STAFF NURSE II

Overview

The Staff Nurse is a professional caregiver who assumes responsibility and accountability for the assessment, nursing diagnosis, planning, implementation and evaluation of care for patients and their families in compliance with the standards for care at AHMC Seton Medical Center and Nurse Practice Act.

Responsibilities

Clinical Practice: Nursing

Assesses, collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient.

Interviews the patient/family/significant other to complete Admission information.
Identifies actual and potential needs and determines priority.
Identifies barriers to learning.

Completes and documents assessment, focusing on abnormal systems and actual and potential problems. Performs ongoing assessment as indicated.
Plans nursing care, based on priority of physical and psychosocial-emotional needs.

Develops realistic short-term goals for each problem, involving the patient, family or significant others.
Plan demonstrates understanding of age-related needs of the patient.
Consults with patient, family, significant other and health care team members in planning for education and discharge needs.

Implements the plan of care including prescribed procedures and treatments.

Organizes and prioritizes care based on individual needs and unit activity.
Provides continuous assessment for changes in patient’s condition and appropriateness of the plan.
Initiates interventions using appropriate clinical expertise and knowledge based upon evidence-based practice
Proactively coordinates the activities of health care team members in completing diagnostic and therapeutic interventions.

Evaluates the effectiveness of nursing care delivered to reach the expected outcome.

Evaluates the plan of care and adjust based on according to the current condition and changing needs of the patient.
Accurately and concisely documents the patient’s status and response to the care delivered.

Clinical Practice: Progressive Care Unit

Utilizing professional nursing knowledge and skills based upon evidence-based practice

Appropriately assesses for:

Physical and psychosocial-emotional needs.
Barriers to learning (language, cultural awareness, sensory, etc.)
Educational/learning needs.
Discharge needs.
Age-related needs.
Issues related to assault or abuse.

Analyzes patient related data, such as vital signs, past medical history, physical exam findings, laboratory values and other information, including age-specific criteria, to determine and adjust as needed to provide the appropriate care.
Utilizes advanced, specialized knowledge and skills to implement interventions for all patients, by prioritizing needs, and using a patient centered approach.
Provides health education and teaching to patient’s, family members and/or significant others, that is age specific, providing for any barriers to learning. Clearly communicates health, treatment and discharge information, ensuring the patient, family member or significant other understands all discharge and follow-up instructions.
Effectively performs procedures, such as initiation of IV catheters and fluids, medication administration, dressings, patient teaching, etc., within their scope of practice, and unit, department and Medical Center policies and procedures.
Appropriately recognizes and quickly responds to emergency medical situations.

Accurately assesses “C-A B’s.”
Initiates appropriate emergency treatment, i.e., CPR, O2, etc.
competent and able to accurately assess, respond accordingly to patients with trachs, C-Pap, Bi-Pap and Ventilators
Communicates critical information to other team members.

Remains current on treatments/practices/procedures through attendance at continuing education events, in-services and the review of professional literature.
Integrates/applies new knowledge from education and research into clinical practice.
Demonstrates knowledge of and competence in age-related patient care.
Consistently demonstrates knowledge of state and federal regulations, such as Title XXII. Follows all TJC guidelines and National Patient Safety Goals.
Consistently and accurately completes required documentation.
Demonstrates competence and can accurately assess, respond accordingly to patients with tracheotomy, ventilators, C-Pap and Bi-Pap

Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff.

Qualifications

EDUCATION:

Graduation from an accredited school of professional nursing.
Baccalaureate degree in Nursing preferred.

EXPERIENCE:

Staff Nurse II – Minimum of six months Registered Nurse experience.

CERTIFICATIONS/LICENSURE:

Current California licensure as a Registered Nurse.
Current Basic Life Support certification through American Heart Association.

OTHER SKILLS, ABILITIES & KNOWLEDGE:

Knowledgeable of the California Nursing Practice Act.
Able to understand and follow all policies, procedures, guidelines, rules and regulations of Nursing Service, AHMC Seton Medical Center, Title XXII.
Excellent communication and customer service skills.

Hospital Description

AHMC- Seton Medical Center has a long tradition of providing patient-centered, quality care and a commitment to clinical excellence and our community. Founded in 1893, the 357-bed medical center now serves 1.5 million residents of San Francisco and northern San Mateo County with comprehensive inpatient and outpatient medical specialties, as well as emergency and urgent care services. Its sister facility, Seton Coastside, is a 116-bed skilled nursing complex offering inpatient care and the only 24-hour standby Emergency Department on the Pacific Coast between Daly City and Santa Cruz. We pride ourselves on improving the health and well-being of our patients, community, and populations, we serve with high quality community partnerships, and continuous innovation to our health care delivery system and this is why we need caring, committed people on our team - like you. Join us on our mission to deliver the safest and highest quality patient-centered care

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Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Analyzes unit patient care plans currently for evidence of documentation of standards of practice, shares findings with staff, and collaborates in developing a variety of valid and reliable assessment tools to assist staff with documentation records. Demonstrates expertise in the execution of daily patient care, providing collaboration, direction, and instruction to the staff in the application and utilization of the nursing process. Elects, implements, and evaluates comforting, therapeutic, restorative, and preventative nursing measures for selected patients; expertise in the planning and delivery of special patient care problems. In collaboration with nursing managers and other researchers, performs, assists with, and Initiates, evaluates and revises nursing plans of care that reflect a multidisciplinary approach to patient care; coordinates the nursing plan of care with the medical plan of care. Maintains and teaches others the specialized knowledge and skill necessary to perform techniques and routines in the specialty service area. Offers consultative services within nursing services and to other disciplines to provide or participates in planning, development, execution and evaluation of clinical research. Participates in the hospital's quality improvement program; collaborates in setting unit standards of care and monitors indicators of quality projects. Provides direct patient care using consistency in assessing current patient care situations, priorities, and needs. Provides safety, comfort care, and treatment of patients according to established legal, ethical, and institutional standards. Serves as a consultant to patients, families, and staff. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Master's degree in a work-related discipline/field from an accredited college or university. Experience: Three (3) years of progressively responsible and directly related work experience. License/Certification Registered Nurse by California Board of Registered Nursing Clinical Nurse Specialist by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. Ability to communicate effectively, both orally and in writing. Ability to conduct research, document results, draw conclusions and make recommendations. Ability to develop and perform patient assessment and plan of care. Ability to identify competency-based education needs of and implement educational programs for staff. Ability to perform patient assessment and triage. Ability to provide consultation to physicians, nurses and other health care providers in meeting care needs of patients. Ability to provide direct evaluation and consultation to patients. Knowledge of advanced clinical practice education, consultation, research, and administration. Knowledge of clinical operations, workflow and procedures. Knowledge of principles and processes for providing customer and personal services including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of the principles, practices and objectives as well as issues and developments in the field of nursing, especially as applied to the area of nursing specialty. Skill: Advanced nursing skills in area of specialty. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $90.19 to $112.73 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Pediatric Hospice Registered Nurse

Anchor Health Palo Alto, CA

PEDIATRIC HOSPICE RN CASE MANAGER JOB DESCRIPTION Overview The Hospice Pediatric RN Case Manager will work with our Pediatric team. Primarily responsible for providing professional nursing care to assigned patients. With input from the IDT (interdisciplinary team), patient and family, assesses, develops, implements and evaluates the plan of care. Ensures appropriate communication and plan of care coordination to all internal/external customers All successful candidates must be fully vaccinated, subject to certain limited exceptions required by applicable law. Our Mission: To enhance the quality of life for those nearing the end of life’s journey and for those who grieve. We place a high importance on our employees and reward staff in several ways such as: • Competitive hospice industry compensation • Benefits package with multiple plan offerings and generous employer contribution • 401(k) Retirement plan with employer match • Supportive work culture which encourages work life balance • Substantial Paid Time Off, paid holidays & birthday benefit • Employee development program managed by in-house education department to support individualized orientation and professional growth needs. • Monthly mileage reimbursement • Employee Referral Program • Business casual attire for office staff Responsibilities JOB DUTIES/KNOWLEDGE/JOB PERFORMANCE: • Develops written plan of care in coordination with an interdisciplinary Team (IDT). • Oversees implementation of plan, evaluates and changes plan as necessary to meet patient/family needs. • Responsible for the direction of care provided by LVN and HA in accordance with patient’s plan of care. • Responsible for the supervision of services provided by the LVN and HA per TEH policy and regulatory requirements. • Communicates all changes to IDT and primary MD. • Performs job duties in clinical areas as stated in clinical competency checklist, policies/procedures, standards of care, and critical competencies based on Scope of Practice. • Maintains timely patient documentation using “point care” electronic charting. • Implements and maintains established hospice policies and procedures as well as Standards of Care and regulatory requirements. • Provides health care instruction to patient and family members. • Orients, instructs, and trains assigned personnel. • Participates in providing 24 hour, seven days a week coverage to patients/families (on-call and census fluctuation). • Performs admission assessment and admission when necessary. DEGREE OF TRAVEL: • Travel required for patient visits. • Occasional travel for educational purposes. Qualifications: • Must have Associates Degree, Bachelor Degree preferred. • Must have one year of acute or hospice pediatric experience • At least 12 months experience with 1-2 years preferred in acute care. • Current CA RN license. • Current CA driver’s license with proof of insurance. • Current CPR/BLS • Prefer certification as hospice nurse. • Pediatric experience preferred. • Proof of recent TB test result • Bilingual preferred. • Computer skills (word processing), use of adding machine, calculator, fax, photocopier.