Registered Nurse

Wage Range: $49.41 - $91.43 per hour. The amounts listed are the base pay range; additional compensation may be available for this role. Job offers are determined based on a candidate's years of relevant experience, applicable education and internal equity.

Benefit Information: Choices that care for you and your family

At EvergreenHealth Monroe, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

• Medical, vision and dental coverage w/premiums as low as $0!

• Flexible Spending Account

• Life, AD&D and Disability insurance

• Retirement plans (457(b) and 401(a) with employer contribution)

• Generous Paid Time Off/Vacation/Holidays

• Paid Sick Leave

• Employee Assistance Program

• Cafeteria Discounts

• Free parking

MISSION:

Working together, we exist to serve the changing health care needs of our community. We will provide personalized patient care known for quality and excellence with a healing environment through caring relationships.

OUR VISION: EvergreenHealth will create an inclusive community health system that is the most trusted source for health care solutions OUR VALUES: Compassion - We care for and about our patients, families, and each other Respect - We respect the beliefs and values of everyone we encounter Excellence - We strive for excellence in all we do Collaboration - We work in partnership and believe every voice makes a difference Accountability - We are accountable to one another and to our community

JOB SUMMARY of ESSENTIAL FUNCTIONS: Adheres to Hospital Policies and Procedures and Philosophy of Care. Consistently exhibits professional conduct that is a behavior-based expression of the hospital’s Standards of Excellence. Assesses plans, organizes, implements, and evaluates individualized, professional patient care to adult patients within the Intensive/Progressive Care Unit (IPCU). Provides nursing care as directed by medical staff and in accordance with the objectives of the state Nurse Practice Act. Demonstrates the knowledge, skills, advanced clinical judgement, and critical thinking required to function on the unit and to respond to rapidly changing patient needs. Uses an understanding of the prin­ciples of growth and development to assess each patient's age specific needs and pro­vide age specific appropriate treatment and care. Participates in patient education, discharge planning, quality improvement activities. Serves as nurse when assigned.

REQUIRED EDUCATION, TRAINING AND EXPERIENCE; CERTIFICATION/LICENSURE:

Graduate of an accredited school of nursing, and current Washington State Registered Nurse (RN) license. Requires current Basic Life Support (BLS) certification; must obtain Advanced Cardiac Life Support (ACLS) certification within 30 days of hire date. Must obtain NIHSS Stroke Certification within 90 days of hire date. Previous intensive care, progressive care, telemetry or emergency department nursing experience preferred.

SPECIAL EQUIPMENT, SKILLS, OR OTHER REQUIREMENTS:

Ability to think critically and use the nursing process. Demonstrate competency in cardiac rhythm interpretation, acute respiratory assessment, sepsis recognition, stroke assessment, emergency response, IV therapy, blood administration, medication management, and safe use of department specific equipment. Ability to organize and prioritize patient assignment and unit activities. Effective written and verbal interpersonal communication skills with multidisciplinary team members, ancillary departments and clinical areas, physicians, patients and family members.

WORK ENVIRONMENT AND HAZARDS:

Adheres to all State and Federal regulations pertaining to hazardous materials. Hazards include risk of exposure to communicable diseases, hazardous substances, blood and body fluids, medical equipment, and physical demands associated with patient care.

WORK CONTACT GROUP: All hospital staff, patients, families, vis­itors, medical staff and the general public.

SPECIAL PHYSICAL DEMANDS:

Must be able to lift a minimum of 25 pounds, and transfer and transport patients. Must be able to bend, stoop, push and pull, and respond rapidly to emergency situations. Walks and stands for most of the working day. Must possess visual, tactile and manual dexterity.

SUPERVISED BY: Clinical Nurse Manager, Administrative Supervisor; Chief Nursing Officer

SUPERVISES: none

ESSENTIAL FUNCTIONS/TECHNICAL

Primary Duties:

• Provides direct patient care and functions as a patient advocate.

• Assesses the comprehensive nursing needs of an assigned group of patients. Provides care for intensive care, progressive care, telemetry and medical-surgical level of care; must have working knowledge of advanced hemodynamic monitoring, vasoactive and resuscitative medications, and advanced airways. score: N/A

• Coordinates the patient and family education process.score: N/A Continuously plans, implements, and evaluates patient care, incorporating the patient and family into the process.score: N/A

• Collaborates with physician partners and other interdisciplinary team members to develop and implement patient plan of care.score: N/A Appropriately communicates, escalates, and documents changes in patient condition to charge nurse, RN administrative supervisor, clinical manager, or physician as appropriate. Participates in rapid response, code blue, and emergency situations.

• Communicates effectively all relevant information (e.g., patient information, safety issues, equipment concerns, quality issues, etc.) to immediate supervisor, in a timely fashion.score: N/A

• Utilizes the electronic medical record (EMR) and associated applications to deliver and document appropriate patient care, incorporating standards and policies per department. Performs other duties as assigned.

Accountabilities/Competencies:

• Proficiency in reading, writing, comprehending and speaking English as required for business necessity. score: N/A

• Maintains all required annual competencies, education, training and licensure as required for position.

• Accountability for HIPAA privacy and security standards within the department or assigned nursing unit.score: N/A

• Must possess basic skills to use Microsoft Office, specialized software and electronic office equipment.score: N/A

• Provides patient care, based on physical, psychosocial, educational, safety and related criteria, specific to the age of the patient population served in the department or assigned nursing unit.score: N/A

• Adheres to organizational patient safety standards relevant to the department or assigned nursing unit.score: N/A

• Delivers nursing care within established standards of care, hospital and unit guidelines, policies and procedures.score: N/A

• Delegates routine tasks and the collection of patient information to others within their scope of practice and requests feedback regarding all delegated activities.score: N/A

• Provides and documents ongoing patient and family/significant other education.score: N/A

• Assists other staff in completion of their duties, when time permits.score: N/A

• Participates in quality improvement / assurance activities and stays abreast of nursing best practices; recognizes need for change in policy and procedure and participates in review and revision.score: N/A

• Recognizes situations when appropriate assistance is needed to effectively execute the nursing process.score: N/A

• Role models professional nursing practice.score: N/A

• Promotes good public relations between patient, family members, hospital, and community.score: N/A

• Maintains a safe environment as defined by the Environment of Care Program.score: N/A

• Familiar with and functions in accordance with hospital policies and procedures for the Infection Control Program.score: N/A

• Responsible for continued professional growth.score: N/A

• Accesses EvergreenHealth Monroe communications, memos, publications, posted meeting minutes and unit communications.score: N/A

• Maintains skills competency annually as evidenced by testing and/or return demonstration during mandatory skills labs.score: N/A

• Participates in evaluation process annually.score: N/A

• Nursing Scope of Practice: Follows the Standards of Nursing Practice and Standards of Professional Performance as defined by the American Nurses Association as summarized below:

• Assessment: Collects and documents comprehensive data pertinent to the patient’s health or the situation.

• Diagnosis: Analyzes the assessment data to determine the nursing diagnoses or patient problem/issues.

• Outcomes Identification: Identifies expected outcomes for a plan individualized to the patient or the situation.

• Planning: Develops a plan that prescribes nursing strategies and alternatives to attain expected outcomes.

• Implementation: Implements the identified plan.

• Evaluation: Evaluates progress toward attainment of outcomes.

• Quality of Practice: Systematically enhances the quality and effectiveness of nursing practice.

• Leadership: Provides leadership in the professional practice setting and the profession.

This position is covered by a collective bargaining agreement between EvergreenHealth Monroe and SEIU Healthcare 1199NW.