Outpatient Registered Nurse - RN

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). 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

RN

Outpatient

Full-time

1 month ago

Outpatient Registered Nurse - RN

Fresenius Medical Care Zeeland, MI

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). 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

RN Phone Triage (Internal Medicine North/Zeeland)

Holland Hospital Holland, MI

$30.33 - $45.50 / hour

CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account. The Registered Nurse (RN) Physician Office Telephone Triage role is responsible for providing and coordinating patient-centered care primarily through phone and electronic communication. The RN supports providers and patients by assessing clinical needs, preparing for upcoming visits, coordinating care across the multidisciplinary team, and ensuring accurate, timely documentation. The RN emphasizes prevention, health promotion, patient education, and proactive care management, serving as a key liaison between patients, providers, and the healthcare team. Pay Range: $30.33 - 45.50 USD Hourly Employment Type: Full Time, 72 hours every 2 weeks. Schedule: Mondays- Wednesdays 8am to 5pm, Thursdays 8am to 12pm, Fridays 8am to 4pm. No weekends or holidays. Requirements: Minimum of Associates Degree in Nursing (RN) required, Current Michigan RN license required, and BLS for the Healthcare Provider required within 60 days of hire. PROFESSIONAL NURSING PRACTICE Promotes patient safety by maintaining policies and procedures of the physician office. Achieves office-specific initial and ongoing competencies. Maintains ANA Standards of Professional Performance, professional practice standards, and regulatory compliance. Works collaboratively with providers to render medical care via telephone, following established triage protocols. Coordinates care involving other members of the healthcare team in alignment with the Patient-Centered Medical Home model. Considers factors related to safety, effectiveness, cost, and impact on practice in the planning and delivery of nursing services. Participates in daily or scheduled team huddles to discuss patient needs, follow-up actions, and care coordination priorities. Engages in multidisciplinary case reviews for patients identified as high-risk or flagged on the Care Team dashboard. Patient Care Coordination and Chart Management Initiates record requests and follows up on outstanding documentation needed for upcoming appointments. Initiates or enters standing orders as directed by the provider. Coordinates with central services and other document management systems to ensure accurate routing and completion of patient information. Provides consultation to providers regarding high-risk patients, and urgent needs that may require intervention. Collaborates with the emergency department and other hospital departments as needed for emergent situations or transitions of care. Responds to patient special needs and accommodations, ensuring the care environment and resources are prepared appropriately. Assists with referral management to specialty offices, ensuring timely scheduling and documentation of care transitions. Follows up on results (labs, imaging, referrals) to ensure closure of care loops and communication of findings to patients and providers. Accurately documents patient encounters, assessments, and communications in the electronic medical record (EMR). Ensures documentation reflects the information provided by the patient and supports the provider’s treatment decisions. Patient Education and Communication Provides patient education by phone or through electronic communication regarding treatment plans, medication use, and follow-up care. Reinforces instructions in the After Visit Summary (AVS) and educates on care gaps and preventive health needs. Uses effective communication techniques to support patient understanding and compliance with care recommendations. Collaborates with the provider and care team to ensure consistency and accuracy of patient education materials. Medication and Order Management Assists with maintaining patient medication logs, problem lists, and prescription communication files. Coordinates with pharmacy and providers to reconcile medications, clarify orders, and address patient questions. Orders medications or diagnostic tests as directed by the provider and within policy scope. Monitors for medication adherence issues and communicates concerns to the care team. Operational Excellence Maintains accurate logs for triage calls, prescription management, and referral tracking. Participates in quality improvement activities and performance initiatives. Ensures compliance with ethical billing, confidentiality, and regulatory standards. Holland Hospital is an Equal Opportunity Employer, please see our EEO policy

RN

PACU

1 week ago

Registered Nurse PreOp PACU II - Kalamazoo Endo Center

SCA Health Portage, MI

$33 - $37 / hour

Overview At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn’t just what we do, it’s how we do it . Each decision we make is rooted in seven core values : Clinical quality Integrity Service excellence Teamwork Accountability Continuous improvement Inclusion Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America. At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits. Your ideas should inspire change. If you join our team, they will . Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. Promote the mission, vision, and values of SCA . Assess patient’s preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient’s cardiovascular system, respiratory system and airway management needs, neurological system, hemodynamic stability, pain and comfort needs, and mental status. Interpret information accurately from various noninvasive and invasive monitors. Describe the underlying pathophysiology of commonly encountered disease processes. Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions. Apply the relevant scoring system/discharge criteria for patient transfer ( e.g. , Aldrete Score, Modified Aldrete Score [ i.e. , PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. Develop an individualized perianesthesia plan of care. Implement the plan of care including the following interventions: Preparing for and managing patient recovery from anesthesia – general. Preparing for and managing patient recovery from anesthesia – monitored anesthesia care. Preparing for and managing patient recovery from anesthesia – regional. Preparing for and managing patient recovery from anesthesia – local. Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects. C ommunicating the patient’s current status throughout the perianesthesia continuum of care. P roviding acute pain and comfort management as needed. A dministering medications safely and correctly by using the 8 -rights of safe medication administration. P erforming interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels . P erforming interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels. P erforming interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. P erforming interventions to protect patient from infection. M anaging patient’s other co-morbid conditions as applicable. M anaging patient’s fluid as prescribed. A ssessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure; I nvolving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process. P rotecting patient’s rights, dignity, and privacy. P roviding age-specific, culturally competent, ethical care within legal standards of practice; and P roviding consistent and comparable care regardless of the setting. Evaluate the patient’s progress toward attaining outcomes. Transfer care as needed. Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care. Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions. Document nursing care completely, accurately, and legibly. Collaborate effectively with other disciplines as needed. Participate in quality review and performance improvement projects. Participate in the performance appraisal process. Use p roblem-solving and conflict resolution skills to foster effective work relationships with team members. Maintain required competencies. Pursue professional growth. Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. Comply with all facility policies and procedures when providing patient care . Actively participate in team meetings, trainings, and daily safety huddles . Demonstrate fiscal responsibility. Perform all other duties as assigned . Qualifications Graduate of an Accredited School of Nursing. One year of Pre Operative or PACU experience required Medical / surgical nursing experience Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification. USD $33.00/Hr. USD $37.00/Hr.

RN

PACU

2 weeks ago

Registered Nurse PreOp PACU II, Part-Time - Kalamazoo Endo Center

SCA Health Portage, MI

$32 - $38 / hour

Overview At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn’t just what we do, it’s how we do it . Each decision we make is rooted in seven core values : Clinical quality Integrity Service excellence Teamwork Accountability Continuous improvement Inclusion Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America. At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits. Your ideas should inspire change. If you join our team, they will . Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. Promote the mission, vision, and values of SCA . Assess patient’s preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient’s cardiovascular system, respiratory system and airway management needs, neurological system, hemodynamic stability, pain and comfort needs, and mental status. Interpret information accurately from various noninvasive and invasive monitors. Describe the underlying pathophysiology of commonly encountered disease processes. Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions. Apply the relevant scoring system/discharge criteria for patient transfer ( e.g. , Aldrete Score, Modified Aldrete Score [ i.e. , PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. Develop an individualized perianesthesia plan of care. Implement the plan of care including the following interventions: Preparing for and managing patient recovery from anesthesia – general. Preparing for and managing patient recovery from anesthesia – monitored anesthesia care. Preparing for and managing patient recovery from anesthesia – regional. Preparing for and managing patient recovery from anesthesia – local. Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects. C ommunicating the patient’s current status throughout the perianesthesia continuum of care. P roviding acute pain and comfort management as needed. A dministering medications safely and correctly by using the 8 -rights of safe medication administration. P erforming interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels . P erforming interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels. P erforming interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. P erforming interventions to protect patient from infection. M anaging patient’s other co-morbid conditions as applicable. M anaging patient’s fluid as prescribed. A ssessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure; I nvolving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process. P rotecting patient’s rights, dignity, and privacy. P roviding age-specific, culturally competent, ethical care within legal standards of practice; and P roviding consistent and comparable care regardless of the setting. Evaluate the patient’s progress toward attaining outcomes. Transfer care as needed. Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care. Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions. Document nursing care completely, accurately, and legibly. Collaborate effectively with other disciplines as needed. Participate in quality review and performance improvement projects. Participate in the performance appraisal process. Use p roblem-solving and conflict resolution skills to foster effective work relationships with team members. Maintain required competencies. Pursue professional growth. Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. Comply with all facility policies and procedures when providing patient care . Actively participate in team meetings, trainings, and daily safety huddles . Demonstrate fiscal responsibility. Perform all other duties as assigned . Qualifications Graduate of an Accredited School of Nursing. One year of Pre Operative or PACU experience required Medical / surgical nursing experience Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification. USD $32.00/Hr. USD $38.00/Hr.

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