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Harrison Medical Center's Orthopedics is a fast paced team oriented post surgical unit focusing on assisting the orthopedic patient in their recovery after surgery. Experience in mobilizing patients is helpful. Works closely as team for the patient. Shifts vary from 8 to 12 hours. During low census times must be willing to float to Bremerton campus. Harrison Medical Center has exciting and rewarding careers with competitive salaries and benefits. We are part of a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country. JOB SUMMARY: This job is responsible for providing a wide variety of professional nursing services which focus on the provision of quality patient care consistent with Franciscan Health System (FHS) standards/values, applicable regulatory requirements and scope of practice for the nursing profession. Work also includes developing, implementing and assessing the patient plan of care during time of stay in collaboration with physicians, interdisciplinary teams, and the patient/family. An incumbent is engaged in direct patient care, including assessing, planning, coordinating, evaluating and delegating work to members of the patient care team, and for providing education and consultation with patients, families, physicians and other staff members in implementing appropriate nursing interventions for optimal patient care. Call is required.  
Job ID
2020-121945
Department
Medical / Surgical / Orthopedics
Facility
CHI Franciscan St. Michael Medical Center
Shift
Evening
Employment Type
Full Time
Location
WA-SILVERDALE
POSITION SUMMARY Responsible for the delivery of excellence in patient care through assessing, formulating nursing diagnoses and establishing goals, planning and implementing intervention and evaluating patient care outcomes. With the staff nurse's professional practice he/she Responsible for participating in and maintaining quality, cost effectiveness and guest relations.   Provide patient care in compliance with hospital policies and procedures and the standards of professional nursing practice as defined by the Board of Nurse Examiners for the State of Texas.   POSITION RESPONSIBILITIES 1. Assessment:  Does admission and ongoing assessment of patient’s condition.  Provides nursing care to meet the patient’s physical, psychological and spiritual needs.  Notifies doctor of changes in assessment that require attention.  2. Planning:  Designs, directs, evaluates, and documents the plan of care, patient/family teaching and the transition of care plan to include a safe appropriate level of care discharge.  Works with other clinical disciplines to meet specialized patient care and discharge needs.  Formulates a plan of care and daily goals that takes into consideration the individualized needs of the patient. 3. Implementation: Prepares patients physically, psychologically, and spiritually for treatments, surgeries and diagnostic studies to help reduce patient anxiety. Knows patients' conditions and reports significant changes to Charge Nurse/Team Leader, and/or physician. Implements patient safety initiative and protocols including medication safety practices, physician orders, consult notifications. 4. Evaluation: Reassesses patients at appropriate intervals following interventions. Notifies physician as necessary to modify interventions. Adjusts nursing care to meet patient's emerging and changing needs. 5. Report Skills: Gives and receives report using Bedside Shift Report including family participation. Provides an accurate and comprehensive report to the oncoming shift to help establish continuity of patient care. Receives report from off-going shift and delegates tasks as needed to provide continuity of care according to coworker's experience, abilities and the patient's acuity. 6. Environment & Patient Safety: Maintains patient and work environment to maximize safe working space.  Promptly removes all used and soiled equipment, linen, etc. to appropriate location. Incorporates national and organizational goals to improve quality, patient safety and satisfaction. Reports all patient safety and hazard concerns immediately. 7. Supplies: Maintains accurate documentation of charges and supplies used to provide patient care through cost containment measures. 8. Time Management:  Clocks in and out appropriately according to policy to ensure work is stated and completed on time.  Obtains Director/designees/House Supervisor approval before working overtime, including incremental overtime. 9. Documentation:  Consistently documents in the patient and unit records according to written health system standards of care in order to meet legal and quality patient care requirements. 10. License and Competency: Maintains RN license to practice in the State of Texas including multi-state licensure requirements. Takes responsibility for meeting competency requirements. Assists with the orientation of new employees and floated staff as requested and assigned. 11. Professional Responsibility:  Maintains all professional licenses, certifications, and annual competencies prior to deadline.  Attends mandatory in-services, workshops, town halls, and 75% of all unit meetings per year.   Stays up-to-date on communication, including emails and current journals to keep abreast of new developments in the medical and nursing fields.  12. Patient Care:  Notifies and escalates concerns to appropriate providers of life-threatening changes and notes physician response. Effectively applies the nursing process within the framework of the organization’s professional model of care, using the nursing process to meet the clinical, psychosocial and spiritual needs of the patient and family following the Catholic Ethical and Religious Directives (ERD). 13. Patient Experience:  Creates a caring and compassionate patient focused experience by building healing relationships with patients, families, and colleagues. Performs hourly rounding and bedside shift report, updating the patient communication board and providing service recovery as needed.
Job ID
2020-139789
Department
Surgical
Facility
CHI Baylor St. Luke's Medical Center
Shift
Day
Employment Type
Full Time
Location
TX-HOUSTON
  Position Summary: Ensures department is managed day to day to productivity standards Shifts are variable and may include some weekends, nights, and/or holidays as needed. Ensures the effective delivery of nursing care. Ensures compliance with established quality standards. Manages unit staff productively, and assists in budget development and maintenance; Assists in performance appraisals. Functions in a leadership role in the development of a professional practice. Manages  room utilization and unit staff efficiency, including providing assistance to assure timeliness of turnovers and throughput of cases      Position Responsibilities: 1. Coordinates daily staffing schedule and assignments, manages to productivity standards 2. Consults in a variety of patient care situations requiring advanced competency and knowledge 3. Serves as a clinical resource for problem solving; Assists staff with patient related issues and emergency situations 4. Acts as liaison to other departments and multiple patient care services 5. Assists in cost management, including product evaluation, prevention of waste and damage, room utilization, control of overtime, and appropriate staffing mix 6. Participates in  unit-based Quality program/projects 7. Investigates and follows up on incident reports and patient complaints 8. 9. Assumes the role of the manager in manager's absence 10. Participates   with interviews, hiring, coaching, counseling, performance evaluations, and corrective action, including documentation 11.  Participates in  in implementing clinical pathways and outcomes management within the established structure of the Perioperative department 12.  Maintains and promotes consistent and effective communication with patients, families, staff, physicians, and other departments 13. Collaborates with interdisciplinary  team members to effect change 14. Works with anesthesia to assure timeliness of patient throughput 15. Functions in the charge nurse role
Job ID
2020-117625
Department
Surgical
Facility
CHI Baylor St. Luke's Medical Center
Shift
Day
Employment Type
Full Time
Location
TX-HOUSTON
Job Summary:  Our surgical services nurses provide intra operative nursing care to all patient populations undergoing surgical procedures.  This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family.
Job ID
2020-134507
Department
Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Day
Employment Type
Full Time
Location
WA-TACOMA
Opportunity to develop and work with highly engaged perioperative team in a dynamic environment with increasing surgery volumes and complexity.  The OR team is a very experienced team with a high degree of teamwork in the OR.  Opportunity exists to expand skills in a Level II Trauma Center and supportive team for learning.   Job Summary: Serves as a leader and clinical resource to staff under the direction of nursing leadership.  Collaborates with the primary RN or team leader to ensure the planning and delivery of quality patient care in partnership with physician, interdisciplinary team and patient/family. Acts as a role model, demonstrating technical/clinical competence consistent with the needs of staff and the patient population served.  Assists staff with problem solving and decision making.     Essential Duties: Oversees clinical operations to include:  coordination of assignments, delegation of tasks, provision of clinical care, patient placement, unit and patient flow. Aligns staffing with productivity-based Staffing Matrix to include requesting resources based on patient need and flexing staff based on census and workload fluctuations. Prepares assignments considering patient acuity and staff skill mix/competency; ensures timely posting of Staffing Plan; assigns and/or ensures staff are provided with rest and meal breaks. Monitors and oversees Sitter usage in assigned area. Serves as the first point of contact in the department chain of command during the shift for staff’s clinical needs, investigation of complaints, service recovery and completion of incident reports; ensures management is apprised of concerns and incidents. Coordinates care, collaborating and communicating effectively with the inter-disciplinary team. Maintains and applies knowledge of quality and SafetyFirst-related initiatives and requirements. Serves as mentor to develop and coach orientees and experienced staff; demonstrates skill in conflict management. Contributes to the development and evaluation of staff competency; provides objective feedback to assist with staff performance throughout the review cycle. Assists with monitoring of regulatory and auditing requirements.    
Job ID
2020-131866
Department
Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Night
Employment Type
Full Time
Location
WA-TACOMA
Job Summary:  Our surgical services nurses provide pre-, intra- and post-operative nursing care to all patient populations undergoing surgical procedures.  This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family.
Job ID
2020-134625
Department
Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Day
Employment Type
Full Time
Location
WA-TACOMA
Job Summary:  Our surgical services nurses provide pre-, intra- and post-operative nursing care to all patient populations undergoing surgical procedures.  This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family.
Job ID
2020-138199
Department
Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Evening
Employment Type
Full Time
Location
WA-TACOMA
Job Summary: Our surgical services nurses provide pre-, intra- and post-operative nursing care to all patient populations undergoing surgical procedures. This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family.
Job ID
2020-121931
Department
Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Day
Employment Type
Full Time
Location
WA-TACOMA
- Perform general nursing care to patients by following established standards and procedures. - Obtain patient consent for care and ensures patient confidentiality. - Obtain and document health history, information on chief complaint, vital signs, and health risk factors and assesses disease condition. - Provide patient care based on practice guidelines, standards of care, and federal/state laws and regulations. - Execute prescribed treatments and medical interventions, administers prescribed medications, and monitor and document treatment progress and patient response. Refer to/consult with physicians, other health providers, and community resources to prevent/resolve problems or concerns. - Educate patients and families about health status, health maintenance, and management of acute and chronic conditions. - Document patient assessment and intervention data using established medical record forms/automated systems and documentation practices. - Participate in multidisciplinary teams to improve patient care processes and outcomes. - Track quality assurance data and monitor for acute and chronic care management. - May act as team lead for other nursing staff. - Perform other duties as assigned  
Job ID
2020-142219
Department
General Surgery
Facility
CHI St. Anthony Hospital
Shift
Day
Employment Type
Full Time
Location
OR-PENDLETON
- Perform general nursing care to patients by following established standards and procedures. - Obtain patient consent for care and ensures patient confidentiality. - Obtain and document health history, information on chief complaint, vital signs, and health risk factors and assesses disease condition. - Provide patient care based on practice guidelines, standards of care, and federal/state laws and regulations. - Execute prescribed treatments and medical interventions, administers prescribed medications, and monitor and document treatment progress and patient response. Refer to/consult with physicians, other health providers, and community resources to prevent/resolve problems or concerns. - Educate patients and families about health status, health maintenance, and management of acute and chronic conditions. - Document patient assessment and intervention data using established medical record forms/automated systems and documentation practices. - Participate in multidisciplinary teams to improve patient care processes and outcomes. - Track quality assurance data and monitor for acute and chronic care management. - May act as team lead for other nursing staff. - Perform other duties as assigned  
Job ID
2020-141633
Department
General Surgery
Facility
CHI St. Anthony Hospital
Shift
Day
Employment Type
Full Time
Location
OR-PENDLETON
Our Orthopaedic Center has 4 large operating rooms, pre-op holding, PACU and a dedicated Orthopaedic nursing unit. We have a team focus in caring for our patients and a team approach to on-boarding new team members. We have been recognized as being a Center of Distinction for Joint Replacement Surgery by Blue Cross Blue Shield and have a broad Orthopaedic surgical service/care platform including sports medicine, and joint replacement surgery. We are located in Silverdale, Washington pm the Kitsap Peninsula and surrounded by the Puget Sound and the Hood Canal, making water sports and water activities abundant. We are nestled between the Olympic and Cascade mountains with quick access to skiing, hiking and camping. The Kitsap Peninsula is a great place to raise a family, has quick access to big city activities and great school programs. We encourage you to check us out! Job Summary: This position is responsible for providing Perioperative nursing care of all patient populations undergoing surgical procedures, to include ambulatory, acute and chronic patient care. Assumes responsibility and accountability for the direct and indirect implementation of the patient’s plan of care in the PACU. Essential Duties: Identifies the post-surgery patient at risk for complications and provides appropriate interventions. Performs a systematic and thorough physical assessment based upon knowledge of the post-surgery physiology. Manages patients with invasive lines and equipment (i.e., arterial lines, Swan Ganz lines and chest tubes). Assesses patient to include physical, psychosocial, cultural, behavioral/emotional, developmental and spiritual needs. Gathers data relevant for patient care. Implements appropriate patient interventions and evaluates outcomes. Plans care appropriately based on needs identified during initial and on-going assessments. Provides holistic, comprehensive, and professional nursing care to patient within the scope of practice. Implements appropriate patient interventions and evaluates outcomes. Cultural Sensitivity and Competence: Demonstrates proper use of available communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Populations Served: Demonstrates knowledge and proper skills associated with the department’s defined specific populations served. Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates accountability to meet stated deadlines for all mandatory requirements. Documents care delivered and patient status utilizing the nursing process in accordance with FHS standards of care, for example, changes in patient condition, patient responses to intervention and reassessments of pertinent findings. Receives and assures appropriateness, accuracy, timeliness and execution of physician orders. Prepares patient for examination/procedure. Routinely explains delays.  
Job ID
2020-143574
Department
Pre Surgery
Facility
CHI Franciscan St. Michael Medical Center
Shift
Day
Employment Type
Part Time
Location
WA-SILVERDALE
- Perform general nursing care to patients by following established standards and procedures. - Obtain patient consent for care and ensures patient confidentiality. - Obtain and document health history, information on chief complaint, vital signs, and health risk factors and assesses disease condition. - Provide patient care based on practice guidelines, standards of care, and federal/state laws and regulations. - Execute prescribed treatments and medical interventions, administers prescribed medications, and monitor and document treatment progress and patient response. Refer to/consult with physicians, other health providers, and community resources to prevent/resolve problems or concerns. - Educate patients and families about health status, health maintenance, and management of acute and chronic conditions. - Document patient assessment and intervention data using established medical record forms/automated systems and documentation practices. - Participate in multidisciplinary teams to improve patient care processes and outcomes. - Track quality assurance data and monitor for acute and chronic care management. - May act as team lead for other nursing staff. - Perform other duties as assigned  
Job ID
2020-142220
Department
General Surgery
Facility
CHI St. Anthony Hospital
Shift
Day
Employment Type
Per Diem
Location
OR-PENDLETON
Your Role as a Nurse: As a nurse, you will provide pre-and post-operative nursing care to patients undergoing surgical procedures. This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family.
Job ID
2020-142007
Department
Pre & Post Surgery
Facility
CHI Franciscan St. Clare Hospital
Shift
Day
Employment Type
Part Time
Location
WA-LAKEWOOD
Job Summary The Pre-Admit Clinic RN’s screen all patients coming in for procedures/surgeries involving anesthesia. They collaborate with Anesthesia, Surgeons and Primary Care to ensure patients safety during the perioperative period. This clinic acts as the last check in the period prior to surgery, ensuring all pertinent medical history and instruction is clear to the patient and their care-givers. Essential Job Functions 1.        Performs a pre-operative screening, in person or via phone to identify patients at risk for complications and report concerns as appropriate. 2.       Collect necessary orders and/or risk assessments from Cardiology, Pulmonology, Anti-Coagulation and Device Clinics. 3.       Provides pre-operative education to increase patient’s compliance with pre-operative requirements for a successful surgery. 4.       Prepares patients for anesthesia provider visit when appropriate. 5.       Effectively communicate patient needs with multidisciplinary personnel such as surgeons, office staff, anesthesia providers and other specialty providers.  
Job ID
2020-134335
Department
Pre Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Day
Employment Type
Part Time
Location
WA-TACOMA
Our Perioperative area averages 6 operating rooms per day with a maximum capacity of 10 operating rooms. This is supported by a Pre-op unit and PACU Phase 1 and Phase 2 units. We have a team focus in caring for our patients and a team approach to on-boarding new team members. Surgery types performed here include Open Heart, Vascular, Robotic, General, Orthopedic, ENT, GYN, and Urologic surgeries. Patient acuity ranges from simple outpatient surgeries to complex surgeries on patients with multiple health issues. We provide care and services to a large regional area that includes all of Kitsap County and as far north as Port Townsend and Port Angeles along the Straits of Juan de Fuca.     Job Summary:   This position is responsible for providing peri-anesthesia nursing care of all patient populations undergoing surgical procedures, to include ambulatory, acute and chronic patient care.  Assumes responsibility and accountability for the direct and indirect implementation of the patient’s plan of care in the PACU Phase 1 and Phase 2. Assist with care and preparation of patients in the Pre-op unit when needed.      
Job ID
2020-143593
Department
Pre Surgery
Facility
CHI Franciscan St. Michael Medical Center
Shift
Day
Employment Type
Per Diem
Location
WA-SILVERDALE
Job Summary:   This position is responsible for providing peri-anesthesia nursing care of all patient populations undergoing surgical procedures, to include ambulatory, acute and chronic patient care.  Assumes responsibility and accountability for the direct and indirect implementation of the patient’s plan of care in the PACU Phase 1 and Phase 2. Assist with care and preparation of patients in the Pre-op unit when needed.      
Job ID
2020-143592
Department
Pre Surgery
Facility
CHI Franciscan St. Michael Medical Center
Shift
Day
Employment Type
Per Diem
Location
WA-SILVERDALE
Job Summary:   This position is responsible for providing peri-anesthesia nursing care of all patient populations undergoing surgical procedures, to include ambulatory, acute and chronic patient care.  Assumes responsibility and accountability for the direct and indirect implementation of the patient’s plan of care in the PACU Phase 1 and Phase 2. Assist with care and preparation of patients in the Pre-op unit when needed.      
Job ID
2020-143591
Department
Pre Surgery
Facility
CHI Franciscan St. Michael Medical Center
Shift
Day
Employment Type
Part Time
Location
WA-SILVERDALE
Job Summary:  Our surgical services nurses provide pre-, intra- and post-operative nursing care to all patient populations undergoing surgical procedures.  This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family.
Job ID
2020-143868
Department
Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Evening
Employment Type
Part Time
Location
WA-TACOMA
Job Summary:  Our surgical services nurses provide intra operative nursing care to all patient populations undergoing surgical procedures.  This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family.  
Job ID
2020-134860
Department
Thoracic Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Day
Employment Type
Full Time
Location
WA-TACOMA
Job Summary:  Our surgical services nurses provide pre-, intra- and post-operative nursing care to all patient populations undergoing surgical procedures.  This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family.
Job ID
2020-143830
Department
Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Night
Employment Type
Per Diem
Location
WA-TACOMA

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