Confluence Health

       

Who We Are:
Confluence Health is an integrated healthcare delivery system that includes two hospitals and more than 40 medical specialties, to provide comprehensive medical care in North Central Washington. With over 270 physicians and 150 advanced practice clinicians, Confluence Health is the major medical provider between Seattle and Spokane. Our goal is to deliver high-quality, safe, compassionate, and cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology—to provide better care for our patients and allow our providers to operate at the highest level.

Our Mission:
We are dedicated to improving our patients’ health by providing safe, high-quality care in a compassionate and cost-effective manner.

Our Vision:
To become the highest value rural healthcare system in the nation that improves health, quality of life, and is a source of pride to those who work here.

Full time
Confluence Health Moses Lake, WA 98837, USA
Great opportunity to experience primary care and specialty care practice areas! Full-time : This is a full-time position with our float staff, providing coverage throughout the clinic . Schedule : Primary work schedule is M-F, 8am-5pm. Float staff will occasionally cover an evening shift (11am-8pm) or a weekend shift (8am-5pm) in our Walk-In Clinic. Pay Differentials : Base pay plus $1 float differential and an additional $2 per hour for occasional weekend coverage in Walk-In. Advanced Degree (BSN, MSN ): Additional $1 per hour Transfer Opportunities : Float staff are eligible to transfer after 6 months. Some float staff enjoy the variety and choose to remain in the float role. Others appreciate the opportunity to experience our different practice areas and may apply to transfer into an available opening in a designated practice area. Position Summary: Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Essential Functions: Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Registered Nurse graduate of an accredited school of nursing. Washington state Department of Health -RN license must be active by start date. Desired: Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Tonasket, WA 98855, USA
Position Summary: The purpose of the Nurse Case Manager position is to support the provider and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management and care facilitation. Position Reports To: Quality Care Manager Essential Functions: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement Application of process improvement methodologies in evaluating outcomes of care Coordinating communication with providers. Coordinates/facilitates patient care progression throughout the continuum.•Works collaboratively and maintains active communication with providers, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management. Address/resolves system problems impending diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles. Seeks consultation from appropriate disciplines/ departments as required to expedite care. Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with the provider and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis•Modifications of plan of care, as necessary, to meet the ongoing needs of the patient; Communication to third party payors and other relevant information to the care team; Completion of all required documentation in the EHR and patient records Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality Screening for assigned patients.•Identifies at-risk populations using approved screening tool and follows established reporting procedures. Refers case and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated. Discusses payor criteria and issues on a case-by-case basis and follows up to resolve problems with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department. Ensures that all elements critical to the plan of care have been communicated to the patient/family and member of the healthcare team and are documented as necessary to assure continuity of care.•Collaborates/communicates with internal & external case managers. Initiates and facilitates referrals for home health care, hospice, medical equipment and supplies. Facilitates transfer to other facilities as appropriate. Actively participates in clinical performance improvement activities.•Assists in the collection and reporting of resource and financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Collects, analyzes and addresses variance from the plan of care/care path with provider and/or members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Collects delay and other data for specific performance and/or outcome indicators as determined by Director or Manager of Case Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility. Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor, and resource to less experienced staff. Other duties as assigned. Identifies and reaches out to Medicare/Medicare Advantage patient population, schedules, performs, and documents Medicare Annual Wellness visits. Qualifications: Required: Current and valid license to practice as a Registered Nurse RN in the state of Washington. One year clinical experience. Excellent interpersonal communication and negotiation skills Strong analytical, data management and PC skills. Understanding of venues of care and community resources. Desired: Professional certification as a Case Manager encouraged within three years of employment. Current working knowledge of utilization management, case management, performance improvement and managed care reimbursement preferred Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - F Reaching: Shoulder Height - Not Specified Reaching: Above shoulder height - Not Specified Reaching: Below shoulder height - Not Specified Climbing - Not Specified - Not Specified Pulling/Pushing: 25 pounds or less - Not Specified Pulling/Pushing: 25 pounds to 50 pounds - Not Specified Pulling/Pushing: Over 50 pounds - Not Specified Lifting: 25 pounds or less - Not Specified Lifting: 25 pounds to 50 pounds - Not Specified Lifting: Over 50 pounds - Not Specified Carrying: 25 pounds or less - Not Specified Carrying: 25 pounds to 50 pounds - Not Specified Carrying: Over 50 pounds - Not Specified Crawling/Kneeling - Not Specified Bending/Stooping/Crouching - O Twisting/Turning - Not Specified Repetitive Movement - Not Specified Working Conditions: Work is performed in an office environment. Involves frequent contact with staff, leadership and practitioners. Work may be stressful at times. Frequent day travel between various office, campuses and meeting locations. Job Classification: FLSA: Exempt Hourly/Salary: Salaried Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – No Lighting – No Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – No
Jul 22, 2019
Confluence Health Moses Lake, WA 98837, USA
Please note: there are two openings for this positon in Moses Lake, WA. Position may require travel to various Confluence Health service areas. Position Summary: The purpose of the Nurse Case Manager position is to support the provider and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management and care facilitation. Essential Functions: Essential Functions: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement Application of process improvement methodologies in evaluating outcomes of care Coordinating communication with providers. Coordinates/facilitates patient care progression throughout the continuum. Works collaboratively and maintains active communication with providers, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management. Address/resolves system problems impending diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles. Seeks consultation from appropriate disciplines/ departments as required to expedite care. Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with the provider and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis Modifications of plan of care, as necessary, to meet the ongoing needs of the patient; Communication to third party payors and other relevant information to the care team; Completion of all required documentation in the EHR and patient records Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality Screening for assigned patients. Identifies at-risk populations using approved screening tool and follows established reporting procedures. Refers case and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated. Discusses payor criteria and issues on a case-by-case basis and follows up to resolve problems with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department. Ensures that all elements critical to the plan of care have been communicated to the patient/family and member of the healthcare team and are documented as necessary to assure continuity of care. Collaborates/communicates with internal & external case managers. Initiates and facilitates referrals for home health care, hospice, medical equipment and supplies. Facilitates transfer to other facilities as appropriate. Actively participates in clinical performance improvement activities. Assists in the collection and reporting of resource and financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Collects, analyzes and addresses variance from the plan of care/care path with provider and/or members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Collects delay and other data for specific performance and/or outcome indicators as determined by Director or Manager of Case Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility. Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor, and resource to less experienced staff. Other duties as assigned. Identifies and reaches out to Medicare/Medicare Advantage patient population, schedules, performs, and documents Medicare Annual Wellness visits. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Current and valid license to practice as a Registered Nurse RN in the state of Washington. One year clinical experience. Excellent interpersonal communication and negotiation skills Strong analytical, data management and PC skills. Understanding of venues of care and community resources. Desired : Professional certification as a Case Manager encouraged within three years of employment. Current working knowledge of utilization management, case management, performance improvement and managed care reimbursement preferred
Jul 22, 2019
Part time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Reports to Urgent Care/Emergency Services Clinical Manager Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
Please note: This is a pool as needed position. No gurantee of hours. Position Summary: Orients, advises, educates and consults with all patient care providers. Coordinates patient care with other disciplines. The time allocated and prioritization o the categories of Essential Functions will be variable and at different periods of time as directed by the Home Care Services Director. Essential Functions: Service Enhancement: Identifies patient care and staff development needs and identifies opportunities for enhancing services in area of expertise. Works with Hospicewith Hospice Clinical Supervisor and , Quality Specialist, Home Care Services Manager and Director to develop goals/objectives for meeting these needs. Participates in identification, development, and implementation of new programs, standards policies and procedures. Implement compliance with accrediting and regulatory bodies for Hospice. Collaborates with the primary nurse(s) in the coordination and implementation of the plan of care for each hospice patient. Chairs Hospice Interdisciplinary group meeting as needed, and other meetings as necessary to discuss and coordinate hospice care. Assists Hospice Volunteer Program in collaboration with Hospice Volunteer Coordinator to provide training of new volunteers and assures their ongoing training/education. Participates in annual review, revisions, if indicated, of Hospice specific policies and procedures. Provides input to develop, implement, and regularly evaluate a performance improvement plan for Home Care Services/Hospice. Facilitates communication between patients, caregivers, families, physicians, and long-term care facilities including regular onsite visits. Provides Referral/Coordination in acute care or ED setting. Attends and participates in discharge planning conferences or daily rounds as requested by referring facilities Identifying potential Hospice patients Evaluation of medical, nursing, therapeutic, and psychosocial needs In collaboration with the Palliative Care team, determine eligibility for service Development/implementation of a plan for meeting the home care needs of the patient/family Provide educational in-service to acute care staff and providers and Hospice staff on a regular basis and other departments as appropriate Facilities care coordination of patients during inpatient stays including discharges to previous care setting Collaborates with hospitalist regarding medication reconciliation for Hospice patients Assists with Hospice specific orientation and preceptorship of assigned new staff Assist in meeting departmental education requirements for Hospice Effectively collaborates with Quality Specialist and interdepartmental staff for institution of projects Serves as consultant and provides assistance to staff in the management of patients with nursing problems or disease entities in the clinician's area of expertise On a rotating basis, serves as on-call supervisor to support the on-call/weekend nurse(s) Prioritizes work activities to promote the best outcomes, production and efficient/effective use of resources Contributes to team goal setting and planning through regular attendance and involvement in team meetings Role models implementation of standards and guidelines of care within area of expertise Assesses, plans, implements, and evaluates collaborative education with physicians and Hospice in use of medication algorithms Serves as a community education resource for Hospice philosophy Participates in in-service education/continuing education programs and attends all mandatory programs Participates in staff meetings Participates in annual organizational performance assessment and improvement activities Upon Hospice admission assesses patient and family health needs and develops plan of care in order to provide quality care to patients, as evidenced by documentation in the EMR Performs initial and/or comprehensive assessments to determine patient and family’s physical, psychosocial, emotional and spiritual needs Develops a Hospice Plan of Care which includes a nursing diagnosis for each identified problem with specific outcome criteria in collaboration with the Hospice IDG and patient/family as evidenced by documentation in the EMR Develops patient/family/caregiver teaching plan to include, but not limited to, self-care skills, disease process, medication, diet, activity, home safety management, emergency procedures and the dying process Determines the ability, in collaboration with the Hospice IDG, of the patient and family to administer drugs/biologicals in the home setting Completes all required documentation according to policy Provides education to the patient/family about the patient’s disease process, the palliation and management of the patient’s symptoms, the safe and effective use of medication and medical equipment used by the patient, and the physical, psychosocial and spiritual aspects of the dying process Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing 3 years clinical experience in Home Care Services/Hospice Current Washington State RN licensure Professional certification in area of expertise, if available, or commitment to obtain certification Desired: BSN preferred Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Job Classification: FLSA : Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights – No Heat – Yes Cold – Yes Mechanical Hazards – Yes Hazardous Substances – Yes Blood Borne Pathogens Exposure Potential –Yes Lighting – Yes Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes
Jul 22, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Labor and Delivery Nurse is a staff nurse responsible for assessing, planning, organizing and directing activities in the labor and delivery setting. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Clinical Manager Essential Functions: Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. LABOR AND DELIVERY REGISTERED NURSE ESSENTIAL FUNCTIONS A formal orientation program shall be required of all professional personnel who provide patient care in Labor & Delivery. All Labor & Delivery Registered Nurses will be trained in techniques of labor and delivery care, and the use of all special equipment in the department. Labor and Delivery RNs will attend an annual skills course to validate competency in selected topics and skills for that year. Labor and Delivery RNs will demonstrate annual competency in: fetal monitoring recovery of regional anesthetic Caesarean Section patients cricoid pressure for general anesthesia circulating c/sections (SCN RNs and pool RNs may be excused from the circulating role) Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Labor & Delivery Registered Nurses must have a current NRP card upon hire or obtain within four months following date of hire. Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Acute care experience. Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures: Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Infusion Clinical Nurse Supervisor coordinates and supervises daily operations and staff for infusion in the oncology service line. They assure efficient delivery of quality patient care and that nursing practice follows national oncology and infusion standards. They work closely with the Oncology Practice Manager to facilitate optimal operations in this department. They provide the clinical support for staffing coordinator to ensure staffing levels are appropriate. This position will be a working supervisor role and will work on infusion RN as needed. Essential Functions: Essential Functions: Supervises the daily activities and staff to Infusion Departments in the Oncology Service Line Coordinates with staffing coordinator to ensure staffing levels in department are appropriate. Responsible for coordinating assignments and adjusting work schedules on an ongoing basis to meet staffing needs. Coordinates coverage to assure staff receive adequate breaks Coordinates PTO requests with Practice Manager and staffing coordinator Performs introductory-period and annual performance evaluations with Practice Manager. Participates in performance feedback of RN staff with Practice Manager Assists the Practice Manager in interviewing and hiring of staff in infusion department. Participates in developing and coordinating employee orientation and training. This includes annual competencies Maintains current knowledge of national oncology and infusion nursing standards and ensures these are followed in collaboration with Practice Manager and Service Line Director Responsible for completion of time cards in API for infusion staff. This includes working with staff to ensure accurate completion of time cards Assists Practice Manager in preparing and implementing the annual capital and staffing budget. This includes monitoring and control of staff hours (low census, overtime, etc.) to follow policy. Communicates variances to Practice Manager Performs duties of infusion RN as necessary Serves as an employee advocate while promoting the mission and values of Confluence Health. Serves as primary resource in solving work-related problems and helping employees to their potential Ensure that staff receives communication that impacts their work. Attends appropriate huddles and stays current regarding medical center information. Attends meetings as required Takes appropriate CHVS courses and utilizes this methodology in implementing process improvements in the department that promote quality efficient care and high patient satisfaction Establishes and maintains rapport with providers who utilize infusion department and maintains awareness of their satisfaction Establishes and maintains rapport with other departments, staff and leadership who utilize infusion department Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Current Washington State Nursing License Current BLS Health Care Provider Card 3 years clinical experience Chemotherapy Biotherapy card within one year of hire Associates degree in Healthcare Administration, Business, or related field with two years relevant leadership experience Current Confluence Health employees may substitute an Associate’s degree with 4 years of relevant experience Desired : Oncology, Infusion, Chemotherapy experience preferred Supervisory experience preferred Bachelors’ degree Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - F Physical Exposures: Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – Yes Blood Borne Pathogens Exposure Potential –Yes Lighting – No Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Reports to Urgent Care/Emergency Services Clinical Manager Essential Functions: Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures: Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
This position offers a $5,000 sign on bonus* *Must have two years experience and make a 2 year commitment to Confluence Health Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Clinical Manager Essential Functions: Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures: Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
***Please note: this is a pool/as needed position, no guarantee of hours*** Position Summary: The CDS is responsible for facilitating a thorough, complete and accurate patient health record which will secure the correct reimbursement for resource utilization, the highest quality measures and outcomes, superior communication between providers, and ultimately high patient satisfaction. Travel may be required to outlying clinics. Work is conducted remotely, in the hospital and/or in the clinic. Position Reports To: Director of Quality Analytics Essential Functions: Ability to learn and develop the skills necessary to perform clinical documentation reviews using the tools provided. Perform accurate and timely record review. Recognize opportunities for documentation improvement. Formulate clinically credible documentation clarifications. Effectively communicate opportunities for clarification to providers in a way that secures complete and accurate documentation. Effective and appropriate communication with providers, the clinical documentation and coding teams, and others that fosters collaboration and trust. Timely follow-up on all clarification requests. Participate in Task Force meetings. Manage multiple priorities. Adhere to established clinical documentation rules, processes and workflows. Apply critical thinking, problem solving, and deductive reasoning skills to complex clinical and interpersonal situations. Understand and communicate differences between IPPS and OPPS and how they impact DRGs and ICD-10 code assignment. Able to process multiple sources of information simultaneously while maintaining clarity of thought and purpose. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Current WA state RN license. Recent 2 years acute care experience, preferably ICU, PCU or strong Med/Surg. Must successfully pass an on-line clinical knowledge assessment (provided by Confluence Health) with 70% or greater. Extensive knowledge of pathophysiology, disease processes and associated care-pathways. Basic computer skills; familiarity with Microsoft software programs. Desired : BSN. 5 years acute care experience. ACDIS or other national CDI certification. Knowledge of CMS and regulatory environment. Experience in organizational, analytical, and writing skills. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands for This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - O Reaching: Above shoulder height – O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - C Repetitive Movement – C Working Conditions: Work is done throughout a specific clinical/reception area of the building. Some work areas may be small, crowded, and confined. Job requires both working closely with others and working alone. Hours can vary from a normal schedule and overtime may be required. Stressful working conditions do exist. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures for This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - No Lighting - Yes Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - No
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
Anticipated start date in November 2019 Position Summary: A novice, new graduate or an experienced nurse wishing to enter/reenter acute care. The Nurse Intern will work with a preceptor to deliver care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patient, significant others, and other health team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). The Internship Program includes classroom as well as direct clinical experiences. For RNs from other states, their clinical experiences will not begin until their WA State license is shown as active, or they have a WA State Temporary Practice Permit. They will participate in classroom and educational aspects of the program. Position Reports To: Clinical Manager Essential Functions: Address patients, visitors, families, and co-workers in a pleasant and respectful manner: display courtesy at all times. Respond quickly and appropriately to inquiries and requests. Assist co-workers without prompting. Display an unhurried and caring manner with visitors, families, and co-workers when performing duties. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas. Demonstrate a pleasing disposition and sensitivity to visitors', families, and co-workers' needs. Below or at the accepted standard for unscheduled absences as outlined in HR8651.370. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Communicate, cooperate and perform related duties with other co-workers in your department and in other departments in a courteous and efficient manner to achieve overall hospital goals and objectives: hospital, departmental and unit-specific mission, vision and values. Greet all visitors, families, and co-workers, patients and physicians in a courteous, respectful and professional manner at all times. Respond to all visitors, clients, families, and co-workers with empathy and positive interpersonal skills at all times. Handle all requests with a positive attitude at the time the request is made. Assume the responsibility for maintaining healthy interpersonal relationships with all those working or being cared for in the hospital, outpatient, or home setting . Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis. Strive for positive change in your work area. Cooperate with team members in a constructive and supportive manner. Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s) in your department; be aware of the progressive constructive disciplinary process. Demonstrate ethical conduct and practices. Maintains patients rights. Documents when withholding rights. Exhibits interpersonal skills and professionalism that promotes a positive functioning unit. Refers unresolved conflicts via chain of command. Active participation in problem-solving all identified issues. Follows through on problems that may compromise patient care by using the appropriate chain of command. Assumes responsibility for self evaluation/self improvement. Participates in weekly evaluation of self with preceptor. Participates in scheduled reviews with Internship Director. Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Collaboratively with preceptor, coordinates patient care, utilizing the nursing process. Utilizing Central Washington Hospital Standards of Nursing Practice, demonstrates appropriate age-specific assessment, planning, implementation and evaluation of the patient's care. Collects and documents the patient's health history. Completes admission data base and other assessment tools as defined by unit policy. Identifies stressors, coping skills, strengths, and areas of concern for patient improvement with the patient/family. Assesses home environment and identifies discharge needs sending referrals as needed. Gathers information and data from non-licensed assistive personnel to use in developing an individual plan of care for each patient. Makes accurate and ongoing assessment of patient's status and responds appropriately. Sets priorities for nursing action in a logical sequence according to patient's needs and formulates an appropriate plan of nursing care as defined by nursing policy. Involves the patient and family in formulating daily goals. Goals will be written on the white boards, when available depending upon unit, in each patient room. Writes realistic, measurable, and timebound goals that are consistent with the treatment plan and, whenever possible, are set with the patient and/or family. Prescribes appropriate nursing actions to meet those goals and the physical, psychological, social and rehabilitative needs of the patient. Performs ongoing assessment as defined by nursing policy and revises plan of care based on new data and patient's condition. Documents accurate and ongoing assessment of patient's status. Documents review of progress with patient. Documentation reflects nursing interventions and patient's response, patient's needs, problems, capabilities, limitations, and progress towards goals. Documentation includes completion of the patient education sections. Understanding of these instructions is noted in the medical record and discharge documentation. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares printed informational material. Evaluates discharge plan daily for appropriateness, educational needs, and change as needed. Utilizes Care Plans individualizing the tool to meet assessed patient needs. In collaboration with preceptor, provides care for patients including, administration of medications and/or treatments. Demonstrates necessary skills and knowledge to provide care for patients according to nursing policy, procedures, and standards of care and practice. Demonstrates necessary skills and knowledge to provide care for patients according to general and unit-specific competencies. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Demonstrates ability to delegate appropriately to non-licensed assistive personnel. Compassionately gives personal patient care to provide comfort and well-being to the patient, acknowledging physiological and psychosocial needs. Administers medications and IVs in accordance with WA State WAC. If intern is an LPN the Intern may administer the following medications/treatments with direct supervision by the preceptor: administer IV fluids and medications. administer medications, TPN, blood products via a central line. access central lines for blood draws. perform venipuncture to start IVs. flush peripheral and PICC lines. Observes and documents patient's response to pertinent medications. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and nursing policy and procedure. (Done in a timely manner). Notes and enters orders per nursing policy. Assures verbal orders are verified by “read-back” and entered for co-signature. Accurately and concisely processes information. Gives a thorough, concise report at change of shift. Communicates appropriate information to unit charge person in a timely manner, including what work is in progress. Communicates appropriate information to physicians and other health team members in a timely manner. Demonstrates accurate and timely documentation. Performs order checks at end of shift/24 hours. Accurately charges for patient supplies. Maintain a safe and sanitary work environment. Maintains a clean, neat, and safe environment for patient and staff according to hospital and unit policies. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedures. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Immediately removes and sends broken/malfunctioning equipment to Engineering Department with a tag stating the problem and /or a work order completed on line. Maintains universal precautions at all times. Collaborates with hospital personnel and physicians. Communicates with physicians effectively on a daily basis, patient needs, nursing assessments, and recommendations. Collaborates with other nurses and health team members to develop an appropriate plan of care designating who is responsible for each piece of the plan. Adheres to Hospital/Nursing policy. Reports to work 98% of the shifts scheduled prior to starting time. Dresses according to Central Washington Hospital's Dress Code policy, specifically the nursing-specific Dress Code policy. Is conscientious in regard to personal hygiene. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Complies with specific hospital policy and procedure concerning infection control, events, and injury reporting. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Graduate of an accredited school of nursing (NLN standard). Current LPN or RN licensure in the state of Washington (RCW 18.88). If LPN licensure, eligible to sit for NCLEX exam. If currently licensed as an RN in another state, WA license in pending status. Completion of general hospital orientation and acceptance into New Graduate Internship Program. Must be currently certified in BLS, and recertified annually. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Not Specified Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Not Specified Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Not specified Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Intensive Care Unit staff nurse is responsible for assessing, planning, organizing and directing the patient care activities in the Intensive Care setting being sensitive to the specific needs of the patient and family members. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. INTENSIVE CARE UNIT REGISTERED NURSE ESSENTIAL FUNCTIONS Intensive Care RNs will complete a formal orientation program for care of the critically ill patient. Intensive Care Unit RNs will be able to apply the principles / techniques of critical patient care assessment, planning, intervention, and evaluation Intensive Care Unit nurses will be able to provide care within the ICU Standards of Practice, Section B for the infant, pediatric, adolescent, and adult patient. Intensive Care RNs will demonstrate knowledge and competency of all new equipment, policies, and procedures specific to Intensive Care nursing Intensive Care nurses are certified in ACLS, PALS, and TNCC (within 1 year of ICU employment unless an alternative education plan is determined). Intensive Care RNs will serve as Trauma Team members after completing TNCC course. CCRN Certification will be endorsed and encouraged for all ICU nursing staff Intensive Care RNs will demonstrate competency by attending an annual skills lab and review of selected equipment and procedures Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Physical Exposures: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – Yes \Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: Under Direction of the Home Care Services Clinical Supervisor and Clinical Manager, performs the specific clerical and clinical duties. The Licensed Practical Nurse is responsible for processing workflow, coordinating with patients/families/designated rep/facilities and physicians on changes in orders, following up on physician notes and lab results, assisting with schedules, answering phones, assisting with event reports, and patient care related tasks such as routine nursing visits or lab draws under the supervision of a registered nurse and following LPN scope of practice. Position Reports To: Clinical Supervisor and Clinical Manager Essential Functions: Provides direct patient care as defined in the State Nurse Practice Act. Follows the plan of care established by the RN Case Manager Performs comprehensive assessment of patient that includes physical, psychosocial, and environmental parameters. Implements teaching that is appropriate to the patient's needs and within the context of his/her environment Consistently demonstrates competency with technical nursing skills and legal scope of practice Notifies physicians, patient and legal representatives of missed visits and changes to the plan of care. Provides coordination of care by faxing necessary reports, contacting patients and families and collaboration with clinical staff. Participates in coordination of home health and hospice services, appropriately reporting the identified needs for other disciplines and attends HH Interdisciplinary Team Meetings. Utilizes supplies, equipment in a responsible and cost-effective manner Completes agency documentation and submission per agency standards Communicates effectively and in accordance with agency requirements. Relays significant changes in patient status to a physician, Nurse case manager and Clinical Supervisor Demonstrates teamwork and effective communication to accomplish patient, team and agency goals Maintains confidentiality, advocates for the patient and identifies conflicts that may require further investigation Participates in personal, professional growth and development. Participates in Quality Assessment Performance Improvement teams and activities Communicates potential risk management issues, reports abuse or unsafe illegal practice as required by law Applies knowledge of clinical and administrative policies and practice procedures outline in Central Washington Hospital Homecare Policy and Procedure Manual Provides office support functions such as answering of phones, triaging patient calls, assistance with scheduling changes, assisting intake and other tasks as needed. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Graduate of an accredited practical nurse or vocational nursing program One-year recent, successful acute care, clinic or sub-acute care experience Current or valid driver's license; availability of auto in good working condition with current insurance and willingness to drive in all types of weather Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management Proficient competent clinical skills and the ability to exercise independent judgment as well as seek guidance when indicated CPR certified Desired : One year of recent, successful acute care experience. Home Health and/or Hospice experience preferred Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - F Working Conditions: Not specified. Job Classification: FLSA: Hourly/Salary: Physical Exposures: Unprotected Heights – No Heat – Yes Cold – Yes Mechanical Hazards – Yes Hazardous Substances – Yes Blood Borne Pathogens Exposure Potential –Yes Lighting – Yes Noise – Yes Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
This position offers a $5,000 sign on bonus* *Must have two years experience and make a 2 year commitment to Confluence Health Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Clinical Manager Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: To monitor and attend to patient needs before (Pre-op) or during the recovery period (Phase 1 & observation area) after a procedure has been performed in the surgical department; to provide nursing support to the Surgical Department. To also provide nursing support for all procedures in the Recovery, Pain Block Services and Radiology including procedural sedation as needed. Assist their respective departments and physicians in providing service excellence and quality patient care in multiple settings utilizing a variety of nursing skills and functions. Position Reports To: Reports to Hospital Director. Essential Functions: Admits the patient prior to a procedure. Assures that the patient is ready for the procedure and that the chart is in order. Follows and completes admissions pre-op checklist. Does thorough patient assessment. Notifies proper personnel of appropriate changes in patient's health status. Starts IV and gives pre-operative medications as ordered. Monitors surgical/procedural schedule and keeps patient and their family informed. Receives the patient into the Recovery Room. Performs a thorough patient assessment including, but not limited to: vital signs, operative site, level of consciousness, mobility, airway, pain level (0-10 scale), and presence of nausea, response to treatments rendered and other components of the modified Aldrete system. Attends to patient specific needs while in the Recovery areas. Administers medications and IV fluids per MD orders. Orders post-procedure labs and radiology work per MD orders. Keeps family informed of recovery period and any delays. Knowledgeable of crash cart and all its components. Plans workday (breaks, lunches, etc.) around the flow of the surgical schedule. Discharges patient from the recovery areas. Assists the patient with dressing and gathering belongings. Makes sure that a family member or other escort is with the patient at discharge and that someone will be available to help at home. Covers patient discharge instructions thoroughly. Answers questions to both patient and family members. Escorts patient out to vehicle if sedation was involved or patient is incapacitated. Completes proper documentation for the chart. Makes pre- and post-operative phone calls to patients and follows appropriate check lists. Contacts Director if problems occur or advice is needed. Maintains the Pre-op, Recovery rooms. Orders supplies. Monitors functionality of monitors and all other equipment. Reports repair/ maintenance needs to Engineering and Biomed PRN. Assists in general housekeeping duties such as: cleaning stretchers and beds, wiping down counters, mopping floors, organizing charts as needed. Requires flexible working hours. Occasional overtime may be involved each pay period. Assists RN circulator in surgery PRN. (Blood transfusions, taking report, room turnover, call assistance, etc.). Must be able to take call when in a full or part time position. Pool RNs may take call if approved by the Ad/Recovery Director. Some surgical departments do not require call and are thus exempt. Becomes ACLS certified within one year of hire. If unable to accomplish certification may continue employment only with authorization by the CNO. Knowledgeable of policies, guidelines and protocols pertinent to the facility. Involves themselves during all Code drills. Responsible to keep all requirements updated in a timely manner (CPR, ACLS, safety review, TB testing, etc.). Knowledgeable of room prep, tray setup and equipment necessary for CT/Radiology and Pain Block Service procedures including epidural, nerve root and facet injections. Must complete the Procedural sedation competency. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Active or Interim Washington State Registered Nurse License, required by start date. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: CAPA or CPAN Perianesthesia Certification. Preoperative and/or postoperative nursing experience. Experience using an electronic medical record. Experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Surgical Services Department Nursing Care Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
$5,000 Sign-On Bonus!! Requirements: 2 years of Cardiology experience and make a 2 year commitment to Confluence Health. Position Summary: To facilitate and assist Cardiovascular Service Line, (CVSL), in providing service excellence and quality patient care by coordinating patient care activities in multiple settings utilizing a variety of nursing skills and functions. The Registered Nurse working in the Device clinic supports continuity of care for the patient with an implanted cardiac device. By utilizing the nursing process, the nurse will assess, analyze, plan, implement and evaluate the effectiveness of the cardiac implanted device. Through problem solving and working closely with Electrophysiology staff and physicians and others in the Cardiovascular Service Line, the nurse will work to provide the highest quality care. The nurse will facilitate device patient care optimizing patient/family satisfaction, and contribute to improvement in cost/quality measures. Essential Functions: Provides timely interrogation of patient's implanted cardiac devices through accurate assessment, analysis of rhythms and interrogation results, intervenes on any results that are outside of normal limits, cardiac rhythm abnormalities or when battery life is declining. Consults the Electrophysiology physician or Cardiologist for any concerns while the patient is in office or for remote monitoring checks, loop recorders or external defibrillators. Maintains open lines of communication with all team members. Documents all device interrogations in clinic and remote accurately, timely and reflecting the plan of care consistent with Device clinic standards and Electrophysiology and or Cardiology Provider direction. Provides coordination of patient follow-up with initial wound checks, in-depth home and in clinic monitoring education, warnings and precautions for patients with cardiac implantable devices or external defibrillators. Plans and anticipates patient care by performing timely review of patient appointments, pre- surgical clearance documentation, medical records, physician and staff work schedules, documents thoroughly and consistently all aspects of device therapy and monitoring. Facilitate and supervise patient device tracking in all aspects of care concerning the patient; before, during, and after implant, generator change out, explant. Provides extensive patient and family education regarding normal cardiac functioning as the basis for patient indication of the cardiac implant and works with the patient to develop an understanding of pacemaker and defibrillator function. Provides significant psychosocial support to patients and families particularly patients who are post cardiac arrest or who have undergone defibrillation. Utilizes Listening Well skills understanding the great anxiety and post-traumatic stress patients may experience. Completes charges in a timely manner and reviews reports for outstanding charges. Regularly participates in Outreach working at times independently with Provider support by telephone. Essential – Clinical Expert Participates in teaching/training of other health care delivery staff related to device problem solving and therapies including physicians, APCS, nurses and medical assistants. Serves as a primary resource for cardiac devices and decision maker for other staff within the CVSL and Confluence and community healthcare providers regarding device patient care issues and is available to respond to and act as leader in emergent patient situations ensuring safe and efficient transfer of care within the department and to a higher level of care. Serves as a liaison with other health care agencies or services to promote coordinated health care across the OP-IP continuum. Works very closely with Industry representatives to assure timely and high-quality care for the device patient. Triages and coordinates care for "urgent/emergent" device and CVSL patients and acts as a resource to staff and providers. Provides direct patient care for device and populations served within the Cardiovascular Service Line on an as needed basis. Essential – Patient Care Coordinator and Educator: Provides patient teaching related to cardiac device therapy, defibrillation, monitoring, reporting and maintenance as well as general health maintenance, prevention, safety, self care, and other interventions to achieve individualized patient directed goals. Participates in scheduled office visits as requested by Providers and acts a resource in resolving client needs or problems within the CVSL and healthcare community. Provides phone consultation services with appropriate follow up for device and CVSL population(s) served. Supports team and physician(s) by serving as liaison for patients, other health care workers, and the public. Responsible for the coordination of complicated patient care issues including patient follow-up and appropriate referral to other resources. Essential – Professional Development Participates in departmental Quality Improvement and or Research projects as assigned Maintains professional appearance and manner. Role model of excellent customer service standards Demonstrates ongoing continuing education and staff development per WVMC guidelines Attends required meetings Regularly participates in Outreach to Outlying Confluence clinics. Participates in trainings of Confluence RN's and staff acting as the primary resource for Cardiac Implantable Devices and monitoring technologies. Facilitates patient support groups providing a forum for patient education and advocacy. Marginal Serves on Cardiovascular Service Line committees and workgroups NOTE: This list of job functions is not intended to be all inclusive and may be expanded to include other functions that may be deemed necessary. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Registered Nurse graduate of an accredited school of nursing. Current Washington State RN license. ACLS within 6 months of hire. Knowledge of professional nursing theory and practice, the nursing process in evaluating and providing patient care. The ability to apply and modify the principles and methodology of nursing to provide service excellence and quality patient care. Must have the ability to relate effectively with coworkers, physicians and general staff as part of a team. The RN in this position must be able to communicate well to patients, family members and the general public. Capability of independent work ethic with minimal supervision. Strict attention to detail and the ability to respond calmly and effectively in a stressful and challenging environment. Desired: Preference for previous experience in Cardiology in an ambulatory care setting or for specialized experience important to the function of the respective department. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – O Sitting/Standing - C Reaching: Shoulder Height - O Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - C Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – Yes Lighting – No Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes
Jul 22, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
Please note: this is a pool position, no guarantee of hours Position Summary: A clinical competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patient, significant others, and other health team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). As an active member of the Central Washington Hospital Sexual Assault Nurse Examiner team, the Nurse Examiner provides forensic examinations, crisis intervention, and support to the sexual assault victim. The Nurse Examiner is accountable for medical discharge planning for the sexual assault victim, in coordination with community resources and, when necessary, provides factual witness testimony and acts as liaison with prosecuting attorney. Essential Functions: Demonstrate autonomous nursing practice: Pediatric and adult assessment skills. Knowledge and ability in the use of colposcopic equipment. Ability to read and interpret photo documentation. Exhibits interpersonal skills and professionalism that promotes a positive functioning unit. Refers unresolved conflicts via chain of command. Active participation in problem-solving all identified issues. Follows through on problems that may compromise patient care by using the appropriate chain of command. Assumes responsibility for self evaluation/self improvement. Meets Central Washington hospital continuing education requirements. Meets annual forensic nursing requirements. Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Shares equally in on-call time for SANE program. Coordinates patient care, utilizing the nursing process. Utilizing Central Washington Hospital Standards of Nursing Practice, demonstrates appropriate age-specific assessment, planning, implementation and evaluation of the patient’s care. Collects and documents the patient’s health history. Complete admission database and other assessment tools as defined by SANE policy. Identifies stressors, coping skills, strengths, and areas of concern for patient improvement with the patient/family. Assess home environment and identifies discharge needs. Gathers information and data from non-licensed assistive personnel to use in developing an individual plan of care for each patient. Makes accurate and ongoing assessment of patient’s status and responds appropriately. Documents accurate assessment of patient’s status. Documentation reflects nursing interventions and patient’s response, patient’s needs, problems, capabilities and limitations. Teaches patient/family and/or significant others appropriate health information. Provides written informational material. Evaluates discharge plan. Makes appropriate community resource referrals. Provides care for patients including, administration of medications and/or treatments. Demonstrates necessary skills and knowledge to provide care for patients according to SANE policy, procedures, and standards of care and practice. Demonstrates necessary skills and knowledge to provide care for patients according to SANE competencies. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Demonstrates ability to delegate appropriately to non-licensed assistive personnel. Compassionately gives personal patient care to provide comfort and well-being to the patient, acknowledging physiological and psychosocial needs. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician’s orders, and SANE policy and procedure. Notes and enters order per nursing policy. Assures verbal orders are written and co-signed by ordering physician within time frame of nursing policy. Accurately and concisely processes information. Communicates appropriate information to physicians, CPS, law enforcement, and other health team members in a timely manner. Demonstrates accurate and timely documentation neatly and legibly according to SANE form guidelines. Accurately transcribes physician orders according to nursing policy and procedure. Accurately charges for patient supplies. Maintains a safe and sanitary work environment Maintains a clean, neat, and safe environment for patient and staff according to hospital and unit policies Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Immediately removes and sends broken/malfunctioning equipment to Engineering Department with a tag stating the problem. Maintains universal precautions at all times. Collaborates with hospital personnel and physicians. Communicates with physicians effectively on an as needed basis. Collaborates with other nurses and health team members to develop an appropriate plan of care when necessary. Actively participates in unit-based quality improvement program. Demonstrates an ongoing awareness of, and participation in the unit-based quality improvement program. Recognizes and strives to do the right thing the first time, on time, every time. Demonstrates ability to continuously look for ways to improve patient care. Participates in identifying opportunities for improvement and assists in developing new innovations. Supports the hospital quality goals. Maintains current standard of practice by attending a minimum of twelve (12) hours continuing education per year in forensic nursing. Adheres to Hospital/Nursing policy. Dresses according to Central Washington Hospital’s Dress Code policy, specifically the nursing-specific Dress Code policy. Is conscientious in regard to personal hygiene. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Complies with specific hospital policy and procedure concerning infection control, variance, and injury reporting. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard) Minimum one year with a recommended three years of nursing service Current licensure in the state of Washington as a registered nurse or Advanced Registered Nurse Practitioner Attend and successfully complete all didactic and clinical components of a SANE training program. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - F Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - F Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - F Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Bright Noise - Yes Ionizing/Non-Ionizing Radiation - No Infectious Diseases - No
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
This position offers a $5,000 sign on bonus* *Must have two years experience and make a 2 year commitment to Confluence Health Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Clinical Manager Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019
Full time
Confluence Health Wenatchee, WA 98801, USA
Position Summary: Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Essential Functions: Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Registered Nurse graduate of an accredited school of nursing. Washington state Department of Health -RN license must be active by start date. Desired: Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
This position offers a $5,000 sign on bonus* * Must have two years experience and make a 2 year commitment to Confluence Health Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions: Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Jul 22, 2019
Confluence Health Wenatchee, WA 98801, USA
This position offers a $5,000 sign on bonus* *Must have two years experience and make a 2 year commitment to Confluence Health Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Reports to Medical/Oncology Clinical Manager. Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Jul 22, 2019