AK - Registered Nurse - ED -$130 Rate Must Have AK License To Submit

MUST HAVE CURRENT ALASKA LICENSE AT TIME OF SUBMISSION TO BE CONSIDERED

MUST HAVE/OBTAIN FLU VACCINATION

Start date will be no less than 5 weeks after fingerprint cards are received in Juneau for processing.

Position Summary

• The• clinical nurse coordinates and performs a variety of nursing care procedures• for patients of all ages, requiring professional knowledge and consideration of• specific patient conditions and treatments; and the ability to work• independently in completing assignments. Guidelines include provider s orders;• standards of care, nursing policies and procedures manuals, hospital policies,• and nursing duties include support to individuals of all ages and their• families.

PositionComplexities

• Clinical• decisions are made independently during the scheduled shift; maintains complete• accountability for all actions taken. Consults with the appropriate• manager/supervisor and/or ancillary department in difficult situations• requiring additional input or resources. • Able to react in a calm manner and make sound nursing judgments in an emergent• situation. Accountable for proper• delegation and supervision of CNA/Tech.

Accountabilities

• Promotes the SEARHC Seven Standards of Excellence;• implements safe, therapeutic and efficient care for patients with needs due to• multisystem disease and/or complications of treatment using appropriate• infection control measures; sets priorities for care of patients based on• acuity and/or patients preference; anticipates potential problems; adapts to• change in the area by setting priorities for emergencies; changes in patient• status and unusual occurrences; initiates, manages and documents the nursing• procedures consistent with scientific principle and departmental policy;• demonstrates knowledge of equipment use; accurately administers age-specific• medications and therapeutics; carries out the medical and nursing care plan and• coordinates patient care activities with physicians and other healthcare team• members; initiates action to reduce, correct or prevent immediate, ongoing or• potential risks to the patient; facilitates healing by providing nursing care• that is individualized, goal oriented, based on scientific principles and the• nursing process; seeks out resources when beyond the scope of skill, knowledge• or experience, explains tests, procedures and disease process to• patient/significant others; follows through on nursing care plans by teaching• and demonstrating skills essential for understanding and coping with illness• and promoting optimal health; communicates and interacts with• patient/significant others in a positive and supportive way; provides• counseling using emotional, intellectual and psychological supports and• utilizes other healthcare professionals in dealing with psychosocial problems• if needed; takes steps to decrease stress and/or increase effectiveness of• coping mechanisms of patient/significant others; evaluates patient s progress• or lack of progress towards goals, directing new goal setting and implementing• revised patient care plans as directed by reassessment; documents the patient s• response to care; closes out patient care plan by discharge (with instructions)• or has in place an after care plan to meet the patient s needs. Assures confidentiality of patient• information.

• Accomplishes nursing assessment through• interviewing, observation and nursing process; obtains, interprets and applies• age-related (pediatric, adult and geriatric) patient information terms of• cognitive, physical, emotional and normal growth/development needs of the• patient; completes thorough Nursing Admission Databases/initial patient• assessment; documents assessment findings that are consistent with other• providers and include review of body systems, laboratory results, diagnostic• findings, chart reviews and inter disciplinary input; identifies problems and• nursing diagnosis by recognizing the impact of health problems on patients and• families; distinguishes between normal and abnormal assessments in order to• identify patient capabilities and limitations including psychosocial risks,• utilizes resources to assess patients with conditions that are new, unfamiliar• or not commonly seen. Shall perform• duties as assigned and insure quality patient care despite the situation• encountered, be it routine or emergent. • Develops and contributes to a plan of nursing action based on existing• and potential patient problems and obtainable patient responses which are• mutually acceptable to the healthcare team; transcribes and notes physician• orders accurately, utilizes past experience to provide a range of options for• nursing care; initiates patient care plans using patient care standards;• addresses identified nursing diagnosis and coordinates the plan with the• healthcare team by using methods that include interventions, goals and time• frames; utilizes resources to formulate a written plan of care; documents• reassessments which include laboratory results, diagnostic findings,• interdisciplinary notes and documented patient observations; gives shift report• according to guidelines. Other duties as• assigned.

• Imparts• educational knowledge to develop skills to enhance decision making and promote• understanding by interacting with patients, family, staff and community;• engages in ongoing evaluation of the effectiveness of teaching in terms of• patient understanding and behavioral outcomes; organizes and participates in• patient care conferences as applicable; identifies staff, patient and family• needs and develops a plan for education and/or makes appropriate referrals;• develops/implements educational programs and learning aids in the department(i.e. in-services, special projects, learning aides, patient care standards);• documents education accurately and completely; provides discharge patient• information; participate in in-services and educational programs in the• department, hospital and/or community as assigned; ACLS, PALS, TNCC/ATCN, and NRP certified(depending on specialty area) within the first 6 months of employment and• bi-annually thereafter; completes all mandatory training and competency checks;• utilizes opportunities for incidental teaching with staff members.

• Communicates with staff, patients, significant• others and other members of the healthcare team in a way that is supportive,• constructive and positive; gives• feedback to other staff and healthcare team members in regard to behavior that• does not support achievement; assists in the orientation of new staff,• travelers and students by sharing knowledge, experience and verbal• encouragement; guides others in choosing nursing intervention, developing• skills and applying knowledge; follows and directs others to follow corporate,• hospital and departmental policies, procedures and patient care standards; supports• the area and overall Nursing services mission by assigning staff to productive• tasks and floating to other units as needed; provides input regarding the need• for change in policies, procedures and patient care standards able to perform• as Contact RN leading assigned RNs and CNAs and accomplishes all assigned• patient care and area support activities during the shift.

• Attends and participates in at least 50% of• departmental staff meetings; applies information presented in staff meetings;• participates in unit goal setting; complies with area and departmental• scheduling guidelines; initiates discussion with nurse manager regarding area• or department issues; completes annual competencies, evaluation material,• maintains certification sand licensure; complies with dress code; refers• un-resolved problems with patients/visitors/co-workers to Nurse Manager or• Administrative Manger for resolution, addresses employee concerns consistent• with Human Resources policy.

Baseline Qualifications

Education/Experience

• Education required to obtain a valid, current, full and unrestricted RN license in the State of Alaska

One-yearclinical nurse experience preferred

Priorexperience in the area of specialty is preferred

License/Certification

• Valid, current, full and unrestricted RN license in the State of Alaska
• Must have BLS and PALS upon hire, ACLS must be obtained within 6 months of hire date

Knowledge, Skills& Abilities:

• Knowledge• of nursing care principles, practices, diagnosis and processes (assessment,• planning, implementation and evaluation) including specialty areas when• appropriate, to provide professional nursing care to patients.

Competencyto recognize emergently ill patients and adverse signs and symptoms and to actpromptly in emergency situations.

• Knowledge• of general pharmaceuticals, their desired effects, side effects and• complications in their use. For specialty nursing units, knowledge should• include the medication used in to area.

• Skills• to apply scientific principles in operating and monitoring of basic medical• equipment (ex: defibrillator, monitors, beds/lifts, etc.), Specialty area• equipment might also include chest tube set up, immobilization, EKG machines, ventilators,• etc.

• Specialty• areas will require proficiency in assisting with emergency procedures (i.e.• intubations, arterial line set up, arterial blood gas puncture, thoracentesis,• lavage, etc.).

Oraland written communication skills, can enter and retrieve patient dataaccurately, can verbally communicate findings with healthcare team.

• Ability• to provide guidance, leadership and work cooperatively with others by• establishing and maintaining interpersonal relationships with patients,• visitors and other healthcare team members.

• Ability• to implement appropriate nursing therapeutic interventions based on the• knowledge of a wide variety of nursing diagnosis, evidenced based practice,• medical and psychosocial disorders, the normal courses of disease and• anticipated complications.

• Ability• to recognize adverse signs and symptoms, which are not always apparent and to intervene• promptly in emergency situations including the implementation of life saving• procedures.