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

Prisma Health•Richland, WA

18h•Onsite

About The Position

Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient- and family-centered care. Uses evidence-based practices throughout the nursing process, including assessment, planning, implementation, evaluation, and outcomes. Applies safety protocols, cost-containment principles, and quality-improvement practices while identifying patient, unit, and organizational priorities. Follows organizational policies and procedures, regulatory requirements, the Nurse Practice Act, and the scope of RN practice. Acute inpatient work may require weekend, holiday, and on-call scheduling. The role is in the 18-bed Medical Intensive Care Unit at Prisma Health Richland Hospital, a Magnet-designated regional academic medical center. The unit cares for acutely ill adult and geriatric patients with a range of medical conditions, often with multiple comorbidities, including septic shock, acute respiratory distress syndrome, stroke, post-cardiac arrest, gastrointestinal bleeding, and overdoses. The RN assesses patients, develops and updates individualized care plans with patients, families, providers, and the interdisciplinary team, delivers and coordinates direct care, delegates appropriate tasks, monitors patient safety and quality, evaluates outcomes, and revises care plans as needed. The RN also supports discharge planning, patient and family education, communication and documentation, performance-improvement activities, and ongoing professional competency. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

Associate degree in Nursing; a nursing diploma with RN licensure is accepted in lieu of the associate 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; 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 an RN license to practice 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 applicable age-specific standards, policies, and tools; recognize changes in patient status and responses to interventions.
Identify nursing priorities, validate them with healthcare team members, and document appropriately.
Develop individualized plans of care in collaboration with patients or families, providers, and the interdisciplinary healthcare team; update plans as patient conditions change.
Establish realistic, measurable goals and outcomes with patients and families, including goals to be met before discharge.
Respect patients' and families' cultural, spiritual, and belief systems when planning care.
Plan for discharge and continuity of care, including appropriate referrals and transitions between levels of care.
Provide direct patient care consistent with established nursing plans and perform tasks within organizational policies and the RN scope of practice.
Delegate appropriate nursing tasks to healthcare team members and ensure assigned tasks are completed.
Monitor care quality and assigned patients, coordinate care and resources according to patient and unit priorities, apply cost-containment principles, and use appropriate technology.
Maintain patient safety through awareness of and adherence to safety procedures, protocols, and patient-care standards.
Use performance indicators to monitor care quality and effectiveness, and complete assigned hospital or unit performance-improvement monitoring and audits.
Evaluate patient responses and care-plan effectiveness, document progress, revise plans as needed, report changes in condition, and refer unresolved problems to appropriate team members.
Discuss patient outcomes with peers during shift-to-shift reports 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, implement, and evaluate education using familiar language and terminology, examples, and appropriate computer resources and Micromedex.
Communicate patient and family education needs to others in the healthcare continuum.
Evaluate personal nursing practice against professional standards, laws, policies, procedures, and current knowledge; maintain competency, licensure, and required education.
Ensure written documentation and oral communication convey 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.