Registered Nurse

Wage Range: $41.67-$77.12 per hour. The amounts listed are the base pay range; additional compensation, such as shift differentials and premiums 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:

EvergreenHealth Monroe will advance the health of the community it serves through our dedication to high-quality, safe, compassionate, and cost-effective health care.

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

EvergreenHealth Monroe, a small semi-rural acute care hospital has a fantastic opportunity for an ­­­­­­­­­­­­­­­Registered Nurse to fill a position in our Medical Surgical Telemetry, staffed with 24/7 board-certified Internal Medicine Hospitalists. 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. Multiple opportunities for cross-training to other departments for further professional development exist. Come join our dynamic team and learn all that EvergreenHealth Monroe has to offer

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 pediatric through geriatric patients within the medical-surgical telemetry unit (MSTU). Pro­vides nursing care as directed by medical staff and in accordance with the objectives, and the state Nurse Practice Act. Participates in patient teach­ing and discharge planning. Demonstrates knowledge, skills, and critical thinking ability 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 unit and hospital Perfor­mance Im­provement activ­ities. Assumes Charge Nurse Role as assigned.

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.

SPECIAL EQUIPMENT, SKILLS, OR OTHER REQUIREMENTS:

Ability to think critically and use the nursing process. Ability to actively involve the patient and family members in decision making which affects the patient’s outcome. Ability to initiate, revise, contribute to and participate in the implementation of the interdisciplinary patient plan of care. Ability to organize and prioritize patient assignments and unit activities. Ability to document standards for specific pediatric through geriatric patient populations. Competent in all identified department-specific orientation and annual competencies. IV therapy skills and medication management appropriate to patient age and hospital policy. Ability to safely use equipment specific to the MSTU work environment and patient populations including all 0 lift devices. Effective written and verbal interpersonal communication skills with multidisciplinary team members, ancillary departments and clinical areas, physicians, patients, and family members. Able to adhere to dress codes specific to personal hygiene, fingernail care, dress, piercing, tattoos, and fragrances.

Use of personal protective equipment as appropriate, documentation of immunization/immunity against hepatitis B, and training related to blood-borne pathogens are required.

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, and risk of physical injury from lifting patients and operation of equipment.

WORK CONTACT GROUP: All hospital staff, patients, families, vis­itors, medical staff, and the 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. Walks and stands for most of the working day. Must possess visual, tactile, and manual dexterity.

SUPERVISED BY: Clinical Nurse Manager, Charge Nurse, and Administrative Supervisor; Director of Clinical Services.

SUPERVISES: none,

ESSENTIAL FUNCTIONS/TECHNICAL

1. Utilizes the critical thinking model throughout routine work activities. Provides and documents outcomes management patient care delivery. Solicits active involvement of the patient in conjunction with the multidisciplinary team members in goal planning processes. Goals and outcomes are routinely documented. Negotiated shift goals are written on the patient’s white board to promote active patient participation.
2. Demonstrates proficiency in department specific nursing skills. Completes, maintains and demonstrates competency in all unit based orientation and annual competencies per regulatory, departmental and hospital standards.
3. Uses an understanding of the prin­ciples of growth and develop­ment to as­sess each patient's age specific needs and pro­vide age specific treat­ment and care. Meets age specific competencies
4. Promotes a Health and Healing environment by maintaining organization and work readiness of the department, patient rooms, and patient care areas. Provides a clean, calm, orderly, and quiet patient room environment. Demonstrates attitudes and behaviors in interacting with others that are courteous, polite, concerned, friendly and respectful, re­sulting in positive customer perceptions.
5. Identifies and responds to individual patient, staff and departmental/hospital safety needs. Implements all patient safety goals and standards. Completes and documents 8 hour chart checks. Provides for patient safety through preventive measures. Answers call lights in a timely manner. Assesses for fall risk and implements appropriate measures. Assignments are completed in a safe and accurate manner.
6. Operates equipment per manufacturer recommendations; follows proce­dures in maintaining equipment and reporting equipment malfunction. Routinely utilizes 0 lift devices.
7. Remains proactive, flexible and supportive of team efforts to meet changing work flow activities related to patient admissions and discharges. Functions as a team member by facilitating the organization and delegation of work assignments based on patient acuity, individual staff assignments, and staff skill /competency levels. Retains ultimate responsibility for tasks and care delivery delegated to LPN and NAC personnel.
8. Ensures that job performance is consistent with

• EHM standard 3.1 Plan for the Provision of Patient Care (Section IV, Philosophy of Patient Care Services; Section V, Definition of Patient Care Services, RN role and functions; Section IX, Scope of Care and Servic­es Provided, Nursing).

• EHM clinical standards, policies, procedures, and protocols

  c) Regulatory standards (JCAHO, DOH)

9. Completes initial and ongoing patient assessments. Documents data per standards. Maintains complete, accurate, concise, legible documentation of patient status, nursing interventions, patient responses, and patient goals and outcomes. Assures kardex information is updated and accurate each shift.
10. Accountable for the formulation, updating, and revision of the multidisciplinary patient plan of care for assigned pa­tients. POC is based on the assessed patient problems, interventions, goals and outcomes. Determines the effectiveness of patient care through ongoing assessment of patient responses to interventions. Adjusts the POC and patient care to meet the patient’s changing needs.
11. Works in conjunction with the multidisciplinary team members in the assessment, development, implementation, evaluation and documentation of the patient’s discharge plan of care. Assures POC is coordinated and complete. Makes appropriate referrals. Involves the patient and family members in the discharge POC decision making processes. Ensures that the discharge plan of care is included in patient teaching activities.
12. Coordinates patient care assignment and work activities with LPN and NAC team members.
13. Organizes and completes direct patient care delivery including medication and pain management based on the identified needs and priorities of assigned patients. Assesses, plans, implements, evaluates and documents. Nursing care is individualized to meet each patient’s specific needs.
14. Communicates assessment data and findings to other members of the health care team. Reports abnormal or unexpected patient outcomes to the physician, charge nurse, nurse manager, and nursing supervisor as appropriate. Recognizes and reports risk management concerns.
15. Makes effective nursing judgments including crisis/emergency situa­tions. Remains knowledgeable in and implements emergency procedures for code 4, CPR, fire, disaster, medical assist, code Adam, and code strong.
16. Identifies patient's and family’s learning needs. Assesses and documents the patient’s ability and readiness to learn. Completes and documents ongoing assessment, planning, implementation and evaluation of teaching interventions and patient education outcomes. Uses appropriate educational modalities. Documents per standards.
17. Completes timely shift change walking rounds. Effectively communicates pertinent patient data. Report format includes short and long term objectives (goals) and reviews patient responses (outcomes) to the care provided.
18. Maintains the role of patient advocate.
19. Provides or assists with orientation and education of new and existing personnel and students. Effectively supports and mentors all team members.
20. Completes all department specific mandatory reading expectations. Applies information and applicable changes to job functions. Attends staff meetings.

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