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Providence RN - Palliative Care in Olympia, Washington


Providence is calling an RN (1.0 FTE, Days) to work in Palliative Care at Providence St. Peter Hospital in Olympia, WA.

Under the supervision of the SWSA Palliative Care Nurse Manager, and with the ability to work independently and proficiently, provides direct clinical support and education for Palliative Care services in the Inpatient setting. Actively collaborates with members of the palliative care team: Inpatient and Outpatient providers, Nurses, Social Workers, Pharmacist, and Chaplain in the provision of quality Palliative Care. The Palliative Care Nurse identifies and triages patients that may benefit from palliative care. The Palliative Care Nurse facilitates palliative intervention/ end-of-life discussion and care, responds to referrals/consults, and participates in family meetings and goals of care conversations. S/he educates/mentors nurses, clinicians, and non-clinicians in evidence-based palliative care.

In this position you will:

  • In collaboration with the Nurse Manager, sets goals and objectives for self and the department. Implements action plans to meet defined goals:

  • Thorough knowledge of the principles and practices of nursing, palliative care and end-of-life care. Demonstrates technical expertise with skills and knowledge to utilize organizational design, health care law, and information technology.

  • Ability to understand, be receptive, and respond to change; alter process and procedures to optimize quality care for patients receiving palliative care and/or end-of-life and communicates this in action and word.

  • Demonstrates continuous active learning which contributes to personal and professional growth. Reflects on own performance and looks for ways to improve.

  • Demonstrates technical/clinical expertise in the field of nursing, palliative and end-of life care, and critical thinking analysis.

  • Strong verbal and written communication skills including the demonstrated ability to effectively engage in crucial conversations and/or end-of-life conversations with patients and families.

  • Functions as a specialist in Palliative Care:

  • Supports palliative care provider consultations for hospitalized patients needing acute palliative by obtaining patient history, relevant family background, legal surrogate information and clarification of patient’s/family’s understanding of illness and treatment options.

  • Facilitates or co-facilitates family meetings related to current and advance care planning

  • Assesses, plans, implements and evaluates care of hospitalized patients who are on the Palliative Service.

  • Resource for providers, nurses, social workers and chaplains.

  • Models strong communication Skills. Acts as a patient advocate:

  • Communicates with patient, family, agent, and interdisciplinary team members about pertinent clinical information, palliative care and end-of-life issues.

  • Identifies ethical/moral conflicts and refers to the Ethics Committee for assistance as needed.

  • Works in collaboration with others:

  • Collaborates with attending providers, hospital staff, consultants, and the interdisciplinary team regarding patient care treatment and services.

  • Participates in interdisciplinary meetings/rounds so that care involving management of complex end-stage diseases, pain/ symptom management, psychosocial, spiritual support, and caregiver support are provided according to established protocols.

  • Assists in development of policies, procedures and clinical guidelines.

  • Collaborates with hospital educators in developing competency of patient care staff in pain and symptom management.

  • Demonstrates competency in best practice pain and symptom management protocols used in complex palliative care patient cases.

  • Initiates appropriate referrals to chaplain, music-thanatologist, dietitian, pharmacist, consulting physicians, ancillary therapists and other services as per criteria and/or as authorized.

  • Provides care appropriate to the patient specific population:

  • Assess data relative to age of patient, illness, readmissions.

  • Interpret data based on illness and age-specific parameters.

  • Plan, modify, and deliver care based on age of patient.

  • Identify and plan for special behaviors of the specific age groups.

  • Consider age-appropriate resources.

  • Develop or contribute to the individual plan of care relating to the development age and needs of the patient.

  • Adjusts care to the age-related needs of the patient

  • Provides for safety of the patient:

  • Monitors safe and appropriate use of opiates and other analgesics adhering to guidelines related to physician-directed titration schedules.

  • Initiates appropriate emergency procedures as per policy and in accordance with patient/agent informed consent. • Adheres to physician orders.

  • Identifies high-risk areas regarding patient/family satisfaction and safety.

  • Communicates errors to manager/director through the UOR process so that remediation can be rapidly employed.

  • Documents as appropriate:

  • Documents information related to consults performed individually or in conjunction with palliative care team.

  • Documents accurately and completely and in a timely manner: assessments, interventions, plans, and outcomes for patients in accordance with documentation standards, policies, procedures, and/ or guidelines.

  • Submits documentation, reports, and daily activity reports in a timely manner.

  • Ensures validity of data base by documenting complete, accurate and timely information that can be readily entered into the Palliative Care database.

  • Provides a monthly report of service activities as required by leadership.

  • Plans education programs specific to palliative care:

  • Coordinates/facilitates interdisciplinary education acting as a consultant and mentor in evidence-based palliative care.

  • Develops curricula and teaches classes to ensure competency development of interdisciplinary team.

  • Acts as a role model and resource related to current standards of practice in palliative care and end-of-life care.

  • Mentors/educates clinical staff and other professionals / students in principals of palliative care.

  • Provides orientation on palliative care for newly hired clinical staff.

  • Provides patient/family with current information related to accessing Palliative Care Services.

  • Assists with resource management:

  • Assists in appropriate utilization for acute palliative care services through active and timely responses to referrals, facilitation of transfers from Critical Care and other units.

  • Participates in committees or meetings pertinent to the functioning of the Service:

  • Attends and provides input on hospital-wide specialty committees as they occur or as assigned.

  • Participates and assists in establishing and implementing palliative service improvement plan:

  • Develops annual Quality metrics in conjunction with team.

  • Participates in performance improvement activities through clinical record reviews and current and retrospective case reviews related to high risk, high/low volume, problem prone, and complaint management issues.

  • Financial Reporting:

  • Works in conjunction with Program Manager and Finance to establish an accurate billing process.

  • Enters charges for services provided on same day as services, as required.

  • Investigates billing discrepancies in conjunction with the Finance Dept; Provides Finance with relative units of service report biweekly; Adheres to budget, capital and operational requirements.

  • Adheres to safety and legal requirements established by the Hospital and governing agencies (JCAHO, DOH, OSHA, ANSII):

  • Plans and provides for specific reviews of safety and legal requirements.

  • Monitors those safety/legal issues pertinent to the Service.


Required qualifications:

  • Nursing degree/diploma required upon hire.

  • Bachelor's in Nursing or higher within 3 years of hire

  • Bachelor's in Nursing upon hire

  • Complete Hospice and Palliative Care Nursing (HPNA) Certification within 2 years of hire

  • Current Washington State Licensure as a Registered Nurse.

  • • American Heart Association Basic Life Support (AHA BLS

  • 3 years of recent clinical experience in an acute care setting with a background in medical, oncology, or hospice nursing.

Preferred qualifications:

  • 3 years experience in Palliative care

  • Computer Skills

  • Proficiency in EMR required, EPIC preferred

About the ministry you will serve:

Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital. Located in Olympia, WA, St. Peter offers comprehensive rehabilitation, medical, surgical and behavioral health services. We have been ranked as one of the top 100 hospitals and as one of 10 premier healthcare employers in the nation and have recently achieved the coveted Magnet®" recognition from the American Nurses Credentialing Center®. Our hospital rests on a 173-acre campus, much of which includes natural forest and preserved wetlands that maintain a healing environment for patients and staff.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Clinical Education

Location: Washington-Olympia

Req ID: 297062