Nursing Jobs in Hanford, CA

Registered Nurse- Medical/Sugical-3N

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Variable - 12 Hour Shift (United States of America) Department 6172 Medical/Surgical-3N The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. Shifts: Day- 0600-1830 Night-1800-0630 QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. JOB RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process - assessed via direct observation, peer reviews, audits, and documentation. Assessment-successful completion of Physical Assessment validation. Diagnosis Planning Outcome identification Implementation Evaluation The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice. Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals. Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. IF ASSIGNED TO THE INFUSION CENTER RESPONSIBLE FOR: Assigns patients to infusion chairs and initiates nursing intake. Educates patients on upcoming medications and therapies. Starts peripheral IVs or access Central Venous Access Devices (PICC, Port-a-Cath) lines and administers infusions per physician orders. Monitors vital signs and patient status throughout treatment. Performs medication reconciliation and obtains patient history. Administers medications (IV, IM, SQ, PO), IV hydration, blood transfusions, and dressing changes. Completes all infusion documentation, discontinue IVs, and provides discharge instructions. Maintains competency in IV therapy, infusion pumps, and emergency response procedures. Provides telephone triage and patient education on side effects, symptom management, and resources. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

NP

Part-time

1 month ago

Per Diem RN-Nurse Practitioner

Kaweah Health Visalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7390 Professional Services-APP The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS Preferred: National Nurse Practitioner certification from American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC); for Hospice Advanced Practice Certified Hospice and Palliative Nurse (ACHPN). Education Preferred: MSN or DNP Experience Required: One year of recent RN specialty experience in an adult, critical care, or medical-surgical setting. For Hospice: two or more years of palliative care experience with patients at end of life. Preferred: One year of recent practice as a Nurse Practitioner with an emphasis in adult assessment and management of medical and/or surgical conditions. Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. JOB RESPONSIBILITIES Essential Responsible for enhancing Patient Throughput throughout the Medical Center and Chronic Disease Management Clinic. Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes: Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area: Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care: Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Addendum (essential for specific dept) CARDIAC CATH LAB ALSO RESPONSIBLE FOR: Coordinates overall clinical program and ensures processes are in place to assure smooth operations and patient ﬂow for the clinical activities of cardiology services speciﬁc to heart valve devices (TAVR). Develops and implements required elements of an eﬀective clinical program such as: Develops methods to ensure prompt access to care. Ensures processes are in place to provide coordinated patient ﬂow across Physicians clinical sites. Develops collaborative partnerships with inpatient and outpatient facilities implementing the heart valve device. Develops & implements clinical guidelines. Aligns EMR to support care delivery. Facilitates establishment of clinical trial protocols at all sites in partnership with the Valve Consortium. Provides program and clinical input to marketing team to ensure web and related marketing tools are up to date. Practice Development: Develops & provides oversight of clinical program at aﬃliated hospitals. Directs development of education materials. Develops educational materials and training program for all patient care staﬀ (inpatient and outpatient) who will participate in the clinical trial. Helps develop valve program at aﬃliated hospitals that provide a referral base of patients. Provides program and clinical input to quality assurance and quality check teams to ensure web and related marketing tools are up to date. Demonstrates ability to provide care or service adjusting approaches to reﬂect developmental level of population served: Communicates in a respectful manner. Ensures a safe, secure environment. Partners with patient/care-giver/management in care/decision making. Individualizes care/service plan to meet patient/customer needs. Modiﬁes interventions/service based on population served. Provides patient/employee education based on assessment of learning needs of learner. HOSPICE ALSO RESPONSIBLE FOR: Understands the Hospice Conditions of Participation related to Nurse Practitioner regulations. Performs timely Hospice face-to-face visits including timely, accurate documentation. Additional Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $76.55 -$114.83 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.