RN- Stress Echo at EvergreenHealth Monroe – Monroe, Washington

Wage Range: $43.34 - $80.20 per hour. The amounts listed are the base pay range; additional compensation, such as shift differentials and premiums may be available for this role. Job offers are determined based on a candidate's years of relevant experience, applicable education and internal equity.

Benefit Information:
Choices that care for you and your family

At EvergreenHealth Monroe, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

• Medical, vision and dental coverage w/premiums as low as $0!
• Flexible Spending Account
• Life, AD&D and Disability insurance
• Retirement plans (457(b) and 401(a) with employer contribution)
• Generous Paid Time Off/Vacation/Holidays
• Paid Sick Leave
• Employee Assistance Program
• Cafeteria Discounts
• Free parking

OUR MISSION:
EvergreenHealth will advance the health of the community it serves through our dedication to high-quality, safe, compassionate, and cost-effective health care.

OUR VISION:
EvergreenHealth will create an inclusive community health system that is the most trusted source for health care solutions

OUR VALUES:
Compassion - We care for and about our patients, families, and each other
Respect - We respect the beliefs and values of everyone we encounter
Excellence - We strive for excellence in all we do
Collaboration - We work in partnership and believe every voice makes a difference
Accountability - We are accountable to one another and to our community

JOB SUMMARY of ESSENTIAL FUNCTIONS:

Adheres to all hospital Policies and Procedures and Philosophy of Care. Consistently exhibits professional conduct that is a behavior-based expression of the hospital’s Standards of Excellence. Assists with the development of patient care standards, orientation, and continuing education. Assesses, plans, organizes, implements, and evaluates individualized, professional patient care. Provides nursing care as directed by medical staff and in accordance with the objectives and state Nurse Practice Act. Participates in unit and hospital performance and quality improvement activities. Uses an understanding of the principles of growth and development to assess each patient's age specific needs and provide age specific treatment and care.

REQUIRED EDUCATION, TRAINING AND EXPERIENCE; CERTIFICATION/LICENSURE:

Graduate of an accredited school of nursing, and current Washington State Registered Nurse (RN) license. Requires current Basic Life Support (BLS) certification, and Advanced Cardiac Life Support (ACLS) certification by date of hire. Minimum of 2 years acute care nursing experience with preference for background in cardiology. Bachelor’s degree desired for the position.

SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:

Excellent communication and interpersonal skills with patients, family, and multidisciplinary team members. Ability to think critically and utilize the nursing process. Demonstrated clinical nursing skills across the life span. Knowledge and ability to apply current theories, techniques and practices of nursing within their specialty area. Competent cardiac monitoring skills, including use of equipment.

WORK ENVIRONMENT AND HAZARDS:

Hazards include risk of exposure to communicable disease and risk of injury from lifting patients and operation of equipment.

WORK CONTACT GROUP: All patient related hospital departments, patients, families, visitors, nursing personnel and medical staff.

SPECIAL PHYSICAL DEMANDS:

Must be able to lift up to 50 pounds, mobilize and transport patients. Must be able to bend, stoop, push and pull. Walks and stands for most of the working day. Must possess visual, tactile and manual dexterity.

SUPERVISED BY: Dual reporting to Nursing Supervisor Coordinator & Cardiovascular Imaging Center Manager

SUPERVISES: None

ESSENTIAL FUNCTIONS/TECHNICAL

1. Provides direct patient care and functions as a patient advocate.
   1. Performs and monitors the patient throughout the entirety of the stress echocardiogram testing process.
   2. Places intravenous lines for administration of saline contract bubble studies and Definity™ contrast studies.
   3. Monitoring and interpreting electrocardiograms (EKG) during procedures
   4. Continuously assesses cardiac rate and rhythm, blood pressure, and patient symptoms in real time
   5. Administering pharmacologic stress agents such as Dobutamine as ordered
   6. Identifying and responding to adverse reactions or emergent situations during testing
2. Utilizes the critical thinking model throughout routine work activities. Provides and documents patient care delivery in the electronic medical record (EMR) per policy/protocol. Solicits active involvement of the patient in conjunction with the multidisciplinary team members in the goal planning process.
3. Demonstrates proficiency in department specific nursing skills. Completes, maintains and demonstrates competency in all unit based orientation and annual competencies per regulatory, departmental and hospital standards.
4. Uses the understand of the principles of growth and development to assess each patient’s age specific needs and provide age specific treatment and care.
5. Promotes a healthy and healing environment by maintaining organization and work readiness of the department, patient rooms, and patient care areas. Provides a clean, calm, orderly patient care environment.
6. Demonstrates a collaborative and participatory approach across department(s), service unit, and organizational boundaries.
7. Promotes teamwork and cooperation through participation in patient care activities, patient assignments, and staff assistance. Provides support to assure patient care activities are completed.
8. Oral and written communication is clear, constructive, consistent, effective, and conducive to positive interactions between individuals and groups. Demonstrates good listening skills and seeks feedback; assures mutual understanding.
9. Participates in evaluation process annually. Responsible for continued professional growth.
10. Recognizes need for change in policy and procured and participates in review and revision.
11. Recognizes situations where appropriate assistance is needed to effectively execute the nursing process.
12. Accesses EvergreenHealth Monroe’s communications, memos, publications, posted meeting minutes and unit communications.
13. Maintains skills competency annually as evidenced by testing and/or return demonstration during mandatory skills labs.
14. Demonstrates:
    1. Ability to assess, plan, implement and evaluate patient care
    2. Ability to communicate clinical / educational knowledge to learners (i.e. students, staff, patients and families)
    3. Knowledge of new trends and techniques in nursing
    4. Oral and written language skills; visual and aural skills in order to communicate, ensure and deliver safe patient care and to provide a legal record of this care
    5. Accountability for professional nursing practice, commitment to patient care and commitment to uphold the Patient Bill of Rights
15. Nursing Scope of Practice follow the Standards of Nursing Practice and Standards of Professional Practice as defined by the American Nursing Association as summarized below:
    1. Assessment: Collects and documents comprehensive data pertinent to the patient’s health or the situation.
    2. Diagnosis: Analyzes the assessment data to determine the nursing diagnoses or patient problem/issues.
    3. Outcomes Identification: Identifies expected outcomes for a plan individualized to the patient or the situation.
    4. Planning: Develops a plan that prescribes nursing strategies and alternatives to attain expected outcomes.
    5. Implementation: Implements the identified plan.
    6. Evaluation: Evaluates progress toward attainment of outcomes.
    7. Quality of Practice: Systematically enhances the quality and effectiveness of nursing practice.
    8. Leadership: Provides leadership in the professional practice setting and the profession.
16. Other duties as assigned as relevant to work role and scope.

This position is covered by a collective bargaining agreement between EvergreenHealth Monroe and SEIU Healthcare 1199NW