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RN - Virtual Acute Care

Company: CHI-Franciscan System Services
Location: Tacoma
Posted on: August 16, 2019

Job Description:

RN - Virtual Acute Care
Position Type: Regular
Shift Hours: 7:00pm - 7:00am
Scheduled Hours per 2 week Pay Period: 48
Primary Location: Tacoma, WA

CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.

Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach - physical, emotional, and spiritual - is essential to healing the whole person. Come join our team!

Job Summary

The job is responsible for providing consultative patient care nursing services via the centralized CHI Franciscan Health (CHI-FH) Virtual Health Network which focuses on the provision of virtual remote care for patients in acute care or other inpatient care units. From a centralized command center location, an incumbent works collaboratively with the CHI-FH Inpatient team (FIT) and an interdisciplinary team of healthcare providers to facilitate achievement of cross-coverage clinical objectives, quality/customer service standards and improvement of patient care outcomes between the hours of 8pm and 8am. An incumbent provides indirect patient care, including assessing, planning, coordinating, evaluating and delegating work to members of the on-site patient care team. Work is conducted in accordance with CHI-FH policies, applicable regulatory requirements and scope of practice for the nursing profession and also involves consulting with, and providing education to, bedside clinical RNs, nocturnist MDs and other staff members in implementing appropriate nursing interventions for optimal patient care and safety.

Work is performed in accordance with standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician. Requires the application of judgment and critical thinking skills in making recommendations/decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources.

Essential Job Functions

The following section contains representative examples of job duties that might be performed in positions allocated to this job class. CHI Franciscan Health is a dynamic organization, and the environment can be fluid. Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of its employees. Accordingly, employees may be asked to perform duties that are outside the specific work that is listed. It is not required that any position perform all duties listed, so long as primary responsibilities are consistent with the work as described. Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto.
From command center remote location, responds to requests for patient care collaboration with FIT team delivered via pager notification; collaborates with bedside RN relating to patient assessment, including physical, psychosocial, cultural, behavioral/emotional, developmental and spiritual needs.

  • Determines/recommends, in consultation with on-site Virtual FIT providers, timely and appropriate responses to pages/requests from bedside primary RNs.
  • Gathers relevant patient care data from appropriate resources; collaborates on nursing plan of care based on needs identified by bedside RN during initial and ongoing patient care assessments; considers patient acuity and the competencies of the on-site care team as necessary to ensure the care recommended is consistent with CHI-FH standards and regulatory requirements.
  • Collaborates with the primary RN and Virtual FIT provider to assure appropriateness, accuracy and timeliness of provider orders; recommends holistic, comprehensive and professional nursing care actions for patient within scope of practice.
  • Provides advice and counsel regarding the implementation of appropriate patient care interventions; incorporates critical thinking into daily practice as demonstrated by the quality of care recommendations, effective transfer of knowledge, timely follow through and optimal patient outcomes.
  • Initiates and/or implements appropriate patient interventions as necessary to respond to routine, urgent and emergent patient issues; assesses and evaluates results to facilitate positive outcomes.
  • Determines/recommends, in consultation with on-site healthcare providers, timely and appropriate changes to patient care plan.
  • Advocates for patient needs so that all appropriate disciplines are informed of, and participating in, the established plan of care; escalates emergent patient issues per established communication protocols at each hospital site.
  • Responds to appropriately by demonstrating effective decision-making and provides follow-up to ensure that patient problems are resolved.
  • Documents care delivered and patient status utilizing the nursing process in accordance with CHI-FH standards of care, including changes in patient condition, patient responses to intervention and reassessments of pertinent findings.
  • Documents and assures appropriateness, accuracy and timeliness of Nurse Initiated Orders.
  • Adheres to CHI-FH's policies and procedures, including safety, risk management and regulatory standards.
  • Provides pa tient care education and guidance to bedside clinical staff; educates regarding results, findings and diagnoses to primary RN and providers within scope of practice.
  • Provides continuing assistance to management with respect to the development and/or improvement of existing clinical/treatment protocols/practices through the ongoing analysis and evaluation of current activities.
  • Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility; performs job duties in compliance with CHI-FH policies and procedures, including safety, risk management and regulatory standards.
  • Identifies opportunities for, and participates in, performance/quality improvement activities to improve clinical outcomes, healthcare delivery systems and to address patient safety/satisfaction and cost containment.
  • Cultural Sensitivity and Competence: Demonstrates proper use of communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Population Served: Demonstrates knowledge and proper skills associated with the department's defined specific populations served.
  • Performs related duties as required. Your time at work should be fulfilling. Rewarding. Inspiring. That's what you'll find when you join one of our non-profit CHI facilities across the nation. You'll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we'll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!

    Job Responsibilities
    As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient's individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits.

    Additional responsibilities for this health care role include:
    • Monitoring patients' conditions and assessing their needs
    • Collaborating with physicians and nurses to devise individualized care plans for patients
    • Administering patients' medications and providing treatments according to physicians' orders
    • Fostering a supportive and compassionate environment to care for patients and their families Job Requirements

      Education/Work Experience Requirements

      Graduation from an accredited school of nursing, and three years of related work experience that demonstrates attainment of the requisite job knowledge, skills and abilities. PCU, critical care and/or Charge/Resource RN work experience is preferred.

      Bachelor's degree in nursing is preferred.


      Current licensure as a Registered Nurse issued by the Washington State Board of Nursing.

      Current Healthcare provider BLS Certification.

      Join us at Catholic Health Initiatives, and become a part of our faith-based health system.

      Additional Information
      • Requisition ID: 2019-R
      • Schedule: Full-time
      • Shift: Night Job
      • Market: CHI-Franciscan System Services

Keywords: CHI-Franciscan System Services, Tacoma , RN - Virtual Acute Care, Healthcare , Tacoma, Washington

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