Registered Nurse (RN) Pediatric Inpatient Care Unit

Tacoma, WA

Qualifications: Registered Nurses shall be a graduate of an Associate, Diploma, or Baccalaureate degree from an accredited school of nursing (National League of Nursing). Licensed Vocational Nurses shall be a graduate from an accredited school of nursing. A copy of the college transcript and Diploma will be submitted.

Possess and maintain a current, active, valid, unrestricted registered nurse license in at least one U.S. State, District of Columbia, Commonwealth, territory, or jurisdiction. All licenses must be unencumbered and remain in effect during employment. The contractor shall provide the COR prime service verification of the nursing license, documentation shall include state, license number, expiration date, method of verification, and names of verifying official.

All Critical Care shall maintain a current Basic Life Support (BLS) and Advanced Life Support (ACLS) from the American Heart Association (AHA) or Military raining Network (MTN) to be renewed every two years as required. Contract nurse’s employees may attend MAMC BLS and ACLS recertification courses if space is available and at the discretion of the department COR. Attendance is in a non-billable status only. Specifically, certifications such as Critical Care Registered Nurse (CCRN), Trauma Nursing Core Course (TNCC) Pediatric Advanced Life Support (PALS) or Emergency Nursing Pediatric Course (ENPC) Certification is highly desirable.

Must pass the Care National Agency Check (NACI).

A minimum of one-year experience in the past three years in the required specialty.

A mature command of speaking, writing, and reading the English language.

A strong working knowledge and skills to use3 a variety of computer systems.

A strong working knowledge of military health care systems and computer documentation is highly desirable.

Education: A diploma, Associates, Bachelors, Master’s or Doctorate in Nursing from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.

Licensure/Certification/Registration. Applicants must have active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

Experience: At least one-year of qualifying experience in the specialty being assigned.

Specific Duties/Tasks:

Performs critical care to include: assessing, planning, implementing, and evaluating age-specific nursing care across all ages. Demonstrates a thorough knowledge of the interrelationship of body systems in maintain and restoring health. The ICU nurse shall provide labor intensive care to a variety of patients with numerous complex medical and surgical pathologies. Clinical documentation according to standard operating procedures including obtaining patient history pertinent family history and advanced medial directive information. Observes, assesses, and records symptoms, reactions, and progress; assist physicians during treatments and examination; administer medication; administer prescribes treatments, completes admissions and discharges, and promotes convalescence and rehabilitation. RN’s are responsible for monitoring and interpretation of collected data by the LSNs and unlicensed assisted personnel, informing the medical staff as appropriate.

Functions as a patient advocate. Assesses patient/family knowledge level, develops and implements a place of instruction and documents demonstrated level of understand. Assessment plans will be targeted at age specific needs. Each nurse will manually and/or electronically document all patient care given and the progress of the patient utilizing the Department of Nursing documentation standards in the patients’ medical record.

Manages patients requiring hemodynamic monitoring, titration of vasopressor drugs, and a wide range of procedures where there is high risk for infection such as pulmonary artery catheters, arterial lines, central venous lines, external ventricle drainage devices, chest tubes, internal feeding tubes, endotracheal tubes and mechanical life support equipment.

Communicates pertinent patient information to the charge nurse and/or physician as appropriate. The RN verifies transcription of physician orders. The RN assesses the patient and plans for appropriate nursing care. The care provided is documented in the patient’s medical record along with their families in proper care; and help individuals and groups take steps to improve or maintain their health.

Medication will be administered using the “five rights” and medications shall be administered within the scope of nursing practice and include intravenous, subcutaneous, oral, transdermal, rectal, and intramuscular. Uses current resources to research medication prior to administration. Anti-cancer chemotherapy drugs are excluded unless contract employee has obtained appropriate documented education in cancer chemotherapeutic drugs and administration.

Assesses patient’s condition for potential or life-threatening crisis and can distinguish between normal and abnormal physical finding; initiates life saving measures in the absence of a physician. Knowledgeable of the pharmacology of the most commonly used emergency drugs, anticipated results, usual dosages, and their location on the crash cart.

Operates emergency equipment including, but not limited to: defibrillator, EKG machine, cardia monitor and other equipment determined by MTF, unit and position. Depending on position and protocol, many serve as a member of Rapid Response Team or emergency code team.

Manages and ensures proper procedures are followed with the tissue/skin bank and the organ donor bank.

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