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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
Job Summary Assess and manage patients with varying acuity and conditions, from minor to urgent, across all populations and age groups. Provide stabilization and emergency care for patients to include special procedures such as triage, orthopedic splinting, cardiac pacing, cardioversion and defibrillation; eyes, ears, nose and throat procedures, wound repair, complex medication administration, cardio-respiratory resuscitation, gynecological and obstetrical procedures and management of psychiatric emergencies. Administers, oversees and documents the administration of medications. Prepares patient for discharge and assists with coordinating post discharge needs. Demonstrates competent professional nursing practice and engages in opportunities for professional growth. Provides health care education and guidance to patients and families.  
Job ID
2021-157371
Department
Emergency Services
Shift
Day
Facility / Process Level : Name
CHI Franciscan St Francis
Employment Type
Part Time
Location
WA-FEDERAL WAY
Job Summary Assess and manage patients with varying acuity and conditions, from minor to urgent, across all populations and age groups. Provide stabilization and emergency care for patients to include special procedures such as triage, orthopedic splinting, cardiac pacing, cardioversion and defibrillation; eyes, ears, nose and throat procedures, wound repair, complex medication administration, cardio-respiratory resuscitation, gynecological and obstetrical procedures and management of psychiatric emergencies. Administers, oversees and documents the administration of medications. Prepares patient for discharge and assists with coordinating post discharge needs. Demonstrates competent professional nursing practice and engages in opportunities for professional growth. Provides health care education and guidance to patients and families.
Job ID
2021-157370
Department
Emergency Services
Shift
Day
Facility / Process Level : Name
CHI Franciscan St Francis
Employment Type
Part Time
Location
WA-FEDERAL WAY
Job Summary Assess and manage patients with varying acuity and conditions, from minor to urgent, across all populations and age groups. Provide stabilization and emergency care for patients to include special procedures such as triage, orthopedic splinting, cardiac pacing, cardioversion and defibrillation; eyes, ears, nose and throat procedures, wound repair, complex medication administration, cardio-respiratory resuscitation, gynecological and obstetrical procedures and management of psychiatric emergencies. Administers, oversees and documents the administration of medications. Prepares patient for discharge and assists with coordinating post discharge needs. Demonstrates competent professional nursing practice and engages in opportunities for professional growth. Provides health care education and guidance to patients and families.  
Job ID
2021-154860
Department
Emergency Services
Shift
Day
Facility / Process Level : Name
CHI Franciscan St Francis
Employment Type
Part Time
Location
WA-FEDERAL WAY
Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.        
Job ID
2021-156382
Department
Emergency Services
Shift
Evening
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-SILVERDALE
Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.  
Job ID
2021-156381
Department
Emergency Services
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-SILVERDALE
Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.  
Job ID
2021-156380
Department
Emergency Services
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Part Time
Location
WA-SILVERDALE
Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.        
Job ID
2021-156126
Department
Emergency Services
Shift
Varied
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Per Diem
Location
WA-SILVERDALE
Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.  
Job ID
2021-156124
Department
Emergency Services
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-SILVERDALE
Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.  
Job ID
2021-155806
Department
Emergency Services
Shift
Varied
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Per Diem
Location
WA-SILVERDALE
Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.    
Job ID
2021-155802
Department
Emergency Services
Shift
Day
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Full Time
Location
WA-BREMERTON
Incentives:  Sign on bonus for experienced external RN's new to CHI Franciscan. For more information please contact Aulaura Lawrence - aulauralawrence@chifranciscan.org   Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.  
Job ID
2021-154475
Department
Emergency Services
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Part 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 Staffing: The management structure of the Emergency Department consists of an experienced Clinical Manager, a RN-Clinical Coordinator and one Charge Nurse who oversee the department. The staff is comprised of RN’s and Emergency Room Technicians with support services provided by an ED Pharmacist and Medication Reconciliation Technician 7 days a week. RN’s are assigned by rooms and typically have a 1:4 RN to patient ratio with support from Emergency Room Technicians.    
Job ID
2021-152527
Department
Emergency Services
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Anthony
Employment Type
Full Time
Location
WA-GIG HARBOR
Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.          
Job ID
2021-152395
Department
Emergency Services
Shift
Evening
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
Employment Type
Part 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   Staffing: Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Provides health care education and guidance to patient and their families.  Educates regarding results, findings and diagnoses to patient and the patient’s family within scope of practice.      
Job ID
2021-152387
Department
Emergency Services
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center
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
2021-151948
Department
Emergency Services
Shift
Varied
Facility / Process Level : Name
CHI St. Anthony Hospital
Employment Type
Full Time
Location
OR-PENDLETON
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