GI Procedure Nurse RN - Moses Lake Ambulatory Surgery Center

$39.33 - $61.57 / hour

Salary Range $39.33 - $61.57 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Ensures quality patient care by assisting in the performance of all procedures in the GI department. Assess, plans, implements and evaluates the care of patients in the GI department. Communicates with the gastroenterologists as needed about patient’s condition, assists with procedures, and assists with maintaining equipment and inventory. Participates in performance improvement projects, maintains regulatory agency requirements, nursing and medical center policies and standards. Position Reports To: Practice Manager Essential Functions Ensures quality patient care by following department policies and guidelines. Maintains IV competency. Obtains/maintains conscious sedation competency. Prepares each suite prior to each case by following the daily schedule and procedure requirements. Ensures safe patient care by placing blood pressure cuff, sensor for pulse oximeter, nasal cannula, surgical cautery pad and cardiac electrodes appropriately. Assists with positioning of patients. Assists the MD in the procedure rooms, including but not limited to: biopsies, polypectomy, dilation, charting vitals/patient status and the collection and labeling of specimens. Delegate’s tasks to the GI tech, recognizing what duties are within their scope of practice. Ensures optimal outcomes by proper handling of instruments and equipment. Maintains manufacturer’s recommendations and WVMC policies by proper processes-cleans, disinfects and reprocesses scoped and other instruments, per policy #5510. Understands the inventory of sterile, non-sterile and disinfected instruments by demonstrating proper handling, function, availability and location. Prioritizes activities based on knowledge and comprehension of the endoscopy schedule. Understands operation, function and handling of special equipment according to manufacturer’s recommendations. Provide assessment by troubleshooting malfunctioning equipment. If further service is required, process equipment, complete paperwork and calls biomed. Assists where needed to insure efficient and safe care in the GI patient continuum. Maintains adequate inventory based on department need. Demonstrates economic use of equipment and supplies. Maintain confidentiality of all pertinent patient care information to assure patient’s rights are protected. Communicate appropriate information to other members of the healthcare team in a timely manner. Participate in overall GI ASC functions including, but not limited to, scheduling of procedures, training of new staff, maintaining appropriate statistics, assisting with Quality Assurance projects, education to improve self and others, and attending staff meetings and annual education in-services as required. Comply with attendance requirements. Channel suggestions, criticism and questions to appropriate individuals. Accept and act on constructive criticism to improve professional abilities. Respond appropriately to emergency situations, recognizing the need for assistance and obtaining support from GI personnel and/or physician as needed. Recognize legal responsibilities and function within limitations as specified by law. Responsible for complete and thorough performance of assigned tasks. Demonstrates an awareness of safe conditions and safe acts as related to WVMC employment. Exhibits cooperation, self-control, and courtesy in relating to coworkers and job-related contacts. Maintains BLS certification, obtains and maintains ACLS certification within 1 year of employment. Compliance with universal precautions and the use of personal protective equipment Understands the safety precautions associated with the use of OPA and other chemicals in the healthcare environment. 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 RN license. ACLS training (within a year). Desired: Previous experience in ambulatory care setting or endoscopy lab desirable. 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 - 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 - F Carrying: Over 50 pounds - O Crawling/Kneeling - Not specified Bending/Stooping/Crouching - Not specified Twisting/Turning - Not specified Repetitive Movement - Not specified Working Conditions: Most of the work is done where space is limited and confined. Working conditions are stressful at times. Requires a combination of working alone and also working closely with others. Overtime may occasionally be required. General supervision is provided by the area manager with additional instructions, guidance, and direction provided by the physicians and nurses in the GI Department. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - Not specified Heat - Not specified Cold - Not specified Mechanical Hazards - Not specified Hazardous Substances - Not specified Blood Borne Pathogens Exposure Potential - Not specified Lighting - Not specified Noise - Not specified Ionizing/Non-Ionizing Radiation - Not specified Infectious Diseases - Not specified

Nurse Infusion RN

Confluence Health Wenatchee, WA

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary The Infusion Therapy RN is responsible for the comprehensive holistic care of oncology and non-oncology patients being infused with chemotherapy, biologic therapy agents, blood products, fluids, and other medications. The nurse provides care coordination and direct patient care; consults with physicians and colleagues; and educates patient/family on symptom management and new therapies, for oncology and non-oncology patients, treated in the infusion department. This position provides longitudinal comprehensive nursing care to oncology/hematology patients and to non-oncology patients requiring infusion therapy and complex cancer treatments. This position works in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To : Clinical Practice Manager Essential Functions Demonstrates a high level of understanding of oncology illnesses and treatment modalities. Demonstrates the ability to assess baseline physical, emotional and social needs. Provides clinical and technical oversight to patients requiring infused or injected chemotherapy, biologic therapy, blood products, and other agents: Performs a nursing assessment prior to and during each infusion or treatment per policy and procedure of the medical center. Has knowledge of agents infused including the potential drug toxicities, side effects, proper methods of administration, and interventions necessary for the safety of the patient. Safely prepares infusion and pump set-up for each drug that is infused. Follows parental administration policy and procedure of the medical center for the medications given. Monitors patient during and after the infusion, observing for any adverse effects. Provides anaphylactic/life-saving interventions to potential hypersensitivity reactions following correctly administered medications. Provides comprehensive care to patients as part of the overall care team. Manages patient symptoms, concerns and/or reactions and effectively communicates the entire picture to nurse navigator and/or provider for that patient. Demonstrates ability to develop a plan of care to respond to patient symptoms and reactions resulting from the disease or the treatment. Demonstrates capability to multitask with accuracy and deal effectively with unpredictable situations. Demonstrates ability to effectively intervene and direct colleagues during a patient crisis. Provides patient and family education about treatments and side effects, procedures such as bone marrow aspiration and ommaya taps/intrathecal chemotherapy in collaboration with the other members of the healthcare team. Informs Clinical Practice Manager of high-risk patient situations. Reviews and implements the treatment and therapy plans. Maintains a working knowledge of current protocols related to the patient population. Knows research resources and how to access. Monitors the patient response to cycled therapies including lab values and symptom assessment. Administers medications and therapies as ordered. Documents necessary information supporting the care, including assessment, response, complications, interventions and resolutions per guidelines and policy of the medical center and department. Maintains and Develops IV/CVAD skills. Maintains knowledge of current ONS and INS standards. Follows the ONS/ASCO and INS guidelines for infusions, injections, and procedures. Provides education on access and maintenance of central lines to all departments of the medical center. Follows policy and procedures for IV and Central lines of the medical center. Takes an active role in professional development to stay current with medications, oncology care and treatment and current standards of ONS, ASCO, and INS. Serves as resource in their area of expertise for staff and colleagues. Actively engages in PI and LEAN processes. Demonstrates effective and professional communication and collaboration with colleagues and providers. Assures the safety of patients and other staff. Follows all policy and procedures of the Medical Center related to verification of orders and products when administering chemotherapy, biotherapy, and other infusion agents. Demonstrates an awareness of the potentially hazardous nature of many of the agents administered and follows safe handling and disposal policy and procedures of the medical center. Prepares and protects patients and families during infusions through the strict adherence of the infection control policy, universal precautions, and standards applied to procedures of the Medical Center and the Oncology Department. Required to maintain active Basic Life Support (CPR) certification. Required to take call as rotation requires on weekends. Required to travel as rotation requires to Infusion Oncology clinics within two hours of main campus. 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 licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Current BLS Health Provider card and renewal every two years. Chemotherapy/Biotherapy certification within the first year of employment. Additional certifications may be required dependent on department needs. Ability to work independently and to use critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge. Ability to develop clinical judgment. Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying response. Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skills. Ability to effectively provide information by checking what information the person knows already, giving small amounts of detail at a time, using clear terms, avoiding jargon, avoiding detail unless requested, checking for understanding, pausing, and waiting for a response. Ability to effectively utilize time management skills; the ability to organize and manage time constraints, to independently manage tasks including basic computer skills and EMR. Demonstrates capability to multitask with accuracy and deal effectively with unpredictable situations. Desired: IV/Central Line experience and Oncology experience. Knowledge of infused and injectable medications for the treatment of various diagnoses ordered by Specialty providers. OCN certification. 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 – O Reaching: Above shoulder height – F Reaching: Below shoulder height – O 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 – F Carrying: 25 pounds or less – F Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – F Bending/Stooping/Crouching – F Twisting/Turning – F Repetitive Movement – F Working Conditions: Open Infusion Suite, with minimal private room settings. Infusion Pharmacy located within the same department. 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

Nurse Consult RN - Internal Medicine

Confluence Health Wenatchee, WA

$39.33 - $61.57 / hour

Salary Range $39.33 - $61.57 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! 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. Position Reports To: Practice Manager 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). 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

Nurse Consult RN - Neurology

Confluence Health Wenatchee, WA

$39.33 - $61.57 / hour

Salary Range $39.33 - $61.57 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! 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. Position Reports To: Practice Manager 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). 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

Nurse Consult RN - Moses Lake Family Practice

Confluence Health Moses Lake, WA

$39.33 - $61.57 / hour

Salary Range $39.33 - $61.57 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! 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. Position Reports To: Clinical Manager 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: RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). 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

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