genuine willingness to prevent or resolve inter-personal conflicts, and the ability to participate in and/or implement team decisions are important. Actively participating in and encouraging actions that promote good public relations and working in a spirit of teamwork are expected. Sharing information on a "need to know" basis is required. Following Infection Control procedures at all times, strictly adhering to standard precautions by using personal protective equipment when handling blood or body fluids, and adhering to isolation procedures as applicable are mandatory. Demonstrating adequate knowledge of safety policies and procedures, the use of MSDS sheets, hazardous material procedures, and safety codes (Code Blue, Code Gray, Code Silver, Code Amber, Code Red, Code Orange, Rapid Response Team) is required. Demonstrating adequate knowledge of security issues, including personal protection and protection of personal and hospital property, is also necessary. Familiarity with the collective bargaining agreement of the USNU and Mid-Valley Hospital is required. Demonstrating the ability to adapt to varied age-specific patient populations is essential.

Requirements

Graduated from an accredited School of Nursing.
A minimum of one year acute care nursing.
Current state nursing licensure.
ACLS and PALS required, TNCC within 1 year
CPR is required.
Ability to communicate clearly and effectively: delegate and coordinate through leadership skills.
Ability to communicate with people of diverse backgrounds and educational levels; i.e. patients, families, employees, physicians, etc.

Nice To Haves

Bachelor of Science in Nursing, Masters in Nursing

Responsibilities

Plans work assignment to meet the needs of the patients and peers.
Plans for effective communications in the Acute Care area and other hospital departments.
Plans for administration of policies and procedures.
Forecasts need for special equipment and supplies for specific procedures coordinating activity with Acute Care supervisor.
Utilizes knowledge of skills in medical, surgical, and pediatric procedures as a basis for implementing patient care.
Coordinates daily patient care with staff and physicians.
Organizes own time effectively.
Identifies patient, physician and staff needs and sets priorities accordingly by communicating with all involved personnel.
Adheres to standards of care, department objectives and individual objectives.
Follows the hospital and nursing department policies and procedures.
Identifies deficiencies in patient care and initiates corrective action.
Participates on appropriate committees.
If team leading, an LPN, will complete the RN/LPN chart review in the EMR System
Communicates effectively with nursing staff, physicians, and other hospital staff.
Communicate anticipated and critical changes in patient care to supervisor and to physician.
Serves as a professional role model.
Participates in the administering and assessment of nursing care.
Participates in activities to identify and meet patient needs.
Participates in unit activities.
Identifies and participates in activities to maintain self-motivation.
Regular attendance at general in service programs, unit in service and other educational experiences.
Develops skills for effective delegation of responsibilities in working as a team
Participates in goal setting for self and department.
Recommends activities to the Acute Care Supervisor that will benefit the nursing staff in general.
Nursing assessment is obtained and completed within 2 hours of admission.
Psychosocial needs and perception of patient and/or family expectations of present hospitalization are identified and documented.
Appropriate teaching given and documented.
Alertness and skill in recognizing and identifying symptoms. Symptoms are recognized and appropriate action taken (ex: notify physician if patient has unrelieved pain from medication ordered, offer prn medications, etc.).
Set priorities and give care based on problem solving needs. Ability to complete work within scheduled time.
Take responsibility for such activities and follows hospital policy and procedure for the following: Giving medications following procedure, Blood Transfusions, IV Meds, IV Fluids, Starting IV’s, Special treatments (i.e. respiratory, dressing changes, ect), Providing bedside nursing care, Serving trays, Answering lights and telephones, Admitting, transferring and discharging patients, Maintaining supplies and equipment, Appropriate patient teaching concerning routine hospital procedures and special procedures regarding their condition, Being familiar with basic cardiac rhythms, emergency drugs and equipment, Complete charting each shift, Performing or appropriately delegating ADL’s for patient, Assisting physician with procedures such as chest tube placement, paracentesis thoracentesis, suturing of wounds etc., Understands basics of post-partum and nursery care, Does appropriate discharge teaching including activity instructions, medication instructions, among others, Accurate documentation, Knowledge of procedures of handling the deceased.
Take responsibility for such activities and follows hospital policy and procedure for the following: Understands and is able to explain advanced directives to patients when Requested
Interacts with other team members to keep them informed of any changes in patients condition
Check narcotics with each shift change or as procedure dictates
Participate in teaching and orienting co-workers within the unit. Own performance sets desired example.
Participation and documentation of continuing education.
Appropriate areas of the medical record.
Plan work assignment to meet needs of the patients and peers.
Keep the primary physician informed of patient’s condition and any acute changes.
Reports for scheduled shift on time and prepared to assume responsibilities.
Reports to work in proper uniform or attire.
Leaves for meal break on time and returns on time.
Varies work schedule to meet the needs of the department.
Ensures the department head prior to working has approved all overtime.
Schedules all time off with supervisor’s approval.
Strictly adheres to hospital attendance/tardiness policies 100% of the time.
Performs all duties as assigned.
Wears I.D. badge in a visible location at all times on hospital property.
Attends and participates in meetings and is responsible for information communicated at meetings.
Attends all mandatory in service on a timely basis as scheduled.
Participates as an active team member at staffs meetings.
Reads communications and acts upon in a positive and informative manner.
Assists all patients, family members, physicians, visitors, and employees in a professional and courteous manner.
Extends special attention and sensitivity to all patients, visitors, physicians, and fellow employees.
Assists in maintaining an atmosphere of cooperation with other departments and allied professionals.
Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts.
Demonstrates the ability to participate in and/or implement team decisions.
Actively participates in and encourages actions that promote good public relations with patients’ families, visitors, and the community.
Works together in a spirit of teamwork.
Shares information on a “need to know” basis.
Follows Infection Control procedures at all times.
Clinical Personnel: Strictly adheres to standard precautions by adhering to the usage of personal protective equipment when handling blood or body fluids.
Non-Clinical Personnel: Washes hands and other skin surfaces with soap and water thoroughly and often in an effort to control spreading of germs within the department and facility.
Adheres to isolation procedures at all times as applicable.
Adheres to the following environmental care standards.
Demonstrates adequate knowledge of safety policies and procedures, the use of MSDS sheets, hazardous material procedures, and safety codes.
Code Blue, Code Gray, Code Silver, Code Amber, Code Red, Code Orange, Rapid Response Team
Demonstrates adequate knowledge of security issues, i.e. personal protection, protection of personal and hospital property.
Be familiar with the collective bargaining agreement of the USNU and Mid-Valley Hospital.
Demonstrates the ability to adapt to varied age-specific patient populations.