RN jobs in Seattle, WA

RN Jobs in Seattle, WA

Registered Nurse (RN) Case Manager Hospice

Continuum Care of Washington Bellevue, WA

JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of VA state, local, and federal law and ethics as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person to the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities if required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice in the state of Virginia. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides may be applicable. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

Infusion

Full-time

2 weeks ago

Registered Nurse Infusion - GI Care Neighborhood

Fred Hutchinson Cancer Center South Lake Union, WA

$47.64 - $88.19 / hour

Overview Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington. With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality. At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. The Registered Nurse is a member of an interdisciplinary care team. This role provides patient centric care and is primarily responsible for nursing assessment and diagnosis, planning, implementation, and evaluation. The Infusion Registered Nurse (RN) in the Thoracic Head and Neck Care Neighborhood at Fred Hutch Cancer Center brings together the leading research teams and cancer specialists of Fred Hutch, Seattle Children’s, and UW Medicine. This extraordinary group’s sole mission is the pursuit of better, longer, richer lives for our patients. In support of our mission, Fred Hutch is physically growing the clinic footprint and expanding into Care Neighborhoods. The Care Neighborhood puts the patient at the center of our work and brings the care team together to more effectively care for the patient. In preparation for the expansion, the GI Clinic at Fred Hutch will implement the new model of care in two Care Neighborhoods beginning Spring 2020. The clinicians testing this model will be innovators in their field and will work together to create a better patient and staff experience. Responsibilities PRIMARY RESPONSIBILITIES: Assesses physical, emotional, social, and spiritual needs and evaluates patients’ adaptation to health changes. Develops a plan of care based on patients’ disease, symptoms, and response to treatment. Educates patients, families, and caregivers on disease processes, treatment, side effects and symptom management. Coordinates with inter-disciplinary team to ensure continuity of care. Refers patients, families and caregivers as appropriate to other clinical resources/professionals such as social work, home health care, clinical nutrition, etc. Implements, evaluates and modifies plan of care. Integrates research and evidence based knowledge into clinical practice. In addition to primary responsibilities of the Registered Nurses (RN), the Infusion RN will have the following key responsibilities: Nursing Care and Assessment Demonstrate knowledge of standard treatment and medication side effects. Perform nursing assessment, review relevant lab results, assess pain and other symptoms. Administer IV hydration, electrolyte replacement, chemotherapy/biotherapy, and blood products. Safe Handling of Hazardous Drugs Demonstrate an awareness of the potentially hazardous nature of many of the agents administered and uses correct precautions when handling them. Follow all procedures regarding safe disposal of any materials used in the administration of chemotherapy or other hazardous agents and blood products. Patient and Family Education Provide patient and family education in coordination with treatment and care plan. Conduct learning needs assessment for patient and caregiver(s). Ensure patients have clinic contact information and understand when to call if symptoms arise or persist post-infusion therapy. Communication and Teamwork Communicate or escalate patient symptoms and concerns to provider as needed. Collaborate with the care team to provide effective and efficient patient care. Request consultation from social work, dietician, spiritual care, and or any other supportive care teams when patient's situation indicates. Professional Development and Clinic Engagement Participation in continuing education, departmental projects, committee work, and quality improvement initiatives. Qualifications Required: Graduate from an accredited school of nursing. Must have current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); and MSL primary state of residence must be updated to WA within 60 days of hire. This requirement may be waived under specific circumstances, subject to approval. Applicants that do not have previous oncology experience will be provided additional training and support. Current BLS AHA Health Provider Card (or equivalent course, such as by the American Red Cross) and renewal required every two years. ONS Chemotherapy Provider Card (required within 3 months of hire). Additional certification may be required dependent upon department. 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. Time Management skills; the ability to organize and manage time and tasks independently. 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 skill. Ability to effectively provide information by checking what information the person knows already, giving small amounts of information at a time, using clear terms and avoiding jargon, avoiding detail unless it is requested, checking for understanding, and pausing and waiting for a response. Preferred: Bachelor of Science in Nursing. Certification in oncology or specialty practice area. Two years of nursing experience. 2 years of RN Oncology experience in an ambulatory infusion setting. The hourly pay range for this position is from $47.64 to $88.19 and pay offered will be based on experience and qualifications.Registered Nurses are paid on a step-scale basis and are also eligible for shift differentials and other pay premiums such as advanced degree, preceptor and certification. Although Fred Hutch is not sponsoring most H-1B visas at this time, candidates who already hold an H-1B sponsored by another organization and are currently in the U.S. may be eligible for this position.Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), and paid parental leave (up to 4 weeks). Additional Information We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.