Travel Nurse RN - Long Term Acute Care
Wrangell, AK
Tact Staff
3x12 hrs

MUST HAVE ACTIVE AK LICENSE to be considered?? MUST HAVE COVID VACCINATIONS and FLU VACCINE Position
Summary Coordinates a variety of nursing care procedures for residents of various
ages which requires professional knowledge and consideration of specific resident
conditions and treatment. Participates in patient and family teaching and
provides leadership by working cooperatively with ancillary nursing and other members
of the healthcare team to maintain standards for professional nursing practice
in the long term care setting. 
Guidelines include physician’s orders, standards of care, nursing policies
and procedures, manuals, hospital and long-term care policies. Position Complexities Clinical
decisions are made initially independently during the scheduled shift;
maintains complete accountability for all actions taken.  Consults with the appropriate
manager/supervisor in difficult situations requiring additional input. Able to
react in a calm manner and make sound nursing judgments in an emergency
environment.  Accountable for proper
delegation and supervision of CNA/Tech, LPN, and/or Ward Clerk on unit during
shift.   Accountabilities   ·         
Promotes the SEARHC Seven Standards of Excellence; Implements safe,
therapeutic, and efficient care for patients and residents with needs due to
multisystem disease and/or complications of treatment using appropriate
infection control measures; sets priorities for care of patients and residents based
on acuity and/or patients’ preference; anticipates potential problems; adapts
to change on the area by setting priorities for emergencies, changes in status
and unusual occurrences; initiates, manages, and documents the nursing
procedures consistent with scientific principle and departmental policy;
demonstrates knowledge of equipment use; accurately administers age-specific
medications and therapeutics;  carries
out the medical and nursing care plan and coordinates resident care activities
with physicians and other healthcare team members; initiates action to reduce,
correct, or prevent immediate, ongoing, or potential risks to the resident;
facilitates healing by providing nursing care that is individualized, goal
oriented, based on scientific principles and the nursing process; seeks out
resources when beyond the scope of skill, knowledge or experience; explains
test, procedures, and disease process to resident/significant others; follows
through on nursing care plans by teaching and demonstrating skills essential
for understanding and coping with illness and promoting optimal health;
communicates and interacts with resident/significant others in a positive and
supportive way; provides counseling using emotional, intellectual and
psychological supports and utilizes other healthcare professionals in dealing
with psychosocial problems if needed; takes steps to decrease stress and/or
increase effectiveness of coping mechanisms of resident/significant others;
evaluates resident’s progress or lack of progress towards goals, directing new
goal setting and implementing revised care plans as directed by reassessment;
documents the resident’s response to care; closes out resident care plan by
discharge or has in place an after care plan to meet the resident’s needs;
Assures confidentiality of resident information. ·         
Accomplishes nursing assessment through interviewing, observation
and nursing process; obtains, interprets and applies age-related patient
information in terms of cognitive, physical, emotional and normal
growth/development needs of the resident; completes thorough Nursing Admission
Databases/initial resident assessment; documents assessment findings that are
consistent with other providers and include review of body systems, laboratory
results, diagnostic findings, chart reviews, and interdisciplinary input;
identifies problems & nursing diagnosis by recognizing the impact of health
problems on residents and families; distinguishes between normal and abnormal
assessments in order to identify resident capabilities and limitations
including psychosocial risks; utilizes resources to assess residents with
conditions that are new, unfamiliar, or not commonly seen.   ·         
Shall perform duties as assigned and insure quality resident care
despite the situation encountered, be it routine or emergent.   ·         
Imparts educational knowledge to develop skills to enhance
decision making and promote understanding by interacting with residents,
family, staff, and community; engages in ongoing evaluation of the
effectiveness of teaching in terms of resident understanding and behavioral
outcomes; organizes and participates in care conferences as applicable;
identifies staff, resident, and family needs and develops a plan for education
and/or makes appropriate referrals; develops/implements educational programs
and learning aides in the department (ie. Inservices, special projects,
learning aides, resident care standards); documents education accurately and
completely; provides discharge information; participate in in-services and
educational programs in the department, hospital and/or community as assigned;
completes all mandatory training and competency checks; utilizes opportunities
for incidental teaching with staff members.   ·         
Communicates with staff, residents, significant others and other
members of the healthcare team in a way that is supportive, constructive, and
positive; gives feedback to other staff and healthcare team members in regard
to behavior that does not support achievement; assists in the orientation of
new staff, travelers, and students by sharing knowledge, experience and verbal
encouragement; guides others in choosing nursing intervention, developing
skills and applying knowledge; follows and directs others to follow corporate,
hospital, and departmental policies, procedures and resident care standards;
supports the area and overall Nursing services mission by assigning staff to
productive tasks and floating to other units as needed; provides input
regarding the need for change in policies, procedures, and resident care
standards; able to perform as Contact RN leading assigned RNs, LPNs, and CNAs
and accomplishes all assigned resident care and area support activities during
the shift.   ·         
Develops and contributes to a plan of nursing action based on
existing and potential resident problems and obtainable resident responses
which are mutually acceptable to the healthcare team; transcribes and notes
physician orders accurately; utilizes past experience to provide a range of
options for nursing care; initiates care plans using resident care standards;
addresses identified nursing diagnosis and coordinates the plan with the
healthcare team by using methods that include interventions, goals, and
timeframes; utilizes resources to formulate a written plan of care; documents
reassessments which include laboratory results, diagnostic findings,
interdisciplinary notes and documented resident observations; writes progress
notes in EHR; gives shift report according to area guidelines. ·         
Attends and participates in at least 50% of departmental staff
meetings; applies information presented in staff meetings; participates in unit
goal setting; complies with area and departmental scheduling guidelines;  initiates discussion with nurse manager
regarding area or department issues; completes annual competencies, evaluation
material, maintains certifications and licensure; complies with dress code;
refers unresolved problems with patients/visitors/co-workers to Nurse Manager
or Administrative Manager for resolution; addresses employee concerns
consistent with Human Resources Policy ·         
Familiar and competent in mandatory state reporting guidelines and
the time requirements.

·         
Other duties as assigned. When DON not physically present, will be
willing to take the role of “charge nurse” for the long term care unit.