Staff Nurse Diagnostic Imaging - $5,000 Sign-On Bonus

0 Base Wage $43.64 to $79.57 Location: Skagit Valley Hospital The information described in this

has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Other information: Job Summary Plans, organizes and evaluates the direct and indirect nursing care of Diagnostic Imaging unit patients according to their individual needs, utilizing the nursing process.

Cares for patients of all ages. Effectively interacts with patients, significant others, and other health team members while maintaining standards of professional nursing.

Administers and maintains IV fluid/lines. Evaluates for potential interactions, predicts possible complications of infusions, intervenes in emergency situations with the correct solutions, anticipates and requests appropriate solution changes, and institutes changes based on evaluations. Conscious Sedation Validation: Predicts possible complications, intervenes appropriately in emergency situations, anticipates requests and institutes appropriate changes based on evaluations.

Performs wound management. Communicates and follows-through on the treatment plan. Has in-depth knowledge of the available treatment products and teaches the patient and family wound care.

Discharge a patient. Identifies and acts appropriate in all code situations. Performs, assists, and manages invasive procedures (DI, SOU, MOC).

Has necessary computer skills for documentation, data retrieval and order entry as required. Teaches patients in identified areas of need and evaluates the learning. Creates teaching tools, identifies and selects handouts.

Oncology Management (DI). Demonstrates a knowledge and understanding of wound drainage devices. Problem solves situations.

Analyzes and interprets findings with appropriate corrective action. Administers medications safely. Utilizes correct documentation.

Evaluates the potential for drug interaction. Liaison with referring provider to ensure pre-procedural work is complete. Possess patient teaching skills for a wide variety of drugs.

Anticipates needed changes in drugs. Can setup and monitor chest tube drainage systems. Triage patients.

Predicts possible complications, intervenes in emergency situations, institutes appropriate changes based on evaluation. Monitors enteral feeding tubes. Institutes changes based on evaluation as needed.

Understands necessary lab values and is effective in assisting in the process. Documents correctly in the medical record. Correctly utilizes flow sheets, charts appropriately in progress notes.

Conveys the situation accurately, holistically, with actions taken , utilizes chain of command as necessary, follows-up as necessary, and evaluations the situation so teaching and learning occur. Utilizes patient monitoring Equipment Special Care Areas. Schedules procedures.

Administers blood products. Recognizes and acts on signs of blood reactions. Is aware of and acts on the hemodynamic effects of blood product infusion.

Uses the O2 pulse oximeter for therapeutic outcomes. Admit a patient. Floats to others areas as needed, once oriented.

Seeks collaborative relationships, identifies problems, facilitates solutions, evaluates results and makes changes as needed. Coordinates patient care with the appropriate referral. Activates the referral process, coordinates follow-through, evaluates effectiveness and makes changes as necessary.

Waive testing (one touch, dipstick, etc). 1) Collects and processes appropriately 2) Evaluates data and institutes appropriate treatment. Perform a complete physical assessment by system: cardiovascular, gastrointestinal, GU/GYN, musculoskeletal, neurological and respiratory. Processes lab values with physical findings, patho-physiology of diseases, and the patient's own health status to formulate, act, and evaluate plan of care.

Realizes possible (+) or (-) spillover effects of the chosen action. This process is achieved in a multi-disciplinary approach. Correctly records and calculates I&O.

Correctly calculates cumulative I&O. Anticipates problems, and institutes change based on the evaluation. Conducts mobility assessments.

Uses the fall precaution program. Matches activity to tolerance levels. Institutes post-op mobility programs.

Devises, implements, evaluates multi-disciplinary teams on patient care mobility issues. Performs skin integrity assessment. Uses skin integrity tool.

Considers homeostasis and the physiological milieu of the patient in devising a plan of care. Collects specimens correctly: 1)timed 2)containers 3)processing. Anticipates the need to collect specimens based on the patient's condition.

Knows culture results and compares them to the antibiotic therapy. Invasive Management. Demonstrates the ability to appropriately scrub-in for interventional procedures and maintain sterile fields.

Adheres to Administrative SVH/Nursing Service policies. Does not incur excessive overtime. Complies with specific SVH policies and procedures concerning safety.

PATIENT SATISFACTION - Assists patients, family members or other clients with concern and empathy; respects their confidentiality and privacy and communicates with them in a courteous and respectful manner. Answers and refers telephone calls or other inquires to ensure accurate and timely communications are facilitated. Identifies him/herself in a pleasant and positive manner.

Takes responsibility for helping the caller and/or visitor. TEAMWORK - Assists in the orientation/training of new Team Members. Consistently works in a positive and cooperative manner with fellow Team Members.

Assists other Team Members in the performance of their assignments. Seeks out opportunities to help rather than waiting to be asked. Considers the impact of his/her actions on Team Members throughout SVH.

Recognizes the need for variations in staffing and volunteers to fill open shifts, whenever possible. Takes direction and initiates actions (cross/additional training) that will allow the assumption of cross-functional duties to ensure seamless patient care. Demonstrates flexibility to perform duties wherever volume deems it necessary within SVH.

PROBLEM SOLVING- Demonstrates sound judgment by taking appropriate actions regarding questionable findings or concerns. Investigates and follows through on unusual orders or requests for service or information. Follows proper reporting procedures for actual or potential accidents and/or incidents so follow-up and/or prevention can occur.

Records/reports the need for service maintenance or repair of equipment and removes any faulty equipment from service. Contributes to the achievement of Quality Improvement and participate in QI activities. Consistently evaluates work and determines if further steps are needed to meet client expectations.

Takes initiative to do or redo inadequate or incomplete work, even if it is not yours. Ensures compliance with regulatory standards. PRODUCTIVITY/EFFICIENCY - Consistently demonstrates the ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.

Minimizes non-productive time and fills slow periods with activities that will enable you to prepare to meet the future needs of SVH (education, organizing, housekeeping, assisting others). Organizes job functions and work area to be able to effectively complete varied assignments within established time frames. Consistently demonstrates the ability to take the initiative to make decisions/choices without direct supervision.

PERSONAL DEVELOPMENT - Attends required annual in-service programs. Participates in continuing education activities and obtains required contact hours. Meets 100% attendance requirement to annual mandatory skill updates.

Attends a minimum of 75% of scheduled staff meetings and reads and signs all minutes of meetings not attended. ADHERENCE TO SVH AND DEPARTMENTAL POLICIES - Demonstrates knowledge and understanding of all policies and procedures and ability to reference them from appropriate sources. Complies with SVH's infection control policies and procedures including Body Substance Isolation (BSI) and the Exposure Control Plan which reflects OSHA Bloodborne Pathogens Standard to ensure a safe working environment for self and others.

Ensures that SVH is operated in an efficient and cost effective manner by adhering to SVH and departmental attendance policies as documented on the Employee Attendance Record. Demonstrates adherence and support of SVH-Wide Service Standards and SVH/Department Safe Practices Standards. Performs other duties as assigned by Manager or Designee.

Education RN required, BSN preferred. Knowledge of fundamentals of nursing practice required. Experience/Training Registered nurse with a minimum of one (1) year recent Medical/Surgical experience or experience within an Acute Care setting required.

Minimum one (1) year of conscious sedation required. RN with experience in Diagnostic Imaging preferred. License/Certifications Current Washington State RN License required.

American Heart Association ACLS required. Chemo/biotherapy Validation required within 90 days of hire. Other Skills Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders and policies and procedures.

Demonstrates necessary skills and knowledge to provide care for patients according to SVH and unit specific policies and procedures. Demonstrates excellent critical thinking skills and the ability to handle emergency situations in a prompt, precise, and professional manner. Provides personal patient care to provide comfort and well-being to the patient, acknowledging physiological and psychological needs.

Effective verbal, written and interpersonal communication skills required. Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear.

This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling, and climbing all day. The employee must frequently lift or move objects and patients weighing over 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to focus.

Skagit Regional Health offers a comprehensive benefit package including medical, dental, vision, 457b/401a (retirement), long term disability, and paid time off to all employees holding an FTE of 20 or more hours per week. Eligible employees also receive sick time pay.