Location: Wenatchee, WA
Facility: Central Washington Hospital
Schedule: Full Time; 3 - 12 hours shifts
Shift: Evening/Night Shift
Hours: Nurse Internship Program - equitable weekends
A novice, new graduate or an experienced nurse wishing to enter/reenter acute care. The Nurse Intern will work with a preceptor to deliver care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patient, significant others, and other health team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). The Internship Program includes classroom as well as direct clinical experiences.
1. Address patients, visitors, families, and co-workers in a pleasant and respectful manner: display courtesy at all times.
2. Respond quickly and appropriately to inquiries and requests.
3. Assist co-workers without prompting.
4. Display an unhurried and caring manner with visitors, families, and co-workers when performing duties.
5. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas.
6. Demonstrate a pleasing disposition and sensitivity to visitors’, families, and co-workers’ needs.
7. Below or at the accepted standard for unscheduled absences as outlined in HR8651.370.
8. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations.
Communicate, cooperate and perform related duties with other co-workers in your department and in other departments in a courteous and efficient manner to achieve overall hospital goals and objectives: hospital, departmental and unit-specific mission, vision and values.
Greet all visitors, families, and co-workers, patients and physicians in a courteous, respectful and professional manner at all times. Respond to all visitors, clients, families, and co-workers with empathy and positive interpersonal skills at all times.
Handle all requests with a positive attitude at the time the request is made.
Assume the responsibility for maintaining healthy interpersonal relationships with all those working or being cared for in the hospital, outpatient, or home setting.
Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis.
Strive for positive change in your work area. Cooperate with team members in a constructive and supportive manner. Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s) in your department; be aware of the progressive constructive disciplinary process.
Demonstrate ethical conduct and practices.
Maintains patient’s rights. Documents when withholding rights.
9. Exhibits interpersonal skills and professionalism that promotes a positive functioning unit. Refers unresolved conflicts via chain of command.
Active participation in problem-solving all identified issues.
Follows through on problems that may compromise patient care by using the appropriate chain of command.
10. Assumes responsibility for self-evaluation/self-improvement.
Participates in weekly evaluation of self with preceptor.
Participates in scheduled reviews with Internship Manager and/or Director and Clinical Educator.
11. Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing.
12. Collaboratively with preceptor, coordinates patient care, utilizing the nursing process.
13. Utilizing Central Washington Hospital Standards of Nursing Practice, demonstrates appropriate age-specific assessment, planning, implementation and evaluation of the patient’s care.
14. Collects and documents the patient’s health history. Completes admission data base and other assessment tools as defined by unit policy. Identifies stressors, coping skills, strengths, and areas of concern for patient improvement with the patient/family.
15. Assesses home environment and identifies discharge needs sending referrals as needed.
16. Gathers information and data from non-licensed assistive personnel to use in developing an individual plan of care for each patient.
17. Makes accurate and ongoing assessment of patient’s status and responds appropriately.
18. Sets priorities for nursing action in a logical sequence according to patient’s needs and formulates an appropriate plan of nursing care as defined by nursing policy.
19. Involves the patient and family in formulating daily goals. Goals will be written on the white boards, when available depending upon unit, in each patient room.
20. Writes realistic, measurable, and time-bound goals that are consistent with the treatment plan and, whenever possible, are set with the patient and/or family.
21. Prescribes appropriate nursing actions to meet those goals and the physical, psychological, social and rehabilitative needs of the patient.
22. Performs ongoing assessment as defined by nursing policy and revises plan of care based on new data and patient’s condition.
23. Documents accurate and ongoing assessment of patient’s status. Documents review of progress with patient.
24. Documentation reflects nursing interventions and patient’s response, patient’s needs, problems, capabilities, limitations, and progress towards goals.
25. Documentation includes completion of the patient education sections. Understanding of these instructions is noted in the medical record and discharge documentation.
26. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares printed informational material.
27. Evaluates discharge plan daily for appropriateness, educational needs, and change as needed. Utilizes Care Plans individualizing the tool to meet assessed patient needs.
28. In collaboration with preceptor, provides care for patients including, administration of medications and/or treatments.
29. Demonstrates necessary skills and knowledge to provide care for patients according to nursing policy, procedures, and standards of care and practice.
30. Demonstrates necessary skills and knowledge to provide care for patients according to general and unit-specific competencies.
31. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner.
32. Demonstrates ability to delegate appropriately to non-licensed assistive personnel.
33. Compassionately gives personal patient care to provide comfort and well-being to the patient, acknowledging physiological and psychosocial needs.
34. Medication Administration.
Administers medications and IVs in accordance with WA State WAC. If intern is an LPN the Intern may administer the following medications/treatments with direct supervision by the preceptor:
Administer IV fluids and medications.
Administer medications & blood products via a central line including intraossceous.
Access central lines for blood draws.
Perform venipuncture to start IVs.
Flush peripheral and PICC lines.
Access Porta-cath and other central lines.
35. Observes and documents patient’s response to pertinent medications.
36. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician’s orders, and nursing policy and procedure. (Done in a timely manner).
37. Notes and enters orders per nursing policy.
38. Assures verbal orders are verified by “read-back” and entered for co-signature.
39. Accurately and concisely processes information.
40. Gives a thorough, concise report at change of shift.
41. Communicates appropriate information to unit charge person in a timely manner, including what work is in progress.
42. Communicates appropriate information to physicians and other health team members in a timely manner.
43. Demonstrates accurate and timely documentation.
44. Accurately charges for patient supplies.
45. Maintain a safe and sanitary work environment.
46. Maintains a clean, neat, and safe environment for patient and staff according to hospital and unit policies.
47. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner.
48. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedures.
49. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
50. Immediately removes and sends broken/malfunctioning equipment to Engineering Department with a tag stating the problem and /or a work order completed on line.
51. Maintains universal precautions at all times.
52. Collaborates with hospital personnel and physicians.
53. Communicates with physicians effectively on a daily basis, patient needs, nursing assessments, and recommendations.
54. Collaborates with other nurses and health team members to develop an appropriate plan of care designating who is responsible for each piece of the plan.
55. Adheres to Hospital/Nursing policy.
56. Reports to work 98% of the shifts scheduled prior to starting time.
57. Dresses according to Central Washington Hospital’s Dress Code policy, specifically the nursing-specific Dress Code policy. Is conscientious in regard to personal hygiene.
58. Complies with specific hospital and departmental policies concerning safety and/or disaster plans.
59. Complies with specific hospital policy and procedure concerning infection control, events, and injury reporting.
60. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Graduate of an accredited school of nursing (NLN standard).
Current RN licensure in the state of Washington (RCW 18.88).
Completion of general hospital orientation and acceptance into New Graduate Internship Program.
Must be currently certified in BLS, and recertified annually.
Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management.
ACLS, PALS, TNCC are required within 1 year of finishing the Internship.
NRP and ENPC are highly encouraged.
About Confluence Health: Confluence Health is an integrated healthcare delivery system with two hospitals, multi-specialty care in 30+ service lines and primary care in 11 communities across north central Washington State. Our 270 physicians and 130 advanced practice clinicians serve an area of approximately 12,000 square miles and cover nearly every corner of this region through specialty outreach. Our Mission: We are dedicated to improving our patients' health by providing safe, high-quality care in a compassionate and cost effective manner. Our Setting and Lifestyle: We are located in the heart of Washington State and just 2.5 hours east of Seattle. Our region offers a diverse array of recreational opportunities in breathtaking landscapes, from alpine country to the high desert, orchards to vineyards, cross country skiing to fly fishing and everything in between. Cycling, mountain biking, rafting, hiking; it is all right here. The region also offers a family friendly environment with excellent schools and cultural and art activities for the entire family.Apply