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Astria Health Registered Nurse (RN) - Surgery in Toppenish, Washington

The Astria Health system, headquartered in the heart of the state of Washington’s wine country in the beautiful Yakima Valley, is the largest non-profit healthcare system based in Eastern Washington. Astria Health is the parent non-profit organization of Astria Sunnyside Hospital and Astria Toppenish Hospital and delivers care throughout the Valley through its Astria Health Hospitals and its Astria Ambulatory Care model focused on delivering the highest level of ambulatory and outpatient care in convenient locations in both the Lower and Upper Yakima Valley. Astria Ambulatory Care is designed to meet the changing lifestyles and diverse needs of those living and working throughout the region.

Committed to investing in a continuum of care for the people who live and work throughout Eastern Washington, Astria Health's goal is to build sustainable, locally-based, healthcare organizations that improve health for those we serve.

Utilize the nursing process to manage and coordinate the interdisciplinary care of patients of all ages, including pediatric, adult and geriatric. Provide individualized care to the patient, family and caregivers and is competent and knowledgeable to provide care to the patient population served.

  • Assesses patient systematically, identifying and prioritizing physiological, psychosocial, environmental, socioeconomic, cultural, educational, spiritual and D/C planning needs.

  • Reviews pertinent physician notes regarding patient plan of care.

  • Ascertains the completeness of the patient’s chart to include H&P, allergies, lab values, x-ray reports, other studies as necessary, pre-op nursing evaluation and signed and witnessed consents.

  • Effectively communicates significant aspects of patient care and progress toward goals in a clear, concise, and timely manner.

  • Initiates Surgical Services Care Plan.

  • Care plan/nursing interventions reflect current nursing practice standards.

  • Care plan addresses the physiological, psychosocial, environmental (safety and infection control), spiritual/cultural, education and discharge planning needs.

  • Communicates and collaborates with interdisciplinary team members to develop and implement Patient Care Plan.

  • Provides quality patient care as outlined in the “Perioperative standards of Practice” and the department’s policies and procedures.

  • Interprets and monitors compliance of established standards, policies, and procedures for surgical technicians and other unlicensed Surgical Services personnel as applicable.

  • Maintains a safe environment by adherence to safety principles.

  • Assists in the identification of patient related potential problem areas for referral for quality review. Monitors established quality review indicators for compliance. Participates as assigned in the department Quality Assessment and Improvement.

  • Is competent in interpreting pediatric/adult/geriatric self-report or behavior and providing individualized care, which reflects understanding of the cognitive, physical, emotional and chronological maturation process and range of treatment needs.

  • Performs scrubbing duties according to departmental policy.

  • Accurately performs all sponge, needle, and sharp counts at appropriate times according to department standards.

  • Demonstrates proper use of instruments, equipment, suturing, and stapling devices.

  • Prepares instrumentation according to physician and scheduled procedure.

  • Follows department policy for wearing personal protective equipment (PPE) during all procedures.

  • Provides for appropriate handling and labeling of all specimens, cultures, and blood draws according to department policy and procedure.

  • Calls for patient at appropriate time.

  • Transports patient to proper post-op designation.

  • Accepts additional nursing care assignments and performs under the direction of the surgeon.

  • Demonstrates necessary skills and knowledge to provide care for patients according to unit-specific competencies.

  • Demonstrates ability to handle emergency situations in a prompt, precise, and professional manner.

  • Compassionately gives personal care to provide comfort and well-being to the patient, acknowledging physiological and psychological needs.

  • Performs circulating duties according to departmental policy.

  • Confirms availability of surgeon before patient induction by anesthesia.

  • Verbally confirms with surgeon procedure and site.

  • Gives a thorough, concise report when being relieved during procedure or at end of shift.

  • Communicates immediately with operations leader any changes in procedure or patient condition and potential delays.

  • Maintains a clean, neat, and safe environment for patients and staff according to hospital and department policy.

  • Ensures that supplies and equipment necessary for patient care are stored in an organized and efficient manner.

  • Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.

  • Follows appropriate procedure for obtaining, returning, cleaning, or disposing of equipment and supplies.

  • Demonstrates accurate patient information documentation on perioperative record according to policy.

  • Charges accurately for the use of supplies and equipment according to policy.

  • Accurately uses computer system.

  • Communicates effectively with peers, other health care team members, and physicians

  • Adapts to change in a positive, professional manner.

  • Cooperates well with other staff, physicians, department, and students.

  • Maintains positive working relationships.

  • Supports problem-solving approach to department and patient needs.

  • Follows through on problems that may compromise patient care by using the appropriate chain of command.

  • Professional responsibility to participate in staff meetings.

  • Participates in continuous quality improvement and customer service. Looks for and suggests ways to better meet customer requests and needs. Notifies appropriate person immediately of any problem jeopardizing positive customer relations.

  • Performs other duties as assigned.


  • Previous nursing experience preferred.


  • Graduate of an accredited school of nursing. BSN preferred.


  • Critical thinking skills and judgement.

  • Ability to work in a team-oriented environment.

  • Knowledge of nursing principles and standards of care.


  • Current WA State RN license.

  • Current BLS.

  • ACLS preferred.

    Working Conditions and Physical Requirements:

    The work requires regular and recurring physical exertion such as standing or walking for prolonged periods of time; frequent bending, reaching, stooping, crouching and stretching required during the normal course of the day. The employee must exert 10-20 pounds of force constantly to move objects and must frequently lift and/or move objects up to 50 pounds. Requires frequent repetitive hand/wrist motions and finger manipulation. Requires normal/corrected vision and hearing to normal range. The work involves recurring exposure to moderate risks which require special safety and health precautions and the use of Personal Protective Equipment; risks such as exposure to contagious diseases, contaminated bodily fluids, sharp instruments, and other contaminants.