Overview The Certified Nursing Assistant (CNA) is an important member of the patient care team, supporting patients, nurses and also overall unit functioning. The CNA is responsible for helping create and maintain a safe, healing environment for our patients, and a healthy working environment for the care team. The CNA is expected to perform duties autonomously and also at the direction of the RN. The CNA reports to the Director of Patient Services. Responsibilities Assists patients as needed with Activities of Daily Living (ADLs) such as feeding, dressing, and mobilizing. Attends to patient personal hygiene needs such as brushing teeth, bathing, and toileting. Repositions the patient for comfort and per protocol. Also, observes patients for changes in behavior or condition and notifies the nurse of same. Takes patient vital signs, to include heartrate, blood pressure, respiratory rate, O2 saturation, and temperature, and reports to the RN any findings that are not "within normal limits." Monitors patient intake and output and notifies RN of abnormal increases or decreases. Documents all findings accurately and in a timely manner. Supports a safe and healing environment for each patient by keeping rooms neat and tidy, and free from clutter. Ensures all patient safety interventions are in place at all times - such as keeping call light and patient belongings within reach of patient; bed/chair alarms are on and functioning; and/or all other patient specific interventions as directed by the RN Assists RN to answer call lights quickly and determines how best to assist a patient. Rounds frequently on patients, assisting as needed. Ensures patient whiteboards are complete and updated. Assists the team in keeping patient belongings safe and accounted for. Recognizes importance of customer service, is welcoming and friendly. Assists and guides visitors as needed, answers the phone with a professional manner and tone. Is sensitive to cultural differences and treats all people with respect and compassion. Maintains a professional personal appearance and manner at all times, in accordance with SVH policy. Supports a healthy working environment by volunteering discretionary effort constantly, is curious and not judgmental, maintains a positive attitude and fosters a spirit of teamwork among all disciplines. Seeks solutions and engages in problem-solving, avoiding gossip and negativity. Supports a safe working environment by keeping hallways and workstations free of equipment and clutter. Puts equipment and unused supplies away when no longer needed. Submits work orders for faulty or broken equipment to appropriate team (Biomed, Engineering, IT). Cleans and disinfects equipment per SVH Infection Prevention policy. Performs hand hygiene before and after every patient interaction and when hands are visibly soiled. Reports unanticipated events as appropriate via the Midas system. Practices financial stewardship by not overusing or wasting supplies or linens. Supports patient flow by assisting with admissions, transfers and discharges. Maintains personal responsibility for keeping all employment requirements in good standing, including but not limited to .CNA license, BLS certification, annual employee health requirements and annual employee education requirements (i.e.Healthstreams, skills lab.) Qualifications Education : High School Diploma or equivalent. Experience: Minimum of six months as CNA in acute care setting Licenses & Certifications: Current Certified Nursing Assistant license by the State of California; Basic Life Support from an American Heart Association approved agency Required Skills & Knowledge : Basic anatomy; normal ranges for vital signs; ability to prioritize tasks, care for multiple patients, be flexible Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $24.62 Maximum: USD $32.01
Overview The Case Manager leads care coordination throughout hospital levels of care. In this role the Case Manager completes assessments and transition care planning that reflects the wishes and needs of the patient and their family. This position also assists physicians and finance with the management of resource utilization through the use of medical necessity criteria. Responsibilities Completes medical necessity criteria for both inpatient and outpatient visits, documenting the reasons when the patient status is not supported in the database and reporting discrepancies during weekday morning huddles. Completes assessments and discharge plans for inpatients. Provides consultation for outpatient and observation patient stays when requested. Assists with discharge planning for these patients as needed. Builds provider networks and community resources and provides updates to the clinical team. Assists in the case management functions of the preoperative preparation and discharge planning for Inpatient or outpatient surgeries, specifically the Total Joint Program as able. Leads morning huddles focusing on patient status, expected LOS and providing the tentative plan for discharge. Completes LACE tool for Inpatients and reports Lace scores to hospitalist group for furthering discussions regarding palliative care and readmission reduction. Role models values and actively applies patient engagement strategies; documents information on the white boards including what matters to the patient. Completes the MY Plan for all inpatients and uses the "journey" program to provide discharge planning education to patients and their families. Conducts readmission interviews with readmitted patients to determine the reasons for returning to the hospital. Bases care plan on information gleaned from interview. Completes follow-up phone calls for high risk patients as time allows. Assists with requests for clinical information for medical necessity insurance reviews and arranges peer to peer calls when an appeal is warranted. Qualifications Education : Graduate of an accredited RN program Experience : At least 2 years clinical patient care on a medical surgical unit, specialty unit, or currently working in a case management setting. Licenses & Certifications : Licensed RN in the State of California, certification in Case Management or Utilization Review at hire or within 3 years of hire if no experience in case management. Required Skills & Knowledge : Good written and verbal communication skills. Ability to manage priorities and workflow. Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm. Ability to deal effectively with a diversity of individuals at all organizational levels. Good judgement with the ability to make timely and sound decisions. Proficiency with computers and electronic forms of communication. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $59.94 Maximum: USD $82.42
Overview The Nursing Supervisor has 24/7 Administrative and Operational responsibility for the organization. They perform under the authority of executive leadership. Operationally, they are responsible for patient safety, quality, staff education and service excellence. The Nursing Supervisor is a fiscal steward for the organization collaborating with nursing and ancillary leaders in problem solving staffing roles and responsibilities. The Nursing Supervisor is able to cover nurse staffing in ICU, ED and Med/Surg. Responsibilities 24/7 operational and administrative oversight for the organization. The Nursing Supervisor acts independently in the absence of leadership and collaborates with the Administrator on Call, Nursing and Ancillary leaders as appropriate. Knows hospital strategic plan and aligns resources and objectives to achieve. Exhibits confidence in self and others; inspires respect and trust. Holds employees accountable to values, clinical standards, accepted behaviors and confronts unsatisfactory performance promptly and fairly. Provides developmental opportunities for continuous learning and skill building. Collaborates with leaders for education training initiatives for staff. Provides for safe and effective staffing of all nursing departments and respiratory therapy. Seeks to fill unplanned vacancies in staffing through collaboration with off duty staff and professional registries. Facilitates break relief and can relieve nursing personnel in ICU, M/S and the ED. Responds to Code Blue, RRT and Code Stroke Attends to plant operational issues (fire alarms, oxygen alarms, etc.) in timely manner and collaborates with engineer on call. Resets alarms and/or performs fire watch if indicated. Retrieves equipment and/or supplies as needed by nursing and/or ancillary departments Documents Nurse, RT and Hospitalist staffing in hospital computer system. Uploads nursing acuities in hospital computer system and determines appropriate staffing based on Title 22 staffing ratios and/or acuity calculation; whichever is greater. Knowledge of Title 22, CIHQ and CMS standards and conditions of participation. Emails End of Shift Report to Leadership Participates in performance improvement activities as it pertains to nursing department with focus on patient flow, staffing efficiency and resource utilization. Assures timely transfer of admissions from the Emergency Department to patient care areas. Assists Employee Health in determining compliance of, and administration of, seasonal flu vaccinations, mask fit testing , TB screening & questionnaire compliance. Role models service excellence behaviors: AIDET, rounding, monitors employee compliance to white boards and holds staff accountable to service excellence standards. Maintains certifications, provides staffing availability according to department policy, completes annual educational requirements During off hours, immediately assumes role of Incident Commander during identified disaster responses. Contacts Administrator on Call for further instruction. Maintains role until handed off to more senior administrator. Qualifications Education : Graduate of accredited RN program BSN or MS preferred Experience : 5 years acute care nursing experience. Critical Care/ED preferred 1 year or more Nursing Supervisor experience preferred Licenses & Certifications : California RN license, BLS, ACLS, PALS Required Skills & Knowledge : Able to assess, plan, implement and act independently in the day to day operations of the facility. This includes nursing and ancillary services and plant operations as well. The Nursing Supervisor is the eyes and ears of Administration and have demonstrated strong leadership and managerial ability. They maintain basic nursing skills in ICU, ED and Med/Surg. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $76.00 Maximum: USD $104.50
Overview SCU (Surgical Care Unit) RN is responsible for the preoperative preparation and recovering of all surgical patients. Responsible to act as an integral team member and keep patients moving through the unit in a safe, efficient, and timely manner. Able to apply critical thinking skills throughput the surgical continuum for each patient under their care. Skilled in post anesthesia recovery care of patient undergoing various types of procedures with different combinations of anesthesia. Responsibilities Opening and closing unit- turn lights on in Waiting Room, unlock front door, remove keys from Pyxis to unlock cabinets, prints daily schedule, gets charts out of cabinet and puts them in order. Checks each patient bay- Suction, airways, ambu bag, O2 tank. Performs QC glucometer. Assigns rooms for patient arrival. Prints H&P 's, orders labs and EKGs where appropriate. Proactively directs the patient plan of care from admission to discharge. Admits and assesses each patient in a timely manner. Follows hospital policies and procedures for patient and procedure verification including all necessary preoperative checks prior to patient going into surgery. Charts allergies and fall risk. Draws labs prn, starts IV prn, notes required documentation on chart and verifies accuracy and timeliness. Gives pre-op meds as ordered. Notes Physician's Orders. Records all medications given on the electronic health record. Provides comfort measures as needed. Safely logs patient belongings and whereabouts. Maintains good communication with patient and family, communicating wait times, delays, etc. Provides education to patients and family both pre-operatively and upon discharge in a manner that its easily understood. Ensures that case management referrals, if any, are completed prior to discharge. Works with Case Management and Social Services as necessary. Calls in prescriptions prn.Provides safe recovery from anesthesia and documents the recovery process. Demonstrates excellent patient assessment skills to initiate immediate post op plan of care. Notifies Anesthesia and the Surgeon of any untoward events during the recovery phase. Uses the Chain of Command as appropriate. Continually monitors patient condition. Asks for help when needed. Documents full assessment of patient according to procedure performed. Promotes a safe environment of care and culture of safety. Demonstrates an active commitment to continuous quality and performance improvement as well as own professional development. Participates in staff meetings and brings best practices to the unit for consideration. Participates in postop calls and communicates when follow-up is needed with Perioperative Coordinator SCU. Communicates patient and family concerns to Periop Coordinator SCU as needed Qualifications Education : Registered Nursing degree, BSN preferred Experience : 2 years experience in an acute Unit, 1 year critical care experience, preferably PACU related Licenses & Certifications : RN License, ACLS, BLS, PALS Required Skills & Knowledge : Strong organization, problem solving skills. Ability to manage priorities and workflow. Willingness to work within constantly changing priorities with enthusiasm and good will towards other team members. Computer literate. Effective communication skills. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $59.94 Maximum: USD $82.42
Overview This position is responsible for the daily work and work flow within the Surgical Care Unit (SCU). The Clinical Coordinator/SCU Charge RN supervises the nursing staff in coordinating schedules, nursing assignments and patient care in the preoperative and postoperative phases of surgery from preadmission through discharge. Responsibilities Daily staffing: Assigns nursing staff according to caseload, types of surgery cases, and staffing needs in accordance with Title 22. Knows the strengths of each staff member and works to provide ongoing training and mentoring as needed to bring all staff to similar levels of expertise in both the pre and post op care of surgery patients. Assigns and gives breaks and lunches. Steps in to assist when needed in all areas when there are sick calls or emergencies. Creates and maintains the six-week work and call schedule; coordinates with staff to insure accuracy and fairness. Maintains accurate daily and monthly checks for department: assigns daily check-offs including glucometer, crash cart, and others per unit policy. Responsible for overseeing the maintenance, restocking as needed, and outdates for crash cart, Malignant Hyperthermia carts, and Broselow carts Surgery daily flow: Leads and coordinates the inflow and outflow of patients; watches for delays of surgery and communicates to team and patient/family, as needed. Must maintain sight of the 'big picture' each day and make adjustments to room and nurse assignments as necessary. Keeps staff informed throughout day and conducts a daily huddle as needed to review the day and challenges. Communicates with anesthesiologists and surgeons concerning timing, delays, and any changes to the daily schedule. Writes the daily schedule on the tracking board as patients are admitted and works meticulously to keep the information current and updated. Maintains good working relationship with Clinical Coordinator/Charge - OR RN for coordination of care for all patients in all phases of the surgical process. Has frequent and effective communication throughout the day to expedite with accuracy and safety the daily workload. Assists with coordination of add-on cases including inpatients for timing, staffing, as well as communication out to all other necessary persons. Oversees the Nurse Navigation and Outpatient Infusion process and team: works with director to review workflow, suggest and implement changes. Direct oversight of the daily workflow of Unit/Nursing Assistant and all other ancillary resources coming to the unit. Assigns duties as needed. Oversees stocking of supplies and ordering of supplies for unit. Coordinates with admitting staff, volunteers and others for the smooth coordination of care for all SCU patients. Ensures a safe and productive work environment. Assists the director in providing ongoing training to staff and in collecting performance improvement data. Assists director with quality metrics and performance improvement for SCU. Provides feedback to the director and participates in hiring decisions and performance evaluations for SCU RN staff, Nurse Navigator, Perioperative Administrative Coordinator, and SCU Unit/Nursing Assistant. Provides leadership when the director is unavailable and acts as a role model to all staff Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : At least 2 years pre-op and/or P.A.C.U. experience; minimum 1 year leadership experience. Licenses & Certifications : Current California RN license; ACLS; BLS; PALS Required Skills & Knowledge : Strong communication skills; ability to multi-task with strong organization and coordination skills. Proficient on computer with skills in Microsoft Office and Outlook. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $62.94 Maximum: USD $86.54
