Registered Nurse (RN) - Acute Care, Neurosurgical ICU, FT, Nights

Prisma Health•Richland, WA

7d•Onsite

About The Position

Provides clinical direction for patient care in an acute inpatient setting, fostering patient- and family-centered care. The RN uses evidence-based practices throughout assessment, planning, implementation, evaluation, and outcomes, and incorporates safety protocols, cost containment, and quality improvement into nursing care. The position identifies patient, unit, and organizational priorities and complies with organizational policies, procedures, and regulatory requirements while practicing within the scope of the Nurse Practice Act. The role is based in Prisma Health Richland Hospital’s 16-bed Neurosurgical Intensive Care Unit, which cares for critically ill patients with nervous-system injuries or diseases. Common cases include post-operative craniotomies or tumor resections, interventional radiology procedures, ischemic or hemorrhagic stroke, subarachnoid hemorrhage, post-TPA care, brain tumors, and arteriovenous malformations. The nurse works with a multidisciplinary team and receives education specific to neuroscience patients. Nurses also assist practitioners during bedside procedures, including IVD placement, central venous catheter insertion, and intubations. The RN assesses patients, develops and updates individualized plans of care in collaboration with patients, families, providers, and the interdisciplinary team, provides direct care, delegates tasks appropriately, monitors safety and care quality, and evaluates outcomes. The role includes patient and family education, discharge planning, documentation, communication, and ongoing professional development. The acute inpatient setting may require weekend, holiday, and on-call work.

Requirements

Associate degree in Nursing, or a nursing diploma with licensure to practice as a registered nurse.
One year of experience as a registered nurse, or an accepted equivalent: successful completion of the Prisma Health Nurse Residency Program or a comparable residency; for internal candidates within the same service line, one year of licensed practical nurse experience may also qualify in lieu of RN experience.
Current RN compact/multistate license recognized by the NCSBN Compact State, or license to practice as an RN in the state where the team member works.

Nice To Haves

Bachelor’s degree in Nursing preferred.

Responsibilities

Collect patient data and complete nursing assessments using appropriate area- and age-specific standards, policies, and tools; recognize changes in patient status and response to interventions; identify and document nursing priorities.
Develop individualized plans of care in collaboration with patients and/or families, providers, and other interdisciplinary team members; update and communicate plans as patient conditions change.
Identify realistic, measurable goals and outcomes with patients and/or families, including goals to be attained before discharge.
Respect patients’ and families’ cultural, spiritual, and belief systems when planning care.
Plan for discharge and continuity of care, including transitions between levels of care and appropriate referrals.
Provide direct care consistent with the established nursing plan and perform tasks within RN scope of practice and applicable organizational, departmental, and unit policies.
Delegate nursing tasks appropriately, prepare written assignments when appropriate, and ensure assigned tasks are completed.
Continually monitor care quality and conduct appropriate surveillance of assigned patients.
Coordinate and organize care according to patient and unit priorities, use internal and external resources and appropriate technology, and incorporate cost-containment principles.
Maintain patient safety by following safety procedures, protocols, and patient-care standards.
Use performance indicators to collect data and monitor the quality and effectiveness of nursing care; complete assigned hospital or unit performance-improvement monitoring and audits.
Evaluate patient responses and plan-of-care effectiveness, document progress, revise plans as needed, report condition changes, and refer unresolved problems to appropriate team members.
Discuss patient outcomes with peers during shift-to-shift reporting and with other healthcare team members.
Identify quality-improvement opportunities and incorporate appropriate performance-improvement recommendations into care plans.
Assess patient and family learning needs; provide and evaluate education using familiar language, examples, patient and family participation, computer resources, and Micromedex.
Communicate patient and family education needs to others in the healthcare continuum.
Evaluate personal nursing practice against professional standards, statutes, policies, procedures, regulations, and current knowledge; maintain competency, licensure, and required education, and reflect on areas for improvement.
Ensure written documentation and oral communication contain pertinent information needed to meet patient and family care needs.
Advocate for patients and coordinate care collaboratively with providers and other healthcare team members.
Perform other duties as assigned.