Nurse (Clinical/Med Surg)

Job ID
# Positions
Recruitment Bonus
Relocation Assistance
Student Loan Repayment


These positions are for a Nurse (Clinical/Med Surg).


Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base.  On a clear day, majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range.  From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities.  Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State.






This position is located in the Surgical Product line, with duty assignments that provides a variety of complex medical-surgical care to patients in the Surgical Nursing Service. Provides an advanced level of specialized nursing care of inpatient and outpatient medical-surgical patients, ranging from neonates to the elderly. Major duties include providing direct care and education to patients and families; promoting excellence in patient care delivery and advancing evidence-based practice; supporting and facilitating the professional growth and education of nursing and other health care staff; influencing care outcomes by providing expert consultation to nursing and medical staff, andby identifying and implementing improvements in health care delivery systems; and providing input for decisions related to policy, procedures, and practices relevant to patient care. Utilizes the nursing process to initiate assessment, planning, implementation, and evaluation of care of patients with stomas fistulas, draining wounds,incontinence, pressure ulcers and skin problems. For outpatients in the ambulatory setting, utilizes the nursing process to assess the patient's health status identifying problems and initiating appropriate nursing intervention.

1. Provides direct care and education to patients and families based on Army regulatory and professional standards.May maintain own caseload of patients. 

a. Works independently and with the physician to evaluate the needs of patients, and makes independent decisions regarding nursing care. Provides, demonstrates, and/or assists with highly specialized nursing care to patients that have undergone complex surgeries or who have complex preoperative or postoperative needs.

b. Coordinates the care of complex medical-surgical patients. Prepares appropriate documentation regarding thestatus of patients and their families.

c. Case manages the most complex patients to assess, monitor and evaluate care. Performs independent nursing assessments, assists in the development of patient care plans, and maintains a follow-up procedure on select groups of patients that have unusual complications or major problems on discharge.

d. Assesses the appropriateness of patient education materials to stay current with recent developments in medical-surgical nursing research. Educates or monitors the education of patients and family members regarding procedures,treatments, and discharge information.

e. Initiates emergency measures as appropriate. Responds decisively to life threatening changes in patient conditions, providing immediate and appropriate emergency measures.

2. Supports excellence in patient care delivery and advances evidence based practice. 

a. Researches and develops patient care procedures, policies, and algorithms for one or more nursing services. Inlight of research findings, promotes evidence-based policies and procedures.

b. Monitors nursing competency and assists in correcting deficiencies by developing and conducting formal and informal training.

c. Promotes and develops medical-surgical nursing standards of practice, ensuring continuity of care in inpatient and outpatient medical-surgical areas of the facility.

d. Supports established nursing standards by increasing staff awareness of skills, approaches to care, assessing outcomes and revising plans related to medical-surgical problems.

e. Keeps others abreast of current medical research and trends that result in the delivery of quality care, risk reduction, shorter hospital stays, and current treatment procedures. Evaluates the impact of nursing interventions on fiscal and human resources, as well as patient outcomes.

3. Supports and facilitates the professional growth and education of nursing and other health care staff. 

a. Teaches highly specialized nursing concepts, and difficult and complex nursing procedures. Instructs nursing personnel in the care of all types of medical-surgical patients.

b. Assists nursing personnel to achieve greater effectiveness in the nursing process by means of scheduled in-services. In coordination with the nurse manager and Clinical Nurse Educator, assesses learning needs of nursing staff, assists in developing educational materials, and teaching informal and formal classes for all levels of nursing staff.

c. Mentors nursing staff and role models professional nursing behaviors. Promotes staff awareness, understanding,and use of the facility’s chosen model of nursing.

d. Assists in the coordination of educational programs and provides lectures and in-services to other health careproviders.

e. Maintains professional growth and development through seminars, workshops, and professional affiliations that focus on the latest trends in the field of medical surgical nursing.

4. Influences care outcomes by providing expert consultation to nursing and medical staff, and identifying andimplementing improvements in health care delivery systems.

a. Serves as a resource person and consultant to the nursing staff, physicians, and other health care team members on issues regarding medical-surgical nursing.

b. Leads and serves as a member of multidisciplinary teams or committees in the conduct of discharge planning,performance improvement, patient safety, risk management and accreditation activities.

c. Supports and facilitates the implementation and compliance to standards established for performance improvement, patient safety, nursing procedures and documentation. Provides feedback and recommends alternatives to ensure delivery of quality health care services, customer safety and satisfaction, and overall efficiency of services provided throughout the product line and facility.

d. Identifies systems and stressors that impact patient care delivery. Collaborates with other nursing staff,departments, disciplines and facilities to solve or reduce the impact of identified stressors and systems issues.

e. Acts as a clinical consultant to appropriate committees.

5. Provides input for decisions related to policy, procedures, and practices relevant to patient care. 

a. Provides consultation and assistance on the development of policies, procedures and programs related to nursing  practice. Participates in the development of clinical standards based on national, regional and/or AMEDD standards.

b. Evaluates, selects and recommends supplies and equipment for use by nursing personnel.

c. Promotes established nursing policies, procedures, and practices by increasing accessibility and staff awareness,providing education, and monitoring for compliance.

d. Serves as a resource person to a wide variety of professional health colleagues regarding nursing practice.

Performs other duties as assigned.


Must be a United States Citizen


Must possess a valid Registered Nurse License that has not elapsed/expired


Must have an Associates, Bachelors or Master’s Degree in Nursing. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained.


Madigan is non-smoking facility


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