Rn Jobs in Tacoma, VA

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About The Position

Provides direct and indirect nursing services to patients and families in the Acute Care Progressive Care Unit. Independently uses the nursing process to assess, plan, implement, and evaluate individualized, safe, therapeutic, and efficient care throughout the continuum of care. Supports patients with complex needs, including multi-system disease and complications of treatment, and works with patients, families, and the multidisciplinary team to coordinate care, education, referrals, transfers, and discharge planning. The role includes coordinating care delivered by other team members, delegating appropriately, documenting comprehensively, advocating for patients, and supporting coworkers, students, and other staff. The nurse may serve as a relief charge nurse and may assist with preceptorship and professional development. This is a per diem A4 position with 12-hour night shifts, 7:00 PM to 7:30 AM, on a 12/36 schedule. The per diem schedule requires four shifts per four-week schedule, including one weekend shift or one Monday or Friday, and two undesignated holidays. One undesignated holiday may be exchanged for one major holiday. Floating is within the unit floating cluster; on-call is not required. The stated hourly pay range is $64.210–$93.760, with placement based on years of RN experience.

Requirements

  • Graduate of a nursing school.
  • At least 2 years of clinical experience.
  • Current California Registered Nurse (RN) license from the California Board of Registered Nursing.
  • American Heart Association Basic Life Support for Healthcare Professional (AHA BLS Healthcare) certification.
  • NIH Stroke Scale (NIHSS) certificate.
  • Ability to independently perform the nursing process and provide individualized, safe, therapeutic, and efficient care.
  • Competency in all unit skill areas and some advanced skills.
  • Ability to coordinate care provided by other members of the care team.
  • Ability to use common equipment and medications safely and consult others when unfamiliar.
  • Consistent organization and prioritization of workload.

Responsibilities

  • Provide direct and indirect nursing services to patients and families.
  • Delegate and assign care appropriately, communicate expectations, determine the necessary level of supervision, and follow up to ensure delegated tasks are completed.
  • Assess the appropriateness of physician orders and question them when appropriate.
  • Document patient care comprehensively according to department and entity guidelines, policies, and procedures.
  • Establish and maintain therapeutic relationships with patients and families, adapting interventions to social, cultural, spiritual, language, and communication needs.
  • Advocate for patients by addressing obstacles, supporting appropriate needs and wants, and facilitating communication between patients and physicians.
  • Support coworkers, provide constructive feedback, share unit-specific information with students and other staff, and provide incidental teaching.
  • Provide age-appropriate patient education related to recovery, self-care, end-of-life care, health maintenance, health promotion, and wellness.
  • Coordinate transfer and discharge planning and teaching with the health care team.
  • Collaborate with the multidisciplinary team and patients and families to plan and coordinate care, develop or revise education materials, and make appropriate referrals.
  • Apply the nursing process and critical thinking to identify actual or potential problems, evaluate interventions, and adjust care plans as needs change.
  • Prioritize resources and workload while managing multiple patient needs and aspects of care.
  • Implement safe, therapeutic, and efficient care for patients with complex needs and demonstrate accountability for patient outcomes.
  • Recognize patient diagnoses and potential complications, identify inconsistencies in care, and consult others when unfamiliar with equipment or medications.
  • Act as a preceptor or teacher for other nurses and may assist with preceptorship and professional development of new nurses and students.
  • May assume relief charge nurse responsibilities.

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