Registered Nurse (RN) Acute Rehab Unit Full-Time Nights

About the Role

Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care. Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow.

Responsibilities

Responsible for directing and coordinating all nursing care based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes.

• Practice nursing as described by the following definition: “The diagnosis and treatment of human responses to actual or potential health alterations.”
• Utilize the nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers, and providing education to patients and/or significant others.
• Pass competencies required for this position.
• Collect patient health data:
  • Determine the priority of data collection based on the patient’s immediate condition or needs.
  • Collect pertinent data using appropriate assessment techniques.
  • Involve the patient, significant others, and health care providers in data collection when appropriate.
  • Ensure the data collection process is systematic and ongoing.
  • Document relevant data in the medical record according to hospital standards.
• Analyze the assessment data in determining diagnoses/patient problems:
  • Derive diagnoses/patient problems from the assessment data.
  • Validate diagnoses/patient problems with the patient, significant other, and health care providers, when possible.
  • Document diagnoses/patient problems in a manner that facilitates the determination of expected outcomes and plan.
• Identify expected outcomes individualized to the patient:
  • Derive outcomes from the diagnoses/patient problems.
  • Document outcomes as measurable goals.
  • Formulate outcomes mutually with the patient and health care providers, when possible.
  • Ensure outcomes are realistic in relation to the patient’s present and potential capabilities.
  • Ensure outcomes are attainable in relation to resources available to the patient.
  • Ensure outcomes include a time estimate for attainment.
  • Ensure outcomes provide direction for continuity of care.
• Anticipate potential problem situations and intervene to offset any adverse impact.
• Develop a plan of care that prescribes interventions to attain expected outcomes:
  • Individualize the plan to the patient’s condition or need.
  • Develop the plan with the patient, significant others, and health care providers, when appropriate.
  • Ensure the plan reflects current nursing practice.
  • Document the plan.
  • Provide continuity of care in the plan.
• Implement the interventions identified in the plan of care:
  • Establish interventions that are consistent with the plan of care.
  • Implement interventions in a safe and appropriate manner.
  • Document interventions.
• Evaluate the patient’s progress toward attainment of outcomes:
  • Ensure evaluation is systematic and ongoing.
  • Document patient’s responses to interventions.
  • Evaluate the effectiveness of interventions in relation to outcomes.
  • Utilize ongoing assessment data to revise diagnoses/patient problems, outcomes, and the plan of care, as needed.
  • Document revisions in diagnoses/patient problems, outcomes, and the plan of care.
  • Involve the patient, significant others, and health care providers in the evaluation process, when appropriate.
• Participate in quality-of-care activities as appropriate to include:
  • Identification of aspects of care important for quality monitoring.
  • Identification of indicators used to monitor quality and effectiveness of nursing care.
  • Collection of data to monitor quality and effectiveness of nursing care.
  • Analysis of quality data to identify opportunities for improving care.
  • Formulation of recommendations to improve nursing care or patient outcomes.
  • Implementation of activities to enhance the quality of nursing practice.
  • Utilize the results of quality-of-care activities to initiate changes in practice.
• Other duties as assigned.

Requirements

• Current RN license in the state of practice or compact state required.
• Graduate of an accredited school of professional nursing.
• Bachelor’s Degree preferred.
• Minimum of one year of hospital clinical experience preferred.