SUPERVISORY NURSE

3 weeks ago

Tacoma WA USA, United States Civilian Corps Full time
Overview

SUPERVISORY NURSE (CLINICAL/EMERGENCY), Tacoma, WA

At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunties. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care.

Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Seattle, Tacoma, and the welcoming neighboring communities. Although the Army and Air Force missions have changed over the years, one thing has not changed-the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and new sports are a way of life in Washington State.

Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/

Responsibilities

Serves as a supervisory clinical nurse in a Regional Level II Trauma Emergency Department providing the full range of professional nursing care and treatment to a wide variety of patients arriving in critical condition as a result of motor vehicle accidents, gunshot wounds, suicide attempts, cardiac arrest, respiratory distress, drug overdose, etc. Provides an advanced level of emergency nursing trauma care. Provides continuous observation and monitoring and must intervene to prevent complications to restore hemodynamic stability. Provides the full range of supervisory authorities and responsibilities to Clinical Nurses, Practical Nurses and Nursing Assistants.

MAJOR DUTIES

1. Directs nursing support for the Emergency Department (ED), ED Observation Unit in the department of Emergency medicine (DEM) of a Level II Trauma Center. Exercises administrative and technical responsibility over approximately 63 civilian and military nursing personnel (clinical nurses, licensed practical nurses, nursing assistants, and military corpsmen) engaged in providing emergency care to 200-250 patients a day, many of whom are critically ill and/or traumatically injured. Gathers and analyzes data to recommend nursing policy changes, procedural modifications, and reorganization/restructure of nursing support in the DEM. Provides advice and support to the Chief, DEM on nursing issues. Formulates and issues SOP. Plans work to be accomplished by subordinates; sets immediate priorities and makes assignments, taking into consideration level of difficulty and requirements, and capabilities of employees. Revises work schedules based on availability of manpower and workload trends. Prepares performance standards and performance appraisals for subordinates. Gives advice, counsel and instruction on both work and administrative matters. Interviews/selects candidates for vacant positions; appoints, promotes or reassigns. Takes corrective action on conduct and performance problems. Hears and resolves complaints and formal grievances. Develops training plans and preceptorships; assigns preceptors. Recognizes outstanding performance. Serves on hospital committees; participates as instructor in hospital training.

2. Assists the physician in the performance of Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS) and other specialized procedures to include insertion of chest drainage tubes, tracheostomies, emergency thoracotomies, gastric lavage, suturing lacerations, etc. Independently recognizes life threatening situations and acts to correct these per protocols. Administers oxygen, intravenous fluids, blood transfusions and all types of medications during emergent events to include intravenous, intraosseous, subcutaneous, intramuscular, by mouth and rectal routes. Operates specialized medical equipment such as resuscitators, defibrillators, electrocardiographs, oxygen apparatus, intravenous pumps, and rapid intravenous infusers. Implements physician orders and initiates a nursing plan of care for individual patients. Assesses patient status and keeps physician informed of any change or need for additional treatment. Changes dressings, preps wounds, removes sutures, inserts urinary catheters, applies binders and bandages, applies splints, performs tracheostomy care. Collects urine, stool, sputum, and blood specimens. Prepares specimens for lab and transports as required. Obtains test results and informs physician. Arranges transfer of patients to appropriate patient care areas upon release by the physician. As ACLS provider, holds primary responsibility for critical patients during transfers within medical facility.

3. Independently instructs and demonstrates to patient/family/significant others how to provide self-care to include wound care, changing dressings, care of catheters. Instructs patient in self-medication of prescribed pharmaceutical agents. Reinforces physician instructions and encourages patient in maintenance of health and self-care.

4. Performs the following duties as a relief nurse in the ambulatory environment. Plans, oversees and facilitates nursing triage within the ambulatory care arena. Screens patient records to assess patient history and identify health related conditions and/or medications that may impact the patient health status. Screens patient laboratory data to ascertain abnormal results and notify the physician as appropriate. Ensures that authorization for procedure has been properly completed. Monitors patients or directs monitoring of patients during and after procedure. Coordinates patient referral to ancillary health care professionals -- Community Health Nurse, Social Work Services, Dietitian, Physical Therapy. Independently makes referrals to Health Promotions Center. Functions within the scope of practice for a professional Registered Nurse and hospital regulations and policies. Coordinates patient care activities, ensures effectiveness of clinic and nursing administrative operations. Manages clinic and patient records. Follows quality improvement and internal control activities for the ambulatory setting to include risk appraisals, conducting chart reviews, identifying trends and reporting corrective actions. Receives, investigates and acts on patient complaints pertinent to Emergency Department matters.

Performs other duties as assigned.

Qualifications

US Citizenship required

At least one year of licensed clinical experience AFTER licensure as a registered nurse at the time of application

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