RN - Ortho Neuro Physiatry

Position Overview

Registered Nurse – Orthopedics, Neurosurgery, & Physiatry provides quality patient and family centered care as a member of the health care team rles Health System’s orthopedics, neurosurgery, and physiatry clinics in Bend, OR. The RN assesses, plans, implements, evaluates, and documents nursing care in accordance with organizational policies and professional nursing practice standards.

• Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural, and disposition planning needs.
• Reviews patient history, information, and physical with patient/family and assures completion within appropriate timeframe.
• Reviews diagnostics and laboratory data and reports abnormal results to the physician and other appropriate caregivers.
• Completes assessment and reassessments according to patient need and care team plan of care.
• With care team, formulates and implements a plan of care, including follow‑up planning, utilizing assessment data and patient, family, and health team input.
• Ensures goals for patient are realistic, measurable, and developed in conjunction with the patient and family.
• Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements.
• Delegates appropriately and provides nursing supervision in the provision of care to patients by other members of the care team as appropriate.
• Promotes continuity of care by accurately and completely communicating to other caregivers the status of patient.
• Evaluates the patient's and family's response to care and teaching and revises the plan of care as needed.
• Evaluates patient progress towards goals and expected outcomes in collaboration with the care team members.
• Documents assessment, planning, implementation, and evaluation in the patient record.
• Provides care based on the best evidence available.
• Might participate in the education, role development, and orientation of other personnel as requested.
• Might participate in precepting and mentoring of new staff.
• May supervise staff and workflow as requested.
• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc.
• Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.
• Develops cultural competence and provides appropriate care to patients and family members who belong to diverse cultural backgrounds.
• Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Conducts all activities with the highest standards of professionalism and confidentiality.
• Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
• May perform additional duties of similar complexity within the organization, as required or assigned.

• Required:
  
  Current license to practice as a registered nurse in the State of Oregon by the OR State Board of Nursing.
• Required:
  
  AHA Basic Life Support for Healthcare Provider certification.
• Preferred:
  Bachelor of Science in Nursing.

• Preferred:
  Minimum one (1) year nursing experience.

• Continually (≥75%):
  Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (≈50%):
  Sitting, lifting/carrying/pushing, or pulling 1–25 pounds.
• Occasionally (≈25%):
  Bending, stooping/kneeling/crouching, climbing ladder/stepstool (varies by area), reaching overhead, lifting/carrying/pushing, or pulling 25–50 pounds, grasping/squeezing, ability to hear whispered speech level.
• Rarely (≈10%):
  Climbing stairs.
• Never (0%):
  Climbing ladder/stepstool (varies by area), operation of a motor vehicle.
• Exposure to Elemental Factors:
  Rarely (≈10%):
  Wet/slippery area, chemical solution;
  Never (0%):
  Heat, cold, noise, dust, vibration, uneven surface.

• Job:
  Regular Shift – First Shift (Mon–Fri), 08:00–16:30, 40 hours per week.
• Pay range: $46.00 – $69.00 per hour (full‑time).