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Registered Nurse (#1077)

Salary Range:$26.55 to $45.75
Exempt/Non-Exempt:Non-Exempt
Benefits:Eligible for Full-time Benefits
Employment Type:Full Time
Department:Acute Care
Available To:Public
Description:Klickitat Valley Health is looking for an experienced RN to join the Acute Care department. This position offers three 12 hour night shifts (1900-0730) with a total of 36 hours per week.

KVH is a rural, critical access, public hospital district located in scenic Goldendale, Washington only two hours from Portland along the breathtaking Columbia River Gorge. The KVH care team of approximately 200 staff members considers it an honor to offer high quality healthcare to our friends, family and neighbors.

Goldendale, population 3,500, is nestled among the rolling Simcoe Hills with gorgeous views of Mt. Hood and Mt. Adams. Hiking, biking, fishing, hunting, skiing, kayaking, and windsurfing are world-class with the Columbia River and untouched wilderness just minutes away. Locals enjoy the cultural offerings of Hood River and Portland, as well as the dozens of wineries that dot the landscape throughout the Columbia River Gorge.

The Acute Care department consists of both acute inpatient beds and swing beds. Candidates should have at least two years of nursing experience in an acute care setting. Shifts may rotate to fit the needs of the hospital.

Excellent interpersonal skills and the ability to work cohesively within a team are essential. Applicants must have strong assessment and critical thinking skills, and the ability to multi-task during times of high stress / activity. The nurse should recognize and treat each patient as an individual with unique needs and values.

The RN is an important member of the healthcare team and works collaboratively with the other members of the care team to provide optimal outcomes for our patients in a compassionate, professional, ethical, and knowledgeable fashion. The RN demonstrates excellence in customer service during interactions with employees, managers/supervisors, providers, patients and patient family members, etc. The role of the RN includes, but is not limited to: assessment, planning, implementation and evaluation of patients’ status, plan of care and goal achievement. The RN will be oriented and float to other departments as necessary. The RN is aware of the potential exposure to internal and external hazardous materials, including but not limited to: blood and blood borne pathogens, infectious/communicable diseases and potential physical injury while caring for patients. Maintains a safe and clean environment for the care of the patient.
Duties:• Supports the mission, vision and values of the organization.
• Demonstrates knowledge of the statutes and regulations governing nursing and nursing functions within the legal boundaries of Registered Nurse Practice Act.
• Performs head-to-toe assessment on all patients including pediatric, geriatric, and the general patient population.
• Initiates or contributes to the plan of care and discharge plan for all patients admitted, identifying priorities within the plan and setting realistic and measurable goals.
• Evaluates overall plan of care daily, monitors patient progress, and identifies any changes in status, able to revise plan of care as indicated by patient’s response to treatment to insure patient comfort and safety.
• Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families.
• Formulates teaching plan for patients and families based upon identified learning needs.
• Adequately assesses and reassesses pain, utilizing appropriate pain management techniques. Educates the patient and family regarding pain management.
• Delivers and documents patient care as prescribed by the medical provider considering needs specific to the standard of care for patient’s age and within the scope of practice of the Registered Nurse, including: bathing, feeding, taking vitals, administering therapies and treatment, starting/maintaining/discontinuing IV lines for food, medication, blood and blood products; observing the patient and recording those observations, answering patient questions, etc.
• Uses sound nursing judgment to identify and communicate changes in the patient’s condition to the charge nurse and/or provider in a timely manner consistent with delivery of quality care.
• Communicates nursing interventions and responses to care to other members of the health care team.
• Demonstrates knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows KVH policy on medication administration to avoid med errors or interactions.
• Assists physicians with procedures and performs care and services requiring technical and manual skills.
• Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors, is accountable and responsible for each specific patient assigned.
• Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
• Works collaboratively with other nursing / hospital staff, delegating tasks as necessary; may assist Charge Nurse in the supervision of LPN, CNA and Unit Secretary.
• Follows hospital policy when labeling, handling and disposing of biohazardous materials.
• Performs new nursing techniques or procedures after successful demonstration of competencies.
• Floats to other departments as needed.
• Comply with all hospital policy and procedures, while upholding the high expectations of KVH.
• Attends a minimum of 50% of nursing staffing meetings and 100% of mandatory in-services.
• Completes initial and annual skills competencies.
• Performs other duties as assigned.
Qualifications:Minimum Education, Training & Experience (includes licenses or certifications):

Education / Licensure:
• Must be a graduate of an accredited school of nursing with an active/current RN license in Washington State.
• BLS, ACLS and Pals required within six (6) months of hire.
• Basic computer knowledge required.

Experience:
• Six (6) months nursing experience preferred.

Skills/Knowledge/Abilities:
• Requires critical thinking skills, ability to make good decisions, listen and accept advice from others, demonstrate maturity and good judgement and the ability to work with regular supervision.
• Demonstrate a thorough working knowledge of nursing theory, techniques, principles and practice in order to holistically care for the patient.
• Perform various sensory requirements such as: vision, speech, smell, touch, manual dexterity, fine motor skills and hearing in order to assess and treat the patient accurately.
• Promote/develop/deliver excellent customer service to both internal (patients and staff) and external customers (visitors and vendors).
• Demonstrate positive and effective interpersonal and communication skills with colleagues, patients, families, physicians, volunteers and the community.
• Work productively and cohesively within a team and resolve conflict/differences in a positive manner.
• Work in a stressful, fast-paced/demanding environment and take appropriate action to ensure quality of patient care, and ability to cope with both physical and emotional demands of the job.
• Maintain a calm and composed manner in emergency/stressful situations, taking appropriate action as necessary.
• Demonstrate attention to detail and high degree of accuracy; risk of error could result in significant harm or loss.
• Experience with using everyday tools (e.g., email, data retrieval, voicemail, and internet/intranet) as well as ability to effectively utilize an electronic medical record, as well as use/handle all medical equipment utilized in the care of the patient.
• Excellent organizational and multi-tasking skills with ability to anticipate tasks and prioritize assignments.
• Participate in quality review (QR) and performance improvement (PI) processes.
• Adaptability is essential to manage the needs of a department with unpredictable volume and limited staff.
• Ability to read, write, speak and understand English.


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