RN Full-time
Full-Time, Days, with call (call includes weekends, nights and holidays)

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                      RN-Medical Diagnostics - Bend

REPORTS TO POSITION:      Department Manager

DEPARTMENT:                        Varies

DATE LAST REVIEWED:         November 29, 2023

OUR VISION:                Creating America’s healthiest community, together

OUR MISSION:             In the spirit of love and compassion, better health, better care, better value

OUR VALUES:              Accountability, Caring and Teamwork

DEPARTMENTSUMMARY: The RN positions include bedside RNs on various units throughout St. Charles Health System. These departments provide specialized care to patients throughout their perioperative & perianesthesia experience.

POSITION OVERVIEW: The RN provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures.  Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure.

ESSENTIAL FUNCTIONS AND DUTIES:

Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon.

Assesses the patient’s condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress.

Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.

Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies. 

Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities.

Participates in activities that promote professional growth and development of self and others.

Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients and guests.

Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate.

Supports the vision, mission and values of the organization in all respects.

Supports lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.

Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience.

Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc.

Provides and maintains a safe environment for caregivers, patients and guests

Conducts all activities with the highest standards of professionalism and confidentiality.  Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. 

Performs stand by callback as assigned.  Varies by department.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION                  

Required:  As required by RN licensure.

Preferred:  BSN           

LICENSURE/CERTIFICATION/REGISTRATION

Required: Current Oregon RN license

AHA Basic Life Support for Healthcare Provider certification.
ACLS
Preferred: Department specific acute care certification. (i.e. CPAN, CGRN, CAPA, CCRN)

EXPERIENCE

Required: 1-2 years recent ICU, IMCU, or ER experience.

Preferred: 6 months of recent endoscopy experience, including pre-op/Phase I/Phase II recovery.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION: 

General:

Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.

Excellent organizational and multitasking skills. 

Strong teamwork and collaborative skills.

Strong analytical, problem solving and decision making skills. 

Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office.

PHYSICAL REQUIREMENTS:

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.

Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%):  Climbing ladder/step-stool (varies by area), operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution.

Never (0%):  Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP

.

Schedule Weekly Hours:

40

Caregiver Type:

Regular

Shift:

First Shift (United States of America)

Is Exempt Position?

No

Job Family:

REGISTERED NURSE ACUTE CARE

Scheduled Days of the Week:

Variable with Call

Shift Start & End Time:

0700-1730

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The QIPS-RN works in close partnership with the Quality and Safety teams to meet regulatory and accreditation requirements, as well as the Lean Improvement Office to ensure that all work is approached with a Lean mindset. A successful Caregiver in this role will have the capacity to maintain focus in a fast-paced environment, while staying flexible enough to adapt to quickly changing environments and priorities. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Utilizes quality and safety improvement principles, such as PDSA and A3 thinking, to design, develop, implement and sustain True North initiatives for their respective service lines and committees. Works collaboratively with a diverse array of Caregivers, leadership, and support services to assist with data collection, analysis, goal selection and the development of various auditing tools, such as: standard work, Epic bundles and performance scorecards. Participates in development and maintenance of numerous quality and safety dashboards and scorecards for their respective service lines and committees. Supports System Safety Quality Council (SSQC), Clinical Leadership Council, and other committee meetings. Supports continuous survey readiness in coordination with Accreditation Manager including regular rounding, mock (and actual) survey participation, CAREboard support, and auditing. Completes quality and patient safety reports as needed, including analysis of data, identification of trends, and recommendations for improvement. Works with the Patient Safety and Risk Management Team to review Safety Alert System (SAS) reporting and response process, including severity rating and evaluation of all safety events, RCA and apparent cause analysis; Stops the line to mitigate potential patient safety conditions and maximize learning. Uses trends obtained from safety reports, patient safety rounds and other sources of patient safety data to focus on areas for further analysis, risk management, patient safety and loss prevention activities. Identifies potential and actual sentinel events with prompt notification and debrief to key stakeholders including senior leadership, and site administration for conducting investigation of event and root cause analysis. Leads investigation for a Sentinel or serious harm event investigation and analysis. Leads RCA process and failure effect mode analysis (FMEA) to identify opportunities for system and process improvements. Supports the preparation of documents for reporting serious harm events to State and accreditation agencies. Proactively performs surveillance and evaluates patient safety risks in a uniform and consistent manner for assigned facilities, service areas and affiliated joint ventures. Provides caregiver and provider guidance and support for patient care issues with patient safety/risk or legal implications, i.e., consent issues. Works in collaboration with the compliance department for potential EMTALA and HIPAA violations. Reviews and supports the completeness of patient complaint and grievance response letters. Provides guidance to caregivers and providers for disclosure of unanticipated events to patient and their families. Proactively conducts failure mode and effect analysis for high risk or problematic care processes across System facilities and joint venture businesses, at minimum as required by The Joint Commission for continued accreditation. Collaborates with Subject Matter Experts to develop and spread learnings via Safety Alerts, Advisories, and key learnings based on bets practices and evidenced based medicine. Supports the vision, mission and values of the organization in all respects. Partners with the Lean Improvement Office on a variety of process improvement initiatives as indicated by project type and scope. Supports Lean Improvement Office by functioning as a “champion of change” and consistently leading with humble inquiry to unearth quality gaps, lead improvement initiatives, create sustainment plans and monitor for variation. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of every patient and caregiver. Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Provides and maintains a safe environment for caregivers, patients and guests. EDUCATION Required : Bachelor Science in Nursing, Registered Nurse. Preferred : Master’s degree in nursing, public health, healthcare management, data analytics, statistics LICENSURE/CERTIFICATION/REGISTRATION Required : Current RN License. Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites. Certified Professional of Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) within 1 year of hire. Preferred : Lean, Lean Sig Sigma Green/Black Belt, MINT, CQIA, CQE, or other industry-recognized quality certification EXPERIENCE Required : Two years’ experience in healthcare field, data analytics, public health or other closely related field. Preferred : Two years’ experience facilitating quality improvement and safety initiatives using Lean or other process improvement framework. Experience with Joint Commission standards and other standards such as CMS and OSHA. Experience facilitating groups through complex and sensitive issues and teaching process improvement principles. Experience working with medical staff on performance improvement. eExperience using Excel, manipulating data sets, creating pivot tables and other visual forms of data analysis. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: Is Exempt Position? Yes Job Family: NON CONTRACT RN SPECIALIST Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 8-5