Nurse (Clinical/Ambulatory)

3 days ago

Clinic RN

Job Summary and Responsibilities Sign on Bonus for qualifying new external Clinic RNs available! As a Clinic Registered Nurse (RN), you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently seeking a full time Clinic RN for the Franciscan Women's Health Associates Clinic in Tacoma, WA. We are looking for an engaged, energetic and passionate RN interested in high quality patient care. This team of RNs supports our Pierce County Women's clinics for triage as well as NSTs & nurse visits. This positions requires critical thinking to provide triage support and patient education. Free parking, competitive pay, great schedule and no weekends or organizationally recognized holidays required. Every day you will collaborate on comprehensive screenings, conduct critical risk assessments, provide vital preventative health education, and expertly coordinate care for diverse patient populations, leveraging technology to streamline processes. You'll ensure patients feel informed and at ease, patiently guiding them through instructions and addressing their concerns. To be successful in this role, you will combine robust clinical knowledge and technological proficiency with genuine compassion, strong communication skills, and an adaptable approach to learning and patient-centered care. Delivers professional nursing care to clinic patients; performs diagnostic testing and related clinical procedures to appropriate level of training/scope of licensure and established procedures; independently triages nursing situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff. Performs a variety of patient assessment/care tests (e.g. EKG, Spirometry, vision/hearing screening, peak flow, color blindness, etc.) in accordance with established protocols. Makes independent wound assessments and performs complex wound care and dressing changes, including placement or changing of wound vac); removes sutures or staples after wound assessment by a Provider. Inserts and/or removes tubes, drains, urinary catheters, including removal of peripherally-inserted central catheter (PICC); applies splints/braces. Instructs patients in the collection of samples and other tests; ensures that patient or family understands follow-up and referral information. Informs patients of lab results, calls in prescriptions to pharmacies and returns practitioners’ phone messages. Job Requirements Required Graduation from an accredited school of nursing, upon hire and Registered Nurse: WA, upon hire and Basic Life Support - CPR, upon hire Preferred One year RN work experience in a clinic setting OR two years of acute care RN work experience Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

1 week ago

Float Ambulatory RN Clinic

Job Summary and Responsibilities As a Float Clinic Registered Nurse (RN) , you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Every day you will collaborate on comprehensive screenings, conduct critical risk assessments, provide vital preventative health education, and expertly coordinate care for diverse patient populations, leveraging technology to streamline processes. You'll ensure patients feel informed and at ease, patiently guiding them through instructions and addressing their concerns. To be successful in this role, you will combine robust clinical knowledge and technological proficiency with genuine compassion, strong communication skills, and an adaptable approach to learning and patient-centered care. Delivers professional nursing care to clinic patients; performs diagnostic testing and related clinical procedures to appropriate level of training/scope of licensure and established procedures; independently triages nursing situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff. Performs a variety of patient assessment/care tests (e.g. EKG, Spirometry, vision/hearing screening, peak flow, color blindness, etc.) in accordance with established protocols. Makes independent wound assessments and performs complex wound care and dressing changes, including placement or changing of wound vac); removes sutures or staples after wound assessment by a Provider. Inserts and/or removes tubes, drains, urinary catheters, including removal of peripherally-inserted central catheter (PICC); applies splints/braces. Instructs patients in the collection of samples and other tests; ensures that patient or family understands follow-up and referral information. Informs patients of lab results, calls in prescriptions to pharmacies and returns practitioners’ phone messages. Answers questions and provides health care education and guidance to patients and/or families; explains/interprets results, findings, and diagnoses to patient and/or patient’s family within standards of practice. Provides direct assistance to provider in complex nursing care situations. Administers patient medications per written provider order; tracks and logs medication usage per established policies; inventories counts of controlled substances. Administers approved medications (e.g. legend drugs, vaccines and schedule III-V controlled substances) via oral, subcutaneous, intramuscular or intradermal routes; administers IV fluids/medications, including antineoplastic agents, investigational drugs and/or blood products, in accordance with physician orders; performs installation of fluids or medications into bladder via catheter. Administers drops, topical ointments/pastes/creams and/or nebulizer treatments. Assists with point of care testing (CLIA-Waived Tests only)/lab tests following established protocols/instructions. Obtains samples for point of care tests including swabs and urine/stool; performs venipuncture to obtain venous blood samples. This position is based in Pierce County Job Requirements Required Graduation from an accredited school of nursing, upon hire and Registered Nurse: WA, upon hire and Basic Life Support - CPR, upon hire and Driver's License: WA, upon hire Preferred One year RN work experience in a clinic setting or two years of acute care RN work experience Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

1 month ago

Cardio Clinic RN

Job Summary and Responsibilities Sign on Bonus for qualifying new external Clinic RNs available! Franciscan Medical Group, part of Virginia Mason Franciscan Health, is currently seeking a full time Clinic RN-Cardio for our Franciscan Heart and Vascular Associates in Tacoma, WA. This position is full time with no weekends, nights or organizationally recognized holidays required. As our Cardiac Nurse, you’ll care for patients who may have life-threatening cardiac events or conditions while helping their families navigate daily care and the long-term plan for healing and maintenance outside of the hospital. You’ll never have the same day twice as your patients’ needs evolve. That’s why you must be adaptable and detail-oriented, observing vitals and reporting the warning signs early to our multidisciplinary team of cardiologists, EKG techs, and other cardiovascular professionals. Your success in this role comes from your enthusiasm to go the extra mile for your patients and your strong assessment skills. To further support your nursing career, we offer continuing education opportunities to help you advance your clinical nursing skills. Administers cardiovascular and pharmacological stress tests with the use of imaging modalities and IV therapy as appropriate; interprets EKG findings in accordance with standard protocols. Performs diagnostic procedures intended to estimate prognosis, assess for coronary artery disease and heart rhythm irregularities; continually monitors patient’s blood pressure/EKG throughout procedures to ensure patient safety and identify issues. Utilizes 12-lead ECG-Exercise treadmill-echocardiography-blood pressure and pulse oximetry equipment, IV equipment and pumps in administering, monitoring and evaluating patient stress tests. Executes the procedure hookups, performs a brief evaluation and obtains patient history/assessment prior to beginning of study. Starts IVs and administers inotropic and beta blocking pharmaceutical agents; assesses and evaluates patient condition as necessary during administration of IV and related therapies. Monitors and screens diagnostic information obtained during the study; halts study in accordance with established protocols and notifies physician of abnormal findings. Stocks and maintains crash cart to ensure rapid availability of equipment in the case of a code or other patient emergency. Completes cardiac risk assessment forms in response to requests from internal/external providers for cardiac clearance for new/additional clinical/diagnostic tests/protocols; forwards assessments to Cardiologist for final determination. Researches patient charts to respond to questions that impact on clinical decision-making on the advisability of cardiac clearance requests. Complete multiple request forms for FMLA, disability, CDL and disability forms, FAA and other documentation. Reviews protocols established for each procedure/study and provides patient with specifically-tailored training/information based on unique patient medical history and physician-specific protocols. Reviews patient medical records in detail to determine medication regimes (e.g. blood thinner medications, insulin, etc) and confirms what and how to take them prior to the procedure. Applies procedural guidelines as they relate to the patient’s medical history and concomitant morbidities; orders pre-procedural lab tests and medications per protocols. Coordinates and provides pre- and post-operative instructions on multiple different device implantations, watchman procedure as well as evaluate for wound infections post-procedure. Provides post-procedure instructions to patient with regard to what to do and who/when to call with questions or concerns. As initial point of patient contact, performs nursing triage activities based on direct patient contact or via phone within scope of licensure; independently triages cardiac patients/situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff. Assess complex patient health problems/needs utilizing disease specific elements; identifies potentially emergent or critical issues which require immediate action or interventions; determines whether patient acuity/symptoms warrant a clinic visit and/or immediate referral to the ER or physician/provider. Executes nursing interventions and/or plan of care to facilitate the patient’s achievement in acquiring their highest level of function. Applies professional clinical judgment in making recommendations to physician/providers for further testing and/or new/adjusted treatment modalities. Administers patient medications per written provider order; tracks and logs medication usage per established policies; inventories counts of controlled substances. In collaboration with physician providers, reviews and assesses data from tools/equipment/devices (e.g. ECG, Holter Monitors, lab studies, remote device interrogation, etc.) relating to patient current health status and makes appropriate treatment decisions (e.g. starting IVs, nebulizer therapies, EKGs, medication adjustments, ordering imaging studies, etc.). Documents studies, procedures, and interactions in patient’s electronic medical record in accordance with established procedures; enters, pends and signs orders as appropriate. Responds to/triages patient telephone calls using approved protocols, ensuring documentation of phone call meets standards. Takes verbal orders from a provider in regard to urgent and/or emergent (not routine/non-complex care) patient safety issues; assures orders are signed off in accordance with established procedures. Job Requirements Required Graduation from an accredited school of nursing approved by the Washington State Board of Nursing and Two years of related work experience that would demonstrate attainment of the requisite job knowledge/abilities, upon hire and Registered Nurse: WA, upon hire and Basic Life Support - CPR, upon hire and Advanced Cardiac Life Support, upon hire Preferred Work experience in a cardiology-related field Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Oncology Clinic RN

Job Summary and Responsibilities Job Summary: This position is responsible for providing professional care specifically to adult, oncology/hematology patients. Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician/provider. Work requires the application of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians/providers, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, and delegate appropriate tasks. Essential Duties: Administers, oversees and documents the administration of medications (e.g., topically, orally, intramuscularly, subcutaneously and intravenously) as ordered by the healthcare practitioner and in accordance with hospital policy. Administers chemotherapy. Applies knowledge of current cancer treatment modalities to patient care. Adheres to the department’s and hospital’s policies and procedures, including safety, risk management and regulatory standards. Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility. Demonstrates proper use of available communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. Documents care delivered and patient status utilizing the nursing process in accordance with VMFH standards of care Job Requirements Education/Experience: Graduation from an accredited school of nursing; BSN preferred. Previous Oncology experience preferred. License/Certification: Current RN license from the Washington State Board of Nursing. Current Healthcare BLS Certification. OCN is preferred. Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.