Registered Nurse (RN) - 4x10's - GI Monday - Friday Clinic - Cobleskill

2 weeks ago

Registered Nurse II, Ambulatory Care

Fresenius Medical Care Amsterdam, NY

1 month ago

Outpatient Registered Nurse - RN

$29 - $50 / hour

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $29.00 - $50.00 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

3 weeks ago

Registered Nurse I, Ambulatory Care- Pulmonology- Monday-Friday (No Weekends)

2 months ago

Registered Nurse IV, Acute Care - Ambulatory Surgery

The best thing about this role Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Registered Professional Nurse IV, Acute Care is accountable for the delivery of safe patient care utilizing the nursing process. The RN assesses, plans, delivers, coordinates, integrates, and evaluates nursing care related to patient's needs. The RN contributes to the support of patients through interdisciplinary teamwork. RN IV is accountable to assure that the care provided is consistent with applicable standards, regulations, statutes and state, federal law. RN IV serves as a resource for other staff and clinicians as required. The RN IV provides leadership to department staff, serving as a resource and mentor. The RN IV contributes to the body of professional nursing practice through participation in research, committee work, and professional organizations, internal and external. Provides nursing care and services to patients throughout the life span and in various settings consistent with educational preparation. Collects, analyzes and records relevant patient health data accurately, with no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to identify patient problems, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Identifies expected outcomes individualized to the patient, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Develops a plan of care that describes interventions to attain expected outcomes, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Implements and records interventions appropriate to diagnosis or patient problem, with no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Evaluates the patient’s progress toward attainment of identified goals, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. Adheres to approved, research-based practice standards, with no more than 2-3 exceptions, as measured by direct supervisory observation and random supervisory chart review. Directs and supervises patient care provided by LPNs and support personnel 100% of the time according to department guidelines, as measured by co-worker feedback and managerial observation. Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in managing patient care, as measured by direct supervisory observation and co-worker feedback. Acts effectively as charge nurse, group leader or preceptor when assigned, as determined by co-worker or preceptee feedback and direct managerial observation. Writes a progress note that demonstrates an understanding of the patient’s status and progress toward achievement of goals (80-90%). Effectively precepts new staff members or students as determined by preceptee/student feedback and direct managerial observation. Ability to function in charge nurse or leadership capacity as determined by practice arena. Advocates for patients to ensure that care preserves and protects the patient’s autonomy, dignity and rights. Delivers care in a non-judgmental and non-discriminatory manner that is sensitive to patient diversity, 100% of the time, as measured by no significant, substantiated patient or peer complaints received by the manager/supervisor. Assures that patients have informed consent signed for indicated procedures, 100% of the time, as measured by random supervisory chart review. Acts on behalf of patients in an ethical manner 100% of the time, as measured by co-worker and patient feedback and managerial observation. Adheres to ANA Code of Ethics for Professional Nurses. Acquires and maintains current knowledge and skills in his or her area of practice. Provides proof of current licensure validation to supervisor. (To achieve excellence, one must do this in a proactive, timely manner prior to due date). Completes required unit credentialing according to departmental policy by providing documented evidence of completion to supervisor. Provides to supervisor evidence of completion of all required training and competency validation. (To achieve excellence, one must take personal responsibility for this task and complete by the due date). Participates in level appropriate number of hours of educational activity, according to pathway, related to job function annually and provides documented evidence of attendance or activity to supervisor. Demonstrates clinical problem-solving ability through written exemplar, patient/family feedback, co-worker report or direct managerial observation. Participates in quality improvement processes for the department and institution as assigned and as measured by supervisory observation. Provides two required annual in-services for coworkers and provides documented evidence of activity to manager. Demonstrates operational problem-solving ability through written exemplar, coworker report or direct managerial observation. Coordinates performance improvement initiative demonstrating good organizational skills and follow through as determined by direct managerial observation. Develops and evaluates systems for orienting new staff and students as demonstrated by direct managerial observation. Contributes to the body of nursing knowledge through use of research and participation in professional practice committees and organizations as measured by portfolio review and managerial observation. Participates in nursing research. Commits to an attitude of inquiry, research-based practice, and the advancement of nursing science as observed by managerial observation. Helps to identify clinical problems requiring investigation as measured by co-worker feedback and managerial observation. Assists in the collection of data within a structured format as measured by co-worker feedback and managerial observation. Partners with senior nurses to use research findings in clinical practice as measured by co-worker feedback and managerial observation. Identifies clinical problems requiring investigation as measured by co-worker feedback and managerial observation. Influences data collection methods, collects data and implements research findings as measured by direct supervisory observation. Serves as a clinical expert assisting investigators as measured by investigator feedback. Uses research findings in clinical practice as measured by coworker feedback and managerial observation. Performs other duties as requested and observed by supervisor or manager. What we need from you Education: 4 year / Bachelor's degree in Nursing, preferred Experience may be substituted for degree Master's degree in Nursing, preferred All RN’s hired and do not currently hold a BSN will be expected to demonstrate enrollment in a bachelor’s prepared nursing program within 4 years of hire. BSN must be completed within 10 years. RN’s licensed on or before 12/19/17 are/remain exempt from this requirement. Experience: Minimum 5 years of Registered Nurse experience, 3 years must be in relevant practice area, required Must be able to perform as preceptor, required Minimum 2 years Registered Nurse experience in relevant practice area, if Education is BSN or MSN, required License/ Certification: Current NYS license as a RN required for all education levels, required BLS certification will be required within 6 months Other certifications may be needed based on department requirements Skills: Leadership Training Coaching Clinical Skills Multi-Tasking Attention to Detail Advocacy Adaptability Physical Requirements: Medium Work - Exerting up to 50 lbs. for force occasionally, and/or up to 20 lbs. of force frequently, and/or up to 10 lbs. of force constantly to move objects. Occasional balancing, climbing, crouching, kneeling, lifting, pushing, pulling, reaching Frequent fit testing Constant typing, grasping, hearing, repetitive motion, seeing/ monitor/ computer use, standing, stooping, talking, visual acuity, walking Hazards: Occasional radiation/radiant energy Frequent: bodily fluids/bloodborne exposure Working Conditions: Occasional noise, vibration, wet and/or humid Frequent odors Travel: Occasional Travel - The job may require travel from time- to-time, but not on a regular basis Total Rewards Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include: Paid time off, including company holidays, vacation, and sick time Medical, dental and vision insurance Life insurance and disability protection Retirement benefits including an employer match And more! Specific benefit offerings may vary by location and/or position. We are also offering a sign-on bonus for this position! The bonus amounts are based on the position type and are listed below. Additional details and eligibility requirements will be discussed during the interview process. Current employees of Bassett Healthcare Network are not eligible and are encouraged to apply through the internal job board. At the discretion of leadership, this program may terminate or be suspended at any time. Bonus Amount: RN (excluding management) sign-on bonuses are awarded in the amount of $20,000 for full time LPN sign on bonuses are awarded in the amount of $10,000 for full time Eligible Employers: A.O. Fox Hospital, Bassett Medical Center, Cobleskill Regional Hospital, Little Falls Hospital, O'Connor Hospital, Valley Health Services and Valley Residential Services Pay Transparency Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement. Pay Range Minimum: USD $45.22/Hr. Pay Range Maximum: USD $67.87/Hr. We love the difference people bring We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.

4 months ago

Registered Nurse III, Ambulatory Care - Surgical Clinic