Nursing Jobs in Four Bridges, OH

The Christ Hospital Health Network

Registered Nurse- Main CVICU- Full Time- Nights

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.
CareCore at Meadows

RN (Registered Nurse)

Registered Nurse / RN / R.N. / Nurse YOU have an exciting opportunity to join our team and work at our exceptional Skilled Nursing Facility! We are currently expanding our staff of caregivers and are looking for compassionate and enthusiastic Registered Nurses (RN) for all shifts to work with our already wonderful staff. CareCore at Meadows provides a warm and secure environment to work in. We believe that our staff are there not only to improve the lives of our residents, but to improve their own lives! Make tomorrow brighter by working as a Registered Nurse (RN) at CareCore at Meadows today! · Valid Registered Nurse / RN license required Life is all about choices! Why choose to work at CareCore at Meadows? · · Safe and manageable Nurse to patient ratio · Top quality full PPE and dedicated staff to manage COVID infection control procedures · Free parking · We are an institution you can be proud of, an institution where you will feel good about devoting your time and your talents · We value our staff and recognize them for their contributions through various awards and recognition programs · You will get the BEST and most thorough employee orientation and training with on-going management support · Career advancement opportunities · Competitive pay rates · A team environment where we treat each other with respect, dignity and compassion · Health/dental/vision insurance · Generous paid time off (PTO) · Paid holidays · Continuous professional and clinical training · Referral program We want to hear from YOU! APPLY NOW! This organization does not discriminate in hiring or employment on the basis of ancestry, race, color, religion, national origin, sex, sexual orientation, age, military status, veteran status, or disability. No question on the application is intended to secure information to be used for such discrimination. This application will be given every consideration, however its receipt does not imply employment for the applicant.
The Christ Hospital Health Network

Resource Pool RN - Main Comp Med Shared Res Pool - Part Time - Nights

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’sphysiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equiment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation – Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership – Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Acts as a resource and educator for multidisciplinary team members and students, continuously evaluating and documenting competency. Professional Development - Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Acts as a resource, educator and preceptor for staff and nursing students. Maintains competency in POC (point of care) testing for unit specific nursing practice. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Participation in professional advancement program is encouraged. Prepares for certification specific to work area of professional practice when eligible. Participation in chosen professional organizations, conferences and research is encouraged. Evaluates nurse-sensitive outcomes and participates in performance improvement initiatives. Participation in community service activities is encouraged. Participation in research activities is encouraged. Productivity – Understands factors related to cost and effective outcomes when planning and implementing patient care. Initiates care in a timely manner, manages workload effectively. Understands and maintains awareness of fiscal responsibility by utilizing staff, time, equipment, and supplies appropriately. UNIT POPULATION SERVED COMPETENCY Evidence exists that The Christ Hospital staff considers the special needs and behaviors of the specific patient populations served, associates demonstrate those competencies that address the unique characteristics related to developmental, physical, psychosocial, mental, emotional, and social needs of patients across the life span. Employees are able to demonstrate those competencies that address the needs of patients with unique cultural norms, religious preferences, language, communication barriers, literacy issues, and health literacy limitations. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however TCH requires that all nurses hired after January 2010 receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, are required to obtain a BSN by December 31, 2020. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. Certification in area of clinical specialty is expected within five years of eligibility.
The Christ Hospital Health Network

MEDICAL ASSISTANT II - Urgent Care - Green Twsp Urg Care - Full Time Days

Job Description Assists in examination and treatment of patients under direction of physician. Responsibilities Maintains patient flow during clinic hours. Documents review of systems; measures vital signs such as pulse rate, respirations, blood pressure, weight and height (see Appendix A for specifics); updates past and current medical, social and family history; reviews medications and updates medication list at each visit. Correctly records patient information in the electronic medical record (EMR). May assist in training of new employees. Prepares patient charts in EMR for visits by scanning, abstracting, and reviewing to make certain that all diagnostic test results, hospital reports and other medical records necessary to help the physician care for the patient are in the patient’s chart. Accesses and navigates websites or calls outside facilities to obtain necessary information. May act as Super User for Electronic Medical Record. Refills medications and pre-authorizes medications including communicating with the patient, pharmacy, or insurance company as needed to complete the task. Maintains recording of patient samples and other medications and disposes expired medications. Prepares treatment rooms for examination of patients; maintains clean, fully supplied exam rooms. Orders medical supplies as needed. Completes patient assistance paperwork/requests as needed. Obtains pertinent medical information from patients to facilitate medical decision making per specific office protocol procedures. Returns calls as needed. Responds to MyChart as needed. Works in-baskets, daily work flow logs, and work queues in EMR/Practice Management system. May coordinate/oversee work queues in office. Answers incoming calls, schedules appointments, checks-in and out patients, and completes pre-certifications for prescriptions, procedures, and surgeries as needed. Operates EKG, cardiac monitors, and other equipment to administer routine diagnostic tests as needed and other clinical duties such as phlebotomy and cast removal as assigned. Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures; complying with legal regulations. Maintains patient confidence and protect operations by keeping patient care information confidential. Understands and adheres to the legal responsibilities and requirements with the medical assistant role. Demonstrates comprehension and support of quality measures and patient experience. Qualifications KNOWLEDGE AND SKILLS: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position. EDUCATION: High school diploma or equivalent. Associate Degree and/or Certified/Registered MA preferred. Graduate of a Medical Assistant program or previous Medical Assisting experience required. YEARS OF EXPERIENCE: 2 to 5 years MA or other relevant experience preferred; Practice in different care settings (eg. Primary care, Specialty, EMT, etc.). REQUIRED SKILLS AND KNOWLEDGE: Excellent computer skills (Microsoft Outlook, Excel, EMR and scheduling systems) required. Strong verbal and social skills to facilitate working respectfully with patients, physicians, visitors, co-workers, and drug reps in person or by telephone required. Ability and willingness to travel to other physician offices as requested or needed. Complementary clinical skills such as phlebotomy, performing EKGs, stiches removal, splinting, etc. are highly preferred. LICENSES & CERTIFICATIONS Certified/Registered MA preferred. Must successfully complete skills orientation. BLS certification required.
The Christ Hospital Health Network

Resource Pool RN - Main Comp Med Shared Res Pool - Full Time - Nights

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.
The Christ Hospital Health Network

Resource Pool RN - Main Comp Med Shared Res Pool - Part Time - Nights

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.
Amada Senior Care Cincinnati

STNA | State Tested Nursing Assistant for 8H | 12H shifts (Dayton)

***OFFERING A $450 SIGN-ON BONUS! *** LOOKING FOR CAREGIVERS / HOME HEALTH AIDES / CERTIFIED NURSE AIDES / STATES TESTED NURSE AIDES WHO CAN WORK IN THE GREATER CINCINNATI AREA INCLUDING INDIAN HILL, MADISONVILLE, MILFORD, SHARONVILLE, BLUE ASH, MAINEVILLE, LOVELAND, MASON and WEST CHESTER! Amada Senior Care Cincinnati is a non-medical in-home care company that is currently seeking experienced, compassionate, dedicated CAREGIVERS HOME CARE AIDES CERTIFIED NURSE AIDES STATE TESTED NURSE AIDES to join our team. Our mission is to enrich the lives of others. Our clients and their families depend on our expertise and support 24/7 and we take that responsibility seriously. We are committed to providing the highest quality of care to our clients; and that means employing the most qualified and compassionate caregivers / home care aides / certified nurse aides / state tested nurse aides. In Amada, our caregivers are superheroes in disguise that change the lives of our clients every day and we will show you just how much we appreciate you! We are the only A+ rated Home Care Agency by Home Care Standards Bureau in the greater Cincinnati area and you are very much welcome to join us. AMADA SENIOR CARE OFFERS: Industry Leading Pay Flexible schedules: we’ll work with you to find a schedule that works for you based on cases available 401 (k) ACA Medical Plan Paid Time Off Holiday Pay Weekly Pay 24-Hour Support Direct Deposit Overtime Pay over 40 hours a week Employee Referral BONUS One-on-One client care Employee Appreciation: Caregiver of the month incentives and recognition, gift cards, raffles, etc. Travel Time & Mileage Reimbursement Mobile access to your work schedule and client care plan On-going Free Caregiver Education / Career Growth Opportunities App-based access to your work schedule and client care plan A positive work environment which places high respect for the caregiver and the work they do AMADA’s ideal CAREGIVER / HOME CARE AIDES / CERTIFIED NURSE AIDES provide: Companionship Assistance with Activities of Daily Living Light housekeeping / laundry Transportation Personal care Meal preparation Medication reminders AMADA’s ideal Caregiver / Home Care Aide / Certified Nurse Aide will have : Passion for serving others At least 1-year caregiving experience (preferred) Valid driver’s license Personal vehicle/current auto insurance Access to mobile smartphone (preferred) Ability to pass a drug screen, criminal background check If you believe you are the perfect fit for Amada Senior Care, apply today ! We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state and local protected class. URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE
Gastro Health

Endoscopy Registered Nurse, GI – Per Diem, Blue Ash, OH

Join a GI Team That Values Your Expertise, Your Work-Life Balance, and Your Future About the Opportunity: Gastro Health is seeking a per diem RN to join our outpatient endoscopy center in Blue Ash, OH. In this role, you will provide exceptional patient care during endoscopic procedures. Your responsibilities include preparing patients, administering medications, monitoring vital signs, and maintaining a sterile environment. Collaborating with the healthcare team, you will educate patients, document procedures, and ensure adherence to quality standards. As an Endoscopy RN with Gastro Health, you will: Assist the physicians to provide direct patient care for colonoscopy & endoscopy procedures Completion of admission assessments Monitor patients receiving IV moderate sedation Oversee and participate in the preparation and flow of the procedure room Preparation for discharging patients Post-anesthesia care Compensation and Benefits: Competitive hourly rate Candidate Requirements: Current Ohio RN license (required) Minimum 1 years of RN experience preferred, but new grads welcome Recovery room experience a plus IV skills are a plus BLS and ACLS required About the Location: Blue Ash has a reputation for being one of the most comfortable suburban pockets in the Cincinnati area for healthcare professionals: short commutes, very safe neighborhoods, & strong city services. The area also has a lot of parks, walking trails and coffee shops. About Gastro Health: Gastro Health is an extensive and diverse group of professionals dedicated to digestive and liver health. Now with more than 140 locations in seven states, our team of physicians, advanced practice providers, nutritionists, technicians, and support team are on a mission to provide outstanding medical care and an exceptional healthcare experience.
University of Cincinnati Health

Registered Nurse (RN), Surgical Med Surg, Full Time, Nights

Job Description UC Health is hiring a Full-Time Registered Nurse (RN) for the 4 th floor Med Surg for the Night Shift at West Chester Hospital. The Med Surg Nurse will support West Chester Hospital’s Med Surg unit and Level III Trauma Center, delivering high-quality care to patients based on assessed needs, established standards of care and according to policy and procedures. This 36 bed unit has ratios ranging from 4 to 6 patients per nurse. Our nurses work in a fast-paced environment which specializes in surgical and trauma patients that are med surg level of care. About West Chester Hospital West Chester Hospital provides its patients with access to the region’s largest group of specialized physicians and medical providers. With a reputation for providing outstanding patient experiences and quality medical care, the hospital consistently ranks amongst the top 5% in the nation. West Chester Hospital provides a Level III Trauma Center that delivers superior emergency and critical care, and a certified Primary Stroke Center that provides access to the subspecialty care at the UC Gardner Neuroscience Institute. West Chester Hospital has also achieved Magnet Recognition for excellence in nursing from the American Nurses Credentialing Center® (ANCC), and the hospital is routinely ranked among the best places to work in Ohio and Greater Cincinnati. Unit Details Great team environment that is supportive of all staff members. Supportive and collaborative work environment helps with retaining great team members. Great for growth and development opportunities available while provided care for medically complex patients. Sees a wide variety of surgeries including but not limited to orthopedics, bariatric, general, trauma, GI, and GU. Benefits Details Medical, Dental, and Vision Insurance Employee Paid Short- and Long-Term Disability 401K Tuition Reimbursement Opportunities Community Discounts Location West Chester, OH, United States Qualifications Education and Experience Requirements: Graduate from an accredited school of nursing Associate’s Degree, minimum required Bachelor of Science in Nursing, preferred Current OH RN License Basic Life Support (American Heart Assoc.) current before end of department orientation. Join our team as a Registered Nurse (RN) in our Surgical Med Surg unit and work alongside the best and brightest clinical teams collaborating toward our common purpose: to advance healing and reduce suffering. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching—a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. Responsibilities Job Responsibilities The Registered Nurse (RN) is an individual who holds a current state license to practice nursing. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social and nursing sciences to assess, plan, implement and evaluate patient care. The care is culturally based and age-specific. Prepares, implements, evaluates, revises and coordinates interdisciplinary plan of care for each assigned patient in a collaborative effort with the other healthcare team members and patient/family within the time frame indicated by unit's standards of practice. Communicates formulated plan of care, as appropriate, to all levels of associates involved in the patient's care, and demonstrates ability to establish priorities of care based on patient's assessment and needs. Gives clear instructions to patients/family regarding treatment, and involves family/guardian in the assessment, initial treatment, and continuing care of the patient. Identifies and responds appropriately to different patient needs resulting from behavioral health problems, unique psychological needs or those associated with religious/cultural norms. Demonstrates critical thinking, accountability, flexibility, and a cooperative attitude in meeting the needs of the unit. Nursing process is accurately and concisely documented, including evaluation of treatment and in accordance to hospital policy and procedure. Acts as a resource person and mentor for new personnel, floater, and/or supplemental staff working on the unit. Assumes responsibility for personal professional development and contributes to the professional development of peers, colleagues, and others.
CareCore at Lakeridge

STNA (State Tested Nursing Assistant)

CareCore at Lakeridge is hiring State Tested Nursing Assistants (STNAs) who are compassionate, dependable, and ready to make a difference. What We Offer Full-time and part-time shifts (7–7 AM/PM) Daily pay options availabl; Get paid when you need it! Competitive wages and benefits Supportive work environment with advancement opporotunites Responsibilities Assist residents with daily care needs such as bathing, dressing, meals, and mobility Monitor and record residents’ vital signs and well-being Maintain a clean and safe environment Communicate changes or needs to the nursing team Support overall resident care as directed Requirements Active Ohio STNA Certification required Long-term care experience preferred but not required Compassionate, team-oriented attitude Benefits Health, dental, and vision insurance Paid time off for vacation, sick leave, and holidays Continuing education and development opportunities Employee discount program Supportive management team If you’re passionate about providing exceptional care, apply today to join the CareCore at Lakeridge family.
The Christ Hospital Health Network

Special Procedures Registered Nurse - Interventional Radiology, Vascular Surgery, & Neurovascular Services

Job Description Special Procedures Registered Nurse - Interventional Radiology, Vascular Surgery & Neurovascular Services The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care in the specialty areas of interventional radiology, vascular surgery, and neurovascular services. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Functions as a scrub assistant to the physicians using the principles of sterile technique. Sets up sterile trays and all specialized equipment according to procedure being performed. Maintains hemostasis of a vessel post procedure using a compression device, closure device or manual compression. Recognize the potential problems associated with insertion sites and take appropriate corrective actions if indicated. Maintains competency on arterial and venous sheath removal techniques and instrumentation management. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implement measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation - Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development - Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in staff meetings. Participates in unit-based activities/initiatives for performance improvement, evidence-based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patients and/or regulatory agencies (Learning education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications Education: TCH does hire AD and Diploma nurses; however, all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. Years of Experience: None required. Required Skills and Knowledge: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. Licenses and Certifications: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.
CareCore at Margaret Hall

State Tested Nurse Aide (STNA)

CareCore at Margaret Hall is seeking compassionate and dependable STNAs to provide exceptional care to our residents. If you’re dedicated to making a difference and want to be part of a supportive, resident-centered team, we want to meet you. Responsibilities Provide daily personal care and support to residents Assist with mobility, transfers, and ADLs Document care provided and report any changes in condition Support residents in maintaining dignity, comfort, and safety Collaborate with nursing staff to ensure high-quality care Build positive, respectful relationships with residents, families, and coworkers Qualifications Current State Tested Nursing Assistant (STNA) certification Strong communication and teamwork skills Compassionate, patient, and reliable Ability to work in a fast-paced environment while maintaining quality care Previous long-term care experience is a plus, but not required Benefits Competitive pay + shift differentials Daily pay option Flexible scheduling Opportunities for overtime Health, dental, and vision insurance Supplemental benefits (short-term disability, life insurance, etc.) 401(k) Generous PTO, holidays, and sick time Paid training & strong management support Employee recognition and appreciation programs Referral program If you’re ready to join a team that values you — APPLY TODAY! CareCore at Margaret Hall is an equal opportunity employer. Submission of an application does not guarantee employment.
The Christ Hospital Health Network

Registered Nurse - Interventional Radiology - Full Time - Days

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.
Premier Health Partners

Nursing Assistant Specialist

Dayton, Ohio 1st and 2nd shift General Summary/Responsibilities The Nursing Assistant Specialist is a paraprofessional member of the health care team who provides physical and mental support for the patient, performs light housekeeping and meal preparation and provides companionship and incidental personal care. This specialist may work under the supervision of a licensed nurse to perform basic nursing tasks as assigned. Dimensions Assigned to cases by Scheduling Department to work with patients in variety of settings. FIDRNOCT Qualifications Education Minimum Level of Education Required: High School completion / GED Additional Requirements Licensure/Certification/Registration  CPR Certification Experience Minimum Level of Experience Required: 1 - 3 years of job-related experience Prior job title or occupational experience: N/A Prior specific functional responsibilities: N/A Preferred experience: N/A Other experience requirements: N/A Successful Completion Of One Of The Following Nurse’s aide training course within the last twelve months. Direct patient care experience within the last six months. Currently enrolled in nursing school with the completion of core nursing classes. Knowledge/Skills Must be able to read, write, and follow written instructions and document care given. Must complete agency competencies. Must display good physical and emotional health and be capable of stooping and bending and lifting up to 50 lbs. Should demonstrate good personal hygiene. Must be self-directed with the ability to work with little direct supervision and have the maturity necessary for establishing and maintaining a good work relationship with the patient, the patient's family and all other office personnel. Must have a sincere interest in and sympathetic attitude toward caring for the sick and disabled at home. Must meet all agency personnel policies. Must have reliable transportation.
The Christ Hospital Health Network

Registered Nurse- Main CVICU- Full Time- Rotating

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.
The Christ Hospital Health Network

Medical Assistant II - Electrophysiology - MOB 137 - Full Time Days

Job Description Assists in examination and treatment of patients under direction of physician. Responsibilities Maintains patient flow during clinic hours. Documents review of systems; measures vital signs such as pulse rate, respirations, blood pressure, weight and height (see Appendix A for specifics); updates past and current medical, social and family history; reviews medications and updates medication list at each visit. Correctly records patient information in the electronic medical record (EMR). May assist in training of new employees. Prepares patient charts in EMR for visits by scanning, abstracting, and reviewing to make certain that all diagnostic test results, hospital reports and other medical records necessary to help the physician care for the patient are in the patient’s chart. Accesses and navigates websites or calls outside facilities to obtain necessary information. May act as Super User for Electronic Medical Record. Refills medications and pre-authorizes medications including communicating with the patient, pharmacy, or insurance company as needed to complete the task. Maintains recording of patient samples and other medications and disposes expired medications. Prepares treatment rooms for examination of patients; maintains clean, fully supplied exam rooms. Orders medical supplies as needed. Completes patient assistance paperwork/requests as needed. Obtains pertinent medical information from patients to facilitate medical decision making per specific office protocol procedures. Returns calls as needed. Responds to MyChart as needed. Works in-baskets, daily work flow logs, and work queues in EMR/Practice Management system. May coordinate/oversee work queues in office. Answers incoming calls, schedules appointments, checks-in and out patients, and completes pre-certifications for prescriptions, procedures, and surgeries as needed. Operates EKG, cardiac monitors, and other equipment to administer routine diagnostic tests as needed and other clinical duties such as phlebotomy and cast removal as assigned. Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures; complying with legal regulations. Maintains patient confidence and protect operations by keeping patient care information confidential. Understands and adheres to the legal responsibilities and requirements with the medical assistant role. Demonstrates comprehension and support of quality measures and patient experience. Qualifications KNOWLEDGE AND SKILLS: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position. EDUCATION: High school diploma or equivalent. Associate Degree and/or Certified/Registered MA preferred. Graduate of a Medical Assistant program or previous Medical Assisting experience required. YEARS OF EXPERIENCE: 2 to 5 years MA or other relevant experience preferred; Practice in different care settings (eg. Primary care, Specialty, EMT, etc.). REQUIRED SKILLS AND KNOWLEDGE: Excellent computer skills (Microsoft Outlook, Excel, EMR and scheduling systems) required. Strong verbal and social skills to facilitate working respectfully with patients, physicians, visitors, co-workers, and drug reps in person or by telephone required. Ability and willingness to travel to other physician offices as requested or needed. Complementary clinical skills such as phlebotomy, performing EKGs, stiches removal, splinting, etc. are highly preferred. LICENSES & CERTIFICATIONS Certified/Registered MA preferred. Must successfully complete skills orientation. BLS certification required.
Bon Secours Mercy Health

Registered Nurse (RN) – Operating Room (OR) – Clermont Hospital

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 0.01 Work Shift: Days/Evenings (United States of America) Clermont Hospital Registered Nurse (RN) – Operating Room (OR) Part-Time Day/Evening Shift Job Summary: The Operating Room Registered Nurse (RN) position is responsible for delivering exceptional nursing care to patients by: Utilizing strong organizational and leadership skills to assess patient status Determining the priority of the patient’s problems and needs Implementing clinical nursing interventions to acute, critical patients that require intensive medical care Developing and performing patient care plans to enhance and improve outcomes Ensuring a safe and therapeutic environment Essential Functions: Collaborate with the interdisciplinary care team Conduct initial and ongoing patient assessment Observes the surgery and surgical team from a broad perspective and assists the team to create and maintain a safe and comfortable environment for the patient Responsible for managing the nursing care of the patient within the OR and coordinating the needs of the surgical team with other care providers Provides pre-op, intra-op, and post-op care, including assessment and discharge instructions Other duties as assigned Education: Graduate of an accredited Associates degree or Bachelors degree in Nursing Certifications: Current state licensure as a Registered Nurse (RN) BLS Basic Life Support, ACLS Advanced Cardiac Life Support or PALS Pediatric Advanced Life Support (preferred at hire, must obtain from approved source prior to direct patient care; ACLS and/or PALS may be required within 6 months based on specific surgical department requirements) CNOR Certified Perioperative Nurse (preferred, not required) SGNA Society of Gastroenterology Nurses and Associates (preferred, not required) Experience: Two years of RN experience in Critical Care Department (preferred, not required) Completion of OR internship program (preferred, not required) Training: Successful completion of Peri-op 101 (preferred, not required) Mercy Health is an equal opportunity employer. As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Recovery Room (PACU) - Clermont It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .
The Christ Hospital Health Network

Assistant Professor Nursing-RN

Job Description Teach courses. Coordinates optimal learning experiences for students. Contributes to the college’s operational effectiveness through participation in governance and continuous evaluation of critical outcome measures. Reports directly to the Dean, Nursing. Responsibilities Teaches assigned classes. Contributes to the development, evaluation, and revision of curriculum utilizing the Nursing Department’s philosophy and organizing framework, and program outcomes. Teaches class sessions utilizing a variety of appropriate, evidence-based teaching strategies to facilitate student learning and assist students to meet course and program outcomes. Demonstrates thorough knowledge of subject matter. Evaluates students based on course outcomes and facilitates strategies for student improvement. Provides timely constructive feedback to students. Acts as a proponent for student-centered teaching environment. Grounds teaching strategies in educational theory and evidence0based teaching practices. Participates in peer review. Designs and supervises clinical learning experiences to facilitate students meeting course outcomes. Selects and designs evidence-based clinical learning experiences which foster the student’s transfer of course theory to the practice setting. Communicates clinical outcomes and orients students to the assigned clinical site. Implements clinical teaching strategies based on current education and practice based research during clinical instruction and supervision of students. Provides both informal and formal feedback to students regarding clinical performance, utilizing objective, evaluative criteria. Utilizes course and clinical evaluation surveys to determine effectiveness of clinical experience. Maintains expertise in the assigned area of clinical responsibility, teaching and professional nursing practice. Contributes to the operational effectiveness of the college. (Service) Supports the Mission and strategic plan of the college. Proactively participates in the development and evaluation of the college’s educational program. Participate in faculty governance system, including committee assignments and other service activities. Chair college committees/task forces Serve in the community under the banner of the College. Role models professional growth and development. (Scholarship) Maintains active membership in selected professional nursing organizations. Maintains active licensure(s) as required. Attends Faculty Development seminars/workshops and in-services. Maintains professional and legal standards in relation to client care, appearance and conduct. Participate in scholarly activities Attends or presents at professional conferences. Performs Other Role Related Responsibilities Other responsibilities as assigned Attend required college functions, such as convocation, graduation, and other events as specified by the Associate Dean Provides guidance/supervision to teaching assistants/preceptors, if applicable Evaluate students with input from teaching assistant/preceptor Co-sign teaching assistant/preceptor evaluative input Qualifications KNOWLEDGE AND SKILLS: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position. EDUCATION: Completion of an approved registered nursing education program in a jurisdiction as defined in the Ohio Administrative Code. A master’s degree in nursing is required; doctoral degree preferred. A doctorate of nursing degree may meet the requirement for applicants without a master’s degree in nursing. Certification desirable. YEARS OF EXPERIENCE: Experience for at least two years in the practice of nursing as a registered nurse. Candidates will also possess relevant teaching experience, with a minimum of three years of teaching experience at the college level at an accredited institution of higher learning. Online Teaching Experience Preferred. REQUIRED SKILLS AND KNOWLEDGE: Quality Matters “Applying the QM Rubric” training preferred. LICENSES & CERTIFICATIONS: Current, unencumbered licensure as an RN in Ohio. (Current, active Kentucky licensure may also be required following appointment.), BLS certification required.
The Christ Hospital Health Network

Registered Nurse - Main IP Behavioral Health - Part Time - Nights

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.
The Christ Hospital Health Network

Special Procedures Registered Nurse - Interventional Radiology, Vascular Surgery, & Neurovascular Services

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.
Bon Secours Mercy Health

Registered Nurse (RN) — Intensive Care Unit (Critical Care) — Fairfield Hospital

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 24 Work Shift: Evenings/Nights (United States of America) Mercy Health About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Registered Nurse (RN) – ICU (Critical Care) – Fairfield Hospital Job Summary: The ICU (Critical Care) Registered Nurse (RN) position is responsible for delivering exceptional nursing care to patients by: Utilizing strong organizational and leadership skills to assess patient status Determining the priority of the patient’s problems and needs Implementing clinical nursing interventions to acute, critical patients that require intensive medical care Developing and performing patient care plans to enhance and improve outcomes Ensuring a safe and therapeutic environment Essential Functions: Collaborate with the interdisciplinary care team Conducts and analyzes initial and ongoing patient assessment, creates a plan of care, implements treatment, and evaluates treatment effectiveness Synthesizes and prioritizes information in order to take immediate and decisive evidence-based, patient-focused action using clinical judgement and clinical inquiry. Anticipates and responds with confidence and adapts to rapidly changing patient conditions Administer medications in a safe manner consistent with the State of Practice and the organization’s policies and procedures Other duties as assigned Education: Bachelor of Science Nursing (preferred, not required) Certifications: Current state licensure as a Registered Nurse (RN) BLS Basic Life Support or ACLS Advanced Cardiac Life Support (preferred at hire, must obtain from approved source prior to direct patient care, ACLS required within 6 months of hire); PALS Pediatric Advanced Life Support (preferred at hire, required in lieu of BLS/ACLS for Pediatric Units, must obtain from approved source prior to direct patient care) Experience: 1 year of RN experience (required) 6 months RN experience in a Med/Surg, Critical Care, Stepdown, or Emergency Department Unit (preferred) Mercy Health is an equal opportunity employer. As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Intensive Care Unit (ICU) - Fairfield It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .
Right at Home Greater Cincinnati and Northern Kentucky

Caregivers Needed HHAs, DSPs, STNA, CNA, MA Weekly Pay

$15 - $16 / hour
At Right at Home our Caregivers are the Heart and Soul of everything we do! While it's impossible to put a price on the care and compassion you provide, we recognize your value and deeply appreciate the impact you make every single day. We’re looking for upbeat, reliable, and approachable caregivers who communicate with ease and connect well with people at all levels. If this sounds like you, we just might be the Right fit! Pay: $15.00 - $17 per hour Job Types: Full-time, Part-time Expected Hours: 20 – 45 per week Location : Right at Home Cincinnati/NKY serves the entire Greater Cincinnati Loop including Boone, Kenton, and Campbell counties in NKY. Caregiver Benefits: All Benefits Received at 90 Days! Starting pay varies between $15-17 with YEARLY evaluations for increases based on performance! Weekly pay/ Daily Pay options PTO for full AND part time staff (hour based accumulation- part time=20 hours per year, 40 for full time) Medical benefits , includes vision and dental 401 (k) retirement plan with 4% company match Mobile clock in/out Ongoing PAID training and development Make a difference, develop meaningful relationships and meet new people Paid travel time in between clients and paid mileage-(14$ travel + .66 per mile!) Recognition, celebrations and promotional opportunities! (Care Managers needed!) Flexible schedules (shifts vary from 4 hours and up based on client needs- we provide 24/7 care!) Last minute pick up shift incentives, bonus' , raffles, weekend warrior rates, and MORE! What We Need From Our Caregivers: Have 1 year of professional experience under nurse supervision within the last 2 years (a facility or agency with a nurse on staff) OR the completion of a CNA, STNA, MA certification Valid Drivers License Reliable Transportation to work with Auto Insurance Must be able to Travel up to 25 miles for a shift based on availability, or any restrictions you or a client may have. (We do try to keep you close to home!) Must be able to lift up to 50lbs. without accommodations Read, write, speak, and understand English as needed for the job. What Our Caregivers Do: Providing companionship and conversation Assisting with bathing, grooming, and hygiene Medication reminders Mobility and transfer assistance Light housekeeping Meal planning and preparation Accompanying clients to appointments or errands Apply Today and find out why we are the RIGHT people with the RIGHT mission! If you need assistance with this application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting us. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of employees. Each Right at Home office and business is independently owned and operated under a franchise agreement with Right at Home, LLC. Right at Home, LLC is not the employer or joint employer of the employees of any of its franchised offices. For comments, questions or to learn more about Right at Home, please visit www.rightathome.net.
The Christ Hospital Health Network

Surgical Technologist - Operating Room - Full Time Days

Job Description Primary responsibility involves performance of specific tasks, as a scrub technologist and/or during surgical procedures to facilitate the efficient and safe progress of the surgical case. Assists with the maintenance of surgical instruments, supplies, and equipment. Maintains positive customer relations. Shall demonstrate competency and possess the technical skills appropriate for his/her assigned cases and utilizes that knowledge in assisting others. Performs various duties within his/her scope of responsibility and is accountable to the Clinical Manager. Responsibilities General Duties Checks daily assignment. Reviews surgical preference lists to clarify surgical routine and update preference lists as needed. Utilize resources to obtain needed supplies for the case. Checks table(s) for complete readiness for each procedure. Ensures all items needed for the case are present: Obtains physician’s special instruments and sutures prior to start of the case. Demonstrates knowledge and dexterity in handling of special supplies and equipment and assures its proper functioning. Is knowledgeable of the specifics of the surgical procedure and able to perform these tasks in an organized and efficient manner. Under the surgeon’s supervision, assists with suctioning secretions, holding retractors, assisting with skin closure, cutting sutures and irrigating wounds. Circulates for operative procedures under supervision of R.N. At the end of procedure assist with site care Cleanses operative site. Connects drainage tubes to appropriate devices. Assists and/or applied sterile dressing. Assists with patient transfer to bed/stretcher. Covers soiled gloves with clean exam gloves. Assists with transfer with adequate number of assistants present. Responsible for knowing and using good body mechanics. Disassembles table(s) contents and instruments, and places in proper receptacles for cleaning. Sends (appropriate) instruments to CSR and/or clean up room for terminal cleaning. Functions as a Patient Advocate. Is aware of physical and emotional needs at all times and gives appropriate care and comfort. Will assist any patient in need, not just those assigned to his/her care. Protects patient’s dignity while anesthetized by avoiding unnecessary exposure. Protects patient’s privacy by insuring confidentiality of chart and history. Puts proper patients’ welfare above person consideration; admits to errors and takes proper steps to correct. Communication Ensures communication made to surgeon prior to the start of the case if any supplies and/or equipment are unavailable. Effectively communicates with all health team members in a timely and courteous manner. Shares pertinent information with Charge Nurse. Effectively communicates pertinent information to relief personnel so as to provide safe continuity of care. Leadership Attendance is prompt and regular. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Acts as a resource, educator and preceptor for staff and nursing students. Dress code of the Operating Room is followed. Volunteer’s assistance as a resource and/or preceptor in assigned areas. Assists in the orientation of new personnel. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Participation in professional advancement program is encouraged. Prepares for certification specific to work area of professional practice when eligible. Participation in chosen professional organizations, conferences and research is encouraged. Productivity Assists in expediting case turnaround time. Assists with cleaning of tables, floors, etc. Demonstrates flexibility and adaptability to change. Takes only allotted time for breaks and lunch according to the policy. Understands factors related to cost and effective outcomes when planning and implementing patient care. Initiates care in a timely manner, manages workload effectively. Understands and maintains awareness of fiscal responsibility by utilizing staff, time, equipment, and supplies appropriately. Safety Demonstrates, maintains, identifies, and corrects any breaks in aseptic technique while setting up the case as well as during the surgical procedure Instruments, sharps, and sponges are counted according to policy. Identifies and transfers surgical specimens according to O.R. policy. Performs safety check on all equipment (power instruments, etc.) for proper assembly, completeness and operation before it is used. Correctly prepares and labels medications including dosages and percentages to be used during the case according to type of procedure to be done and/or doctor’s preference card. Keeps operative field free of unused instruments, equipment, and sharps. Receives instruments from surgeon. Keeps instruments clean by wiping blood and tissue from instruments. Removes unnecessary articles from the operative field. Follows universal precautions according to hospital policy. Qualifications KNOWLEDGE AND SKILLS (e.g. BSN required, MSN preferred.): Has contact with physicians, families, and other hospital personnel related to care of assigned patients. Sound judgment and knowledge of scientific principles must be used. Competency in selected skills is required through hospital provided instruction. Frequent exposure to stressful patient situations requires the ability to maintain composure in order to respond swiftly and effectively to patient needs. EDUCATION: The surgical technologist has completed education in surgical technology and/or has completed on the job experience/training which allows the technologist to obtain certification. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The Surgical Technologists demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The ST effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The ST maintains competence and demonstrates evidence of continuing professional growth. The ST demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. The ST is responsible for knowledge, use, care, and handling of surgical instruments. LICENSES REGISTRATIONS &/or CERTIFICATIONS: All OR ST’s obtain certification within 6 months from start date in department with either a CST or TS-C (NCCT). ST’s who were employed at TCH prior to January 2010 are required to obtain certification by December 31, 2018.
Right at Home Greater Cincinnati and Northern Kentucky

In Home Caregiver Work That Works For You

Right at Home in Greater Cincinnati and Northern Kentucky is a leading, national in-home care company that fosters a culture of teamwork, trust and support. We value our wonderful caregivers and feel it's important they have opportunities for growth on a trusted and respected team. At Right at Home, our caregivers love what they do, why they do it, and who they do it for. Isn't it time to love what you do? Come see why our caregivers love working for Right at Home and Apply Today! Shift Needs : 4 hour shifts - 12 hour shifts! Everything in between! Day, Evenings, Overnight Shifts Available Overtime, Holidays, Weekend on-call Weekend Only, Every Other Weekend only etc Why we are the RIGHT TEAM for Caregivers, STNAs, CNAs and Home Health Aides: Competitive Pay $15-$17/ Hr with WEEKLY PAY on top of DAILY PAY Opportunities Flexible Scheduling Ongoing Employee Recognition and Rewards Mileage and Travel Time Reimbursement 401(k) plan with 4% matching Paid Time Off Training and Career Development - Opportunities for Internal Promotion After hours support – you are NOT alone! Uncapped referral bonus ($250 per referee) Employee Benefits at 90 days! Caregiver Requirements: At Least 1 Year of Experience as an Aide with direct supervision of a Nurse, OR Completion of CNA, STNA, or MA program Willing to drive up to 30 minutes for a client in need (will always try and keep you close to home!) Pass a BCI background check, abuse and neglect check, and drug screening Valid Driver's License with Reliable Transportation and Auto Insurance Some weekend availability is required Caregiver Responsibilities: Personal hygiene Ambulation/Transfers Dressing/Shaving Meal prep, light housekeeping, transport to appointments or go on errands Join Right at Home — care with purpose, work with heart!
The Christ Hospital Health Network

Resource Pool RN - Main Comp Med Shared Res Pool - Part Time - Rotating

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program. Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.