Registered Nurse, Long-Term Care (SNF)
Tonasket, Washington
North Valley Extended Care

Registered Nurse (RN) - Extended Care

Location: Tonasket, Washington
Contract Length: 13 weeks

Job Summary

Seeking a Registered Nurse for a nursing home locked unit specializing in extended care. The unit cares for residents with chronic diseases, dementia, Alzheimer's, and behavioral issues. This is a low-acuity setting without ventilators, tracheostomy care, enteral tube feeds, or IV therapy.

Facility & Unit Details

• Type of Facility: Nursing Home, locked unit
• Number of Beds/Residents: 40-42 (mix of private and mostly semi-private rooms)
• EMR System: PointClickCare
• Nurse-to-Patient Ratios:

  • RN: 1:21 max
  • LPN: 1:21 max
  • CNA: 1:14 max
• Common Patient Diagnoses: Chronic diseases, dementia, Alzheimer's, behavioral issues
• Interdisciplinary Team: Physical Therapy, Occupational Therapy, Speech-Language Pathology, Social Workers, Dieticians
• Respiratory Therapy: No RT on-site 24/7; nurses administer respiratory treatments
• Oxygen Therapy: Nasal cannula, home CPAP & BiPAP; no trachs or vents
• Medication: No on-site pharmacy; medications locked in carts and dispensed via local pharmacies

Job Duties

• Administer medications (only licensed nurses may pass medications)
• Provide suprapubic and urethral catheter care, wound care, and ostomy care
• No IVs or titratable drips involved
• No telemetry monitoring or reading strips required
• Participate in self-scheduling for 8-hour shifts with two weekends required per month
• Shifts:

  • Day: 6 AM – 2:30 PM
  • Evening: 2 PM – 10:30 PM
  • Night: 10 PM – 6:30 AM
• Weekend shifts required: two per month (Fri/Sat nights and Sat/Sun days)
• Orientation: Up to 12 hours (1-2 shifts)

Staffing

• RN/LPN per shift:

  • Days: 2
  • Evenings: 2
  • Nights: 1
• CNA per shift:

  • Days: 5
  • Evenings: 4
  • Nights: 3

Required Qualifications

• Registered Nurse (RN) license valid in Washington State
• BLS Certification
• Prior lift experience with equipment such as hoyers and sit-stand lifts
• Suicidal prevention training certification (6-hour course) in Washington State (training available onsite)
• First-time travel nurses accepted (please note if first-time traveler)
• Must bring own gait belt (part of uniform requirement)

Additional Information

• No holiday or call/standby requirements
• No floating requirements
• Scrub color/dress code: Any color scrubs allowed
• Physicians are off-site with on-call coverage
• Must note if clinician has previously worked at this facility

This position is ideal for RNs experienced in extended care nursing, comfortable working in a locked unit with dementia and behavioral health patients, and able to manage medication administration and basic wound and catheter care without IV or ventilator support.