RN Intermediate Care Unit

St. Charles Health System, Inc. Bend, OR, US

Full-Time, Nights

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: RN – Critical Care - System

REPORTS TO POSITION: Department Manager/Director

DEPARTMENT: Varies

DATE LAST REVIEWED: April 18, 2024

OUR VISION: Creating America’s healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTSUMMARY: The Critical Care RN positions include bedside RNs on various units throughout St. Charles Health System. These departments include all Intensive Care Units, the Intermediate Care Unit, Progressive Care Unit and Critical Care Floats. These departments provide 24/7 specialized care to patients throughout their hospitalization and discharge.

POSITION OVERVIEW: The RN provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure.

ESSENTIAL FUNCTIONS AND DUTIES:

Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon.

Assesses the patient’s condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress.

Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.

Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies.

Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities.

Participates in activities that promote professional growth and development of self and others.

Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests.

Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate.

Supports the vision, mission and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.

Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience.

Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc.

Provides and maintains a safe environment for caregivers, patients and guests

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.

Performs stand by callback as assigned. Varies by department.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION

Required: As required by RN licensure.

Preferred: BSN

LICENSURE/CERTIFICATION/REGISTRATION

Required: Current Oregon RN license.

AHA Basic Life Support for Healthcare Provider certification.

ACLS

Preferred: Department specific acute care certification (i.e. CCRN, PCCN, CEN)

BEND-INTERMEDIATE CARE UNIT:

Additional Requirements:

Basic ECG course, 12 Lead ECG course, or successful completion of Basic ECG competency test for internal applicants.

12 Lead ECG course within 6 months of hire.

EXPERIENCE

Required: See below

Preferred: Department specific acute care experience.

BEND-INTERMEDIATE CARE UNIT:

Additional Requirements: One year Progressive Care Unit, Step Down, Intensive Care Unit or one year of Emergency Department experience within the past five years. Per the hiring manager’s assessment, previous experience must enable performance of the full scope of the position.

Preferred: Experience working with cardiovascular patient population.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

General:

Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.

Excellent organizational and multitasking skills.

Strong teamwork and collaborative skills.

Strong analytical, problem solving and decision making skills.

Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office.

PHYSICAL REQUIREMENTS:

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.

Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution.

Never (0%): Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP

Schedule Weekly Hours:

Caregiver Type:

Regular

Shift:

Third Shift (United States of America)

Is Exempt Position?

Job Family:

REGISTERED NURSE CRITICAL CARE

Scheduled Days of the Week:

Variable; includes every other weekend and holidays

Shift Start & End Time:

1900-0730

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Alaska Native Tribal Health Consortium Anchorage, AK

About ANTHC: The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction. ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state. Our vision: Alaska Native people are the healthiest people in the world. About Benefits: ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes: Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers. Cost-Share Dental and Vision Insurances Discounted Pet Insurance Retirement Contributions with Pre-Tax or Roth options into a 403(b). 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer. Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service. Eleven Paid Holidays Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members. Flexible Spending Accounts for Healthcare and Dependent Care. Ancillary Cash Benefits for accident, hospital indemnity, and critical illness. On-Site Child Care Facility with expert-designed classrooms for early child development and preschool. Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice. Tuition Discounts for you and your eligible dependents at Alaska Pacific University. On-Site Training Courses and Professional Development Opportunities. License and certification reimbursements and occupational insurance for medical staff. Emergency Travel Assistance Education Assistance or Education leave eligibility Discount program for travel, gym memberships, amusement parks, and more. Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act. Position Summary Under administrative supervision, collaborates with the specialty and acute care team, medical providers, post-acute care team representative, the patient’s primary care manager, the patient, and the patient’s family to identify and manage proactive care planning and interventions to promote patient wellness and satisfaction during the continuum of care transitions. Position Responsibilities Identifies care management patients by accessing Emergency Department (ED) or inpatient services and establishes personal contact within 24 hours of inpatient or ED referral. Creates and coordinates a focused transitional and discharge plan of care for chronic, high-risk patients based on initial assessment. The assessment is completed in collaboration with the patient, his/her family, direct care providers, primary care manager, post-acute care providers, community agencies, patient housing providers, and other staff as needed. Conducts concurrent medical record review to measure patient progress against goals established for discharge. Prepares and presents cases for discussion at scheduled meetings. Expedites proper sequencing and scheduling of interventions, treatments, and procedures in accordance with the patient’s need during inpatient care. Manages continuity of effective and timely communication between patient and providers. Communicates patient needs with anticipated site coordinator as necessary. Reviews transition/discharge plan to ensure the patient and his/her family understand the plan including medications and discharge needs. Coordinates with pre-authorization and financial counselors for acute and post-acute care as needed. Identifies and communicates any problems or issues that affect patient flow, patient satisfaction, patient safety, length of stay management, or outcomes to the department manager and/or appropriate key stakeholders. Works with acute and primary care multi-disciplinary care team to prevent readmissions; identifies and communicates relevant information and facilitates care conference(s) as necessary. Displays innovation in problem solving and critical thinking Assists leadership in Transitional Care Program development and continuous improvement through measurement and feedback of appropriate outcome based processes and strategies. Actively participates in developing program structure, tools, procedures and communication strategies. Recommends changes for process improvement in program policies and operations to meet objectives. Coordinates with local and State agencies as needed for care coordination; this may include the Office of Children’s Services (OCS), Adult Protective Services (APS), etc. Performs other duties as assigned or required. KNOWLEDGE And SKILLS Knowledge of Alaska Tribal Health System and Alaska Native culture(s). Knowledge of multiple care environments – Inpatient (IP), Outpatient (OP), Emergency Department (ED), Skilled Nursing Facility (SNF), and Home. Knowledge of the healthcare system and its component parts including sites of care, delivery models, and the roles of various providers and health care professionals. Knowledge of the community-based social service delivery system and its interaction with the health care system. Knowledge of working with multi-cultural populations Skill in assessing and prioritizing multiple tasks, projects, and demands in a high stress environment. Skill in managing patient complexity and multiple patients with diverse needs. Skill in working on teams to plan and produce defined outcomes within given timelines. Skill in thinking broadly and longitudinally, constantly assessing and anticipating the needs of the patient and his/her environment. Skill in working independently with flexibility and adaptability. Strong clinical skills, including an understanding of and ability to implement evidence-based care. Skill in establishing and maintaining effective professional working relations with co-workers, providers, and representatives of other health care organizations. Skill in ability to collaborate and facilitate relationships and consensus among the patient, family, and multidisciplinary providers from many different disciplines. MINIMUM EDUCATION QUALIFICATION Bachelor’s Degree in Nursing. Professional work-related experience, education, or training may be substituted on a year-for-year basis for education. Minimum Experience Qualification Non-supervisory – Three (3) years professional work experience as a Registered Nurse. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support (BLS) card. Preferred Experience Qualification Experience in the Alaska Tribal Health System. Preferred Certification Qualification Nationally recognized case management certification is preferred.