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  Provides nursing care according to the nursing process, including assessment, diagnosis, planning, implementing and evaluating.  Implements appropriate nursing care interventions.  Administers medications and treatments in accordance with physician orders and established nursing policies and procedures.  Care provided is based on defined standards of patient care and nursing evidence-based practice. Essential Key Job Responsibilities - Assumes responsibility for acquiring knowledge and skills necessary for patient care in the identified practice setting. - Performs assessment and analyzes patient problems and conditions using critical decisioning to determine need for standard, urgent or emergent interventions. - Implements and/or modifies plan of care using assessment data, standards of care and evidence based practice inclusive of nursing care coordination, appropriate patient and family education, and discharge planning. Facilitates interdisciplinary partnership in patient care. - Integrates ethical provisions in nursing practice and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. - Administers medications, IV therapy, and treatments in compliance with policies and procedures. - Evaluates progress towards attainment of desired patient outcomes. - Demonstrates effective on-going observations and reassessment of patient/family and their response to the interventions and changes in condition. - Documents assessments and interventions in accordance with hospital policy and standards of care. - Utilizes resources appropriately and follows facility guidelines for documentation and charging of medical supplies and equipment. - Assigns or delegates tasks to designated support personnel based on needs and conditions of the patient, complexity of the task, predictability of the outcome and facility policy. - Collaborates with new employees and peers to support orientation, training and development opportunities. Supports the profession of nursing through support for nursing student clinical activities, as appropriate. - Other duties as assigned.
Job ID
2021-162683
Department
Pre & Post Surgery
Shift
Day
Facility / Process Level : Name
CHI Saint Joseph East
Employment Type
Full Time
Location
KY-LEXINGTON
The RN Patient Placement position will be a strong asset and key member of our newly development Mission Control team based in Gig Harbor, WA. Some of this role’s main responsibilities are bed control and patient placement, serving as a liaison between on-site bed management, our Transfer Center, and other supporting staff, as well as continuous communication with transferring hospitals and referring providers on factors impacting the patient placement process. Registered Nurses with 5 years of recent inpatient work experience as well as knowledge and/or experience with bed control, in addition to a Bachelor’s level education, are highly desired for this opportunity. Please see more details below. Job Summary This role is responsible for overseeing patient placement operations to assure that all aspects of patient access, placement, and flow are carried out in a timely manner in accordance with the organizational policies and procedures and applicable nursing care standards and regulatory requirements. The position is performed through continual monitoring of the Mission Control Wall of Analytics (WOA) made up of tiles that process/display real-time data from multiple source systems, including patient location, acuity, risk factors, turnaround times and real-time scheduling data. The duties include mentoring/guiding staff on the assigned shift to plan, prioritize, organize, direct and control all admissions and transfers between nursing units, external hospitals, Behavioral Health, Emergency department, PACU, procedural areas as well as direct admissions from provider offices/clinics. Essential Job Functions - Manages, in collaboration with Mission Control Patient Placement Reps, all patient placement decisions in based on patient diagnosis, acuity and location, applicable risk factors and unit criteria/bed availability. - Works with staffing and/or nursing teams to adjust staffing and implement bed management plans in conjunction with the Nursing Supervisor and/or Nurse Manager. Serves as a liaison between on-site bed management staff, Mission Control team members and the Transfer Center RN on all issues pertaining to patient placement. - Maintains ongoing communication with referring providers and transferring hospitals regarding bed availability/status and/or access delays - Mentors and provides guidance to Patient Placement Reps and assures adequate staffing levels to meet Mission Control needs. - Works collaboratively with Mission Control Center team and other stakeholders to address, moderate and/or resolve real-time and predictive future patient placement flow and related issues. - Initiates interventions, within scope of practice, to accelerate patient flow or other mitigate barriers to optimal throughput. - Performs related duties as required. About Us CHI Franciscan’s Mission Control Center are winners of the 2020 Leaders in Health Care Gold Award for Innovation in Healthcare Delivery. Inspired by NASA, CHI Franciscan’s Mission Control Center is the first system in Washington state and only the fifth globally to use artificial intelligence and advanced analytics to coordinate patient care across the entire health system. Built in collaboration with GE Healthcare, the technology can stream real-time data on things such as forecasted demand, transfer between medical facilities, care progression and discharge planning.
Job ID
2020-107372
Department
Patient Placement
Shift
Varied
Facility / Process Level : Name
CHI Franciscan
Employment Type
Per Diem
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.   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. - 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. - Performs related duties as required Job Requirements We are looking for a responsible and compassionate Registered Nurse with top-notch clinical skills, a caring attitude, and the ability to work independently with minimal supervision. It is also important to display excellent verbal and written communication and interpersonal skills as well as the ability to effectively educate patients and their families on the healthcare process.
Job ID
2021-165048
Department
Progressive Care Unit
Shift
12 Hour Day
Facility / Process Level : Name
CHI Franciscan St. Anne Hospital
Employment Type
Part Time
Location
WA-BURIEN
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.   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. - 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. - Performs related duties as required Job Requirements We are looking for a responsible and compassionate Registered Nurse with top-notch clinical skills, a caring attitude, and the ability to work independently with minimal supervision. It is also important to display excellent verbal and written communication and interpersonal skills as well as the ability to effectively educate patients and their families on the healthcare process.  
Job ID
2021-165024
Department
Progressive Care Unit
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Anne Hospital
Employment Type
Part Time
Location
WA-BURIEN
10K Sign on bonus for experienced RN's new to CHI Franciscan   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.   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. - 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. - Performs related duties as required Job Requirements We are looking for a responsible and compassionate Registered Nurse with top-notch clinical skills, a caring attitude, and the ability to work independently with minimal supervision. It is also important to display excellent verbal and written communication and interpersonal skills as well as the ability to effectively educate patients and their families on the healthcare process.
Job ID
2021-165022
Department
Progressive Care Unit
Shift
Night
Facility / Process Level : Name
CHI Franciscan St. Anne Hospital
Employment Type
Full Time
Location
WA-BURIEN
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.  - Manages acute trauma patients.  - Manages neurological/neurosurgical patients - 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 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. - Performs related duties as required.
Job ID
2021-162638
Department
Progressive Care Unit
Shift
12 Hour Day
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Full Time
Location
WA-TACOMA
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.  - Manages acute trauma patients.  - Manages neurological/neurosurgical patients  - 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 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. - Performs related duties as required.  
Job ID
2021-162637
Department
Progressive Care Unit
Shift
Night
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Full Time
Location
WA-TACOMA
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.  - Manages acute trauma patients.  - Manages neurological/neurosurgical patients  - 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 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. - Performs related duties as required.
Job ID
2021-162636
Department
Progressive Care Unit
Shift
12 Hour Day
Facility / Process Level : Name
CHI Franciscan St Joseph Medical Center
Employment Type
Full Time
Location
WA-TACOMA
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 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 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. - Performs related duties as required.
Job ID
2021-155086
Department
Progressive Care Unit
Shift
12 Hour Day
Facility / Process Level : Name
CHI Franciscan St Clare Hospital
Employment Type
Part Time
Location
WA-LAKEWOOD
Job Summary / Purpose Provides individualized, high-quality nursing care to patients of all ages.  Uses a team approach to delegate and coordinate patient care at admission, transfer, and discharge.  Independently delivers nursing care using the Nurse Practice Act, Mercy Medical Center policies, nursing standards, ethical principles, and professional judgment.  Works rotating shifts, weekends, and holidays as scheduled. Essential Key Job Responsibilities - Assesses, plans, and implements nursing care while ensuring patient comfort. - Practices safe patient handling techniques. - Continues to evaluate assigned patients and provides ongoing treatment. - Anticipates, identifies, and responds to educational and emotional needs of patients and families. - Guides and directs healthcare personnel (i.e. Patient Care Technicians) in caring for patients. - Maintains knowledge of equipment setup, maintenance, and use (i.e. IV pumps, monitoring equipment, and drainage devices). Utilizes safeguards such as IV pump drug library and monitor alarms whenever available to maximize patient safety. - Initiates emergency support measures (i.e. cardiopulmonary resuscitation, protecting patient from injury). - Assists with patient care duties/tasks (i.e., emptying drainage devices, ambulating, and hygiene).
Job ID
2021-153359
Department
Pediatrics
Shift
Varied
Facility / Process Level : Name
MercyOne Des Moines Medical Center
Employment Type
Per Diem
Location
IA-DES MOINES
Franciscan Medical Group is currently searching for a full-time RN Peer Review position for the Franciscan Education Support department. Experienced Registered Nurses may apply for a new opportunity to support the Medical Staff Peer Review Process. The RN role will include chart evaluation of care delivered, collection of clinical details across both primary and specialty CHI Franciscan Medical Group clinics. The Peer Review RN professional role is important to quality patient care delivery by medical staff, supporting the Peer Review Committee's purpose to deliver high quality, consistent, medical care by knowledgeable providers. Education support and collaboration with Risk Management and FMG Grievance workteam will be a key role.    Job Summary: This job is responsible for performing professional work in support of medical staff/peer review processes for individuals granted clinical privileges in the assigned CHI Franciscan (CHI-F) facility, specifically in regard to Ongoing Professional Practice Evaluations (OPPE) and Focused Professional Practice Evaluations (FPPE). Peer review is instrumental in identifying, tracking and resolving clinical performance and/or unprofessional conduct issues in a manner that promotes education, improvement and patient safety. Work includes data collection, analysis, and reporting for presentation to the Multi-Specialty Peer Review Committee and Section Committees and to support ongoing OPPE and FPPE decision-making processes designed to facilitate high quality and safe patient care. An incumbent identifies opportunities for provider improvement and works with individual providers and teams to facilitate improvement in individual performance and clinical documentation, and to enhance quality of care initiatives designed to ensure compliance with hospital policy, evidence-based patient care standards and applicable regulatory requirements and promote systemic improvements. Work requires knowledge of peer review systems, standards, processes and regulatory requirements as well as effective methodologies for screening performance against established quality indicators and preparing timely and effective case studies for presentation to medical staff committees. Also requires proficiency in data collection, analysis, interpretation and presentation to high-level audiences and physician groups. An incumbent is responsible for keeping abreast of current/changing regulatory requirements with potential to impact documentation practices and related training.   Essential Job Duties:   Executes peer review screenings based on quality indicators approved by various medical staff departments/sections and/or referrals from other sources within the hospital; - Reviews a wide variety of documentation (e.g. IRIS reports, Morbidity/Mortality Reports, imaging studies, patient complaints, provider practice patterns, etc.) to identify areas of concern as compared to quality indicator criteria; highlights potentially relevant issues and - Reviews clinical cases/charts in the electronic medical record system to identify provider care issues; closes or assigns cases to a provider for peer review in accordance with established procedures. - Exercises clinical judgment to answer questions such as if provider treatment/care decisions were appropriate, clinical processes were timely, appropriate consultations obtained, applicable lab/radiology tests were initiated and or whether there were any provider actions that could have been taken to avoid specific complications. - Communicates complex issues and concerns to provider groups and multidisciplinary teams that lead to process improvement opportunities; escalates issues that do not conform to established expectations to higher level authority. - Facilitates evaluation of OPPE data by division chiefs/chair to promote the identification of professional practice trends that impact quality of care and patient safety; assures that OPPE data is timely, complete and meets specifications for indicators selected by each specialty. - Facilitates collection, review and evaluation of documentation related to FPPE observations and timely communication of results; monitors practitioner status relative to completion of FPPE requirements. Initiates the peer review process based on findings from medical record reviews and other screenings that meet approved quality indicators criteria; prepares cases for peer review in accordance with established standards. - Follows established procedures for identifying and tracking the clinical performance and/or unprofessional conduct issues that warrant Peer Review; may notify practitioners of the assignment of their case to Peer Review. - Prepares case summaries that include significant points focusing the provider reviewer on the overall issues and concerns; highlights potentially relevant issues and provides peer reviewers with a complete medical record, imaging studies and other documentation reasonably required to perform a timely and complaint peer review. - Provides relevant benchmark comparisons and data identifying the relevant practice patterns of the Practitioner under review. - Identifies cases or practitioners for possible expedited review, external peer review or additional peer review. Facilitates and supports Section Committees and Multi-Specialty Peer Review Committee meetings; presents case studies with accompanying data for provider reviewers. - Participates in meeting planning activities including the development of agendas, preparation of case packets and other presentation materials; may capture meeting minutes and/or take action to ensure that all peer review activities/outcomes are appropriately documented and recorded. - Supports reviewer discussion during committee meetings with direct chart review in Epic, record case discussion and case determinations. - Shares data with improvement opportunities and collaborates with medical staff leadership to develop and implement systemic improvement strategies. - Provides determination results to involved providers and retains data in providers Quality file to be utilized by medical staff leaders during OPPE and FPPE reviews. Prepare monthly reports for the Medical Executive Committee, the Professional Performance Committee, and the Section Chiefs accessing various systems and databases. - Collects, verifies and evaluates data relevant to the individual practitioner’s professional performance to serve as the foundation for objective, evidence-based decisions in the course of the ongoing credentialing/privileging process. - Monitors aggregate data to identify adverse trends, patterns and outliers. Maintains provider’s quality files with aggregate data collection and analysis; prepare files for Credentialing during appointment and reappointment cycles. - Reviews IRIS and Grievance Reports for relevancy; redacts irrelevant information and places into provider’s Quality file. - Tracks and trends provider issues not indicated for peer review and ensures inclusion in the provider’s Quality file. - Reviews and includes relevant Core Measure fall-out reports. Performs related duties as required.   #MISSIONCRITICAL
Job ID
2021-154976
Department
Education
Shift
Day
Facility / Process Level : Name
CHI Franciscan Medical Group
Employment Type
Full Time
Location
WA-TACOMA
#missioncriticalThe PHN/ RN provides professional nursing care in the following program areas: rural visiting Nurse program, family health, family home visitng, health promotion and disease prevention and control, WIC, Child and Teen Check-up (CTC), and public health emergency preparedness. The PHN/ RN provides care in a manner, which promotes quality, continuity and safety for the patient, family and community.  The PHN/RN practices within the scope of the Minnesota Nurse Practice Act and within Minnesota Department of Health guidelines, Local Public Health Act and departmental policies, procedures and guidelines.  The PHN/RN works under the leadership of the PHN Manager.
Job ID
2020-117235
Department
Community Health / Education Grant Funded
Shift
Varied
Facility / Process Level : Name
Lakewood Health Center
Employment Type
Part Time
Location
MN-BAUDETTE
The Registered Nurse – Clinic Specialty functions as a vital member of the healthcare team who contributes to the success the practice by demonstrating customer/patient focus, effective communication, professionalism, and teamwork. Will utilizes the nursing process to assess, plan, implement, and evaluate comprehensive care provided to selected patient populations and their families.   - Perform general nursing care to patients by following established standards and procedures. - May perform specific nursing care as it relates to specialty of the practice. - Obtain patient consent for care and ensure 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, administer prescribed medications, and monitors and documents treatment progress and patient response. Refer to/consult with physicians, other health providers, and community resources to prevent/resolve problems or concerns. - Educate patients and families about health status, health maintenance, and management of acute and chronic conditions. - Document patient assessment and intervention data using established medical record forms/automated systems and documentation practices. - Participate in multidisciplinary teams to improve patient care processes and outcomes. - Track quality assurance data and monitor for acute and chronic care management. - May act as team lead for other nursing staff. - Perform other duties as assigned.
Job ID
2020-110226
Department
Adult Clinic
Shift
Day
Facility / Process Level : Name
MercyOne
Employment Type
Full Time
Location
IA-ADEL
Provides nursing care according to the nursing process, including assessment, diagnosis, planning, implementing and evaluating.  Implements appropriate nursing care interventions.  Administers medications and treatments in accordance with physician orders and established nursing policies and procedures.  Care provided is based on defined standards of patient care and nursing evidence-based practice. Essential Key Job Responsibilities - Assumes responsibility for acquiring knowledge and skills necessary for patient care in the identified practice setting. - Performs assessment and analyzes patient problems and conditions using critical decisioning to determine need for standard, urgent or emergent interventions. - Implements and/or modifies plan of care using assessment data, standards of care and evidence based practice inclusive of nursing care coordination, appropriate patient and family education, and discharge planning. Facilitates interdisciplinary partnership in patient care. - Integrates ethical provisions in nursing practice and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. - Administers medications, IV therapy, and treatments in compliance with policies and procedures. - Evaluates progress towards attainment of desired patient outcomes. - Demonstrates effective on-going observations and reassessment of patient/family and their response to the interventions and changes in condition. - Documents assessments and interventions in accordance with hospital policy and standards of care. - Utilizes resources appropriately and follows facility guidelines for documentation and charging of medical supplies and equipment. - Assigns or delegates tasks to designated support personnel based on needs and conditions of the patient, complexity of the task, predictability of the outcome and facility policy. - Collaborates with new employees and peers to support orientation, training and development opportunities. Supports the profession of nursing through support for nursing student clinical activities, as appropriate. - Other duties as assigned.
Job ID
2020-140182
Department
Post Anesthesia Care Unit
Shift
Day
Facility / Process Level : Name
CHI Saint Joseph Health System
Employment Type
Part Time
Location
KY-LEXINGTON
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     Key required skills: PACU Registered Nurse, Post Anesthesia Care.  #LI-CHI 
Job ID
2020-138649
Department
Post Anesthesia Care Unit
Shift
Day
Facility / Process Level : Name
CHI St. Luke's Sugar Land Hospital
Employment Type
Full Time
Location
TX-SUGAR LAND
Provides nursing care according to the nursing process, including assessment, diagnosis, planning, implementing and evaluating.  Implements appropriate nursing care interventions.  Administers medications and treatments in accordance with physician orders and established nursing policies and procedures.  Care provided is based on defined standards of patient care and nursing evidence-based practice. - Assumes responsibility for acquiring knowledge and skills necessary for patient care in the identified practice setting. - Performs assessment and analyzes patient problems and conditions using critical decisioning to determine need for standard, urgent or emergent interventions. - Implements and/or modifies plan of care using assessment data, standards of care and evidence based practice inclusive of nursing care coordination, appropriate patient and family education, and discharge planning. Facilitates interdisciplinary partnership in patient care. - Integrates ethical provisions in nursing practice and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. - Administers medications, IV therapy, and treatments in compliance with policies and procedures. - Evaluates progress towards attainment of desired patient outcomes. - Demonstrates effective on-going observations and reassessment of patient/family and their response to the interventions and changes in condition. - Documents assessments and interventions in accordance with hospital policy and standards of care. - Utilizes resources appropriately and follows facility guidelines for documentation and charging of medical supplies and equipment. - Assigns or delegates tasks to designated support personnel based on needs and conditions of the patient, complexity of the task, predictability of the outcome and facility policy. - Collaborates with new employees and peers to support orientation, training and development opportunities. Supports the profession of nursing through support for nursing student clinical activities, as appropriate. - Other duties as assigned.
Job ID
2020-117792
Department
Post Anesthesia Care Unit
Shift
Day
Facility / Process Level : Name
CHI Saint Joseph Health System
Employment Type
Full Time
Location
KY-LEXINGTON
Provides nursing care according to the nursing process, including assessment, diagnosis, planning, implementing and evaluating.  Implements appropriate nursing care interventions.  Administers medications and treatments in accordance with physician orders and established nursing policies and procedures.  Care provided is based on defined standards of patient care and nursing evidence-based practice. Essential Key Job Responsibilities - Assumes responsibility for acquiring knowledge and skills necessary for patient care in the identified practice setting. - Performs assessment and analyzes patient problems and conditions using critical decisioning to determine need for standard, urgent or emergent interventions. - Implements and/or modifies plan of care using assessment data, standards of care and evidence based practice inclusive of nursing care coordination, appropriate patient and family education, and discharge planning. Facilitates interdisciplinary partnership in patient care. - Integrates ethical provisions in nursing practice and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. - Administers medications, IV therapy, and treatments in compliance with policies and procedures. - Evaluates progress towards attainment of desired patient outcomes. - Demonstrates effective on-going observations and reassessment of patient/family and their response to the interventions and changes in condition. - Documents assessments and interventions in accordance with hospital policy and standards of care. - Utilizes resources appropriately and follows facility guidelines for documentation and charging of medical supplies and equipment. - Assigns or delegates tasks to designated support personnel based on needs and conditions of the patient, complexity of the task, predictability of the outcome and facility policy. - Collaborates with new employees and peers to support orientation, training and development opportunities. Supports the profession of nursing through support for nursing student clinical activities, as appropriate. - Other duties as assigned.
Job ID
2020-117790
Department
Post Anesthesia Care Unit
Shift
Day
Facility / Process Level : Name
CHI Saint Joseph Health System
Employment Type
Part Time
Location
KY-LEXINGTON
Coming out of anesthesia is pretty unpredictable. Some patients might be scared, confused, or in pain while others could have their own comedy show on cable. Most PACU nurses probably have many stories for each scenario. Regardless of the outcome, one thing all patients have in common is their need for care. We are thankful for these nurses and want more of them! Ready to share your PACU stories and hear a few new ones? Connect with us today!   What you’ll do: • Provide intensive observation and treatment of patients who have undergone anesthesia • Monitor levels of consciousness to ensure sedation is wearing off properly and safely • Offer a calming presence as you are most likely the first person the patients see post op • Answer questions and convey important information to patients and family members or caregivers   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
Job ID
2021-159074
Department
Post Anesthesia Care Unit
Shift
Day
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK
Provides nursing care according to the nursing process, including assessment, diagnosis, planning, implementing and evaluating.  Implements appropriate nursing care interventions.  Administers medications and treatments in accordance with physician orders and established nursing policies and procedures.  Care provided is based on defined standards of patient care and nursing evidence-based practice. Essential Key Job Responsibilities - Assumes responsibility for acquiring knowledge and skills necessary for patient care in the identified practice setting. - Performs assessment and analyzes patient problems and conditions using critical decisioning to determine need for standard, urgent or emergent interventions. - Implements and/or modifies plan of care using assessment data, standards of care and evidence based practice inclusive of nursing care coordination, appropriate patient and family education, and discharge planning. Facilitates interdisciplinary partnership in patient care. - Integrates ethical provisions in nursing practice and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. - Administers medications, IV therapy, and treatments in compliance with policies and procedures. - Evaluates progress towards attainment of desired patient outcomes. - Demonstrates effective on-going observations and reassessment of patient/family and their response to the interventions and changes in condition. - Documents assessments and interventions in accordance with hospital policy and standards of care. - Utilizes resources appropriately and follows facility guidelines for documentation and charging of medical supplies and equipment. - Assigns or delegates tasks to designated support personnel based on needs and conditions of the patient, complexity of the task, predictability of the outcome and facility policy. - Collaborates with new employees and peers to support orientation, training and development opportunities. Supports the profession of nursing through support for nursing student clinical activities, as appropriate. - Other duties as assigned.
Job ID
2020-135926
Department
Surgery
Shift
Day
Facility / Process Level : Name
CHI Saint Joseph Health System
Employment Type
Part Time
Location
KY-LEXINGTON
GENERAL SUMMARY: Provides individualized, high-quality nursing care to patients of all ages.  Uses a team approach to delegate and coordinate patient care at admission, transfer, and discharge.  Independently delivers nursing care using the Nurse Practice Act, Mercy Medical Center policies, nursing standards, ethical principles, and professional judgment.  Works rotating shifts, weekends, and holidays as scheduled. Job duties may vary by shift or may be unit-specific.     ESSENTIAL FUNCTIONS: - Administers nursing care to patients; includes assessment, planning, implementing, and evaluating the patient’s care plan in coordination with the physician. - Provides nursing care guided by physician orders, unit protocols and professional judgment. - Communicates effectively and appropriately with staff, physicians, patients, families and other healthcare team members. - Participates in ongoing educational activities related to clinical knowledge and professional issues. - Contributes to the professional development of peers and colleagues by sharing knowledge and skills. - Delivers care in a manner that preserves and protects patient autonomy, dignity and rights. - Considers factors relating to safety, effectiveness and cost in planning/delivering patient care. - Provides patient/family or caregiver education and counseling in recognition and solution of physical, emotional, and environmental health problems. - Utilizes hospital information system to process orders/data and retrieve patient information. - Maintains knowledge of documentation requirements needed for patients’ records. - Works independently with limited direct supervision using the Nurse Practice Act, Mercy Medical Center policies, nursing standards, and professional judgment. - Maintains knowledge of equipment set-up, maintenance, and use (i.e., IV pumps, monitoring equipment, and drainage devices). - Initiates emergency support measures (i.e., cardiopulmonary resuscitation, protecting patient from injury). - Complies with OSHA/JCAHO and other regulatory agency recommendations and guidelines.    MARGINAL FUNCTIONS: - Assists with clerical duties (i.e., maintenance of charge, patient record, answering phones and call lights, processing physician orders. - Maintains patient care supplies, equipment, and environment. - Provides orientation/education for staff, students, and other hospital and community organizations as requested. - Supports and participates in departmental Performance Improvement projects. - Attends departmental and other meetings as assigned.
Job ID
2021-150948
Department
Pre & Post Surgery
Shift
Day
Facility / Process Level : Name
MercyOne Des Moines Medical Center
Employment Type
Full Time
Location
IA-DES MOINES
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