AK - RN Emergency/Acute Care - Wrangell

Registered Nurse

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. It is our priority to further the development and organization of our employees by aiding in their professional advancement. Working at SEARHC is more than a job, it's a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

The registered nurse coordinates and performs a variety of nursing care procedures for patients of all ages, requiring professional knowledge and consideration of specific patient conditions and treatments; and the ability to work independently in completing assignments. Guidelines include provider's orders; standards of care, nursing policies and procedures manuals, hospital policies, and nursing duties include support to individuals of all ages and their families. Clinical decisions are made independently during the scheduled shift; maintains complete accountability for all actions taken. Consults with the appropriate manager/supervisor and/or ancillary department in difficult situations requiring additional input or resources. Able to react in a calm manner and make sound nursing judgments in an emergent situation. Accountable for proper delegation and supervision of CNA/Tech.

Essential functions and accountabilities of the job include providing total nursing activities and supervising subordinates for all patients/residents during working hours, assuring patient/resident safety. Develop and maintain a good working rapport with inter-departmental personnel as well as other departments within the facility to assure nursing services and activities are adequately maintained to meet the needs of the patients/residents. Assist in developing and maintaining nursing objectives and standards. Assist in developing, implementing, and coordinating department policies and procedures, resident/patient care plans, nursing procedure manuals, job descriptions, etc. Interpret department policies and procedures to personnel, resident/patients, visitors, family members, etc., as necessary. Ensure each patient's/resident's right to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights including the right to wage a complaint, are followed by the appropriate personnel. Assure established infection control procedures and isolation techniques are strictly followed Create and maintain an atmosphere or warmth, personal interest, and positive environment. Assist in training department personnel and make recommendations to the Chief Nursing Officer (CNO)/Director of Nursing (DON) concerning training. Perform administrative requirements such as completing necessary forms, reports, etc., and submitting to the CNO/DON. Assist in evaluating and assisting medical, social, psychological, spiritual, restorative, and rehabilitative care plans, as well as instructions in self-help Maintain confidentiality of all pertinent patient/resident care information to ensure the patients'/residents' rights are protected. Evaluate emergencies and determine emergency measures to be used. Make independent decisions regarding nursing care. Complete required record-keeping forms on patient/resident admission, discharge, transfer, etc. Assure that all nurses' notes are informative and descriptive of the nursing care provided and of the patient's response to care. Notify physician of accidents and fill out/complete accident/incident report forms. Assure that stock levels of medications, medical supplies, equipment, etc., are maintained at adequate levels at all times. Report needs to the CNO/DON or Purchasing Agent. Attend and participate in staff/department meetings, workshops, seminars, etc., as approved. Give and receive nursing report upon reporting in and ending shift work hours. Receive verbal orders from physicians and chart on the physician's order sheet or the electronic medical record. Transcribe physician's orders to the electronic documentations system, lab slips, MAR, dietary requisitions, etc. Complete work requisitions for unsafe conditions or equipment repairs. Observe, record, and report to physician patient's condition and reaction to drugs, treatments, and significant incidents. Other duties as deemed necessary and appropriate or as may be directed.

Physical working conditions must be able to move intermittently throughout the workday. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that enable these senses to function adequately so that the position requirements can be fully met. Must function independently, have flexibility, personal integrity, and work effectively with patients/residents, personnel, and support agencies. Must be in good general health. Must demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and (at times) hostile people within the facility. May be required to life patients/residents, medical equipment, supplies, etc.

Education, certifications, and licenses required include graduate of an accredited school of nursing (Bachelor's degree in nursing, Associate's degree in nursing, or Diploma in nursing) current full, unrestricted Registered Nursing license in Alaska or other U.S. state required. Direct hire must have applied for an Alaska nursing license before start date. Agency staff must have an active Alaska license. BLS, ACLS, and PALS or must be obtained within 6 months of hire and maintained biannually thereafter. Trauma Nursing Core Course (TNCC) certification preferred (Required for ED nurses). High school diploma or equivalent required. Clinical competency required within 3 months of hire and every three years High risk competency required within 3 months of hire and every year.

Experience required includes none required. Acute care, emergency department, and/or long-term care experience preferred. Knowledge of nursing/medical practices and procedures Laws, regulations, and guidelines pertaining to hospital and/or long-term care. Skills in working harmoniously with and supervising professional and non-professional personnel. Seeking out new methods and principles; incorporating them into existing nursing practices. Ability to read, write, and speak English fluently. Make independent decisions when circumstances warrant such action. Deal tactfully with personnel, patients/residents, family members, visitors, government agencies/personnel, and the public. Plan, organize, develop, implement, and interpret programs, goals, objective, policies, procedures, etc., of the Nursing Service Department. Maintain the care and use of supplies, equipment, etc. Maintain the appearance of nursing areas. Perform regular inspections of nursing unit for sanitation, order, safety, and proper performance of assigned duties. Utilize patience, tactfulness, cheerful disposition, and enthusiasm. Handle patients/residents based on whatever level at which they are currently functioning.

Physical demands while performing the duties of this job include talking or hearing. The employee is frequently required to stand; walk; sit; use hands to finger, handle or feel and reach with hands and arms. The employee is occasionally required to climb or balance; stoop, kneel, crouch or crawl. The employee must lift and/or move 50 lbs. Required certifications include Advanced Cardiovascular Life Support (ACLS) - American Heart Association, Basic Life Support (BLS) - American Heart Association, Clinical Competency Assessment - SEARHC, High Risk Competency - SEARHC, Pediatric Advanced Life Support (PALS) - American Heart Association, Registered Nurse License - State of Alaska - Alaska State Board of Nursing.