Job Listings

Incentives: $10K Sign on bonus for experienced external RN's new to Virginia Mason Franciscan Health   Job Summary   This position is responsible for providing care to the patient who is hemodynamically compromised and requires monitoring of multiple systems and/or nursing interventions every two to four hours. Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician.  Requires the use of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources.  Work involves continuous contact with physicians, patients, patient families, community agencies, patient care staff and management.  An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, seek resources at the unit/department level, and delegate appropriate tasks.   Essential Duties - Provides continuous cardiac monitoring, arrhythmia recognition and intervention.  - Initiates and titrates cardiac related infusions. - Provides post procedure care and monitoring.  - Manages patients with temporary pacemakers. - Manages post-cardiac surgery patients. (SJMC) - Manages acute trauma patients. (SJMC) - Manages neurological/neurosurgical patients (SJMC) - Manages patients with acute respiratory compromise. - Adheres to the department’s and hospital’s policies and procedures, including safety, risk management and regulatory standards.  Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility. - Administers, oversees and documents the administration of medications (e.g., topically, orally, intramuscularly, subcutaneously and intravenously) as ordered by the healthcare practitioner and in accordance with hospital policy. - 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. Prepares patient for discharge and assists with coordinating post discharge needs. - 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 self 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. - Identifies opportunities for, and participates in, performance/quality improvement activities to improve clinical outcomes, healthcare delivery systems and address patient safety/satisfaction and cost containment. - Incorporates critical thinking into daily practice as demonstrated by quality of care provided, transfer of knowledge, follow through and patient outcomes.  Leads, coordinates, and communicates the ongoing delivery of patient care services provided by members of assigned patient care teams(s); considers patient acuity and the competencies of care team members in delegating and assigning work and in adjusting assignments as necessary; assesses and monitors team performance to ensure the quality of care provided is consistent with hospital standards and regulatory requirements.  Coordinates nursing care and advocates for patient needs so that all appropriate disciplines are informed of and participating in the plan of care. - Prepares patient for examination/procedure.  Routinely explains delays.  Assesses, monitors, and intervenes as indicated during and post examination or procedure. - Provides health care education and guidance to patient and/or families.  Educates regarding results, findings and diagnoses to patient and/or patient’s family within scope of practice. - Performs related duties as required.

Expectations - Patience and focus to constantly monitor high acuity patients with - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate) - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care

As a Registered Nurse you will be 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.    Our world needs compassion like never before. Our communities need caring, and our families need protection. With our combined resources, we are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. This role will allow you to give back to our community and broaden your healthcare skills. 

Expectations - Patience and focus to constantly monitor high acuity patients - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate) - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care

It takes a special type of nurse to work in Cardiovascular surgery. Not only do they have to be skilled in the operating room, but they also have to maintain composure and mange a rollercoaster of emotions as the status of their patients could change in the blink of an eye. Most patients will never fully realize what their surgical nurse did for them during their most vulnerable moments, but we do. If you are ready to join a culture driven by passion and talent, here we are!   What you’ll do: Assist surgeon and surgical team in the CVOR Care for patients before, during, and after procedures Develop and implement nursing care plan for surgical patients Ensure operating rooms are prepped with all necessary equipment and supplies Demonstrate a high level of compassion for patients   We offer the following benefits to support you and your family: Free Premium Membership to our Care@Work program to help employees with child care, pet care, senior caregivers, housekeepers & more. Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness, and Identity Theft Adoption Assistance Employee Assistance Program (EAP) for you and your family Paid Time Off (PTO) Tuition Assistance for career growth and development Matching 401(k) and 457(b) Retirement Programs Wellness Programs

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care   

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care   

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care 

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.  

Expectations - Patience and focus to constantly monitor high acuity patients - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate) - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care

Expectations - Patience and focus to constantly monitor high acuity patients - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate) - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care

Patience and focus to constantly monitor high acuity patients with Proven ability to think and react quickly in critical or emergency situations Medication evaluation, administration, and education specific to the patient’s custom care plan Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate) Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care  

Patience and focus to constantly monitor high acuity patients with Proven ability to think and react quickly in critical or emergency situations Medication evaluation, administration, and education specific to the patient’s custom care plan Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate) Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care  

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care 

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care 

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care 

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care 

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care 

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care 

Expectations - Patience and focus to constantly monitor high acuity patients  - Proven ability to think and react quickly in critical or emergency situations - Medication evaluation, administration, and education specific to the patient’s custom care plan - Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)  - Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients in intensive care