House Float Registered Nurse (RN) - Full-Time

Position Summary: The House Float Registered Nurse (RN) provides direct nursing care to all patient populations in FOUR nursing departments: Medical-Surgical (Med Surg), Intensive Care/Critical Care Unit (ICU/CCU), Family Birth Center (FBC) and Emergency Department (ED). Provides assessment and planning for individualized patient care. The incumbent applies the nursing process within their scope of practice as defined by the Oregon State Board of Nursing. Work includes assessing, developing, and implementing an individualized plan of care in collaboration with providers, interdisciplinary teams, and the patient and/or family throughout their hospitalization while following each department-based standards of care.

Qualifications:

• Current Oregon Registered Nurse license without restriction
• Current American Heart Association (AHA) Basic Life Support (CPR) required
• Current AHA Advanced Cardiac Life Support (ACLS) certification preferred. Must have within 6 months of hire.
• Current Pediatric Advanced Life Support (PALS) certification, Trauma Nursing Core Course (TNCC) or equivalent, STABLE certification, and NRP certification preferred. Must have these within 6 months of hire
• At least one-year acute care nursing experience preferred.
• Bachelor's degree of Nursing (BSN) or greater preferred
• Specialty certification preferred: i.e. Critical Care Nurse (CCRN), Progressive Care Certified Nurse (PCCN), Certified Emergency Nurse (CEN)

Primary Duties and Responsibilities:

1. Ensure compassionate, collaborative, and professional nursing care throughout the hospitalization in each department as assigned by the supervisor/manager or designee.
2. Organize patient care by prioritizing, delegating, delivering, and evaluating care on an ongoing and timely basis.
3. Gather and interpret patient information with accuracy; perform and document nursing assessments; verify presence of all necessary medical records.
4. Implement appropriate patient interventions, evaluate outcomes, and document care delivered and patient status.
5. Administer, oversee and document the safe administration of medications and treatments.
6. Consult with providers and supervisors (e.g. House Supervisor, Manager or designee) as appropriate to determine best treatment plans for patients.
7. Provide healthcare education and guidance to patients and families in collaboration with the interdisciplinary team.
8. Advocate for the ethical and holistic care of patients from diverse backgrounds promoting autonomy, dignity, and health.
9. Contribute to assigned work unit by demonstrating a commitment to competent professional nursing practice and engaging in opportunities for professional growth.
10. Stay informed about professional trends and adhere to policies, procedures, and standards of care, including safety / risk management, regulatory requirements, and each department-based guidelines.
11. Identify opportunities for, and actively participate in, performance and quality improvement activities to improve clinical outcomes, healthcare delivery systems, and address patient safety and satisfaction.
12. Department competencies for floats include achievement of department requirements including a minimum competency of Med-Surg Primary, ICU 2nd, FBC 2nd, and ER 2nd. It is the responsibility of the individual house float to communicate with the unit manager any needed additional trainings.


Skills and Abilities:

1. Ability to adjust to changing priorities and increased workloads to meet patient care and department needs.
2. Ability to organize, prioritize, and manage time effectively for the provision of patient care.
3. Ability to interpret, prepare and maintain patient information using the electronic medical record.
4. Skilled in making sound decisions and practicing critical thinking, especially when responding to urgent and emergent situations.
5. Skilled in therapeutic communication with the ability explain complex medical topics.
6. Skilled in performing service recovery to promote a positive patient experience, addressing complaints before they become grievances and escalating issues to supervisors for resolution as appropriate.
7. Knowledge of health equity and ability to provide age-specific, culturally competent care that considers the patient’s physical, psychosocial, and socioeconomic needs.

General Information:

House Float RN Job Duties and Essential Competencies include:

• Each department-based Standards of Practice
• Age Specific Care
• Blood & Blood Product Administration
• Cultural Competency/ Diversity Equity and Inclusion
• Infection Prevention and Control Measures
• Intravenous Access
• Knowledge of Patient Rights and Advance Directives
• Pain and Comfort Assessment/ Management
• Pharmacology
• Physiological Systems Review and Assessment
• Safety Measures in acute care setting
• Mechanical Ventilation management
• 12 Lead EKG with Cardiac Rhythm Recognition
• Training and competency testing in FOUR (4) departments identified as Med-Surg, ICU, FBC, and ED.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities and job skills required.

Physical Demands and Work Environment:

1. Ability to lift 50 pounds with frequent lifting/or carrying of objects weighing up to 25 pounds.
2. Able to sit, stand, walk, bend, squat, reach, and stretch frequently
3. Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone
4. Requires frequent use of computer
5. Must demonstrate manual dexterity
6. Occasional exposure to blood, body fluids or tissue, communicable diseases, chemicals, including but not limited to sticks or cuts by needles and other sharp items. Employee eligible for Hepatitis B Vaccination if desired.
7. Must be able to perform the primary duties and responsibilities of the job with or without reasonable accommodation.

Expectations for All Employees
Support the organization’s mission, vision and values by adhering to the behavioral standards of Grande Ronde Hospital. Comply with all laws and regulations affecting Grande Ronde Hospital.  Be familiar with and adhere to the Personnel Policy Manual and the Code of Conduct and support the Grande Ronde Hospital Compliance Program.  Effective communication skills and the ability work effectively with people from various backgrounds are critical.

Mission: Grande Ronde Hospital and Clinics will ensure access to high quality, cost-effective health care in a safe and customer-friendly environment for all those in need of our services.
Vision: Quality health care is our mission. Patients are our passion.
Values: Creativity, Compassion, Collaboration, Credibility

Shift Details: Night Shift, every other weekend, Friday-Sunday and then variable the following Monday-Thursday

Compensation:

$42.76 - $72.48 Per Hour DOE

Benefits: 

• Health Insurance
• Vision Insurance
• Dental Insurance
• Flexible Spending Account (FSA and Health Savings Account (HSA) Options
• 401K Plan with Roth Options
• 401K 3% employer match and a 2% base non-elective employer contribution
• Eligibility for company-paid benefits such as life insurance and long-term disability, subject to applicable waiting periods
• Option to elect Supplemental employee, spouse, and child life insurance
• Paid Time Off (PTO)
• Access to the Employee Assistance Program
• Discounts: available for meals in the cafeteria and over-the-counter pharmacy items
• Exercise/Fitness Facility: access to the Rehab Therapy Fitness Center for the employee and dependents