Nursing Jobs in El Sobrante, CA

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, AHMC 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 
Overview The Registered Nurse (RN) is an integral part of the patient care team. The RN assists in the delivery of high quality, individualized patient care. The RN autonomously practices within the scope of RN licensure as defined by the California Board of Registered Nursing, and the Nurse Practice Act. The RN advocates for patients and their families, the care team and the organization. The RN designs and carries out the plan of care utilizing the nursing process of assessment, diagnosing, planning, implementing and evaluation. Responsibilities Is aware of patient presenting problem, and past medical history. Completes head-to-toe assessment and gathers relevant patient data (vital signs, labs, etc.) to gain clear understanding of patient status. Monitors for improvement or deterioration of status and intervenes as appropriate. Notifies MD of changes in status. Accurately and safely administers medications per orders; scans 90% or more of all administered medications. Titrates infusions per organizational protocols. Assesses and documents patient response per policy. Functions as part of an interdisciplinary team by working collaboratively with physical therapy, case management, respiratory therapy, nutrition, pharmacy and the MD; attends interdisciplinary rounds and reports nursing specific knowledge and assessment data to the team. Advocates for the patient and family. Facilitates communication between disciplines, the patient and family; utilizes the patient white board as a communication tool and ensures it is complete and up to date at the start of each shift. Provides a hand-off that is concise and accurate, and utilizes an SBAR format. Ensures hand-offs include a bedside check for safety and patient belongings, chart check for new orders and results, and items needing follow-up Is familiar with organizational goals relating to patient 5 Star experience, and has a basic grasp of HCAHPS scores and Service Excellence. Models professional behaviors 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 the call light and patient belongings within reach of the patient; bed/chair alarms are on and functioning; and/or all other patient specific safety interventions are in place. 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. Offers expert teaching and advice to all members of the team. 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 Has basic understanding of the impact of healthcare reimbursement on revenue; practices financial stewardship by not overusing or wasting supplies; practices good time management to avoid incidental overtime; completes accurate documentation in a timely manner, particularly as it pertains to the discharge process, to ensure appropriate charges are captured as needed. Supports throughput efforts for timely transitions of care Maintains personal responsibility for keeping all employment requirements in good standing, including but not limited to California license to practice, BLS certification, annual employee health requirements and annual employee education requirements (i.e.Healthstreams, skills lab.) Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : Minimum of 2 years of Acute Care experience, with additional experience in telemetry Licenses & Certifications : Current RN license by the State of California; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by an American Heart Association approved provider. Required Skills & Knowledge : Proficient computer skills, strong critical thinking and analytical skills, multi-tasking and time management skills. Ability to provide care that is thorough, compassionate, and non-judgmental. Minimum: USD $68.93 Maximum: USD $94.78 
Our Company All Ways Caring HomeCare Overview As a caregiver, you will play a crucial role in helping us provide compassionate care to our clients in the comfort of their homes. Caregivers provide various personal caregiving services in accordance with an established plan of care. External Job Description Provides personal caregiving services in accordance with an established plan of direct care Provides for the personal needs and comfort of people in their own homes Assists patients with activities of daily living Performs general housekeeping activities Provides transportation assistance to and from activities and appointments Offers compassionate companionship to patients Other duties as assigned Qualifications Ability to communicate both verbal and written Capable of working responsibly with confidential information Ability to work independently Ability to work in a home like setting Ability to travel between clients as needed About our Line of Business All Ways Caring HomeCare delivers quality, compassionate, and individualized care and support that helps people in need of assistance stay at home – all while maximizing their dignity, privacy, and independence. Whether recovering from illness, injury, or surgery, living with a chronic disability, or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions, and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, older adult care management, Alzheimer’s/dementia care, respite care, and other programs. For more information, please visit www.allwayscaring.com. Follow us on Facebook and LinkedIn. Additional Job Information Due to our recent growth, caregiving experience or CNA certificate preferred. CPR /First Aid Certification required where applicable - Training provided. Salary Range USD $17.80 / Hour 
Overview JOB SUMMARY: The Associate CNO is responsible for the assistance of the day to day operations of the hospital and clinical units. The ACNO works with the Chief Nursing Officer, Administrative team members and department heads to ensure compliance with goals and objectives established by the hospital. The ACNO oversees the following departments: Nursing Administration, Infection Prevention, Employee Health, Quality/Risk, Regulatory Affairs and Patient Care Departments as assigned. Responsible for various initiatives including but not limited to Value Based Purchasing, Hospital Acquired Conditions program, Lean Initiatives, various Patient Experience processes and surveys. Understands the priority items of the Nursing Vision. Works collaboratively with the team as the co-owners for survey preparation. Focus for Risk management is ongoing, comprehensive & systematic approach to reducing risk exposure of the organization. Proactively implementing provisions of federal, state, and local statutes, rules & regulations. This is accomplished by collaboration with all departments, reviewing risk reports, coordination with Corporate Risk, when necessary. Works collaboratively to assure that SMC has an effective Infection Control program. Assures appropriate reporting of infection data to designated sources such as CDC, NHSN, etc. Communicate effectively, in writing, verbally, and via telephone, with all levels of personnel and visitors. Input and retrieve computerized data. Responsibilities PERFORMANCE ACCOUNTABILITY A. KNOWLEDGE OF WORK 1. Demonstrates knowledge of hospital operations and Policies & Procedures. 2. Familiar with Administrative policies and procedures. 3. Fully aware of the company’s confidentiality policy and fully complies with it. Demonstrates respect for privileged and confidential information. 4. Knowledgeable with proper office procedures and ensures an efficient and effective office environment. 5. Demonstrates fully functional filing systems for different projects, e.g. Contracts, Regulations, TJC/CDPH/CMS, etc. B. DUTIES AND RESPONSIBILITIES 1. Ensures the effective and efficient management of nursing department operations. 2. Assists the CNO with patients’, physicians’, employees’ concerns or issues as they relate to hospital operations. Ensure the follow-through of the issues being delegated to appropriate personnel. 3. Efficiently and effectively takes minutes for department management meetings and other meetings as assigned. Assists in the preparation, planning and execution of agenda. 4. Ensures compliance with title 22 and other regulations for staffing, patient classification systems, and other nursing administration department functions including contract labor compliance, dialysis, wound care services, etc. 5. Works with appropriate directors, Quality and education to ensure compliance with standardized procedure requirements for RNs. 6. As directed, follows up with unresolved situations to gather information, etc. 7. Performs other duties as assigned or required. 8. Ensures compliance with regulatory standards and reporting requirements (i.e. CDPH, Federal/State regs, Never 28, etc.). Assures that effective event/incident/reporting system is in place with effective followup. System must identify issues, report, track and trend events. Maintains system for tracking and trending of hospital occurrences. Reports trending to Quality Council, MEC and Governing Board. Events are tracked/trended and reported to appropriate departments for action/follow-up, trending reports provided by department with action to correct trends. Facility dashboard presented to governing board. Mitigate incidents and implements revised processes to reduce facility risk. Collaborates with corporate risk and facility carrier to mitigate issues/risk. Investigates and follows up on complaints/concerns/ grievances. Reports findings to CNO and collaborates on response. Notifies CNO immediately upon discovery of any identified or potential Sentinel Event. Provides educational activities for staff. Conducts general orientation Maintains Patient Complaint/Grievence log. Trends and reports data as necessary, to appropriate committees. Works collaboratively with Corp RM for Claims management including; reporting events, investigation/interview, protecting documents, managing claims, coordinating depositions,, assisting defense team, forwarding subpoenas & summons. Completes and submits annual RM summary and plan to the governing board. Apply epidemiologic principles and statistical methods, including risk stratification, to identify target population, analyze trends and risk factors, and design and evaluate prevention and control strategies. Conduct on-going surveillance using Center of Disease Control (CDC) infection criteria, documentation, and investigation of nosocomial infections through review of admission diagnoses, microbiology culture results, isolation orders, patient records, consultation requests, post-discharge surveillance, and autopsy findings. Responsible for NHSN data accuracy and ensuring deadlines are met. Works collaboratively with Perioperative, Perinatal, SPD and other applicable areas to ensure appropriate processes are in place for patient safety and infection control compliance. Assess environmental control through surveillance of water supply systems as needed, air pressure relationships for high risk environmental monitoring. Conduct environmental rounds in all inpatient and outpatient care areas. Collect data on the incidence of selected device use in identified intensive care units. Participate in investigations of unusual hospital infection outbreaks utilizing the microbiology laboratory, consultation with Infectious Disease Division, county/state public health departments, and when necessary in consultation with the Center for Disease Control. Report epidemiologically significant findings to appropriate customers. Evaluate the effectiveness of the surveillance plan and modifies as necessary. Report all in-house patients with communicable disease to the county and/or state health department and maintain appropriate records. Compile and interpret surveillance reports to Infection Control committee, specialty areas, and executive medical committee on a regular basis. Collaborates with the CNO and directs and participates in the preparation and administration of nursing services, budgets and capital outlay requests; evaluates staffing, equipment and supply needs; prepares justifications and cost benefit analyses; reviews and recommends approval of expenditures; oversees the procurement of supplies and equipment for assigned areas. Ensures development of subordinates and succession planning. C. INITIATIVE AND JUDGMENT/ATTENDANCE AND RELIABILITY 1. Independently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities; organizes work and time to meet them. 2. Recognizes and responds to priorities, accepts changes and new ideas. Has insight into problems and the ability to develop workable alternatives. 3. Accepts constructive criticism in a positive manner. 4. Adheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness. 5. Uses time effectively and constructively. Does not abuse supplies, equipment, and service. 6. Observes all hospital and departmental policies governing conduct while at work (e.g., telephone and computer use, electronic messaging, smoking regulations, parking, breaks and other related policies). SECTION II: SERVICE EXCELLENCE 1. Understand, respects and displays sensitivity to culture, age and persons with disabilities. 2. Participates actively and positively affects the outcomes of customer service activities. 3. Uses effective collaborative strategies as evidenced by: a) Developing peer relationships that enable the work group to accomplish the daily workload within the allotted time frame and achieve departmental goals. b) Recognizing and understanding that as a member of an interdependent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problems. c) Timely notification to Department Manager/Director of potential problems or concerns. When faced with a problem or concern, is proactive by presenting suggested solutions at the time that the Department Manager/Director is made aware of the problem or concern. d) Displaying teamwork ability to promote cooperation and collaboration; gaining support for programs and goals. e) Supports Patient Rights. 4. Displays honesty and respect for others, and respect for the organization as evidenced by: a) Treating internal and external customers as the most important part of the job. b) Being sensitive to customer’s emotions, thoughts and feelings. c) Refraining from negative comments of any kind where the public or other customers can hear. d) Taking appropriate actions to resolve the concern. 5. Facilitates and enhances communication as evidenced by: a) Effective and timely processing of customer’s requests according to hospital and departmental policies. b) Utilizing verbal communication methods, which enable others to clearly understand what is being said. c) Utilizing verbal and non-verbal behaviors without being defensive, manipulative, aggressive or controlling. d) Using written communication that is legible, timely and at a level based on the position specific requirements. e) Listening attentively to ensure effective two-way communication. f) Expressing and accepting feedback in a professional manner. g) Answering the telephone with stating department, name and greeting. 6. Interacts with coworkers, other hospital staff, physicians, and the public in a courteous, professional and efficient manner. 7. Establishes good rapport and working relationships with coworkers, other hospital staff, physicians and the public. 8. Observes dress code policy and wears hospital identification as required by our policies and procedures. SECTION III: CONTINUOUS QUALITY IMPROVEMENT A. CORPORATE INTEGRITY 1. Understands and abides by all departmental policies and procedures as well as the Codes of Ethics, HIPAA requirements and patient rights. 2. Complies with Federal, State, Local Laws that govern business practices. Complies with all Department of Health Services requirements for the State of California, and CMS standards that apply to the position. 3. Is knowledgeable and adheres to TJC/CDPH/CMS standards specific to the position. 4. Participates actively in ensuring that all State and Federal Rules and Regulations are followed as they apply to this position. 5. Conducts business in an ethical and trustworthy manner at all times when dealing with patients, visitors, physicians, and fellow employees. B. EDUCATION AND ENVIRONMENT OF CARE 1. Attends scheduled inservice and mandatory inservice. Communicates ideas to supervisor for a safer layout of equipment, tools, and/or processes. 2. Follows standard precautions and transmission based precautions as shown by consistent use of appropriate personal protective equipment. 3. Adheres to procedures for the disposal of waste – household waste and biohazard waste as well as the proper disposal of sharps. 4. Uses proper body mechanics at all times. Seeks assistance when necessary to move heavy objects or to transport/transfer a heavy patient. 5. Is knowledgeable in the hospital safety program and takes necessary steps to maintain a safe environment. Adheres to safe work practices in order to prevent injuries and illnesses. 6. Is familiar with emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes (Code Blue, Code Pink, Code Orange, Code Yellow, Code Gray, Code Silver, Code Purple, etc.) 7. Maintains the department in a neat, clean, and orderly manner, especially in own work area. 8. Eliminates or assists in eliminating any seen or known hazards in the workplace. Reports any unsafe conditions to his or her immediate supervisor. 9. Demonstrates good safety habits and judgment by maintaining a safe environment at all times. 10. Complies with all hospital safety and injury prevention policies and regulations. C. PERFORMANCE IMPROVEMENT 1. Understands the Continuous Quality Improvement Process and applies it in performing everyday tasks/duties. Active participant in Continuous Quality Improvement program by assisting in finding new and better ways of performing duties and responsibilities. 2. Cooperates with others in the improvement of services offered at our institution. Continually makes recommendations that assist in the improvement of services. 3. Continually strives for self-improvement in areas of responsibility by attending continuing education classes. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Proficient with computer software (Word, Excel, Power-Point, etc.)2. Must have a current and valid license as a Registered Nurse issued by the State of California.3. BLS Provider Card, upon hire and maintained current. 4. Minimum of 5 years Acute Care experience.5. Minimum of 3 years previous Administrative experience preferred.6. Master’s Degree in Nursing is preferred but a BSN is required. 7. ACLS Provider card thru AHA 8. NIHSS required 
Overview JOB DESCRIPTION – POSITION REQUIREMENTS JOB TITLE: Staff Nurse I CC/Department: 6341/Geriatric Behavioral Health Reports to: Department Director/ Unit Manager JOB SUMMARY: 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, American Psychiatric Mental Health Nursing Scope and Standards of Practice, and American Nurse Practice Act. Staff Nurse 1 is capable of independently performing the full range of clinical nursing services involving patient care. May supervise the work of professional and paraprofessional staff of the assigned unit. Responsibilities DUTIES AND ESSENTIAL JOB FUNCTIONS : NOTE : The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. Ability to communicate emphatically, respectfully and effectively with mentally ill patients and their families. Exemplary interpersonal skills and works effectively as a member of a multidisciplinary team. A thorough understanding of client rights, thorough understanding of psychiatric nursing processes. Knowledge of DSM/ICD and basic medical and psychiatric terminology. Familiarity with behavioral health resources in the community. Able to understand and follow all policies, procedures, guidelines, rules and regulations of Nursing Service, Seton Medical Center, American Nurses Code of Ethics, and American Psychiatric Nurses Standards of Practice Knowledge of legal terminologies and practices associated with psychiatry Accurately provide care with respect to medication administration, skin and wound care, ADL's and other essential patient care related activities Develops, implements, evaluates and makes modifications in the nursing care plan; prepares required records and reports. Gather and assess information about patients to meet nursing needs; assists and consults with physicians in the performance of procedures and diagnostic tests; contracts physicians and/or other departments to obtain or provide patient information. Organizes, supervises, makes adjustments and accepts responsibility for the quality of care provided patients by co-workers for a given work period; at the level II assumes responsibility as a charge nurse when assigned. Participates in promoting a healthful, safe, and therapeutic environment for patients and families; set up and controls the environment essential for infection control. Participates in the implementation of patient care standards, infection control standards and quality assurance criteria; assists with conducting studies; participates in unit and other meetings. Provides and evaluates patient care established standards and criteria in conformity with the nursing care plan. Will adhere to the No Pass Zone. Monitors patients for significant and critical changes and initiates procedures as required; documents are given according to set standards and at required intervals. Interprets and explains procedures, regimens, and services to patients and families; teaches patients and family member’s health care and disease prevention techniques. Utilizes evidenced based best practice by hourly rounding on all assigned patients. Shift report will be done at the bedside with the patient involved to the best of their ability. Participates in every shift huddle report to communicate any red flags and ensure efficient patient hand-off. Clean and organize work stations, aware and practice safety protocols of the department at all times. AIDET ( A cknowledge, I ntroduce, D uration, E xplanation, and Thank you) will be used in patient and family interactions when appropriate. Actively engages with all department and hospital improvement projects. Demonstrates knowledge of management of assaultive behavior techniques Provides education/training to other team members as necessary. Qualifications QUALIFICATIONS/JOB REQUIREMENTS: EDUCATION: Graduate of an accredited School of Nursing required BSN degree preferred EXPERIENCE: Training and experience in psychiatric nursing, geriatics or dementia care preferred CERTIFICATIONS/LICENSURE Current California RN licenses required Current American Heart Association Advanced Cardiovascular Life Support (ACLS) certification required Completion of a validated crisis prevention and intervention training such as: Crisis Prevention Institute - Nonviolent Crisis Intervention- CPI Management of Assaultive Behavior - MAB Pro-Act AB-508 
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 Seton Medical Center, AHMC and Nurse Practice Act. Responsibilities POSITION SPECIFIC DUTIES (other duties may be assigned) 1 Assesses , collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient. a) Interviews the patient/family/significant other to complete Triage information. b) Identifies actual and potential needs and determines priority. c) Identifies barriers to learning. After initial triage evaluation, completes and documents an assessment, focusing on abnormal systems and actual and potential problems. Performs ongoing assessment as indicated. 2 Plans nursing care, based on priority of physical and psychosocial-emotional needs. a) Develops realistic short-term goals for each problem, involving the patient, family or significant others. b) Plan demonstrates understanding of age-related needs of the patient. c) Negotiates with patient, family, significant other and health care team members in planning for education and discharge needs. 3 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. As Primary Nurse, proactively coordinates the activities of health care team members in completing diagnostic and therapeutic interventions. 4 Evaluates the effectiveness of nursing care delivered to reach the expected outcome. a) Evaluates the plan of care and adjust based on according to the current condition and changing needs of the patient. b) Accurately and concisely documents the patient’s status and response to the care delivered. 5 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. 6 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. 7 Utilizes advanced, specialized knowledge and skills to implement interventions for all Emergency Services patients, by prioritizing needs, and using a patient centered approach. 8 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. 9 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. 10 Effectively performs other nursing procedures/skills, based on completed specialty training and their scope of practice, and unit, department and Medical Center policies and procedures. 11 Appropriately recognizes and quickly responds to emergency medical situations. a) Accurately assesses “CAB’s.” b) Initiates appropriate emergency treatment, i.e., CPR, O2, etc. c) Communicates critical information to other team members. 12 Remains current on treatments/practices/procedures through attendance at continuing education events, in-services and the review of professional literature. 13 Integrates/applies new knowledge from education and research into clinical practice and utilizes effective critical thinking and judgement for optimal patient care 14 Demonstrates knowledge of and competence in age-related patient care. 14 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 15 Must demonstrate competence with BLS and ACLS via the RQI system. 16 Consistently demonstrates knowledge of state and federal regulations, such as Title XXII. Follows all TJC guidelines and National Patient Safety Goals. 17 Advocates for public health and safety through patient and family education. 18 Consistently and accurately completes required documentation. 19 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 20 Consistently demonstrates caring and compassion through behaviors and interactions in performance of all duties, recognizing the inherent worth and dignity of patients, families, other staff and physicians. Qualifications QUALIFICATIONS/JOB REQUIREMENTS: EDUCATION: Graduation from an accredited school of professional nursing. Baccalaureate degree in Nursing preferred. EXPERIENCE: Staff Nurse I– New grad or less than six months of experience as a Registered Nurse CERTIFICATIONS/LICENSURE: Current California licensure as a Registered Nurse required. Current Basic Life Support certification required. Current ACLS certification. Current NIHSS certification 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, TJC, CMS and Title XXII. Excellent communication and customer service skills. 
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 POSITION SPECIFIC DUTIES (other duties may be assigned) Clinical Practice: Nursing 1 Assesses , collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient. a) Interviews the patient/family/significant other to complete Triage information. b) Identifies actual and potential needs and determines priority. c) Identifies barriers to learning. After initial triage evaluation, completes and documents an assessment, focusing on abnormal systems and actual and potential problems. Performs ongoing assessment as indicated. 2 Plans nursing care, based on priority of physical and psychosocial-emotional needs. a) Develops realistic short-term goals for each problem, involving the patient, family or significant others. b) Plan demonstrates understanding of age-related needs of the patient. c) Negotiates with patient, family, significant other and health care team members in planning for education and discharge needs. 3 Implements the plan of care including prescribed procedures and treatments. Organizes and prioritizes care based on individual needs and unit activity. Assesses for changes in patient’s condition and appropriateness of the plan. Initiates interventions using appropriate clinical expertise and knowledge. As Primary Nurse, coordinates the activities of health care team members in completing diagnostic and therapeutic interventions. 4 Evaluates the effectiveness of nursing care delivered to reach the expected outcome. a) Evaluates the plan of care according to the current condition and changing needs of the patient. b) Accurately and concisely documents the patient’s status and response to the care delivered. Clinical Practice: Ortho/Spine/Surgical 5 Utilizing professional nursing knowledge and skills. Appropriately assesses for: Physical and psychosocial-emotional needs. Barriers to learning. Educational/learning needs. Discharge needs. Age-related needs. Issues related to assault or abuse. 6 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 appropriate care. 7 Utilizes advanced, specialized knowledge and skills to implement interventions for all Emergency Services patients, by prioritizing needs, and using a patient centered approach. 8 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. 9 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. 10 Effectively performs other nursing procedures/skills, based on completed specialty training and their scope of practice, and unit, department and Medical Center policies and procedures. 11 Appropriately recognizes and quickly responds to emergency medical situations. a) Accurately assesses “A-B-Cs.” b) Initiates appropriate emergency treatment, i.e., CPR, O2, etc. c) Communicates critical information to other team members. 12 Remains current on treatments/practices/procedures through attendance at continuing education events, in-services and the review of professional literature. 13 Integrates/applies new knowledge from education and research into clinical practice. 14 Demonstrates knowledge of and competence in age-related patient care. 15 Consistently demonstrates knowledge of state and federal regulations, such as Title XXII. Follows all JCAHO guidelines and National Patient Safety Goals. 16 Advocates for public health and safety through patient and family education. 17 Consistently and accurately completes required documentation. 18 Consistently demonstrates caring and compassion through behaviors and interactions in performance of all duties, recognizing the inherent worth and dignity of patients, families, other staff and physicians. Qualifications EDUCATION: Graduation from an accredited school of professional nursing. Baccalaureate degree in Nursing preferred. EXPERIENCE: Staff Nurse I – New grad or less than six months Registered Nurse experience. CERTIFICATIONS/LICENSURE: Current California licensure as a Registered Nurse. Current Basic Life Support certification. Current ACLS certification from approved Provider by AHMC NIHSS certification 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, Seton Medical Center, Verity Health System, Title XXII. Excellent communication and customer service skills. 
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 Seton Medical Center, AHMC and Nurse Practice Act. Responsibilities POSITION SPECIFIC DUTIES (other duties may be assigned) 1 Assesses , collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient. a) Interviews the patient/family/significant other to complete Triage information. b) Identifies actual and potential needs and determines priority. c) Identifies barriers to learning. After initial triage evaluation, completes and documents an assessment, focusing on abnormal systems and actual and potential problems. Performs ongoing assessment as indicated. 2 Plans nursing care, based on priority of physical and psychosocial-emotional needs. a) Develops realistic short-term goals for each problem, involving the patient, family or significant others. b) Plan demonstrates understanding of age-related needs of the patient. c) Negotiates with patient, family, significant other and health care team members in planning for education and discharge needs. 3 Implements the plan of care including prescribed procedures and treatments. Organizes and prioritizes care based on individual needs and unit activity. Assesses 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. As Primary Nurse, proactively coordinates the activities of health care team members in completing diagnostic and therapeutic interventions. 4 Evaluates the effectiveness of nursing care delivered to reach the expected outcome. a) Evaluates the plan of care and adjust based on according to the current condition and changing needs of the patient. b) Accurately and concisely documents the patient’s status and response to the care delivered. 5 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. 6 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. 7 Utilizes advanced, specialized knowledge and skills to implement interventions for all Emergency Services patients, by prioritizing needs, and using a patient centered approach. 8 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. 9 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. 10 Effectively performs other nursing procedures/skills, based on completed specialty training and their scope of practice, and unit, department and Medical Center policies and procedures. 11 Appropriately recognizes and quickly responds to emergency medical situations. a) Accurately assesses “CAB’s.” b) Initiates appropriate emergency treatment, i.e., CPR, O2, etc. c) Communicates critical information to other team members. 12 Remains current on treatments/practices/procedures through attendance at continuing education events, in-services and the review of professional literature. 13 Integrates/applies new knowledge from education and research into clinical practice and utilizes effective critical thinking and judgement for optimal patient care 14 Demonstrates knowledge of and competence in age-related patient care. 14 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 15 Must demonstrate competence with BLS and ACLS via the RQI system. 16 Consistently demonstrates knowledge of state and federal regulations, such as Title XXII. Follows all TJC guidelines and National Patient Safety Goals. 17 Advocates for public health and safety through patient and family education. 18 Consistently and accurately completes required documentation. 19 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 20 Consistently demonstrates caring and compassion through behaviors and interactions in performance of all duties, recognizing the inherent worth and dignity of patients, families, other staff and physicians. Qualifications EDUCATION: Graduation from an accredited school of professional nursing. Baccalaureate degree in Nursing preferred. EXPERIENCE: Staff Nurse II– At least one year as a Registered Nurse experience in acute care settings. CERTIFICATIONS/LICENSURE: Current California licensure as a Registered Nurse required. Current Basic Life Support certification required. Current ACLS certification. Current NIHSS certification 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, TJC, CMS and Title XXII. Excellent communication and customer service skills. 
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 Seton Medical Center, AHMC and Nurse Practice Act. Responsibilities POSITION SPECIFIC DUTIES (other duties may be assigned) 1 Assesses , collects and documents health assessment data focusing on the physical, emotional, spiritual, psychosocial and educational needs of the patient. a) Interviews the patient/family/significant other to complete Triage information. b) Identifies actual and potential needs and determines priority. c) Identifies barriers to learning. After initial triage evaluation, completes and documents an assessment, focusing on abnormal systems and actual and potential problems. Performs ongoing assessment as indicated. 2 Plans nursing care, based on priority of physical and psychosocial-emotional needs. a) Develops realistic short-term goals for each problem, involving the patient, family or significant others. b) Plan demonstrates understanding of age-related needs of the patient. c) Negotiates with patient, family, significant other and health care team members in planning for education and discharge needs. 3 Implements the plan of care including prescribed procedures and treatments. Organizes and prioritizes care based on individual needs and unit activity. Assesses 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. As Primary Nurse, proactively coordinates the activities of health care team members in completing diagnostic and therapeutic interventions. 4 Evaluates the effectiveness of nursing care delivered to reach the expected outcome. a) Evaluates the plan of care and adjust based on according to the current condition and changing needs of the patient. b) Accurately and concisely documents the patient’s status and response to the care delivered. 5 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. 6 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. 7 Utilizes advanced, specialized knowledge and skills to implement interventions for all Emergency Services patients, by prioritizing needs, and using a patient centered approach. 8 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. 9 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. 10 Effectively performs other nursing procedures/skills, based on completed specialty training and their scope of practice, and unit, department and Medical Center policies and procedures. 11 Appropriately recognizes and quickly responds to emergency medical situations. a) Accurately assesses “CAB’s.” b) Initiates appropriate emergency treatment, i.e., CPR, O2, etc. c) Communicates critical information to other team members. 12 Remains current on treatments/practices/procedures through attendance at continuing education events, in-services and the review of professional literature. 13 Integrates/applies new knowledge from education and research into clinical practice and utilizes effective critical thinking and judgement for optimal patient care 14 Demonstrates knowledge of and competence in age-related patient care. 14 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 15 Must demonstrate competence with BLS and ACLS via the RQI system. 16 Consistently demonstrates knowledge of state and federal regulations, such as Title XXII. Follows all TJC guidelines and National Patient Safety Goals. 17 Advocates for public health and safety through patient and family education. 18 Consistently and accurately completes required documentation. 19 Understand and practice according to the Nurse Practice Act, RN as Supervisor over appropriate clinical staff. 20 Consistently demonstrates caring and compassion through behaviors and interactions in performance of all duties, recognizing the inherent worth and dignity of patients, families, other staff and physicians. Qualifications EDUCATION: Graduation from an accredited school of professional nursing. Baccalaureate degree in Nursing preferred. EXPERIENCE: Staff Nurse II– At least one year as a Registered Nurse experience in acute care settings. CERTIFICATIONS/LICENSURE: Current California licensure as a Registered Nurse required. Current Basic Life Support certification required. Current ACLS certification. Current NIHSS certification 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, TJC, CMS and Title XXII. Excellent communication and customer service skills. 
FUNCTION Cares for residents under the direction and supervision of a registered nurse or a licensed practical/vocational nurse. QUALIFICATIONS The requirements listed below are representative of the knowledge, skill and/or ability required. Minimum Qualifications: • Freedom from illegal use of drugs • Freedom from use of and effects of use of drugs and alcohol in the workplace. • Anyone found guilty by a court of law of abusing, neglecting, or mistreating individuals in health care related setting are ineligible for employment in the position. Education and/or Experience: Minimum High school diploma or general education degree (GED), or one to three months related experience and/or training or equivalent combination of education and experience preferred. Certificates, Licensees, Registrations: Graduate of a state approved nursing assistant training program and passed a state approved competency examination (written and skills) within 120 days of employment; name entered into state nurse aide registry. LANGUAGE SKILLS Must be able to express self adequately in written and oral communication and to communicate effectively in an interdisciplinary care setting with residents, families and staff members. MATHEMATICAL SKILLS Ability to add and subtract three digit numbers; calculate percentage of whole; measure in cubic centimeters (cc’s); measure in feet and inches. Ability to perform these operations using units of weight measurement, volume, length and height. REASONING ABILITY Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. SUPERVISORY RESPONSIBILITIES N/A ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions. Care and Services: • Take and records vital signs • Measures and records height and weight • Calculates and records weight gain or loss • Calculate and records fluid intake and output • Cares for the resident’s environment • Recognizes abnormal changes in body functioning and importance of reporting such changes to a supervisor • Cares for residents when death is imminent • Makes routine rounds on each assigned resident every two hours • Bathes residents • Assist with grooming, including mouth care • Dresses residents • Toilet residents • Assist with eating and hydration • Use proper feeding techniques • Calculates and records percentage of meal eaten • Observe resident’s skin when giving care and reports changes to license nurse • Provides skin care • Transfer, position and turns residents • Meets residents’ mental health and social service needs • Modifies own behavior in response to resident’s behaviors • Allows residents to make personal choices • Provides and reinforces other behavior consistent with the residents’ dignity. • Uses the residents’ families as a source of emotional support. • Contributes to the resident’s assessment (MDS/CAA) and the plan of care. • Provides nursing rehabilitation/restorative nursing services: - Promote resident’s ability to adopt and adjust to living as independently as possible - Trains the resident in self-care according to the resident’s abilities - Trains the resident in the use of assistive devices for transferring, walking and mobility. Dressing and grooming, eating and swallowing - Maintains range of motion; proper turning and positioning in bed and chair - Provides bladder and bowel retraining - Instructs the resident on the care and use of prosthetic and orthotic devices - Incorporates training and skill practice activities which include repetition, physical or verbal cueing and task segmentation • Care for residents with dementia: - Knows how to respond to residents’ behaviors - Allows residents to make personal choices - Provides and reinforces other behavior consistent with residents’ dignity - Uses the residents’ families as a source of emotional support - Demonstrates a basic understanding of behavior and functional symptoms associated with dementia by providing interventions and treatments to help reduce these symptoms - Uses modification in the presentation of activities of daily living to maintain and maximize resident competencies and function - Uses effective intervention techniques to address behavioral concerns - Acts as a facilitator for activity programming - Demonstrates effective communication techniques for persons with dementia • Provides non-resident care including, but not limited to: - Washing wheelchairs - Cleaning soiled utility areas - Cleaning nurses’ station - Cleaning shower and whirlpool rooms - Cleaning kitchen areas on the nursing unit • Provides transporation of residents to and from hospital and medical appointments RESIDENT RIGHTS Promotes and protects resident’s rights, assists residents to make informed decision, treats residents with dignity and respect, protects residents’ personal belongings, reports suspected abused or neglect, avoids the need for physical restraints in accordance with current professional standards and, supports independent expression, choice and decision-making consistent with applicable law and regulation. LEADERSHIP Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognized priorities, challenges others to learn; keeps current and integrates new information, communicates and models organization values; and fosters high performance. PROCESS IMPROVEMENT Applies process improvement methods and techniques and identifies processes for improvement in daily work. ENVIRONMENT OF CARE Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment. INFECTION CONTROL Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the workplace; and demonstrates understanding of cross-contamination. INFORMATION MANAGEMENT Enters or records data timely and accurately; protects confidentiality of resident information, protects data against loss or destruction, reports suspected violation of security/confidentiality issues. Monitors and complies with company policies, procedures and state and federal law. INTERPERSONAL SKILLS Demonstrates active listening techniques, gains support through effective relationships, treats others with dignity and respect; and seeks feedback. CONTINUING EDUCATION Attends in-service and education programs; attends continuing education required for maintenance certification. PHYSICAL DEMANDS The physical demands describes here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer Residents weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision. WORK ENVIRONMENT The work environment characteristics describes 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. While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate. OTHER REQUIREMENTS Participates in (or conducts) company-sponsored training to safeguard against improper use and disclosure of resident’s protected health information. Monitors and oversees facility’s efforts to comply with company policies, procedures and state and federal law. By his / her signature below, employee agrees to adhere to and oversee communication of privacy guidelines relative to the confidentiality of residents' protected health information. JOB DESCRIPTION REVIEW I understand this job description, its requirements and that I am expected to complete all duties as assigned. I understand the job duties may be altered from time to time. SALARY RANGE: $24.00 to $26.00 PER HOUR DEPENDING ON EXPERIENCE 
Overview The Nurse Manager is responsible for assisting the Administrative Director in providing overall leadership and direction for the units or areas of responsibility, and for creating an environment that fosters collaboration among the team to achieve operational and clinical excellence. This will be achieved through the following activities: Participates in the selection and development of staff to achieve high performance; performs all probationary and annual evaluations; works collaboratively with physicians to develop methods for improving the quality of care; works collaboratively with department leadership to achieve quality, fiscal and patient experience goals and expectations. The Nurse Manager assumes responsibility and accountability for the quality of nursing activities and staff functions during the shift. Effectively directs nursing personnel and utilizes time, equipment and other unit resources to ensure the daily operation of the unit. Continually assesses care, monitors unit operations, and directs staff to make immediate changes to accommodate patient needs. Performs direct patient care, only when necessary, and within scope of practice Responsibilities Principal Accountabilities Assumes responsibility and accountability for unit operations, including but not limited to:o Patient Safety initiativeso Quality standards and outcomeso Patient Experience strategies o Competency and clinical performance of nursing staffo Productivity management Oversees coordination of patient care, working with the Case Manager, as evidenced by:o Identification of appropriate patient admission/discharge/transfer (ADT) at beginning and end of each shift.o Identification and necessary facilitation care to accomplish the plan for the dayo Ensures preparation for and participation by nurses in Care Coordination rounds Evaluates clinical performance of all unit staff under oversight of Administrative Director. Manages the unit based clinical competency program utilizingappropriate educational resourceso Assists with hiring decisionso Oversees new hire orientation to maximize the orientee’s learning experience. Assist the preceptor to find optimal learning situations.Facilitates developmental plans, as needed, to address opportunities to improve o Daily clinical observation of clinical staff’s performance during and after orientation is finished, including review of documentation to ensure regulatory and quality standards are met. o Continuous review of clinical competencies for key diagnostic categories, including, but not limited to: Core Measures (i.e. Stroke, SCIP, Immunizations) Harm indicators (i.e., CAUTI, CLABSI prevention) Pain Management Wound/Skin Care Restraints NPSGs Falls Ensures floats, travelers, and registry personnel are oriented to unit routine. Serves as a resource and monitors their compliance with Seton patient care standards. Responsible, with Administrative Director, to assure optimal quality of care and patient satisfaction by:o Making rounds on each patient every shift.o Discussing patient satisfaction with patients and/or family members.o Ensuring resolution of issues and communicating necessary information between shifts, staff, and units/floors.o Coaching nursing staff to anticipate patient’s needs by listening to patient/family concerns and providing explanations regarding care and treatment o Assessing pain control of patient’s and pro-active medication culture of unit. Assists the Administrative Director to manage the unit communication process by:o Identifying unit operation topics for staff meetingso Utilizing communication book and Visibility Board (Vis-walls) Manages appropriate patient care assignment based on the competency of staff, acuity of patient and continuity of care.o Makes shift assignment at beginning of shift. Changes assignment as necessary to meet patient needs.o Maintains working knowledge of daily patient care needs by listening to report and rounding of all patients on unit. Focuses on desired outcomes and critical data/events to facilitate unit operations.o Facilitates unlicensed assistive personnel to support patient care delivery for the assigned team. Serves as a primary communication resource for physician interaction for the unit. Facilitates the RN implementation of the plan of care for patients through effective communication with the health care team. Manages shift productivity every 4 hours including, but not limited to, staffing for ADT, midnight census and sitter utilization Clinical Effectiveness Using the clinical effectiveness model, leads improvement efforts that improves clinical outcomes, patient safety, patient satisfaction and appropriate resource utilization. Maintains and administers the Seton Operation System for continuous monitoring and improvement of the quality of care and services provided. Responsible for monitoring daily compliance to standards of care, operational, and regulatory requirements. Promotes a culture of safety, continually evaluating the delivery of care and services that result in eliminating harm. Regulatory Compliance Monitors compliance with all applicable external agency regulations. Ensures compliance with all personnel to safety standards, Hazardous Materials Management program, Universal Precautions, and Infection Control. Human Resource Management Demonstrates sound management and leadership principles. Promotes employee growth and development through effective use of resources. Uses effective interviewing skills to hire qualified and compassionate staff. Coaches for success and uses progressive counseling for sub-standard performance. Demonstrates awareness of and ability to apply knowledge of current developments in healthcare. Accountability Performs active daily management to ensure that operations are efficient and achieve a state of continual regulatory readiness. Set and holds standards for performance, patient care delivery, and department operations. Maintains confidentiality of all patient and hospital related communications, documents, and records. Maintains clinical and management skills and expands knowledge base. Performs required duties in accordance with prescribed hospital policies and procedures. Maintains a positive attendance record and is prompt in reporting to work. Assesses personal learning needs and utilizes available resources in selfdevelopment to address learning opportunities. Demonstrates active listening skills and treats all contacts with dignity and respect. Accomplishes objectives within prescribed time frames by prioritizing and organizing workload. Ability to work under stressful situations while maintaining a positive attitude. Qualifications QUALIFICATIONS/JOB REQUIREMENTS:EDUCATION: Bachelor degree in Nursing or in progress of obtaining BSN. Master’s Degree preferred. EXPERIENCE: At least one year of supervisory experience required or at least 3 years of charge nurse experience. CERTIFICATIONS/LICENSURE: Current California Registered Nurse License. Certification in area of specialty preferred. Current BLS/ ACLS through American Heart Association OTHER SKILLS, ABILITIES & KNOWLEDGE: Effective written and verbal communication skills; able to communicate with variousindividuals both inside and outside the organization; and able to understand andcreate reports/presentations/proposals. Proficient with computer systems including but not limited to MS Office. 
Overview The Registered Nurse (RN) is an integral part of the patient care team. The RN assists in the delivery of high quality, individualized patient care. The RN autonomously practices within the scope of RN licensure as defined by the California Board of Registered Nursing, and the Nurse Practice Act. The RN advocates for patients and their families, the care team and the organization. The RN designs and carries out the plan of care utilizing the nursing process of assessment, diagnosing, planning, implementing and evaluation. Responsibilities Is aware of patient presenting problem, and past medical history. Completes head-to-toe assessment and gathers relevant patient data (vital signs, labs, etc.) to gain clear understanding of patient status. Monitors for improvement or deterioration of status and intervenes as appropriate. Notifies MD of changes in status. Accurately and safely administers medications per orders; scans 90% or more of all administered medications. Titrates infusions per organizational protocols. Assesses and documents patient response per policy. Functions as part of an interdisciplinary team by working collaboratively with physical therapy, case management, respiratory therapy, nutrition, pharmacy and the MD; attends interdisciplinary rounds and reports nursing specific knowledge and assessment data to the team. Advocates for the patient and family. Facilitates communication between disciplines, the patient and family; utilizes the patient white board as a communication tool and ensures it is complete and up to date at the start of each shift. Provides a hand-off that is concise and accurate, and utilizes an SBAR format. Ensures hand-offs include a bedside check for safety and patient belongings, chart check for new orders and results, and items needing follow-up Is familiar with organizational goals relating to patient 5 Star experience, and has a basic grasp of HCAHPS scores and Service Excellence. Models professional behaviors 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 the call light and patient belongings within reach of the patient; bed/chair alarms are on and functioning; and/or all other patient specific safety interventions are in place. 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. Offers expert teaching and advice to all members of the team. 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 Has basic understanding of the impact of healthcare reimbursement on revenue; practices financial stewardship by not overusing or wasting supplies; practices good time management to avoid incidental overtime; completes accurate documentation in a timely manner, particularly as it pertains to the discharge process, to ensure appropriate charges are captured as needed. Supports throughput efforts for timely transitions of care Maintains personal responsibility for keeping all employment requirements in good standing, including but not limited to California license to practice, BLS certification, annual employee health requirements and annual employee education requirements (i.e.Healthstreams, skills lab.) Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : Minimum of 2 years of Acute Care experience, with additional experience in telemetry Licenses & Certifications : Current RN license by the State of California; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by an American Heart Association approved provider. Required Skills & Knowledge : Proficient computer skills, strong critical thinking and analytical skills, multi-tasking and time management skills. Ability to provide care that is thorough, compassionate, and non-judgmental. 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 
Why Suncrest At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits $120,000-135,000 annually Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details The Assistant Director of Clinical Services works under the Director to provide overall direction to the hospice clinical team. They are responsible for hiring of qualified hospice personnel: the provision of hospice services, directly, and the delegation to and coordination of hospice personnel evaluations; and establishing standards of care to comply with federal and state regulations and guidelines. The duties include but are not limited to: Implement policies, procedures, and best practices for operations. Monitoring nursing staff performance and addressing any QA issues Clinical policy and procedure support Assisting the Director in identifying & resolving nursing department deficiencies Monitoring implementation of correction plans Qualifications A strong leader with impeccable organizational, strategic, analytical and project management skills. A solid communicator with exceptional interpersonal skills and a proven ability to motivate, mentor, and influence others. 5 years in healthcare industry preferred At least 1 year in hospice 2 years of experience working in Leadership Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice Reliable transportation, driver's license and vehicle insurance 
Why Suncrest At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits Actual Work/Life Balance $50-60/hour Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. This position is a contributing member of the interdisciplinary team, providing expertise regarding psych-social assessments, interventions, and knowledge of community sources. The Registered Nurse (RN) will work in either a Case Management, Admissions, or Resource role. Qualifications Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice 1 year of hospice experience Works well within a team environment to collaborate daily with nurses, social workers, chaplains, volunteers, and CNA leadership. Work closely with patients on a 1-1 level but get strong support from a patient care team. Can work independently and on your own from a day-to-day basis with activities which include: phone, email and written communication, meetings with a variety of healthcare professionals, and an understanding of hospice rules and regulations. Time management skills to manage visits, documentation, meetings (i.e.: to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns) Ability to learn an electronic medical records system. Must be willing to drive with reliable transportation, valid driver’s license, and auto insurance, to be able to travel across the service area 
Description Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. The registered nurse plans, organizes and directs hospice care services specific to each patient/family which includes instruction and evaluation in the home. The professional nurse is accountable to the Director of Patient Care Services for implementing the patient plan of care and communicating each patient needs to the Interdisciplinary team. The professional nurse is also responsible for communication and collaboration with community physicians as well as family members regarding individual patient care. Anchor Health offers competitive salaries, great benefits and a compassionate work environment. PRIMARY FUNCTION The Admissions Registered Nurse is an Interdisciplinary Team member whose primary responsibility is to present ANCHOR HEALTH services and philosophy to patients and families in a manner that results in the admission of appropriate patients. JOB RESPONSIBILITIES FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse participates in the information gathering, analysis, education, and form completion aspects of the admissions process 2. Admissions Registered Nurse evaluates patients for hospice appropriateness, e.g. medical records review as requested. 3. Admissions Registered Nurse Obtains agreement for admission of referred patients and families who meet admission criteria. 4. Admissions Registered Nurse analyzes data collected by the admission staff or ANCHOR HEALTH clinicians to facilitate/obtain admission orders 5. Admissions Registered Nurse builds effective referral source relationships to support the high quality and responsiveness expectations associated with ANCHOR HEALTH. 6. Admissions Registered Nurse maintains clinical and professional competence. 7. Admissions Registered Nurse takes the initiative in developing effective relationships internally with the appropriate admissions and patient care resource persons. 8. Admissions Registered Nurse utilizes interpersonal skills to help appropriately educate and address any questions the patient and/or patients’ family has concerning hospice and palliative care. 9. Other duties and responsibilities as assigned JOB REQUIREMENTS FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse has knowledge of the principles of the intake, admission, and transition to care process with the ability to further develop skills in these competency areas. 2. Admissions Registered Nurse has the ability to communicate effectively with patients and families, physicians, referral sources and colleagues. 3. Admissions Registered Nurse has the knowledge of clinical manifestations of diseases and ability to develop ANCHOR HEALTH specific clinical knowledge. 4. Admissions Registered Nurse has the ability to use the ANCHOR HEALTH information system and mobile technology platforms. 5. Admissions Registered Nurse has reliable means of transportation. ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands of the Admissions Registered Nurse are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Admissions Registered Nurse, the employee is regularly required to: 1. Assist in lifting and transferring patients, as required. 2. Lift objects in excess of 20 pounds 3. Stand or walk in excess of one hour per day The Admissions Registered Nurse will be required to sit and stoop, kneel, and crouch. DIRECTION RECEIVED The Admissions Registered Nurse reports to the Admissions Manager designated in the location. In the event the location does not have an Admissions Manager, the Admissions Registered Nurse will receive direction from the Patient Care Administrator or program designee QUALIFICATIONS FOR THE ADMISSIONS REGISTERED NURSE 1. Graduate of a National League of Nursing accredited school of nursing. 2. Current licensure in State of CA and CPR certification. 3. Registered nurses shall have a minimum of one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN license. Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Admissions Registered Nurse is expected to have strong presentation skills. 5. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. 6. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. Benefits Include: Competitive compensation Health, dental, vision, life and disability insurance Life insurance 401(k) plan with numerous investment options and generous company match Paid Time Off Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends. Hourly Rates from $58/hour and up dependent on experience as Hospice RN 
Overview The Operating Room RN Circulator plans and performs all nursing care for patients who will undergo surgery and other invasive procedures. They provide nursing care from assessment to outcome evaluation. With this role, the RN Circulator is usually the single advocate for patient safety during operative procedures. The RN Circulator assists the team in creating and maintaining a comfortable and safe environment for the patient and observes the team from a wide perspective to provide safety within the period of the operation. Responsibilities The circulating nurse is the patients primary advocate while they are undergoing surgery and are unable to speak for themselves. Must use critical thinking, nursing judgement, and integrity to speak up for the patient when needed. Provides a safe and comfortable environment for surgery. Ensures patient is positioned and secured on the O.R. table in a neutral position advantageous for the surgery ensuring all limbs are in anatomical position, and skin is free of pulling, pinching, or shearing forces. Prepares O.R. suite for surgery. Ensures all needed surgical and emergency equipment is present and operational before bringing patient into the room. Has all medications prepared and surgical counts performed with the surgical scrubbed person. Communicates with surgical team, surgeons, anesthesiologist, scrub techs, and coordinators to ensure all surgical needs have been anticipated and met before bringing patient into the operating room. Conducts safety checks along the surgical continuum to ensure patient's chart is complete and accurate. Checks history and physicals, doctors orders, consents, and preference cards, and charts completely and timely all info in ORM. Ensures all members participate in surgical TIME OUT before start of procedure to ensure everyone is informed and ready to perform the correct procedure on the correct patient and all important information relative to the patient can be discussed before starting. Acts as unsterile member of the surgical team. Brings all anticipated needed supplies and equipment into room before case and stocks the cabinets for quick retrieval. Acts as runner to get any need supplies that are not located inside of the surgical room. Assists anesthesiologist with blocks, arterial lines, hanging blood products, induction, and intubation. Fill supplies in anesthesia carts and turns over anesthesia machine when anesthesia tech is not available. Dispenses medications to surgical technologist, surgeons, and anesthesiologists in a safe manner, verifies correct dosage, strength, route, and expiration date. Verifies patients allergies and home medications to ensure safety. Provides conscious sedation for procedures as needed. Screens patients to ensure they are candidates for sedation. Monitors patient's vital signs and response to sedation medications. Monitors for over-sedation and gives reversal medications as needed. Qualifications Education : Current RN License; BSN preferred Experience : Minimum 1 year in Operating Room Environment Licenses & Certifications : Current California RN license, ACLS; BLS Required Skills & Knowledge : Excellent written and verbal communication skills, must have the ability to read and comprehend written instructions to interpret medical orders and medical records. Able to utilize deductive reasoning, common sense and critical thinking to problem solve and demonstrate the ability to make independent, appropriate judgments based upon evidence based practice. 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 $68.93 Maximum: USD $94.78 
FUNCTION Cares for residents under the direction and supervision of a registered nurse or a licensed practical/vocational nurse. QUALIFICATIONS The requirements listed below are representative of the knowledge, skill and/or ability required. Minimum Qualifications: • Freedom from illegal use of drugs • Freedom from use of and effects of use of drugs and alcohol in the workplace. • Anyone found guilty by a court of law of abusing, neglecting, or mistreating individuals in health care related setting are ineligible for employment in the position. Education and/or Experience: Minimum High school diploma or general education degree (GED), or one to three months related experience and/or training or equivalent combination of education and experience preferred. Certificates, Licensees, Registrations: Graduate of a state approved nursing assistant training program and passed a state approved competency examination (written and skills) within 120 days of employment; name entered into state nurse aide registry. LANGUAGE SKILLS Must be able to express self adequately in written and oral communication and to communicate effectively in an interdisciplinary care setting with residents, families and staff members. MATHEMATICAL SKILLS Ability to add and subtract three digit numbers; calculate percentage of whole; measure in cubic centimeters (cc’s); measure in feet and inches. Ability to perform these operations using units of weight measurement, volume, length and height. REASONING ABILITY Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. SUPERVISORY RESPONSIBILITIES N/A ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions. Care and Services: • Take and records vital signs • Measures and records height and weight • Calculates and records weight gain or loss • Calculate and records fluid intake and output • Cares for the resident’s environment • Recognizes abnormal changes in body functioning and importance of reporting such changes to a supervisor • Cares for residents when death is imminent • Makes routine rounds on each assigned resident every two hours • Bathes residents • Assist with grooming, including mouth care • Dresses residents • Toilet residents • Assist with eating and hydration • Use proper feeding techniques • Calculates and records percentage of meal eaten • Observe resident’s skin when giving care and reports changes to license nurse • Provides skin care • Transfer, position and turns residents • Meets residents’ mental health and social service needs • Modifies own behavior in response to resident’s behaviors • Allows residents to make personal choices • Provides and reinforces other behavior consistent with the residents’ dignity. • Uses the residents’ families as a source of emotional support. • Contributes to the resident’s assessment (MDS/CAA) and the plan of care. • Provides nursing rehabilitation/restorative nursing services: - Promote resident’s ability to adopt and adjust to living as independently as possible - Trains the resident in self-care according to the resident’s abilities - Trains the resident in the use of assistive devices for transferring, walking and mobility. Dressing and grooming, eating and swallowing - Maintains range of motion; proper turning and positioning in bed and chair - Provides bladder and bowel retraining - Instructs the resident on the care and use of prosthetic and orthotic devices - Incorporates training and skill practice activities which include repetition, physical or verbal cueing and task segmentation • Care for residents with dementia: - Knows how to respond to residents’ behaviors - Allows residents to make personal choices - Provides and reinforces other behavior consistent with residents’ dignity - Uses the residents’ families as a source of emotional support - Demonstrates a basic understanding of behavior and functional symptoms associated with dementia by providing interventions and treatments to help reduce these symptoms - Uses modification in the presentation of activities of daily living to maintain and maximize resident competencies and function - Uses effective intervention techniques to address behavioral concerns - Acts as a facilitator for activity programming - Demonstrates effective communication techniques for persons with dementia • Provides non-resident care including, but not limited to: - Washing wheelchairs - Cleaning soiled utility areas - Cleaning nurses’ station - Cleaning shower and whirlpool rooms - Cleaning kitchen areas on the nursing unit • Provides transporation of residents to and from hospital and medical appointments RESIDENT RIGHTS Promotes and protects resident’s rights, assists residents to make informed decision, treats residents with dignity and respect, protects residents’ personal belongings, reports suspected abused or neglect, avoids the need for physical restraints in accordance with current professional standards and, supports independent expression, choice and decision-making consistent with applicable law and regulation. LEADERSHIP Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognized priorities, challenges others to learn; keeps current and integrates new information, communicates and models organization values; and fosters high performance. PROCESS IMPROVEMENT Applies process improvement methods and techniques and identifies processes for improvement in daily work. ENVIRONMENT OF CARE Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment. INFECTION CONTROL Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the workplace; and demonstrates understanding of cross-contamination. INFORMATION MANAGEMENT Enters or records data timely and accurately; protects confidentiality of resident information, protects data against loss or destruction, reports suspected violation of security/confidentiality issues. Monitors and complies with company policies, procedures and state and federal law. INTERPERSONAL SKILLS Demonstrates active listening techniques, gains support through effective relationships, treats others with dignity and respect; and seeks feedback. CONTINUING EDUCATION Attends in-service and education programs; attends continuing education required for maintenance certification. PHYSICAL DEMANDS The physical demands describes here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer Residents weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision. WORK ENVIRONMENT The work environment characteristics describes 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. While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate. OTHER REQUIREMENTS Participates in (or conducts) company-sponsored training to safeguard against improper use and disclosure of resident’s protected health information. Monitors and oversees facility’s efforts to comply with company policies, procedures and state and federal law. By his / her signature below, employee agrees to adhere to and oversee communication of privacy guidelines relative to the confidentiality of residents' protected health information. JOB DESCRIPTION REVIEW I understand this job description, its requirements and that I am expected to complete all duties as assigned. I understand the job duties may be altered from time to time. SALARY RANGE: $24.00 to $26.00 PER HOUR DEPENDING ON EXPERIENCE 
Overview The Emergency Nurse is responsible for high quality individualized patient care in the Emergency Department requiring a broad range of knowledge and expertise in the treatment of patients experiencing medical emergencies ranging from low acuity (earaches) to full blown resuscitative encounters (acute stroke, cardiac arrest). Practices within the scope of RN licensure as defined by California Board of Registered Nursing, the Nurse Practice Act and Emergency Nurses Association standards of practice. Advocates for and participates in high quality patient care and patient experience. Responsibilities Ability to perform critical care nursing role in emergency resuscitative efforts. Knows well and implements ACLS and PALS Algorhythms effectively and understands appropriate dosages, routes, expected responses as well as side effects and toxicity indicators. Primary member of Code Blue, Rapid Response and Code Stroke teams. Performs accurate nursing assessments on all patients to include accurate triage with appropriate level assignment, home medication interrogation, psychiatric history, drug history and domestic safety. Performs targeted clinical assessment including vital signs and discharge assessment in the Electronic Health Record. Mandated reporter. Accurately and safely administers medications utilizing medication administration scanning protocols for the Electronic Health Record. Assesses and documents patient response to medication according to organizational policy. Administers vasoactive intravenous infusions. Models professional behaviors consistent with Service Excellence standards: AIDET, white boards, hourly rounding, patient call backs. Adheres to organizational dress code policy and Code of Conduct. Performs the following procedures: Foley catheter insertion; nasogastric tube insertion; peripheral intravenous line insertion; feeding tube insertion; management of central lines, chest tubes, endotracheal tubes and respiratory ventilators. Performs Phlebotomy as needed to include proper asceptic technique, blood tube order of draw and protocol for blood culture sampling. Recognizes abnormal lab values, reports to MD and implements orders to correct abnormalities. Adheres to and demonstrates personal accountability in implementing and maintaining the most current clinical and service standards. Maintains mandated professional certifications and annual educational requirements. Consistently meets all attendance and tardiness standards. Adheres to all established break and meal period protocols. Plans PTO as indicated and per departmental policy. Is accountable to knowledge of posted schedule and makes changes to schedule per department policy. Participates in quality protocols: sepsis, stroke, myocardial infarction and assists in data collection and chart review as assigned. Actively participates in performance improvement activities to mitigate identified issues. Attends departmental staff meetings and Administrative forums. Qualifications Education : Graduate of accredited RN program. BSN preferred Experience : Minimum of one year emergency room experience in acute care facility Licenses & Certifications : California Registered Nurse, BLS, ACLS, PALS, CEN preferred Required Skills & Knowledge : Proficiency in advanced resuscitative measures for patients experiencing acute stroke, cardiac arrest, severe sepsis and other emergency presentations. Knowledge of medications, indications, dosage ranges & side effects/toxicity used in emergency interventions. Ability to work accurately, quickly and under pressure while remaining highly professional. 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 
Do you want to make lives better? Do you love working with seniors? Nurse Next Door has the perfect opportunity for you! Nurse Next Door is dedicated to delivering flexible, premium care options to help seniors stay at home, because we know home is the safest place to be. We Make Lives Better every day for our team members through our People Promise . We are hiring for Caregivers at Nurse Next Door to serve our clients located in Napa Valley and Santa Rosa. Compensation: $19-$20/hour Employment type: part-time/full-time/weekdays/weekends Benefits: Competitive Wages Paid Training - Virtual / Online Classes 1.5x Overtime / Holiday Pay Caregiver Referral Bonuses Work close to home Mileage Reimbursement Opportunities for Growth within the company 24/7 Caregiver Support Team Responsibilities and Duties: · Assisting clients with personal hygiene such as skin, mouth, hair care, bathing and dressing; · Assisting clients in and out of bed, transfers, positioning and assisting with ambulation; · Assisting with exercises as appropriate to meet the client’s needs; · Meal planning and preparation, and assisting clients with eating; · Assisting clients to the bathroom or in using commodes, bedpans or urinals and incontinence care; · Companionship and assisting in household services including light housekeeping, laundry, transportation, correspondence, making telephone calls, shopping for personal care items or groceries; · Assisting clients with medications which are ordinarily self-administered; · Reporting changes in the client’s condition and needs to the administrator; and · Completing records regarding services performed. · Participating in all required entry-level and annual training requirements. · Maintaining an active home care aide registration with the State of Ca. Dept. of Social Services Home Care Services Bureau. Requirements At least 18 years of age. 1 Year Caregiving Experience (preferred) Completion of a criminal background check Evidence of tuberculosis testing and verification that the caregiver does not have active tuberculosis. Ability to read and follow written instructions and document care given. Self-directing with the ability to work with little direct supervision. Valid driver’s license and auto insurance and/or reliable transportation. HCA (Preferred) Hours Per Week Part-time, Full-time Pay $19-$20 per hour Work Location In Person. Apply now to learn more about how Nurse Next Door can help you as an essential worker. 
Overview The Registered Nurse (RN) is an integral part of the patient care team. The RN assists in the delivery of high quality, individualized patient care. The RN autonomously practices within the scope of RN licensure as defined by the California Board of Registered Nursing, and the Nurse Practice Act. The RN advocates for patients and their families, the care team and the organization. The RN designs and carries out the plan of care utilizing the nursing process of assessment, diagnosing, planning, implementing and evaluation. Responsibilities Is aware of patient presenting problem, and past medical history. Completes head-to-toe assessment and gathers relevant patient data (vital signs, labs, etc.) to gain clear understanding of patient status. Monitors for improvement or deterioration of status and intervenes as appropriate. Notifies MD of changes in status. Accurately and safely administers medications per orders; scans 90% or more of all administered medications. Titrates infusions per organizational protocols. Assesses and documents patient response per policy. Functions as part of an interdisciplinary team by working collaboratively with physical therapy, case management, respiratory therapy, nutrition, pharmacy and the MD; attends interdisciplinary rounds and reports nursing specific knowledge and assessment data to the team. Advocates for the patient and family. Facilitates communication between disciplines, the patient and family; utilizes the patient white board as a communication tool and ensures it is complete and up to date at the start of each shift. Provides a hand-off that is concise and accurate, and utilizes an SBAR format. Ensures hand-offs include a bedside check for safety and patient belongings, chart check for new orders and results, and items needing follow-up Is familiar with organizational goals relating to patient 5 Star experience, and has a basic grasp of HCAHPS scores and Service Excellence. Models professional behaviors 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 the call light and patient belongings within reach of the patient; bed/chair alarms are on and functioning; and/or all other patient specific safety interventions are in place. 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. Offers expert teaching and advice to all members of the team. 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 Has basic understanding of the impact of healthcare reimbursement on revenue; practices financial stewardship by not overusing or wasting supplies; practices good time management to avoid incidental overtime; completes accurate documentation in a timely manner, particularly as it pertains to the discharge process, to ensure appropriate charges are captured as needed. Supports throughput efforts for timely transitions of care Maintains personal responsibility for keeping all employment requirements in good standing, including but not limited to California license to practice, BLS certification, annual employee health requirements and annual employee education requirements (i.e.Healthstreams, skills lab.) Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : Minimum of 2 years of Acute Care experience, with additional experience in telemetry Licenses & Certifications : Current RN license by the State of California; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by an American Heart Association approved provider. Required Skills & Knowledge : Proficient computer skills, strong critical thinking and analytical skills, multi-tasking and time management skills. Ability to provide care that is thorough, compassionate, and non-judgmental. 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 Registered Nurse (RN) is an integral part of the patient care team. The RN assists in the delivery of high quality, individualized patient care. The RN autonomously practices within the scope of RN licensure as defined by the California Board of Registered Nursing, and the Nurse Practice Act. The RN advocates for patients and their families, the care team and the organization. The RN designs and carries out the plan of care utilizing the nursing process of assessment, diagnosing, planning, implementing and evaluation. Responsibilities Is aware of patient presenting problem, and past medical history. Completes head-to-toe assessment and gathers relevant patient data (vital signs, labs, etc.) to gain clear understanding of patient status. Monitors for improvement or deterioration of status and intervenes as appropriate. Notifies MD of changes in status. Accurately and safely administers medications per orders; scans 90% or more of all administered medications. Titrates infusions per organizational protocols. Assesses and documents patient response per policy. Functions as part of an interdisciplinary team by working collaboratively with physical therapy, case management, respiratory therapy, nutrition, pharmacy and the MD; attends interdisciplinary rounds and reports nursing specific knowledge and assessment data to the team. Advocates for the patient and family. Facilitates communication between disciplines, the patient and family; utilizes the patient white board as a communication tool and ensures it is complete and up to date at the start of each shift. Provides a hand-off that is concise and accurate, and utilizes an SBAR format. Ensures hand-offs include a bedside check for safety and patient belongings, chart check for new orders and results, and items needing follow-up Is familiar with organizational goals relating to patient 5 Star experience, and has a basic grasp of HCAHPS scores and Service Excellence. Models professional behaviors 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 the call light and patient belongings within reach of the patient; bed/chair alarms are on and functioning; and/or all other patient specific safety interventions are in place. 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. Offers expert teaching and advice to all members of the team. 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 Has basic understanding of the impact of healthcare reimbursement on revenue; practices financial stewardship by not overusing or wasting supplies; practices good time management to avoid incidental overtime; completes accurate documentation in a timely manner, particularly as it pertains to the discharge process, to ensure appropriate charges are captured as needed. Supports throughput efforts for timely transitions of care Maintains personal responsibility for keeping all employment requirements in good standing, including but not limited to California license to practice, BLS certification, annual employee health requirements and annual employee education requirements (i.e.Healthstreams, skills lab.) Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : Minimum of 2 years of Acute Care experience, with additional experience in telemetry Licenses & Certifications : Current RN license by the State of California; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by an American Heart Association approved provider. Required Skills & Knowledge : Proficient computer skills, strong critical thinking and analytical skills, multi-tasking and time management skills. Ability to provide care that is thorough, compassionate, and non-judgmental. 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 Emergency Nurse is responsible for high quality individualized patient care in the Emergency Department requiring a broad range of knowledge and expertise in the treatment of patients experiencing medical emergencies ranging from low acuity (earaches) to full blown resuscitative encounters (acute stroke, cardiac arrest). Practices within the scope of RN licensure as defined by California Board of Registered Nursing, the Nurse Practice Act and Emergency Nurses Association standards of practice. Advocates for and participates in high quality patient care and patient experience. Responsibilities Ability to perform critical care nursing role in emergency resuscitative efforts. Knows well and implements ACLS and PALS Algorhythms effectively and understands appropriate dosages, routes, expected responses as well as side effects and toxicity indicators. Primary member of Code Blue, Rapid Response and Code Stroke teams. Performs accurate nursing assessments on all patients to include accurate triage with appropriate level assignment, home medication interrogation, psychiatric history, drug history and domestic safety. Performs targeted clinical assessment including vital signs and discharge assessment in the Electronic Health Record. Mandated reporter. Accurately and safely administers medications utilizing medication administration scanning protocols for the Electronic Health Record. Assesses and documents patient response to medication according to organizational policy. Administers vasoactive intravenous infusions. Models professional behaviors consistent with Service Excellence standards: AIDET, white boards, hourly rounding, patient call backs. Adheres to organizational dress code policy and Code of Conduct. Performs the following procedures: Foley catheter insertion; nasogastric tube insertion; peripheral intravenous line insertion; feeding tube insertion; management of central lines, chest tubes, endotracheal tubes and respiratory ventilators. Performs Phlebotomy as needed to include proper asceptic technique, blood tube order of draw and protocol for blood culture sampling. Recognizes abnormal lab values, reports to MD and implements orders to correct abnormalities. Adheres to and demonstrates personal accountability in implementing and maintaining the most current clinical and service standards. Maintains mandated professional certifications and annual educational requirements. Consistently meets all attendance and tardiness standards. Adheres to all established break and meal period protocols. Plans PTO as indicated and per departmental policy. Is accountable to knowledge of posted schedule and makes changes to schedule per department policy. Participates in quality protocols: sepsis, stroke, myocardial infarction and assists in data collection and chart review as assigned. Actively participates in performance improvement activities to mitigate identified issues. Attends departmental staff meetings and Administrative forums. Qualifications Education : Graduate of accredited RN program. BSN preferred Experience : Minimum of one year emergency room experience in acute care facility Licenses & Certifications : California Registered Nurse, BLS, ACLS, PALS, CEN preferred Required Skills & Knowledge : Proficiency in advanced resuscitative measures for patients experiencing acute stroke, cardiac arrest, severe sepsis and other emergency presentations. Knowledge of medications, indications, dosage ranges & side effects/toxicity used in emergency interventions. Ability to work accurately, quickly and under pressure while remaining highly professional. 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 
Director of Nursing (Hospice) Job Type: Full-time | Work Setting: In-person Schedule: Monday to Friday Pay: Competitive salary, based on experience About Anchor Health Anchor Health has proudly served Northern California communities for years, offering compassionate and high-quality hospice and pediatric care. Our mission is to support not only our patients and families but also the dedicated professionals who make our work possible. Position Overview We are seeking a compassionate and experienced Director of Nursing to lead our hospice clinical operations. This key leadership role is ideal for a Registered Nurse with strong hospice or palliative care experience and a heart for end-of-life care. The DPCS ensures exceptional care quality, regulatory compliance, and team coordination while supporting patients, families, and staff in a meaningful way. Key Responsibilities Clinical Leadership: Direct the delivery of hospice services in compliance with state, federal, and internal standards. Team Management: Recruit, train, supervise, and mentor clinical staff including RNs, LVNs, social workers, and home health aides. Care Coordination: Guide the interdisciplinary team in developing and executing personalized care plans. Regulatory Compliance: Ensure adherence to Medicare/Medicaid requirements and accreditation standards; manage audits and documentation. Quality Improvement: Drive initiatives to enhance patient outcomes and care quality. Budget Oversight: Manage clinical budgets and monitor resource utilization effectively. Family Support: Serve as a compassionate liaison for patients’ families, offering clear communication and emotional support. Cross-Department Collaboration: Partner with social services, spiritual care, and admin teams to provide holistic care. After-Hours Protocol: Develop and maintain readiness protocols for emergencies and after-hours needs. Qualifications Education: BSN required; MSN or advanced degree preferred. Licensure: Active Registered Nurse (RN) license in the state of California (required) . Experience: Minimum of 2 years in hospice or palliative care leadership. Key Skills Strong clinical leadership and staff development abilities Deep knowledge of hospice regulations and standards Excellent communication with patients, families, and interdisciplinary teams Strategic thinker with a collaborative, empathetic approach Physical & Travel Requirements Must be able to travel to patient homes, nursing facilities, and hospitals. Comfortable working in varied patient care settings. Benefits Medical: Health, dental, and vision insurance Financial: 401(k) retirement plan Time Off: Paid time off (PTO) Supportive, mission-driven team environment Medical Specialty Geriatrics Hospice & Palliative Care If you're a passionate leader looking to make a meaningful difference in end-of-life care, we invite you to apply and join the Anchor Health family. 
Overview The Emergency Nurse is responsible for high quality individualized patient care in the Emergency Department requiring a broad range of knowledge and expertise in the treatment of patients experiencing medical emergencies ranging from low acuity (earaches) to full blown resuscitative encounters (acute stroke, cardiac arrest). Practices within the scope of RN licensure as defined by California Board of Registered Nursing, the Nurse Practice Act and Emergency Nurses Association standards of practice. Advocates for and participates in high quality patient care and patient experience. Responsibilities Ability to perform critical care nursing role in emergency resuscitative efforts. Knows well and implements ACLS and PALS Algorhythms effectively and understands appropriate dosages, routes, expected responses as well as side effects and toxicity indicators. Primary member of Code Blue, Rapid Response and Code Stroke teams. Performs accurate nursing assessments on all patients to include accurate triage with appropriate level assignment, home medication interrogation, psychiatric history, drug history and domestic safety. Performs targeted clinical assessment including vital signs and discharge assessment in the Electronic Health Record. Mandated reporter. Accurately and safely administers medications utilizing medication administration scanning protocols for the Electronic Health Record. Assesses and documents patient response to medication according to organizational policy. Administers vasoactive intravenous infusions. Models professional behaviors consistent with Service Excellence standards: AIDET, white boards, hourly rounding, patient call backs. Adheres to organizational dress code policy and Code of Conduct. Performs the following procedures: Foley catheter insertion; nasogastric tube insertion; peripheral intravenous line insertion; feeding tube insertion; management of central lines, chest tubes, endotracheal tubes and respiratory ventilators. Performs Phlebotomy as needed to include proper asceptic technique, blood tube order of draw and protocol for blood culture sampling. Recognizes abnormal lab values, reports to MD and implements orders to correct abnormalities. Adheres to and demonstrates personal accountability in implementing and maintaining the most current clinical and service standards. Maintains mandated professional certifications and annual educational requirements. Consistently meets all attendance and tardiness standards. Adheres to all established break and meal period protocols. Plans PTO as indicated and per departmental policy. Is accountable to knowledge of posted schedule and makes changes to schedule per department policy. Participates in quality protocols: sepsis, stroke, myocardial infarction and assists in data collection and chart review as assigned. Actively participates in performance improvement activities to mitigate identified issues. Attends departmental staff meetings and Administrative forums. Qualifications Education: Graduate of accredited RN program. BSN preferredExperience: Minimum of one year emergency room experience in acute care facilityLicenses & Certifications: California Registered Nurse, BLS, ACLS, PALS, CEN preferredRequired Skills & Knowledge: Proficiency in advanced resuscitative measures for patients experiencing acute stroke, cardiac arrest, severe sepsis and other emergency presentations. Knowledge of medications, indications, dosage ranges & side effects/toxicity used in emergency interventions. Ability to work accurately, quickly and under pressure while remaining highly professional. 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 $68.93 Maximum: USD $94.78 
Why Suncrest At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits $120,000-135,000 annually Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details The Assistant Director of Clinical Services works under the Director to provide overall direction to the hospice clinical team. They are responsible for hiring of qualified hospice personnel: the provision of hospice services, directly, and the delegation to and coordination of hospice personnel evaluations; and establishing standards of care to comply with federal and state regulations and guidelines. The duties include but are not limited to: Implement policies, procedures, and best practices for operations. Monitoring nursing staff performance and addressing any QA issues Clinical policy and procedure support Assisting the Director in identifying & resolving nursing department deficiencies Monitoring implementation of correction plans Qualifications A strong leader with impeccable organizational, strategic, analytical and project management skills. A solid communicator with exceptional interpersonal skills and a proven ability to motivate, mentor, and influence others. 5 years in healthcare industry preferred At least 1 year in hospice 2 years of experience working in Leadership Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice Reliable transportation, driver's license and vehicle insurance