CareerBliss

RN - Long Term Care

Wrangell, AK
Wrangell Medical Center
Posted 05/01/2024

3x12 Days, 07:00:00-19:00:00, 12.00-3

MUST HAVE ACTIVE AK LICENSE to be considered??MUST HAVE COVID VACCINATIONS and FLU VACCINEPosition SummaryCoordinates 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 ComplexitiesClinical 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. Position Urgency:Normal Billing string = Medefis

QC Job ID: 269413

Don't Trust this Agency! (yes, this one)
Was there really a rate drop the week after you signed your extension? Did the high paying job you just applied for actually close, or was it another bait and switch? Of course, clinicians are skeptical. We are trained to look for the evidence, so what are we supposed to do when the only evidence we have access to is the word of our recruiter, who undeniably has a conflict of interest. Where are the primary sources? Oh, sorry they aren't allowed to show that.

As a clinician, I understand and support the need to review the evidence for yourself, which is why our agency will not withhold information from our clinicians. We are willing to show you everything we see. You shouldn't have to take our word for it.

Hi, I'm Kirsten Hixon, a travel nurse and an owner of the healthcare staffing company Quality Clinicians. My teammates and I have been working hard to build a different kind of staffing firm as you can see listed in the below outline.

If you want a different kind of agency, stop working with the same ones and come help us build a better one.

1.Same Deal
All healthcare worker pay packages are calculated in the following manner, and we're happy to prove it:

Bill Rate (100% of revenue)

-QC Cost of Operations (16.18% of rev)

-QC Profit (3.8% of rev)

-Burden on Taxable Earnings (usually 1%-5% of rev depending on the state)

-MSP Fees (between 4%-11% of rev depending on MSP)

Clinician Pay (typically 70%-80% of rev)

We offer all clinicians this same deal with transparency. When all clinicians get the same cut and see everyone else's piece of the pie, we find the reasonable clinicians are satisfied with their pay package.
2.Transparency
When you complete your profile to work with us, your assigned relationship manager (recruiter) can show you the bill rates, our cut, your cut, the terms of our agreements, etc. for any of our jobs that you are qualified for to prove the above calculation is being used. Additionally, we will do this at any point before or during your assignment for any rate changes, time keeping issues, guaranteed pay issues, etc.
3.Aligned Interests
While our competition pits recruiters and clinicians against each other, we align their incentives with each other and the rest of our stakeholders, in order to remove conflicts of interests.

  • Our competition pays their recruiters more money if they can get their clinicians to accept lower pay packages that are more profitable for the company. Eww.
  • Since there is nothing for clinicians to negotiate with our recruiters, they can behave like players on the same team instead of parties on opposite sides of a negotiation.
  • Instead of cash incentives for individual performance for internal staff we pay quarterly companywide profit share bonuses. Everyone gets the same percentage of their salary, because regardless of who scores the game winning point the whole team won, and every member of a winning team deserves to be rewarded fairly for their contribution.
  • We only make more if you make more or if we operate more efficiently, since our slice is always 19.98% (3.8% and 16.18%)
  • We only get more jobs if we get more facilities, and the best way to get more is to provide facilities with strong clinicians who are adaptable and dependable, so we are incentivized to be very picky with which clinicians we work with.
4.No Greedy Leaders
All our leaders have agreed to be paid a salary less than the US President. We just figure this will keep the greedy ones from wanting to work with us and surely none of our jobs are as hard as the President's haha
5.Stay Playful
Hopefully you can see in point 4 we don't take ourselves too seriously, but this is one we'd really appreciate more help finding practical ways to make working together more fun, so we can all laugh and smile a bit more frequently!

If you believe this is a better way of doing business we need your help. Try it for yourself. Complete your profile so we can help you find a better job. Share this post with your network. We are not a large agency with a marketing team so we need your help spreading the word. Otherwise, how will anyone know a different kind of agency even exists? I am just a person with a dream for how staffing could be better for everyone involved and I need your help to make this way of doing business an option for more people.

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