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Registered Nurse (RN) Per Diem - Tacoma

Company: TRA Medical Imaging
Location: Tacoma
Posted on: May 15, 2022

Job Description:

Job DescriptionPay: $38.30 - $64.57 per hourPer Diems are expected to work a minimum of 2 shifts or 16 hours per month.Job Summary:The Registered Nurse is responsible for assessing, planning, coordinating, evaluating, and delegating the delivery of patient care. The RN is directly accountable and responsible for the quality of care provided to patients and has the authority to direct care, provide education, seek resources at the department level, and delegate appropriate tasks. The RN, using specialized knowledge, can perform the activities of administration, supervision, delegation and evaluation of nursing practice. This position requires substantial specialized knowledge, judgment and skill, based upon the principles of biological, physiological, behavioral and sociological sciences, and requires critical thinking skills in making decisions regarding patient care, which includes knowledge and integration of relevant standards, resources and data. The RN has continuous contact with physicians, patients, patient families/significant others, community agencies, patient care staff, and management. Per Diems are expected to work a minimum of 2 shifts or 16 hours per month.Essential Job Functions:Identify Patient/Family Needs

  • Explain procedural process (who, what, why, & how long of the procedure).This can be started as a pre procedure phone call prior to the day of the exam.
    • Inform families of waiting areas
    • Update families of procedural progress, causes of delays
    • Use of sedation and recovery process.
    • Assess patient's level of understanding
      • Make sure arrangements have been made for interpreter, if needed, to enhance understanding.
      • Modify teaching technique to accomplish patient comprehension.
      • Maintain patient privacy and ensure safety measures are in place.
        • Radiation safety (gonadal shielding).
        • Safety devices in place if needed (safety belt, arm holders).
        • Pull blinds when necessary, doors closed, required personnel only.
        • Arrange for follow up procedural care or agency notification, when indicated.Nursing Process
          • Initiate physician order (sign & hold) and ensure H&P received from referring physician 1-2 days prior to procedure.
          • Review patient record for:
            • Reason for procedure and physician order
            • Age specific criteria identified (Adult through geriatrics).
            • Ensure patient preparation completed (IV, NPO, Antibiotics given, premed given, Glucophage and blood thinners held.)
            • Lab values (specifically CBC, PT, PTT, BUN, and Creatinine/GFR).
            • Knowledge of premed regime for prior contrast reaction.
            • Allergies, prior contrast reaction.
            • Current H & P, clinical notes (including current medications).
            • Informed consent signed and witnessed.
            • Prepare patient for procedure
              • Assess pain level and need for anxiolysis.
              • Ensure O2 set up and available, suction equipment, emergency equipment available.
              • Begin documentation process.
              • Attach monitors and record baseline VS.
              • Patent and running IV.
              • Assist with patient prep and draping for sterile field, tray and supplies opened and ready for procedure
              • Provide procedural sedation according to TRA sedation P&P guidelines.
              • Assist Physician with procedure when appropriate
                • Knowledge of aseptic technique.
                • Able to identify contrast reaction and initiate appropriate intervention.
                • Knowledge of procedure (purpose, possible complications).
                • Basic knowledge of equipment, i.e. wires, catheters, inflation devices.
                • Initiate post procedure care/recovery
                  • Stabilize patient (ensure hemostasis, stable VS, LOC).
                  • Ready patient for transport and assist with transport, if needed, to outlying hospitals.
                  • Complete documentation.
                  • Assess patient's sedation level for further recovery needs.
                  • Communication / Professional Behavior
                    • Fosters Teamwork with medical, technical and ancillary personnel throughout Imaging Services.
                    • Maintains openness with communication and ability to be flexible in response to changing work assignments and work load
                    • Approaches work environment with enthusiasm, sense of humor and positive attitude.
                    • Develop an understanding of Imaging Modalities, (CT, MRI, US, XRAY, PET and Nuc. Med.)
                    • Locate and check emergency equipment and crash cart in the pre/post procedure area.
                    • Assessment & Analysis
                      • Initiates data collection and analysis that includes pertinent objective and subjective data, regarding the health status of the patients.
                      • Accepts responsibility for ongoing patient assessment, including assimilation of data gathered from other members of the health care team.
                      • Nursing Diagnosis & Problem Identification
                        • Uses patient data and nursing scientific principles to develop nursing diagnosis and to identify patient problems, in order to deliver effective nursing care.
                        • Planning
                          • Plans nursing care which will assist patients and families with restoring health and wellness, or supporting a dignified death.
                          • Implementation
                            • Implements the plan of care by initiating nursing intervention through giving direct care, and supervising other members of the care team.
                            • Evaluation
                              • Evaluates the responses of individuals to nursing intervention and is responsible for the analysis and modification of the nursing care plans, consistent with intended care outcomes.
                              • Delegation & Supervision
                                • Accepts accountability for patients receiving nursing service.
                                  • Delegates selected nursing functions to others, in accordance with their education, credentials, and demonstrated competence.
                                  • Supervises others to whom he/she has delegated nursing functions.
                                  • Evaluates the outcomes of care provided by licensed and other paraprofessionals.
                                  • Health Teaching
                                    • Assesses learning needs, including learning readiness for patients and families, develops plans to meet those learning needs, implements the teaching plan and evaluates the outcome.
                                    • Other Accountabilities
                                      • Communicates significant changes in the patient's status to appropriate members of the health care team, in a time period consistent with the patient's need for care.
                                      • Documents on essential patient records, the nursing care given, and the patient's response to that care.
                                      • Acts as patient advocate in health maintenance and clinical care.
                                      • Contributes to the success of the organization by meeting organizational competency expectations, continuously learning, and by performing other duties as needed or assigned.
                                      • Check work e-mail daily. Qualifications:Education/Work Experience
                                        • A minimum of three years' Critical Care experience, or five years' Interventional Radiology experience.
                                        • Bachelor of Science Nursing preferred.
                                        • Licensed as a Registered Nurse required.
                                        • Current Registered Nurse licensure in the state of Washington.
                                        • ACLS certification, as required by facility or department.
                                        • Certification in specialty area preferred.
                                        • Current BLS certification required Job Knowledge & Skills
                                          • Knowledge and understanding of disease entities commonly seen within Interventional Radiology.
                                          • Patient Assessment and Care - Knowledge of, and ability to, assess ailments and injuries of patients and implement a treatment plan.
                                          • Knowledge and understanding of age related care needs for pediatric, adult, and geriatric patients and/or families.
                                          • Clinical Policies and Standards - Knowledge of, and ability to use, industry standards, policies and procedures relevant to function and organization.
                                          • Patient Rights - Knowledge of principles and practices associated with the rights and responsibilities of patients and caregivers.
                                          • Health Information Documentation - Knowledge of the relevance of health information and appropriate documentation methods; ability to record medical histories, symptoms, vital signs, medications, diagnoses, treatment plans, procedures, tests, and medical results, in written or electronic format. Healthcare Knowledge - Knowledge of the operating principles, major issues, governmental regulations, and code of ethics for the healthcare industry; ability to apply this understanding appropriately to healthcare related situations. Skill in organization of work assigned.
                                          • Ability to demonstrate effective customer service skills.
                                          • Communicate professionally with other medical facilities, patients, and customers.
                                          • Ability to manage multiple tasks and carry out instructions effectively. Physical RequirementsWork is classified as moderate in physical requirements. Must be able to assist in supporting patients of varying weight. Ability to stand, walk or sit for extended periods of time. Reaching by extending hand(s) or arm(s) in any direction. Also requires manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment as necessary.Mental RequirementsWork requires high attention to detail and the ability to handle mentally stressful situations. The ability to maintain high level of sensitivity towards confidential information is also required.Working/Environmental ConditionsWork environment consists of normal office or administrative working conditions. There may be exposure to communicable diseases. There will be limited exposure to ionizing radiation. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Keywords: TRA Medical Imaging, Tacoma , Registered Nurse (RN) Per Diem - Tacoma, Healthcare , Tacoma, Washington

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