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Works under the supervision of the Clinical Coordinator. The Nurse Assistant assists nursing staff in the delivery of individual patient care for patients assigned to the unit, according to the unit policies and procedures. Maintains standards of nursing practice, in accordance with the mission, values, and philosophy of St. Alexius Medical Center. All the criteria-based duties and standards within this document will be performed according to the policies, procedures and guidelines of the Medical Center.   ESSENTIAL DUTIES AND RESPONSIBILITIES: - Adheres to St. Alexius Medical Center mission, values, and Journey Beyond Excellence expectations to foster a compassionate, healing environment providing physiological, emotional, psychological, and spiritual support to patients, families, and visitors. - Assures quality of care by adhering to St. Alexius Medical Center policies, regulated by governing agency regulations - Provides patients' personal hygiene by giving bedpans, urinals, baths, backrubs, shampoos, and shaves; assist with toileting and bathing. - Provides for activities of daily living to include feeding, ambulating, and positioning patients. - Maintains patient stability by checking vital signs, weight; and intake and output and reports concerns or changes to assigned nurse. - Answers patients' call lights, addresses and maintains a safe clean environment. - Documents actions by completing forms, reports, logs, and records. - Successfully completes the defined job specific competencies, including competencies for age specific, as appropriate.  
Job ID
2021-152031
Department
Progressive Care Unit
Shift
Varied
Facility / Process Level : Name
CHI St. Alexius Bismarck
Employment Type
Full Time
Location
ND-Bismarck
Works under the supervision of the Clinical Coordinator. The Nurse Assistant assists nursing staff in the delivery of individual patient care for patients assigned to the unit, according to the unit policies and procedures. Maintains standards of nursing practice, in accordance with the mission, values, and philosophy of St. Alexius Medical Center. All the criteria-based duties and standards within this document will be performed according to the policies, procedures and guidelines of the Medical Center.   ESSENTIAL DUTIES AND RESPONSIBILITIES: - Adheres to St. Alexius Medical Center mission, values, and Journey Beyond Excellence expectations to foster a compassionate, healing environment providing physiological, emotional, psychological, and spiritual support to patients, families, and visitors. - Assures quality of care by adhering to St. Alexius Medical Center policies, regulated by governing agency regulations - Provides patients' personal hygiene by giving bedpans, urinals, baths, backrubs, shampoos, and shaves; assist with toileting and bathing. - Provides for activities of daily living to include feeding, ambulating, and positioning patients. - Maintains patient stability by checking vital signs, weight; and intake and output and reports concerns or changes to assigned nurse. - Answers patients' call lights, addresses and maintains a safe clean environment. - Documents actions by completing forms, reports, logs, and records. - Successfully completes the defined job specific competencies, including competencies for age specific, as appropriate.
Job ID
2020-118452
Department
Surgical
Shift
Varied
Facility / Process Level : Name
CHI St. Alexius Bismarck
Employment Type
Part Time
Location
ND-Bismarck
Job Summary This position is responsible for providing break relief for RN staff and care to the patient who is hemodynamically unstable and requires complex monitoring of multiple systems and/or nursing interventions every one to two hours.   All RNs complete a centralized hospital and nursing orientation in addition to a Unit-based orientation which is structured to fit the needs of the RN's individual level of experience. In addition to a clinical, preceptor-based bedside orientation, RNs attend didactic classes that are specific to open heart recovery and device therapy.      Essential Duties Provides continuous cardiac monitoring, arrhythmia recognition and intervention. Initiates and titrates multiple, complex cardiac related infusions at higher doses. Manages patients with invasive lines i.e.: arterial lines, pulmonary artery catheter, ventriculosomy/ICP. Manages intubated/mechanically ventilated patients. Manages acute post cardiac surgery patients. Manages acute trauma patient. 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. Provides holistic, comprehensive, and professional nursing care to patient within the scope of practice. Cultural Sensitivity and Competence:  Demonstrates proper use of available communication tools 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. Coordinates nursing care and advocates for patient needs so that all appropriate disciplines are informed of and participating in the plan of care. Routinely explains delays.  Assesses, monitors, and intervenes as indicated during and post examination or procedure. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient or patient’s family. Prepares patient for discharge and assists with coordinating post discharge needs. Performs related duties as required. Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence.   
Job ID
2020-131295
Department
Cardiac ICU
Shift
Night
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Part Time
Location
WA-TACOMA
   Job Summary: This position is responsible for providing care for the emergency patients presenting with a wide variety of medical conditions across all populations.         Related Skills: emergency nursing, trauma, injury, chest pain, back pain, abdominal pain, upper respiratory infection, influenza, nausea, fever, gastric pain, wounds, orthopedic breaks, muscle strains, medication management, pain management, assessment, prioritization, rapid response, cardiac arrest, myocardial infarction (mi), congestive heart failure (chf), emergency nurses association, ena #missioncritical
Job ID
2020-107295
Department
Emergency Services
Shift
Evening
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Part Time
Location
WA-TACOMA
It takes a very skilled cardiac nurse to monitor patients with high acuity heart issues in the CVICU. They care for our patients who’ve experienced cardiac surgery, MI, heart failure, cardiac dysrhythmias, structural heart disease, hypothermia post-cardiac arrest, vascular surgery and ventricular assist devices for destination or bridge to transplant therapy. We’ve made sure each of our 24 private room beds are equipped with the capability of NIBP, SpO2, arterial, pulmonary artery, cardiac output, temperature and arrhythmia monitoring. If you are a passionate cardiac nurse ready to work for an organization who champions your skillset, it’s time to talk to St Joseph Medical Center!  What you’ll do: Provide break reliefs for the RN staff. Provide continuous cardiac monitoring, arrhythmia recognition and intervention Initiate multiple, complex cardiac related infusions at higher doses Care for patients with invasive lines i.e.: arterial lines, pulmonary artery catheter, ventriculosomy/ICP Monitor intubated/mechanically ventilated patients, acute post cardiac surgery patients, and acute trauma patients   Why you should choose us: St Joseph Medical Center’s Cardiac Surgery program was honored as a prestigious three star program for CABG and Aortic Valve Replacement procedures by the Society for Thoracic Surgery. Only 33 out of 989 hospitals evaluated in the U.S. received this esteemed rating for both procedures. This unit has an experienced clinical manager and an experienced critical care educator to advance our nursing practice and education. Normal ratios for cardiac patients are 1:1 or 1:2 and 1:3 for progressive care.
Job ID
2020-129948
Department
Medical / Surgical / Trauma ICU
Shift
Night
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Part Time
Location
WA-TACOMA
What We Have To Offer To You: • Our nurses enjoy being able to provide a wide variety of birthing options to their patients, based on patient choice and the latest research-based information.  • 12-hour shifts to support work/life balance • Financial support for specialty certifications • Tuition assistance for advanced degrees • Opportunities for career growth within the growing and highly successful CHI Franciscan Health system • Competitive wages, incentives and a generous employee benefits program   Job Summary:   Our Family Birth Center RNs work in many different roles while providing care to new families.  We have mother/baby RNs, who care for post-partum mothers and newborn infants.  We also have labor and delivery RNs, providing care to women who are pregnant and delivering their infants.  As a tertiary care center, our nurses provide both high-risk and low-risk care to our patients. This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, certified nurse-midwives, the patient and their family.   Job Responsibilities Set Schedule of 8 hour shifts. The Break Relief RN coordinates the break schedule for all Labor & Delivery RN's during the shift. Fast Paced, high accuity Family Birth Center. Strong team-based work environment with multiple opportunities for professional growth.   #RNFAMILYBIRTHWA
Job ID
2020-138226
Department
Labor And Delivery Services
Shift
Night
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Part Time
Location
WA-TACOMA
 As the flagship hospital of CHI Franciscan Health, St. Joseph Medical Center continues to be the regional leader in the use of advanced medical technologies and therapies. The 361-bed regional medical center is a level II trauma center with a Level III NICU and partnership with nationally-recognized Seattle Children’s Neonatology team. Our NICU/Special Care Nursery has 23 beds and 1:1 acute care staffing. The unit is covered by a Neonatal Nurse Practitioner (NNP) 247, and a Neonatologist 7 days a week with grand-rounds starting at 0930. We host an annual “Preemie Party” to celebrate our NICU graduates. We are most proud of our excellent quality care and family connections.Our NICU Leadership team is comprised of a Director, RN Clinical Manager, RN Clinical Nurse Specialist, and Respiratory Therapy Supervisor. They truly enjoy mentoring and developing staff members.  What We Have To Offer To You:Exciting opportunity to help grow our developing unit in partnership with Seattle Children’s HospitalHighly collegial teamOpportunity to work with highly skilled teamFaith-based culture with commitment to our Core Values of Reverence, Integrity, Compassion and Excellence where we value positive team playersEvery other weekend or every third weekend options12 hour shiftsFinancial support for specialty certificationsTuition assistance for advanced degreesOpportunities for career growth within the growing and highly successful CHI Franciscan Health systemCompetitive wages, incentives and a generous employee benefits program Job Summary: You will provide care to critically ill newborns and preemies as young as 27 weeks gestation.  Implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family. Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives! Job ResponsibilitiesAs a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include:Monitoring patients’ conditions and assessing their needsCollaborating with physicians and nurses to devise individualized care plans for patientsAdministering patients’ medications and providing treatments according to physicians’ ordersFostering a supportive and compassionate environment to care for patients and their families
Job ID
2020-107733
Department
Neonatal ICU
Shift
Night
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Part Time
Location
WA-TACOMA
Incentives:  Sign on bonus for experienced external RN's new to CHI Franciscan. For more information please contact Aulaura Lawrence - aulauralawrence@chifranciscan.org     The new St. Michael’s critical care units utilize GE monitors and have brand new hillrom beds. Many of our rooms have ceiling lifts. Our teams are supported by respiratory therapy, physical and occupational therapy, pharmacy on the units, case management on the units, and a team of engaged physicians. Come join our amazing critical care team.   Job Summary:   This 24 bed critical care unit houses patients being admitted for cardiac, thoracic, and vascular care. This unit also entails ICU and PCU levels of care. Each private room is large enough to house all necessary pumps and equipment while allowing for space for family support (when allowed). This includes CRRT, Impella, IABP, and ventilators. Staffing is based on national standards of care and includes: 2:1, 1:1, 1:2, and 1:3.   Essential Duties:   Provides continuous cardiac monitoring, arrhythmia recognition and intervention. Initiates and titrates multiple, complex cardiac related infusions at higher doses. Manages intubated/mechanically ventilated patients. Manages patients with acute neurological/neurosurgical events. Manages acute trauma patients.  
Job ID
2021-150991
Department
Cardiac ICU
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-SILVERDALE
Incentives:  Sign on bonus for experienced external RN's new to CHI Franciscan. For more information please contact Aulaura Lawrence - aulauralawrence@chifranciscan.org   The new St. Michael’s critical care units utilize GE monitors and have brand new hillrom beds. Many of our rooms have ceiling lifts. Our teams are supported by respiratory therapy, physical and occupational therapy, pharmacy on the units, case management on the units, and a team of engaged physicians. Come join our amazing critical care team.   Job Summary: This 24 bed critical care unit houses patients being admitted for cardiac, thoracic, and vascular care. This unit also entails ICU and PCU levels of care. Each private room is large enough to house all necessary pumps and equipment while allowing for space for family support (when allowed). This includes CRRT, Impella, IABP, and ventilators. Staffing is based on national standards of care and includes: 2:1, 1:1, 1:2, and 1:3.   Essential Duties: Provides continuous cardiac monitoring, arrhythmia recognition and intervention. Initiates and titrates multiple, complex cardiac related infusions at higher doses. Manages intubated/mechanically ventilated patients. Manages patients with acute neurological/neurosurgical events. Manages acute trauma patients.  
Job ID
2021-150990
Department
Cardiovascular ICU
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Part Time
Location
WA-SILVERDALE
Job Summary: This job is responsible for providing cath lab nursing care of adult patient populations undergoing cardiac procedures in the cath lab to include inpatient, outpatient and emergent.   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 care for patients undergoing a cardiac procedure including prep/admission, education of both patient and their family and post procedure care. Administers and maintains sedation and analgesia by order of the physician. Assesses, diagnoses, and intervenes in the event of complications. Monitors and assesses the patient receiving the sedation and analgesia throughout diagnostic and therapeutic cardiac procedures. Provides on-call coverage for cath lab at designated hospital and responds within 30 minutes of call. 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 the FHS 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.      
Job ID
2021-155236
Department
Cath Lab
Shift
Day
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Part Time
Location
WA-SILVERDALE
Job Summary: This job is responsible for providing cath lab nursing care of adult patient populations undergoing cardiac procedures in the cath lab to include inpatient, outpatient and emergent.   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 care for patients undergoing a cardiac procedure including prep/admission, education of both patient and their family and post procedure care. Administers and maintains sedation and analgesia by order of the physician. Assesses, diagnoses, and intervenes in the event of complications. Monitors and assesses the patient receiving the sedation and analgesia throughout diagnostic and therapeutic cardiac procedures. Provides on-call coverage for cath lab at designated hospital and responds within 30 minutes of call. 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 the FHS 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.      
Job ID
2021-154832
Department
Cath Lab
Shift
Day
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-SILVERDALE
The new St. Michael’s critical care units utilize GE monitors and have brand new hillrom beds. Many of our rooms have ceiling lifts. Our teams are supported by respiratory therapy, physical and occupational therapy, pharmacy on the units, case management on the units, and a team of engaged physicians. Come join our amazing critical care team.   Job Summary: This 24 bed critical care unit houses patients being admitted for cardiac, thoracic, and vascular care. This unit also entails ICU and PCU levels of care. Each private room is large enough to house all necessary pumps and equipment while allowing for space for family support (when allowed). This includes CRRT, Impella, IABP, and ventilators. Staffing is based on national standards of care and includes: 2:1, 1:1, 1:2, and 1:3.   Essential Duties: Provides continuous cardiac monitoring, arrhythmia recognition and intervention. Initiates and titrates multiple, complex cardiac related infusions at higher doses. Manages intubated/mechanically ventilated patients. Manages patients with acute neurological/neurosurgical events. Manages acute trauma patients.    
Job ID
2021-157356
Department
Cardiovascular ICU
Shift
Day
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-SILVERDALE
The new St. Michael’s critical care units utilize GE monitors and have brand new hillrom beds. Many of our rooms have ceiling lifts. Our teams are supported by respiratory therapy, physical and occupational therapy, pharmacy on the units, case management on the units, and a team of engaged physicians. Come join our amazing critical care team.   Job Summary: This 24 bed critical care unit houses patients being admitted for cardiac, thoracic, and vascular care. This unit also entails ICU and PCU levels of care. Each private room is large enough to house all necessary pumps and equipment while allowing for space for family support (when allowed). This includes CRRT, Impella, IABP, and ventilators. Staffing is based on national standards of care and includes: 2:1, 1:1, 1:2, and 1:3.   Essential Duties: Provides continuous cardiac monitoring, arrhythmia recognition and intervention. Initiates and titrates multiple, complex cardiac related infusions at higher doses. Manages intubated/mechanically ventilated patients. Manages patients with acute neurological/neurosurgical events. Manages acute trauma patients.    
Job ID
2021-156131
Department
Cardiovascular ICU
Shift
Day
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Per Diem
Location
WA-SILVERDALE
The new St. Michael’s critical care units utilize GE monitors and have brand new hillrom beds. Many of our rooms have ceiling lifts. Our teams are supported by respiratory therapy, physical and occupational therapy, pharmacy on the units, case management on the units, and a team of engaged physicians. Come join our amazing critical care team.   Job Summary: This 24 bed critical care unit houses patients being admitted for cardiac, thoracic, and vascular care. This unit also entails ICU and PCU levels of care. Each private room is large enough to house all necessary pumps and equipment while allowing for space for family support (when allowed). This includes CRRT, Impella, IABP, and ventilators. Staffing is based on national standards of care and includes: 2:1, 1:1, 1:2, and 1:3.   Essential Duties: Provides continuous cardiac monitoring, arrhythmia recognition and intervention. Initiates and titrates multiple, complex cardiac related infusions at higher doses. Manages intubated/mechanically ventilated patients. Manages patients with acute neurological/neurosurgical events. Manages acute trauma patients.    
Job ID
2021-155058
Department
Cardiovascular ICU
Shift
Day
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-SILVERDALE
Incentives:  Sign on bonus for experienced external RN's new to CHI Franciscan. For more information please contact Aulaura Lawrence - aulauralawrence@chifranciscan.org The new St. Michael’s critical care units utilize GE monitors and have brand new hillrom beds. Many of our rooms have ceiling lifts. Our teams are supported by respiratory therapy, physical and occupational therapy, pharmacy on the units, case management on the units, and a team of engaged physicians. Come join our amazing critical care team.   Job Summary: This 24 bed critical care unit houses patients being admitted for cardiac, thoracic, and vascular care. This unit also entails ICU and PCU levels of care. Each private room is large enough to house all necessary pumps and equipment while allowing for space for family support (when allowed). This includes CRRT, Impella, IABP, and ventilators. Staffing is based on national standards of care and includes: 2:1, 1:1, 1:2, and 1:3.   Essential Duties: Provides continuous cardiac monitoring, arrhythmia recognition and intervention. Initiates and titrates multiple, complex cardiac related infusions at higher doses. Manages intubated/mechanically ventilated patients. Manages patients with acute neurological/neurosurgical events. Manages acute trauma patients.    
Job ID
2021-155057
Department
Cardiovascular ICU
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-SILVERDALE
Incentives:  Sign on bonus for experienced external Cath Lab RN's new to CHI Franciscan. For more information please contact Aulaura Lawrence - aulauralawrence@chifranciscan.org   Job Summary: This job is responsible for providing cath lab nursing care of adult patient populations undergoing cardiac procedures in the cath lab to include inpatient, outpatient and emergent. 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 care for patients undergoing a cardiac procedure including prep/admission, education of both patient and their family and post procedure care. Administers and maintains sedation and analgesia by order of the physician. Assesses, diagnoses, and intervenes in the event of complications. Monitors and assesses the patient receiving the sedation and analgesia throughout diagnostic and therapeutic cardiac procedures. Provides on-call coverage for cath lab at designated hospital and responds within 30 minutes of call. 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 the FHS 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.    
Job ID
2021-149157
Department
Cath Lab
Shift
Day
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-SILVERDALE
Incentives:  Sign on bonus for experienced external Cath Lab RN's new to CHI Franciscan. For more information please contact Aulaura Lawrence - aulauralawrence@chifranciscan.org   Job Summary: This job is responsible for providing cath lab nursing care of adult patient populations undergoing cardiac procedures in the cath lab to include inpatient, outpatient and emergent. 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 care for patients undergoing a cardiac procedure including prep/admission, education of both patient and their family and post procedure care. Administers and maintains sedation and analgesia by order of the physician. Assesses, diagnoses, and intervenes in the event of complications. Monitors and assesses the patient receiving the sedation and analgesia throughout diagnostic and therapeutic cardiac procedures. Provides on-call coverage for cath lab at designated hospital and responds within 30 minutes of call. 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 the FHS 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.  
Job ID
2021-147981
Department
Cath Lab
Shift
Evening
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Part Time
Location
WA-SILVERDALE
St. Joseph Medical Center, part of CHI Franciscan Health, has exciting and rewarding careers with competitive salaries and benefits.  We are 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. Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!   Job Summary Coordinates regulatory compliance, performance improvement, and risk reduction initiatives/processes for a clinical service line or regional function at all locations to address and strengthen patient safety, utilization of clinical resources, and achievement of desired clinical outcomes that facilitate achievement of overall financial goals and business/patient satisfaction objectives.  Incumbents serve as project manager for a variety of management-level work teams, providing support, expertise, quality literature, theories of innovation and guidance in: 1) the application of accepted clinical quality improvement methodologies/tools; 2) data collection and statistical/operational analysis; 3) outcomes measurement; 4) risk assessment and reduction measures; 5) research and establishment of best practices; 6) documenting and implementing process improvements; 7) evaluating desired vs. actual clinical effectiveness, reporting outcomes at monthly Quality Assurance Performance Improvement meetings at each location, of performance improvement efforts and; 8) working with clinic staff to ensure survey readiness.  Incumbents are also accountable for maintaining current skills/knowledge of new clinical procedures/processes, patient care standards/practices, new/changing regulatory requirements, departmental policies/standards/procedures, patient safety goals and Joint Commission standards impacting matters within designated scope of responsibility; ensures that these factors are considered and integrated into performance improvement activities.
Job ID
2020-123802
Department
Hospice
Shift
Day
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Full Time
Location
WA-TACOMA
Sign-On Bonus:  Up to $10,000 (less applicable taxes) for those external hires that have 2 years of RN experience in the OR, as outlined by Franciscan Policy.   CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits.  We are 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. Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!   As the flagship hospital of CHI Franciscan Health, St. Joseph Medical Center continues to be the regional leader in the use of advanced medical technologies and therapies. The 361-bed regional medical center is a level II trauma center with a robust cardiac surgery program that has recently received Three Star Awards for our thoracic and cardiac programs.  Our main OR suite includes 10 operating rooms (two are cardiac) and an additional 9 operating rooms at the adjacent Walters Day Surgery Center.  We also have two operating rooms at an ambulatory surgery center in nearby Gig Harbor.  Combined, we perform over 16,500 cases per year, including trauma, cardiothoracic, vascular, general, neurosurgery, orthopedics, urology, spine, ENT, gynecology.   We provide 24/7 staffing in the main OR. Our Surgical Services Leadership team includes a Director, 3 Perioperative Clinical Managers, 2 Perianesthesia Clinical managers, a Sterile Processing Manager and an RN Educator.  Combined, these leaders have over 100 years of nursing and leadership experience and they truly enjoy mentoring and developing staff members.      What We Have To Offer: • Work for a cardiac surgery team that is nationally recognized for outcome excellence, one of fewer than 20 hospitals nationwide with STS 3-star ratings in aortic valve surgery, mitral valve surgery, and CABG surgery. • Join a high-volume program that will allow rapid knowledge gains including minimal access mitral surgery, aortic arch and hybrid procedures, and TAVR. • Over 600 open heart/TAVR procedures performed annually. • Join a stable team with three experienced cardiac surgeons, dedicated Cardiac Anesthesia, and a patient-centered team approach that puts the patient first and respects the contributions of all team members. • Join a team that enjoys the support and stability of one of the largest healthcare organizations in the country, Common Spirit Health, which helps provide resources and economies of scale during these uncertain times. • Faith-based culture with commitment to our Core Values of Reverence, Integrity, Compassion and Excellence where we value positive team players • Shared governance model with a very engaged Unit Based Council • Collaborative scheduling • 8, 10 and 12-hour shift options • Limited call • Financial support for CNOR certification • Tuition assistance for advanced degrees • Opportunities for career growth within the growing and highly successful CHI Franciscan Health system • Competitive wages, incentives and a generous employee benefits program • On-site fitness center available 24/7   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
Shift
Day
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Full Time
Location
WA-TACOMA
Job Responsibilities As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: - Monitoring patients’ conditions and assessing their needs - Collaborating with physicians and nurses to devise individualized care plans for patients - Administering patients’ medications and providing treatments according to physicians’ orders - Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2021-151618
Department
Emergency Services
Shift
Night
Facility / Process Level : Name
CHI Health Saint Elizabeth Reg Med Ctr
Employment Type
Full Time
Location
NE-LINCOLN
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