RN-Surgery, PRN

Job Summary

Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position.

Essential Functions

Nursing standards of practice* as outlined below:

Standard 1: Assessment

- Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care.

- Integrates knowledge from environmental factors into the assessment process.

- Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes.

- Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process.

- Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations.

- Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data.

- Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication.

- Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status.

Standard 2: Diagnosis

- Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle.

- Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues.

- Corroborates the diagnoses with the patient, family, group or community.

- Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community.

- Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan.

Standard 3: Outcomes Identification

- Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team,

- Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care.

- Documents expected outcomes as measurable goals.

- Evaluates the actual outcomes against the expected outcomes.

Standard 4: Planning

- Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum.

- Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care.

- Prioritizes nursing interventions to achieve patient outcomes and goals.

- Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes.

- Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum.

Standard 5: Implementation

- Establishes and maintains a therapeutic relationship with patient or families.

- Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence.

- Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education).

- Ensures the implementation, coordination and ongoing evaluation of the patient care plan.

- Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability.

- Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions.

- Provides information and instruction to assist patients and family members to understand health care practices and processes.

- Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being.

- Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.

- Maintains patient confidence and protects operations by keeping information confidential.

- Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association.

Standard 6: Evaluation

- Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes.

- Supervises and evaluates care provided by direct care assistive and support staff.

- Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions.

- Documents complete accurate and relevant data for every patient according to Association policies and guidelines.

In addition to the six standards above, Summit Healthcare also integrates the following standards:

Advocacy:

- Provides a supportive environment for communications and decision making by patients and their families.

- Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing.

- Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system.

- Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate.

- Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care.

- Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals.

- Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.

Professional Development and Accountability:

- Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times.

- Demonstrates professionalism in attitude, dress and behavior.

- Contributes to positive team functioning and supporting one another.

- Develops cultural competence in order to provide culturally competent care.

- Actively participates in developing and evaluating professional goals and performance at regular intervals.

- Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors.

- Accountable for reporting professional practice issues to the appropriate person, agency or professional body.

- Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods.

- Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards.

- Promotes the patient safety standards as a core value and part of the strategic plan of the organization.

Professional Leadership, Education and Research:

- Supports Summit’s philosophy, vision and mission.

- Participates in the development and revision of standards of care, policies and procedures.

- Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety.

- Promotes a safe work environment by identifying and resolving potential risk issues.

- Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs.

- Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change.

- Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures.

- Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students.

- Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs.

*Nursing Scope and Standards of Practice, 3rd Edition, American Nurses Association. Published by Nursesbooks.org, 2015.

Secondary Functions:

- Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars.

- Reads department and association wide policies and procedures pertinent to the department.

Other Duties

Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Abilities:

- This position requires:

General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs).

Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary.

Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment.

Self-direction and self-motivation.

Must be able to read, write, speak, and understand English

Supervisory Responsibilities

None.

Work Environment

At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice.

To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards:

- Always SHINE – show respect and be kind.

- Always work together – we are on the same team.

- Always serve others – no job is beneath you.

- Always maintain high standards of quality and safety – best practice every time.

- Always communicate clearly – be compassionate.

- Always practice integrity – maintain confidentiality.

- Always be accountable – take responsibility.

- Always empower – create an environment of success.

- Always excel – don’t settle for mediocrity.

- Always promote wellness – make choices for a healthy lifestyle.

Physical Demands

Heavy

Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work.

Required Education and Experience

All Departments:

- Graduate from an accredited school of nursing

- Current AZ RN license

- CPR Certification %

Department Specific Education and Experience

Emergency Department:

ACLS * / &

PALS * / &

NIHSS &

SECURE

TNCC, ATLS or ITLS or other trauma course (with approval) ** / &

ENPC ** (preferred)

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Dialysis:

ACLS * / &

NIHSS &

Home Health:

Arizona Dept. of Public Safety class 1 fingerprint clearance card

Current driver’s license

Current auto insurance

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

ICU:

ACLS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Med/Surg 2

ACLS * / &

PALS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Med/Surg 3 and Med/Surg Telemetry

ACLS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

OB:

PALS * / & (L&D only)

Department specific stroke education

STABLE ** / & +

AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only)

NRP * / &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

OR:

ACLS * / & +

PALS * / & +

Department specific stroke education

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

ASC/Preop/PACU:

ACLS * / & +

PALS * / & +

Department specific stroke education

SECURE (Floats only)

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

IV Therapy:

ACLS * / &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Imaging:

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Diagnostic Imaging:

ACLS * / & +

PALS * / & +

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Oncology:

Chemotherapy/Biotherapy certification ** / &

Cath Lab:

ACLS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

Occupational Health:

NIOSH

Breath Alcohol Testing (BAT) certification

DOT drug screening certification

Certified Occupational Hearing Conservationist (CAOHC)

Cardiac Rehab:

ACLS * / &

Senior Behavioral Health:

NIHSS &

SECURE

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

* - Renewal may take up to 30 days after expiration of original certification.

** - Renewal make take up to 75 days after expiration of original certification.

& - Required within 6 months of employment, or at completion of orientation.

% - Certification required with 30 days of employment.

X – Required.

+ - Preferred.

OSHA Exposure Category:

OSHA Exposure Category 1

Involves exposure to blood, body fluids, or tissues.

This is a safety sensitive position.

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RWJBarnabas Health Toms River, NJ

$48.29 - $65.06 / hour

Req #: 0000249419 Category: Nurses Status: Full-Time Shift: Night Facility: Community Medical Center Department: Nursing Float Pool Pay Range: $48.29 - $65.06 per hour Location: 99 HIGHWAY 37 WEST, TOMS RIVER, NJ 08755 Job Title: RN Location: Community Medical Center Department Name: Nursing Float Pool Req #: 0000249419 Status: Hourly Shift: Night Pay Range: $48.29 - $65.06 per hour Pay Transparency The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview RWJBarnabas Health is seeking a highly dedicated Registered Nurse for the Nursing Float pool at Community Medical Center. Community Medical Center, is a 592-bed, fully accredited acute care hospital offering area residents world-class medical treatment with the comforts of hometown care. Opened in 1961, CMC has evolved into the state’s newest teaching hospital with four residency programs and Ocean County’s largest and most active health care facility—caring for over 21,500 inpatients, 178,000 outpatients and 73,700 emergency department patients each year. Qualifications Required: ASN or Nursing Diploma Strong communication and organizational skills Proficient computer skills Certifications And Licenses Required BLS certification Active New Jersey Registered Nurse License Preferred BSN or must be completed within 5 years upon hire Scheduling Requirements Night shift, 36 hours per week Essential Functions The Registered Nurse provides nursing care in the health care system within the scope of practice defined by the Nurse Practice Act and regulatory standards and assures awareness of ethical standards of practice as defined by the ANA code of ethics. The Registered Nurse assures safety in practice and is inclusive of the principles of evidence-based practice by maintaining a realization of own individual level of knowledge and experience and assumes responsibility for advancing knowledge of self and others of the patient care team by communication with and utilizing resource persons and programs available. The Registered Nurse is responsible for reporting identified safety issues such as hazardous environments (i.e. damaged floors/walls/ceiling tiles/unsecured areas) and medical errors. The Registered Nurse is responsible for knowledge of the patient population served. The Registered Nurse is responsible for supervising and directing the delegation of tasks to appropriate team members and collaborates with other patient care providers. The Registered Nurse is responsible for consistently setting and evaluating priorities through appropriate interventions with measurable outcomes toward improvement. The Registered Nurse is an individual practitioner and the interdisciplinary team manager, utilizes the nursing process to integrate all aspects of the provision of care and individualizes the plan of care to address a specific patient’s needs. Benefits And Perks At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health. Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer RWJBarnabas Health is an Equal Opportunity Employer

Full-time

3 hours ago

RN - Hospital CVOR-

Nemours Children's Health Orlando, FL

Job Description JOB DESCRIPTION Nemours is seeking a Registered Nurse (CVOR) FULL-TIME, variable shifts with night, weekend and holiday call with a 30 min response time to join our Nemours Children's Hospital team in Orlando, Florida. $10,000 sign on bonus!!!** Tuition Reimbursement - up to $5,250 Annually Relocation Assistance $3,000 Employee Referral Bonus two years of experience in specialty required to obtain bonus Located in Orlando, Fla., Nemours Children’s Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region. Job Description "Practice of professional nursing" means the performance of those acts requiring substantial specialized knowledge, judgment, and nursing skill based upon applied principles of psychological, biological, physical, and social sciences which shall include, but not be limited to: The observation, assessment, nursing diagnosis, planning, intervention, and evaluation of care; health teaching and counseling of the ill, injured, or infirm; and the promotion of wellness, maintenance of health, and prevention of illness of others The administration of medications and treatments as prescribed or authorized by a duly licensed practitioner authorized by the laws of this state to prescribe such medications and treatments The supervision and teaching of other personnel in the theory and performance of any of the acts The Registered Nurse implements the patient care delivery model for the patient and their family Clinical Judgment Utilize policies, procedures, guidelines, and reliable methods to make clinical practice decisions Independently develop, implement, evaluate, and modify clinical practice matching formal knowledge with critical thinking and nursing skills Collect and interpret complex patient data with clinical events to make clinical decisions to meet individual patient and family needs Recognize and respond to the dynamic situation while sorting out extraneous detail and exercises clinical judgment based on an immediate grasp of the whole picture for the patient population of the assigned clinical area Engage in multidisciplinary collaboration, proactively seek expert consultation, and delegate to other clinicians, as appropriate, while using evidence-based guidelines Clinical Inquiry Demonstrate knowledge seeking behaviors and identify clinical questions. Seek advice, resources, and/or education opportunities to improve patient care Participate in the research process and implement changes in practice based upon the evidence Caring Practices Create a safe, compassionate, supportive, and therapeutic environment for patients, family, and Associates Promote comfort and healing and prevent unnecessary suffering with vigilance, engagement, and responsiveness Develop professional and trusting relationships that facilitate patient/family coping while maintaining appropriate boundaries Response to Diversity Recognize, appreciate, and incorporate differences into the provision of patient and family centered care, including cultural, spiritual, gender/gender identity, lifestyle, race, ethnicity, linguistic, socioeconomic status, age, developmental, and values Demonstrate effective methods of communication as required to meet the patient and family health care literacy needs Preserve and protect the confidentiality, autonomy, dignity, and rights of patient and families, Acknowledge and adapt to the organizational culture and healthcare environment Advocacy/ Moral Agency Advocate on behalf of patients, families, and Associates while promoting adherence to the ANA Code of Ethics for Nurses Act as resource for patients and families working towards resolution of ethical and moral issues. Initiate ethics consult when appropriate Serve as a moral agent in identifying and help to resolve ethical and clinical concerns within and outside the clinical setting Collaboration Work with patients, families, and Associates in a way that respectfully promotes each person's contributions toward developing and achieving optimal patient and family goals across the continuum Participate in team meetings and discussions regarding patient care and/or practice issues Involve intra- and inter-professional work with colleagues and community Participate in nursing/hospital governance, councils, committees, ad hoc teams and/or initiatives to improve clinical practice and patient care outcomes Systems Thinking Utilize appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible Develop, integrate, and apply strategies across the continuum of care that are driven by the unique needs and strengths of the patient and family Contribute to the development and revision of standards of care policies and procedures Facilitation of Learning Identify areas of educational needs and facilitate formal and informal learning for patients, families, Associates, and the community Assess patients and family's readiness to learn Utilize patient teaching plans that incorporate evidence based practice and evaluate effectiveness Seek out a mentor to facilitate individual professional growth Serve as a mentor, coach, preceptor, based upon unit needs and individual preferences and/or abilities Job Requirements ASN required Active Florida or multi-state RN license, required National certification in area of clinical specialty (preferred) Minimum of 6 months of RN experience required, experience in pediatric specialty area, preferred Following must be obtained prior to employment start date Valid American Heart Association BLS Certification; must be valid for 90 days post start date. Valid American Heart Association PALS Valid American Heart Association ACLS within 90 days of hire Employer Description Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children’s hospitals — Nemours Children’s Hospital, Delaware and Nemours Children’s Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. duPont Trust, as well as other income. As one of the nation's premier pediatric health systems, we’re on a journey to discover better ways of approaching children’s health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child’s world a place to thrive. It’s a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever. Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families. ABOUT US Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children’s hospitals — Nemours Children’s Hospital, Delaware and Nemours Children’s Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. duPont Trust, as well as other income. As one of the nation's premier pediatric health systems, we’re on a journey to discover better ways of approaching children’s health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child’s world a place to thrive. It’s a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever. Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families. To learn more about Nemours Children’s and how we go well beyond medicine, visit us at www.nemours.org .