REGISTERED NURSE - 1 East Observation Unit - Night Shift

Augusta Health; Fishersville (VA); On-site; USD 68,000 - 90,000; Full time

Benefits offered by this job

Generous paid time off

Free onsite parking

Shift and weekend differentials

Tuition reimbursement

Onsite childcare

Job summary

Augusta Health in Fishersville, VA is seeking a Registered Nurse for the Observation Unit – 1 East to provide care for short-term monitoring, diagnostic testing, or therapies, coordinating with an interdisciplinary team to accelerate diagnostics and expedite treatment. The ideal candidate holds a Nursing Diploma or ADN, an RN license, CPR and ACLS; BSN/MSN preferred.

One year full-time or two years part-time telemetry or PCU experience is preferred, with opportunities for growth and a commitment

Qualifications

• Nursing diploma or ADN required.
• Current RN license in Virginia or Compact state.
• CPR and ACLS certifications required; BSN/MSN preferred.

Responsibilities

• Provide care for patients needing short-term monitoring and diagnostic testing.
• Accelerate diagnostics and expedite treatment for timely discharge or transfer.
• Coordinate care with interdisciplinary team and ensure patient safety.
• Administer medications per policy, perform IV starts and phlebotomy.
• Educate patients and families about plan of care and follow-up.

Skills

Unit competencies

HIPAA

Policies & procedures

Nurse Practice Act

Basic computer skills

Patient safety

Education

Nursing Diploma/ ADN

BSN/MSN preferred

Job description

The Registered Nurse in Observation Unit – 1 East

The Registered Nurse in Observation Unit – 1 East is responsible for the care of patients requiring short-term monitoring, diagnostic testing, or therapeutic interventions who do not meet criteria for inpatient admission. This role functions within an interdisciplinary and interdepartmental team, ensuring efficient, patient-centered coordination of care. A core focus of this position is to accelerate diagnostics and expedite treatment interventions to support timely and safe discharge, or seamless transition to inpatient admission when indicated.

Requirements

Nursing Diploma and/or Associate Degree in Nursing. Educational requirements per hospital certifications (Example: Stroke, Orthopedic/Spine). Current and valid Registered nurse license in the Commonwealth of Virginia or from a state that is part of a Compact agreement with Virginia. CPR, ACLS. BSN, MSN preferred.

Experience

1-year full time or 2 years part-time RN Telemetry or step down or PCU experience. Emergency Department, ICU, Observation Unit. Experience preferred.

Skills

• Unit and annual competencies to be completed each year.
• HIPPA - no breaches of confidentiality. No related complaints voiced on patient satisfaction surveys. no related complaints voiced by fellow care providers of observed incidences.
• Knowledgeable of location and content of departmental policies and procedures.
• Nurse Practice Act-Scope of Practice.
• Basic computer skills.
• National Patient Safety Goals.
• Clinical competence in all aspects of the unit.

Medications

• Completes 8 Rights with 100% compliance.
• Knowledge of medications used.
• Knowledge and use of high-risk medications.
• Ability to perform calculations for mixtures/solutions.
• Follows policy for bar code scanning with high level of compliance.

Implement

Implement clinical and technical aspects of care in accordance with established standards, policies, and practice guidelines. Observed to anticipate patient’s potential complications and need for appropriate preventive measures. Demonstrates strong clinical skills in technical aspects of care, pain management, systems assessment, and patient satisfaction. Demonstrates proficiency in starting IVs and phlebotomy and follows hospital policy and procedure. Maintains patient safety. Maintains patient confidentiality. Provides patient education appropriate to age and knowledge level of patient. Demonstrates proficiency in computer applications necessary to perform the job. Coordinates care through use of interdisciplinary services as needed.

Personal Safety

• Consistently uses Personal Protective Equipment including eye protection when appropriate.
• Maintains organization and safety in the physical environment of care.
• Demonstrates knowledge of proper body mechanics.
• Utilizes Safe Patient Handling devices correctly to minimize risk of injury.
• Disposes of sharps and infectious waste appropriately.
• Maintains calm and safe approach with those patients that display violent or aggressivebehavior.

Patient Safety

• Demonstrates knowledge of patient two unique identifiers.
• Utilizes SBAR approach to patient hand off communication.
• Follows policy and procedure in the administration of medication.
• Abides by policies/procedures for Isolation.
• Consistently follows CDC guidelines for hand hygiene.
• Knowledgeable of their role in patient evacuation plan.
• Utilizes Safe Patient Handling Equipment appropriately.
• Documents appropriately by not using an abbreviation from standard "Do Not Use Abbreviation List".
• Implements fall preventions.
• Assure patient rounds by policy.
• Involve family in prevention measures.
• Demonstrates appropriate use of restraints.
• Provides written plan of care based on patient problems/diagnosis.
• Assures Kardex and intervention list up to date.
• Labels all specimens appropriately at bedside.
• Completes ".Time Out" and documentation for all invasive procedures.

Assess/Plan-

Assessments are complete and appropriate for patients age, special care needs, and patient' sknowledge level, psychosocial, emotional, physical, and spiritual status. Reassessment is timely and performed as patient condition warrants. Documentation of assessment is timely. Communicates assessment data as necessary to team members and anesthesiologist/surgeon. Appropriate referrals are made early in the hospital stay with evidence of follow-up documentation in the medical record.

Personal Growth

Assumes responsibility for own personal education and developmental needs. Assesses personal learning needs and initiates methods to meet the identified needs through formal or informal education. Displays positive attitude and flexibility toward work unit. Cooperates with interdisciplinary team members and other units to meet the needs of thepatient. No complaints from patients/family, other units, physicians or staff. Attends 80% of staff meetings. Attends in-services as required or requested by clinical coordinator.

QI-

Participate in quality improvement processes. Participates in staff satisfaction projects. Assist Clinical Coordinator on quality improvement projects when requested. Knowledgeable of unit PI projects. Provides suggestions for cost containment. Assist unit in DNV preparedness by maintaining environment and practicing within established standards. Knowledgeable of NPSGs and other JCAHO standards as it relates to everyday work practices. Awareness of patient satisfaction goals to meet individual patient needs on a daily basis.

Leadership-

Demonstrates effective skills to be a leader within the unit. Able to function as a team leader ensuring optimal patient care while supervising the work of other nurses and supportive nursing staff. Demonstrates ability and knowledge to be a resource and mentor for other staff. Minimizes absences and reports to work in a dependable manner. Communicates effectively with physicians utilizing SBAR approach. Able to function calmly and promptly while demonstrating appropriate knowledge and skill in emergency situations. Maintains responsible attitude towards management and cost containment. Serves on organizational committees as requested by Department Director. Participates in Clinical Ladder. Attains certification in specialty.

Evaluation-

Evaluate patient outcome: Updates plan of care based on continuing assessment of patient outcomes. Documentation reflects nursing interventions, patient responses, as well as follow through with patient outcomes. Evaluation of age specific instruction/teaching is demonstrated and documented through monitoring of the learning process, seeking feedback from patient and family, and return demonstration if appropriate.

Some benefits of working at Augusta Health include:

• Generous paid time off to promote work life balance
• Free onsite parking
• Shift and weekend differentials
• Tuition reimbursement
• Onsite childcare

Company Information:

Augusta Health is a mission-driven, independent, nonprofit, community health system located in Fishersville Virginia in Virginia’s scenic Shenandoah Valley. Augusta Health offers a full continuum of inpatient and outpatient services which includes Augusta Medical Center a 255-bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations.

Equal Opportunity:

Equal Opportunity: Augusta Health recruits, hires and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.

Qualifications

Qualifications Skills Preferred Required Years of Experience Expert Behaviors : Motivations : Education Experience Licenses & Certifications Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.