Registered Nurse (RN) - Acute Care, Orthopedic Spine, FT, Days

Prisma Health•Richland, WA

1d•Onsite

About The Position

Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient- and family-centered care. Demonstrates clinical competency using evidence-based practices and research throughout the nursing process: assessment, planning, implementation, evaluation, and outcomes. Incorporates safety protocols, cost containment, and quality improvement into care, and identifies patient, unit, and organizational priorities. Follows organizational compliance requirements, policies, and procedures, including licensure renewal, assigned training, employee health screenings, time and attendance, dress code, patient confidentiality, infection control, and medication administration. Demonstrates knowledge of regulatory requirements and provides care within the scope of the Nurse Practice Act. Scheduling may include weekends, holidays, and on-call work. The RN provides direct care to assigned patients, develops and updates individualized plans of care in collaboration with patients and families, providers, and the interdisciplinary team, and coordinates care and discharge planning. The role includes assessing patient status, setting and evaluating care goals, teaching patients and families, documenting and communicating pertinent information, monitoring care quality and safety, and participating in performance-improvement activities. This is a non-management position reporting to a supervisor, manager, director, or executive. The position is bonus eligible.

Requirements

Associate degree in Nursing; a nursing diploma with RN licensure may be accepted in lieu of the degree.
One year of experience as a registered nurse, or an accepted alternative: successful completion of the Prisma Health Nurse Residency Program or a comparable residency; or, for internal candidates within the same service line, one year of LPN experience.
Current RN compact/multistate license recognized by the NCSBN Compact State, or licensure to practice as an RN in the state where the team member works.
Ability to provide care within the scope of the Nurse Practice Act and comply with organizational and regulatory requirements.

Nice To Haves

Bachelor's degree in Nursing preferred.

Responsibilities

Collect patient data and complete nursing assessments using appropriate standards, policies, and tools; recognize changes in patient status and response to interventions.
Identify nursing priorities and document them, validating priorities with members of the healthcare team.
Develop individualized plans of care with the patient or family, provider, and interdisciplinary team; update and communicate plans as patient conditions change.
Identify measurable goals and outcomes with the patient or family, including goals to be achieved before discharge.
Respect patients’ and families’ cultural, spiritual, and belief systems in care planning.
Plan for discharge and continuity of care, including appropriate referrals and transitions between levels of care.
Provide direct care consistent with the established nursing plan and perform tasks within the RN scope of practice and applicable policies and procedures.
Delegate appropriate nursing tasks to healthcare team members and ensure assigned tasks are completed.
Monitor quality of care and conduct appropriate surveillance of assigned patients.
Coordinate and organize care according to patient and unit priorities, using available resources and appropriate technology while incorporating cost containment principles.
Promote patient safety by maintaining a safe environment and following safety procedures, protocols, and patient-care standards.
Use performance indicators to monitor the quality and effectiveness of nursing care and complete assigned performance-improvement monitoring and audits.
Evaluate patient responses to interventions and the effectiveness of the plan of care; document progress, revise plans as needed, report changes, and refer unresolved problems to appropriate team members.
Discuss patient outcomes with peers and other healthcare team members, including through shift-to-shift reports.
Identify opportunities for quality improvement and incorporate appropriate recommendations into care plans.
Assess patient and family learning needs; provide, implement, and evaluate teaching using familiar language and terminology, examples, and patient/family participation; use 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.
Ensure written documentation and oral communication convey pertinent information to support patient and family care needs.
Advocate for patients and coordinate care collaboratively with providers and other healthcare team members.
Perform other duties as assigned.