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Job Description Join Decypher and make a direct impact on the health and readiness of America’s service members, veterans, and their families. Since 2008 Decypher has offered healthcare industry professionals careers where their expertise is valued, and their work makes a meaningful impact. Decypher partners with the Defense Health Agency to deliver professional services, technology, and management solutions. Our mission is to provide and support quality care for our veterans, servicemembers and their families, across the United States. Job Summary: ICU Registered Nurse will provide high-acuity care for patients with complex medical and surgical conditions. Responsibilities include patient assessment, medication administration, clinical documentation, coordination with the healthcare team, and emergency response. ICU RN will deliver safe, patient-centered care while adhering to infection control standards and supporting patient and family education. Required Qualifications: • Education: Associates in Nursing from accredited school (ACEN or CCNE), • Certifications:, • BLS cert from AHA or ARC, • ACLS/ALS (Advanced Life Support) from ARC, • License:, • Current unrestricted RN license in one of the 50 US States and/or territories, • Experience: Key Responsibilities: • Contract nurses providing services under this contract shall perform the clinical duties as identified in the PWS and within their scope of practice., • All nurses may be rotated throughout MAMC’s clinical areas however they will not be required to work outside their scope of practice., • Performs critical care duties, to include assessing, planning, implementing, and evaluating age-specific nursing care across all ages., • Demonstrates a thorough knowledge of the interrelationship of body systems in maintaining and restoring health., • The ICU nurse shall provide labor intensive care to a variety of patients with numerous complex medical and surgical pathologies., • Clinical documentation according to standard operating procedures including obtaining patient history pertinent family history and advanced medical directive information., • Observes, assesses, and records symptoms, reactions, and progress; assist physicians during treatments and examinations; administered medication; administer prescribed treatments, completes admissions, and discharges, and promotes convalescence and rehabilitation. RNs are responsible for monitoring and interpretation of collected data by the LVN’s and unlicensed assisted personnel, informing the medical staff as appropriate., • Functions as a patient advocate. Assesses patient/ family knowledge level, develops, and implements a plan of instruction and documents demonstrated level of understanding. Assessment plans will be targeted at ages specific needs., • Manages patients requiring hemodynamic monitoring, titration of vasopressor drugs, and a wide range of procedures where there is high risk for infection such as pulmonary artery catheters, arterial lines, central iv lines, external ventricle drainage devices, chest tubes, internal feeding tubes, endotracheal tubes and mechanically life support equipment., • Communicates pertinent information to the charge nurse and/ or physician as appropriate. The RN verifies transcription of physician orders., • The RN assesses the patient and plans for appropriate nursing care. The care provide is documented in the patient’s medical record along with their progress., • RNs also develop and manage nursing care plans; instruct patients and their families in proper care; and help individuals and groups take steps to improve or maintain their health., • Medications will be administered using the “five rights” and medications shall be administered within the scope of nursing practice and include intravenous, subcutaneous, oral, transdermal, rectal, and intramuscular. Uses current resources to research medications prior to appropriate documented education in cancer chemotherapeutic drugs and administration., • Assesses patient’s condition for potential or life-threatening crises and can distinguish between normal and admiral physical findings; initiates life saving measures in the absence of a physician. Knowledgeable of the pharmacology of the most commonly used emergency drugs, anticipate results, usual dosages, and their location on crash cart., • Operates emergency equipment including, but not limited to, defibrillator, EKG machine, cardiac monitor and other equipment determined by MTF, unit and position., • Depending on position and protocol, may serve as a member of Rapid Response Team emergency code team., • Manages and ensures proper procedures are followed with the tissue/skin bank and organ donor bank., • Assist with management and/ or performs invasive procedures depending on scope of practice, such as pulmonary arterial catheter insertion, balloon pump management, temporary pacemaker insertion, arterial punctures, endotracheal intubations, and other invasive procedures., • Performs a vast array of direct patient care procedures to include but not limited to range of motion exercises, lifting, turning, transporting, and positioning patients, personal hygiene care, changing linen and clothing and feeding patients., • Manages care of patients for a wide range of procedures of an advanced nature and difficulty where there is a high risk for infection and bodily functions are mechanically assisted by life support equipment., • Plans and implements care with the collaboration of other healthcare providers. Calls report to the appropriate unit/ward ad provides pertinent data such as surgical procedures performed, patient problems, nursing diagnosis and actions, patient response, specialized care and equipment necessary to support the patient., • Responsible for quality assurance/ risk management and responds to breaches of standard procedures which compromise the patient or staff members. Compensation & Benefits: Up to $ 65.20 per hour + H&W Decypher is an equal opportunity and affirmative action employer committed to a diverse and inclusive workforce (M/F/D/V)

Job Description NW Biofuel is seeking Route Drivers to join our team! You will be responsible for safely operating a pump-truck throughout Tacoma and Seattle, WA. Daily routes of 8-12 hours 4-5 days per week. Full training provided, professional driving experience required. Shifts: Non-CDL Day Shift Sunday, Monday, Tuesday (Swing), Saturday Non-CDL Night Shift Sunday, Wednesday, Thursday, Friday, Saturday CDL Class B Day Shift Wednesday, Thursday, Friday, Saturday CDL Class B Night Shift Sunday, Monday, Tuesday, Wednesday Day shifts typically start at 4:00 AM Swing shifts typically start at 6:00 PM Night shifts typically start at 6:00 PM Responsibilities: • Drive pump-trucks on daily routes, • Ability to follow verbal and written instructions, • Perform pre and post trip vehicle inspections, • Interact with customers in a professional manner, • Safely operate a pump-truck, • Service grease traps, interceptors, used cooking oil containers, • Properly track and document activity log, • Report any issues or incidents to dispatch, • 2 Years Commercial driving experience (non-CDL), • Clean driving record, • Ability to handle physical workload, • Strong work ethic, • Ability to communicate effectively, • Ability to follow written and verbal instructions, • Clean MVR, background and drug screen required If you are interested in the position complete the job posting with a current resume attached and at least 3 professional references. Once your application is reviewed you will receive a call for a phone screen and to scheduled a interview. Company DescriptionNorthwest Biofuel is a locally owned grease trap cleaning and cooking oil collection company serving restaurants throughout Oregon and Washington. 100% of the used oil and grease collected from restaurants is recycled into clean burning renewable diesel.Northwest Biofuel is a locally owned grease trap cleaning and cooking oil collection company serving restaurants throughout Oregon and Washington. 100% of the used oil and grease collected from restaurants is recycled into clean burning renewable diesel.

Prospect Construction is a Heavy Civil Contractor that specializes in water and wastewater treatment plants, hydraulic structures/facilities, shoring systems, large concrete tanks, pump stations/process facilities, dewatering, major excavations, structural steel, process equipment, and mechanical systems. Prospect began as a General Contractor in 1998, with our first office location in Puyallup Washington. Over the last few decades, Prospect has coupled its expertise in complex projects with its vast level of self-performance to grow into one of the premier treatment plant contractors in the West. This continued growth has allowed Prospect to bring our expertise into new geographical regions, with the establishment of our offices in Missoula, Montana and Sheridan, Wyoming. Why do we exist? Prospect Construction seeks to glorify God by providing opportunities for our employees to utilize their unique gifts through construction to benefit and serve our families, stakeholders, and community. What do we do? We construct unique, complex, and challenging projects for our clients throughout the west. Description Summary: The Heavy Civil Estimator is responsible for leading the company’s heavy civil estimating strategy, execution, and team development across all offices. This role will oversee a group of estimators operating from a centralized estimating location and will support bids for projects throughout the company’s footprint. This position is a key leadership role in expanding the company’s heavy civil capabilities into new and existing markets including dams and water resource infrastructure, mass grading, mining support infrastructure, underground utilities, pipelines, and large-scale site development. The Chief Heavy Civil Estimator will produce accurate, complete, and competitive estimates and will build repeatable estimating systems that drive profitable growth. Essential Duties and Responsibilities for Civil Estimator: • Lead and manage a team of estimators responsible for heavy civil bids across all offices., • Assign estimating responsibilities, coordinate workloads, and ensure bid schedules are met., • Develop and mentor estimating staff through coaching, training, and performance feedback., • Establish clear estimating workflows, standards, review processes, and deliverables., • Lead preparation of competitive and complete estimates for heavy civil and large development pursuits., • Perform detailed quantity takeoffs, pricing, labor and equipment productions, and bid-leveling., • Develop pricing strategies and collaborate with leadership to determine bid markups, general conditions, contingency, and schedule impacts., • Coordinate bid reviews and executive-level presentations prior to submission., • Support expansion into new heavy civil markets and project types including:, • Dams / levees / water infrastructure, • Mass grading / earthwork, • Mining and mine infrastructure, • Wet and dry utilities, • Pipeline – Water/Sewer/Oil/Gas, • Large developments and site infrastructure, • Build estimating models, assemblies, means-and-methods assumptions, and productivity benchmarks for emerging work types., • Identify equipment needs, subcontractor requirements, and labor production assumptions to support new civil capabilities., • Ensure all estimates include complete scope coverage, clear assumptions, and appropriate risk allocation., • Identify project risks and opportunities including logistics, access, production constraints, seasonal impacts, and design ambiguities., • Support constructability reviews and sequencing concepts that align with execution strategies., • Ensure the bid complies with owner requirements, bid forms, and proposal instructions., • Solicit subcontractor pricing and scope input for specialty work (dewatering, drilling, blasting, shoring, etc.)., • Evaluate subcontractor quotes for completeness and accuracy; manage bid leveling and scope alignment., • Assist in development of strategic partnerships for emerging markets and scopes., • Maintain and improve a heavy civil cost database including labor, equipment, materials, trucking, and subcontractor benchmarks., • Track estimate performance and contribute to lessons learned based on job cost results and field feedback., • Coordinate with operations, project management, and field leadership to validate means/methods and production assumptions., • Participate in turnover meetings and support transition from bid to execution., • Assist operations in early project planning, budgeting, and buyout strategy as needed. Knowledge & Skills: • Minimum of 10 years of experience as a Civil Construction Estimator, • Proven experience leading estimating efforts on complex heavy civil projects, • Demonstrated success managing or mentoring estimators and leading bid teams., • Strong understanding of:, • Heavy civil means and methods, • Equipment spreads and production rates, • Construction scheduling impacts, • Labor, trucking, and material pricing models, • Risk management and bid strategy, • Advanced understanding of data analysis methods, • Familiarity with civil estimating computer software, • Ability to interpret civil plans, specs, geotechnical reports, contract terms and design documents, • Strong written and verbal communication skills and ability to present to senior leadership, • Highly organized, deadline-driven, and capable of managing multiple concurrent pursuits, • Critical-thinker and problem-solver, • BA in engineering, construction science or similar relevant field, • Experienced with HCSS and Timberline estimating software

Job Description At Boeing, we innovate and collaborate to make the world a better place. We’re committed to fostering an environment for every teammate that’s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us. Boeing Commercial Airplanes is excited to offer opportunities for a Machine Repair Mechanic to join our Equipment Services team in various locations across Washington State. As a Machine Repair Mechanic, your expertise will be essential in maintaining and repairing a variety of machine tools and equipment, where precision and attention to detail are paramount. You will be responsible for conducting thorough inspections and implementing preventative maintenance practices to ensure optimal functionality and reliability of all equipment. Your commitment to safety will be reflected in your adherence to SHEA regulations and best practices while guiding and mentoring team members. You will play a critical role in upholding our commitment to safety and quality standards, ensuring that all operations meets regulatory compliance and operational excellence. If you are detail-oriented, possess strong technical skills, and thrive in a collaborative environment, we invite you to apply and be a part of our mission to deliver excellence in aviation. Position Responsibilities: • Install, disassemble, repair, assemble, test, and maintain machine tools, process buildings, and overhead handling equipment, including stationary generator sets at the Kent and Bellevue Data Centers., • Conduct preventative maintenance inspections on stationary generator sets and other equipment., • Ensure compliance with SHEA regulations while performing all tasks., • Guide and mentor lower-classification employees in maintenance, repair, troubleshooting, modification, adjustment, and testing of machines and equipment., • Utilize schematics, blueprints, specifications, manuals, and applicable procedures to complete work assignments effectively., • Develop assembly methods when procedures are not available, documenting these methods for future reference., • Hand scrape, flake, lap, level, and align equipment components as needed., • Use precision devices for failure analysis and apply preventive/predictive technologies to machine and equipment systems., • Perform operational tests on machine tools and building equipment to ensure functionality., • Maintain logs, charts, and records, preparing reports and schedules as required., • Conduct preventive and predictive maintenance inspections to ensure equipment reliability., • Collaborate with other crafts to accomplish tasks and assist as needed., • Perform incidental rigging to facilitate work tasks., • Carry out work in other classifications when necessary to complete assignments. Physical Demands and Potential Hazards: • Perform physical tasks that include lifting weights ranging from 10-15 lbs to 15-35 lbs., • Engage in various movements such as reaching, handling, turning, twisting, lifting, lowering, climbing, balancing, bending, kneeling, crouching, and squatting., • Work in environments that may involve contact with metals, solvents, and coolants., • Operate in proximity to moving parts and tools, sharp cutters, and potential slipping hazards., • Adapt to varying noise levels and atmospheric conditions., • Utilize personal safety gear to protect face/eyes, hands/arms, and feet while performing job duties. This position is expected to be 100% onsite. The selected candidate will be required to work onsite at one of the listed location options. This position must meet Export Control compliance requirements, therefore a “US Person” as defined by 22 C.F.R. § 120.15 is required. “US Person” includes US Citizen, lawful permanent resident, refugee, or asylee Resumes of current Puget Sound Boeing employees submitted via “Find Jobs” in Boeing/Workday will be considered as this job is not installed in QTTP (Quality Through Training Program). Basic Qualifications: • 3+ years' experience as a CNC machine repair mechanic, manufacturing building systems mechanic, or general equipment repair mechanic, (IE Pump repairs, ship repairs, large farming equipment or military equipment)., • Willing to work at heights up to 125 feet above ground level and pass Fall Protection Training. Preferred Qualifications: • Experience testing and diagnosing hydraulic, pneumatic, electromechanical components, and test equipment., • Experience reading and interpreting drawings, specifications, material processes, schematic and diagrams., • Ability to work around electromagnetic fields because of various types of production equipment. Conflict of Interest: Successful candidates for this position must successfully complete the Company’s Conflict of Interest (COI) assessment process. Typical Education & Experience: High school graduate or GED preferred. Relocation: • This position offers relocation based on candidate eligibility. Drug Free Workplace: Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies. Union Representation Statement: This is an hourly position governed by the International Association of Machinists (IAM-751) Collective Bargaining agreement. Shift Work Statement: • This position is for a variety of shifts. Working in other shifts and/or overtime varies based on business needs. Total Rewards & Pay Transparency: At Boeing, we strive to deliver a Total Rewards package that will attract, engage and retain the top talent. Elements of the Total Rewards package include competitive base pay and variable compensation opportunities. The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work. The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements. Pay: $46.00/hour, with potential to earn up to $61.01/hour in accordance with the terms of the relevant collective bargaining agreement. Applications for this position will be accepted until Jul. 03, 2026 Language Requirements English Preferred Relocation This position offers relocation based on candidate eligibility. Visa Sponsorship Employer will not sponsor applicants for employment visa status. Shift This position is for variable shift Equal Opportunity Employer: Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.

Job Description Repairs, installs, and performs preventive maintenance on all production equipment to ensure that such equipment is always in good operable condition. Uses electrical and mechanical expertise to trouble shoot, repair, install and perform preventive and interactive maintenance on all production equipment accessories to ensure that all equipment is always in good operable condition. Primary Responsibilities: 1. Install, operates, maintains, checks, and trouble-shoots all types of A/C and D/C electrical equipment. Install, trouble-shoot, and repair solid state and electronic equipment as well as mechanical equipment., 2. Uses safe working practices and always reports/repairs any hazard conditions., 3. Inspects machines, takes any required test, and completed “all” reports and paperwork as required., 4. Perform PM and repair work in accordance with A.I.B. standards., 5. Diagnoses and employs proper procedure of troubleshooting to determine when parts need replacement and when repairs are necessary., 6. Dismantles, repairs, and re-assembles gearboxes, fans, conveyors, blowers, compressors, pump, valve, and mechanical equipment when directed., 7. Dismantles, repairs, and re-assembles electrical motors, relays, timers, and allied electrical equipment., 8. Installs and repairs electrical conduit, cables, piping, tubing, controls, and grounding as directed., 9. Operates mobile lift truck and hoisting in the performance of maintenance work. Possess knowledge of simple rigging when necessary for equipment moving and relocation., 10. Help maintain spare parts inventory for plant. EDUCATION & EXPERIENCE High School Diploma, GED or Equivalent preferred. 4 years of industrial maintenance/electrical experience required. Food/beverage processing or packaging environment preferred. KNOWLEDGE, SKILLS & ABILITIES: Knowledge of local, state and federal electric codes Certified for PLC programming e.g., Allen Bradley or equivalent preferred. Experience installing, programming, and troubleshooting the following: • Programmable Logic Controllers (PLCs), • Variable Frequency Drives (VFDs), • All types of AC and DC electrical and mechanical equipment., • Electrical conduit, cables, piping, and tubing, including all necessary connections, controls, and grounding. Able to read and make proper installations of complex electrical circuits from wiring diagrams. Able to disassemble, repair and reassemble gear boxes, fans conveyors, blowers, compressors, pumps, valves, furnaces, drives and all allied mechanical equipment related to electrical troubleshooting. Experience troubleshooting and repairing oven combustion and safety devices. Possesses working knowledge of hydraulic, compressed air systems and be able to read complex diagrams and troubleshoot these systems Experience Installing and repairing pneumatic conduit, cables, piping, and tubing, including all necessary connections, controls, and grounding. Possess working knowledge of the following equipment: • MIG/TIG/ARC welding equipment., • Gas & Plasma cutting equipment, • Power tools such as drill presses, cut off saw, lathes, mills, and table tools., • Electrical test equipment such as voltmeter, megger, ammeter, diode and SCR tester. Shift: 3rd (10pm-6:30am) Starting Hourly Pay: $28.71 - $41.67 (pay will be based on experience) + shift differential, OT, 8 Holidays, & Vacation Pay Full Benefits Packet includes the following: Health, Vision, & Dental insurance, Life & AD&D insurance, Short- & Long-Term Disability Insurance, 401(k) & matching, Flexible spending accounts, Dependent Care FSA and Health Care FSA, Referral & Retention Bonus Programs, Uniform & Shoe Allowance, and Employee Discount Program on Products. Gruma Corporation and its affiliates, including but not limited to Azteca Milling, L.P., are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin, ancestry, sex, gender, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other legally recognized protected basis under federal, state, or local law. The information collected by this application is solely for the purposes of determining suitability for employment, verifying your identity, and maintaining employment statistics on applicants. Applicants with disabilities may be entitled to reasonable accommodation under the Americans with Disabilities Act as well as state and local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity with-out imposing undue hardship on Gruma. Please inform the company's personnel representative if you need assistance completing any forms or to otherwise participate in the application process. Company DescriptionAt Mission, we believe that good food can take you places. From our humble beginnings as a small tortilla factory in the San Fernando Valley of Los Angeles to becoming a global brand recognized worldwide, we’ve always strived to help you explore the endless possibilities of tortillas and tortilla chips. Since 1977, Mission® has been creating fresh, authentic Mexican food products you can find in your local grocery store including Guerrero, Maseca and Calidad to name a few. Mission®, a subsidiary of Gruma Corporation, is the #1 tortilla company in the U.S. and manufactures a variety of authentic Mexican products. As we’ve grown, we’ve made sure to always put an emphasis on authentic flavors, while providing healthy options that families and friends can enjoy together.At Mission, we believe that good food can take you places. From our humble beginnings as a small tortilla factory in the San Fernando Valley of Los Angeles to becoming a global brand recognized worldwide, we’ve always strived to help you explore the endless possibilities of tortillas and tortilla chips.\r\n\r\nSince 1977, Mission® has been creating fresh, authentic Mexican food products you can find in your local grocery store including Guerrero, Maseca and Calidad to name a few. Mission®, a subsidiary of Gruma Corporation, is the #1 tortilla company in the U.S. and manufactures a variety of authentic Mexican products. As we’ve grown, we’ve made sure to always put an emphasis on authentic flavors, while providing healthy options that families and friends can enjoy together.

Job Description Job Title: Project Estimator – Data Center Flushing & Cleaning Position Overview The Estimator is responsible for preparing accurate, competitive, and compliant cost estimates for hydronic flushing, chemical cleaning, and related commissioning services on data center construction and retrofit projects. This role requires a strong understanding of mechanical systems, data center quality standards, and construction estimating practices. The Estimator works closely with operations, project management, and business development teams to support successful project execution and profitable growth. Key Responsibilities Estimating & Bidding • Review bid documents, drawings, specifications, and commissioning requirements for data center flushing and cleaning scopes., • Perform detailed quantity takeoffs for piping systems, equipment, water volumes, chemicals, filtration, labor, and temporary systems., • Develop complete cost estimates including labor, materials, equipment, subcontractors, consumables, and indirect costs., • Define clear scopes of work and exclusions specific to data center flushing and cleaning., • Identify project risks, assumptions, and constraints related to system complexity, cleanliness levels, schedules, and site logistics., • Interpret mechanical and commissioning specifications related to hydronic flushing, chemical cleaning, passivation, and water quality., • Coordinate with internal operations and field leadership to validate production rates, labor plans, and execution strategies., • Assist in developing pricing strategies aligned with market conditions and company goals., • Support proposal narratives, clarifications, and value engineering options when requested., • 3+ years of estimating experience in mechanical construction, specialty services, or industrial/process systems., • Working knowledge of hydronic systems, piping, and mechanical equipment., • Ability to read and interpret mechanical drawings, specifications, and construction schedules., • Strong analytical skills with attention to detail and accuracy., • Proficiency in estimating software, spreadsheets, and takeoff tools (e.g., Excel, Bluebeam, or similar)., • Experience with data center projects, mission-critical facilities, or high-purity/clean systems., • Familiarity with hydronic flushing, chemical cleaning, passivation, and commissioning standards., • Understanding of GC bid processes, subcontractor scopes, and contract terms., • Mechanical trade background (pipefitting, HVAC, or commissioning) is a plus., • Ability to interpret and analyze pump performance curves., • Experience sizing piping systems to achieve required flow rates and pressures., • Remote with periodic site visits as required., • Fast-paced, deadline-driven environment with multiple concurrent bids., • Compensation based on experience., • Company cell phone provided., • Paid time off: vacation, sick time, holidays., • 401k and company match available after 1 year of employment., • Health, dental and vision insurance., • Employment is contingent upon successful completion of a drug test, criminal background check, and a satisfactory motor vehicle record. Clear Creek Systems, Inc. is an equal opportunity employer. We are committed to creating a diverse environment and are proud to be an affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Job Description Matrix Providers is hiring a Registered Nurse (RN) PICU to join our team of talented professionals who provide health care services to our Military Service Members and their families in Tacoma, WA. • Employment Status: Full-time, • Compensation: This is an hourly position., • Schedule: PICU Duty Hours: Day Shift Duty Hours: 0700 - 1930; 0700 – 1730; 0700-1530; 0900-1930, 1100-1930; 0600-1630; 0900-1730; 0900-2130; 1100-2130;1200-2030; 0800-1630; 0830-1700; 0900-1730; 0930-1800; 1030-1900; 0530-1800, • Benefits: Competitive financial package with a comprehensive insurance package including health, dental, vision, and life coverage., • Accrued Paid Time Off (PTO), • Paid Holidays (Outlined in Handbook), • Degree: A diploma, Associates, Bachelors, Masters or Doctorate in Nursing from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.., • Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).Only Commission on Graduates of Foreign Nursing School reports are accepted (CGFNS) for overseas degree verification., • Experience: One year of qualifying experience as an RN and one year of qualifying experience in this specialty., • Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse., • Performs critical care duties to include assessing, planning, implementing, and evaluating age specific nursing care across all ages. Demonstrates a thorough knowledge of the interrelationship of body systems in maintaining and restoring health. The PICU nurse shall provide labor intensive care to a variety of patients with numerous complex medical and surgical pathologies. Clinical documentation according to standard operating procedures including obtaining patient history, pertinent family history and advanced medical directive information. Observes, assesses, and records symptoms, reactions, and progress; assists physicians during treatments and examinations; administer medication; administer prescribed treatments, completes admissions, and discharges, and promotes convalescence and rehabilitation. RNs are responsible for monitoring and interpretation of collected data by the LPNs and unlicensed assisted personnel, informing the medical staff as appropriate., • Functions as a patient advocate. Assesses patient/family knowledge level, develops, and implements a plan of instruction and documents demonstrated level of understanding. Assessment plans will be targeted at age specific needs. Each nurse will manually and/or electronically document all patient care given and the progress of the patient utilizing the Department of Nursing documentation standards in the patients' medical record., • Manages patients requiring hemodynamic monitoring, titration of vasopressor drugs, and a wide range of procedures where there is high risk for infection such as pulmonary artery catheters, arterial lines, central venous lines, external ventricle drainage devices, chest tubes, internal feeding tubes, endotracheal tubes and mechanically life support equipment., • Communicates pertinent patient information to the charge nurse and/or physician as appropriate. The RN verifies transcription of physician orders. The RN assesses the patient and plans for appropriate nursing care. The care provided is documented in the patient's medical record along with their progress. RNs also develop and manage nursing care plans; instruct patients and their families in proper care; and help individuals and groups take steps to improve or maintain their health., • Medication will be administered using the “five rights” and medications shall be administered within the scope of nursing practice and include intravenous, subcutaneous, oral, transdermal, rectal, and intramuscular. Uses current resources to research medications and ensure compatibility prior to administration. Anti-cancer chemotherapy drugs are excluded unless contract employee has obtained appropriate documented education in cancer chemotherapeutic drugs and administration., • Assesses patient’s condition for potential or life-threatening crises and can distinguish between normal and abnormal physical findings; initiates life saving measures in the absence of a physician. Knowledgeable of the pharmacology of the most commonly used emergency drugs, anticipated results, usual dosages, and their location on crash cart., • Operates emergency equipment including, but not limited to defibrillator, EKG machine, cardia monitor, and other equipment determined by MTF, unit and position. Depending on position and protocol, you may serve as member of Rapid Response Team or emergency code team., • Manages and ensures proper procedures are followed with the tissue/skin bank and the organ donor bank., • Manages care of patients for a wide range of procedures of an advanced nature and difficulty where there is a high risk for infection and bodily functions are mechanically assisted by life support equipment., • Assists with management and/or performs invasive procedures depending on scope of practice, such as pulmonary artery catheter insertion, balloon pump management, temporary pacemaker insertion, arterial punctures, endotracheal intubations, and other invasive procedures., • Performs a vast array of direct patient care procedures to include but not limited to range of motion exercises, lifting, turning, transporting, and positioning patients, personal hygiene care, changing linen and clothing and feeding patients., • Plans and implements care with the collaboration of other healthcare providers. Calls report to the appropriate unit/ward and provide pertinent data such as surgical procedures performed, patient problems, nursing diagnosis and actions, patient response, specialized care, and equipment necessary to support the patient., • Perform duties in accordance with established infection control protocols., • Responsible for quality assurance/risk management and responds to breaches of standard procedures which compromise the patient or staff members. May also serve as a project officer for select committees and participate in research projects that are consultative in nature and involve shared information or data gathering for new or existing technologies., • Nurses who will assist in providing conscious sedation must have conscious sedation training provided at MAMC prior to providing conscious sedation., • Registered Nurses shall utilize comprehensive knowledge of workload requirements in conjunction with knowledge of the composition and capabilities of assigned staff to distribute/redistribute personnel resources in response to unforeseen patient care needs. Attends and participates in patient nursing reports, patient care conferences, team/unit/clinic conferences, discharge planning, and staff conferences as deemed appropriate by administrative officials. Participates in discharge planning as appropriate and convenes multidisciplinary patient care conferences to address complex medical/nursing care needs., • Demonstrates the ability to manage interpersonal relationships and maintains composure and reacts appropriately while relating to patients and families; manages distraught, irritable, unreasonable or angry individuals; and maintains positive rapport with all individuals involved in patient care. Matrix Providers endeavors to make accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please get in touch with our Recruiting Hotline Number, 1-877-807-8277, TTY LINE, 385-722-8109. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. #INDKK