Nursing Jobs in Milton, DE

NP Oncology Full-time
Beebe Healthcare

ADVANCED PRACTICE CLINICIAN (APC) Medical Oncology - Nurse Practitioner

Beebe Healthcare Rehoboth Beach, DE
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This individual is a clinically competent, certified advanced practitioner, who serves in the comprehensive care of the medical oncology and hematology patient throughout the continuum of care. Under the scope of an advanced practice clinician and approve privileges within Beebe Healthcare, the individual is expected to perform comprehensive patient assessments, follow-up care, diagnosis, side effect and infusion reaction management, survivorship care services, and patient education/counseling in collaboration with the medical oncology physicians. Follow(s) established advanced practice standards, procedures, and guidelines/protocols to give direction to patients, families, nursing and other staff when appropriate. Responsibilities Performs comprehensive assessments for new and established oncology and hematology patients. Management of complex oncology and hematology patients to include side effect management, diagnosis, and treatment. Demonstrates critical thinking, prioritization of duties, and time management skills based on patient assessment and interpretation of test results. Serves as the primary clinical support for the infusion center when assigned. Duties include management of infusion reactions, patient care needs presented by nursing and pharmacy, coverage of triage issues and assessments, and critical lab and radiology results. Formulate and implement survivorship care plans for all curable cancer patients. Identify and initiate referrals to palliative care. Collaborate with the palliative care team for management of patient's ongoing care. Communicates positively and effectively with patients, families, physicians and the multidisciplinary oncology team. Coordinates patient care with PCP and specialty providers when appropriate. Provides detailed education and counseling to patients and families regarding diagnosis, goals of therapy, expectations, and treatment related side effects and management. Develop a comprehensive plan of care in collaboration with the attending oncologist to include selection of appropriate pharmacologic agents, referrals, and end of life care. Inpatient oncology and hematology acute care coverage to include rapid assessment and treatment of acutely ill oncology/hematology patients. Collaborate with medical oncologist and inpatient disciplines to determine the most appropriate level of care. Assist in the admission and discharge of patients receiving inpatient chemotherapy in collaboration with the attending oncology physician. Administration of intrathecal chemotherapy in collaboration with interventional radiology. Provide after-hours call coverage as part of a rotating schedule to include phone triage, clinical decision-making, and urgent inpatient/outpatient concerns in conjunction with on-call oncologist. Other duties as assigned Qualifications Education/Experience Graduate from an accredited Physician Assistant or Nurse Practitioner program. Previous experience in oncology as provider or nursing preferred. Licensure/Certification Licensure as an advanced practice clinician (PA or NP) in the state of Delaware or ability to obtain with offer letter. DEA licensure or ability to obtain prior to credentialing. Current BLS certification per American Heart Associate guidelines. Other Information Education/Experience Graduate from an accredited Physician Assistant or Nurse Practitioner program. Previous experience in oncology as provider or nursing preferred. Licensure/Certification Licensure as an advanced practice clinician (PA or NP) in the state of Delaware or ability to obtain with offer letter. DEA licensure or ability to obtain prior to credentialing. Current BLS certification per American Heart Associate guidelines. Entry USD $126,471.00/Yr. Max USD $172,088.00/Yr.
RN OR Part-time
Beebe Healthcare

RN / REGISTERED NURSE - RN FIRST ASSIST - OPERATING ROOM (PART TIME)

Beebe Healthcare Lewes, DE
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview Part-Time RNFA – Perioperative Nursing | Beebe Healthcare Join the surgical team at Beebe Healthcare , where your skills and experience as a Registered Nurse First Assistant (RNFA) will make a lasting impact. We are currently seeking a part-time RNFA to support our perioperative services in delivering safe, efficient, and expert surgical care to patients across Sussex County. As a clinically competent, registered professional nurse , the RNFA demonstrates advanced proficiency in perioperative nursing and intraoperative first assisting. This position plays an integral role in the surgical team by collaborating with surgeons and operating room staff to ensure high-quality patient outcomes. The RNFA uses the full scope of the nursing process – assessment, planning, intervention, implementation, and evaluation – to deliver comprehensive surgical care and support throughout the perioperative continuum. Responsibilities Demonstrates competency in performance of scrub/surgical routines and aseptic technique--utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant; ongoing monitoring of asepsis in all roles--scrub, circulator, and assistant; anticipates needs of surgeon; consistently recognizes sequence of procedures in all roles--scrub, circulator, and assistant; passes instruments correctly; appropriate review and preparation for assigned procedures. Understands and utilizes established guidelines for operation of autoclaves and steris units--performs daily A-Test/Biological tests as required; performs proper care, handling, and assembly of instruments for processing; ensures complete/thorough documentation of all flash and steris cycles as per protocol. Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Utilizes the nursing process throughout the perioperative setting per patient assessment--collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery; care planning--utilization of collected data to plan appropriately for intraoperative nursing care; implementing--provides direct patient care to meet physical and psychological needs; evaluating care--continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome. Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process. Thorough/Accurate/Complete documentation of intraoperative patient care. Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioning--universal skin care precautions; prevention of nerve damage; prevention of pressure related skin breakdown. Assists with completion and accuracy of surgical sponge, sharps/miscellaneous items, and instrument counts as per established policies and guidelines. Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers. Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena. Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process. Strives to ensure efficiency in turn around time between procedures--readily available; communication with OR Desk/Charge RN and/or department Nurse Manager; gross cleaning of body fluid spills to confine contamination throughout the procedure; prioritization of case completion process; assists with room clean up tasks as necessary; prioritizes case set up process toward maximum efficiency. Initiate appropriate intraoperative behaviors unique to first assisting: provide hemostasis to reduce potential for fluid volume deficit by clamping and/or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon; provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging; use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon. Accreditation/Regulatory Compliance Qualifications Current RN license in the State of Delaware or compact state Completion of an accredited RNFA program CNOR certification preferred Minimum of 2 years of recent perioperative nursing experience Strong clinical judgment, communication skills, and commitment to patient-centered care Competencies Skills Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification Nonessential: * CNOR - Certified Nursing - OR Education Essential: * RN Diploma/RN Graduate Program Entry USD $39.88/Hr. Max USD $65.80/Hr.
NP Outpatient Full-time
Beebe Healthcare

Advanced Practice Clinician (APC): Nurse Practitioner (NP) or Physician Assistant (PA) - Primary Care - MILTON

Beebe Healthcare Milton, DE
Why Beebe? Why Beebe?Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This individual provides direct patient care as the Center's Physician Assistant or Nurse Practitioner according to established protocols, policies, procedures, and accepted standards of care. Functions within approved scope and credentials as approved by Beebe Medical Center credentialing committee. Follow established nursing standards, procedures, and practices, and gives specific patient care directions to nursing and other staff. Responsibilities Provide accurate and timely assessment. evaluation and treatment of patients from six (6) months to the geriatric population. Diagnostics- Ability to accurately interpret electrocardiogram and lab tests results. Provide accurate and timely diagnosis and care management to patients with chronic illnesses, such as hypertension, diabetes mellitus and asthma. Promote disease prevention by using effective risk assessment, coaching and counseling skills. As appropriate, provide timely and accurate completion of Annual Medicare Wellness physicals in accordance with Beebe Medical Group policy and Medicare guidelines. Ability to appropriately handle unexpected emergent medical situations. Ability to communicate effectively and in a professional manner with patients, co-workers and healthcare providers. Possess an energetic, compassionate and efficient work ethic with strong organizational skills and effective customer service skills. Other duties as assigned, including but not limited to working at other Primary Care locations within Beebe Medical Group as necessary. Qualifications Prefer previous experience in Family Medicine, Wellness Center, or Internal Medicine. Competencies Skills * Clear Communication Skills Both Written And Verbal * Knowledge Of Basic Computer Programs * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials *NP - Nurse Practitioner *PA - Physician Assistant *BLS - Basic Life Saving certification Education Other Information Prefer previous experience in Family Medicine, Wellness Center, or Internal Medicine. Entry USD $0.00/Hr. Max USD $300.00/Hr.
RN OR Per Diem
Beebe Healthcare

RN FIRST ASSIST - OPERATING ROOM - PER DIEM

Beebe Healthcare Lewes, DE
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This individual is a clinically competent, registered, professional nurse who has demonstrated expertise in the perioperative field. He/she effectively delivers perioperative care to the surgical patient through the nursing process of assessment, planning, intervention, implementation, and evaluation. Has completed RN First Assist training. Responsibilities Demonstrates competency in performance of scrub/surgical routines and aseptic technique--utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant; ongoing monitoring of asepsis in all roles--scrub, circulator, and assistant; anticipates needs of surgeon; consistently recognizes sequence of procedures in all roles--scrub, circulator, and assistant; passes instruments correctly; appropriate review and preparation for assigned procedures. Understands and utilizes established guidelines for operation of autoclaves and steris units--performs daily A-Test/Biological tests as required; performs proper care, handling, and assembly of instruments for processing; ensures complete/thorough documentation of all flash and steris cycles as per protocol. Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Utilizes the nursing process throughout the perioperative setting per patient assessment--collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery; care planning--utilization of collected data to plan appropriately for intraoperative nursing care; implementing--provides direct patient care to meet physical and psychological needs; evaluating care--continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome. Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process. Thorough/Accurate/Complete documentation of intraoperative patient care. Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioning--universal skin care precautions; prevention of nerve damage; prevention of pressure related skin breakdown. Assists with completion and accuracy of surgical sponge, sharps/miscellaneous items, and instrument counts as per established policies and guidelines. Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers. Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena. Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process. Strives to ensure efficiency in turn around time between procedures--readily available; communication with OR Desk/Charge RN and/or department Nurse Manager; gross cleaning of body fluid spills to confine contamination throughout the procedure; prioritization of case completion process; assists with room clean up tasks as necessary; prioritizes case set up process toward maximum efficiency. Initiate appropriate intraoperative behaviors unique to first assisting: provide hemostasis to reduce potential for fluid volume deficit by clamping and/or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon; provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging; use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon.Accreditation/Regulatory Compliance Qualifications Completed RN First Assist Training Competencies Skills "Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records " Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification Nonessential: * CNOR - Certified Nursing - OR Education Essential: * RN Diploma/RN Graduate Program Entry USD $39.88/Hr. Max USD $65.80/Hr.
NP Oncology Full-time
Beebe Healthcare

NURSE PRACTITIONER - ONCOLOGY INPATIENT

Beebe Healthcare Rehoboth Beach, DE
$116,828 - $156,118 / year
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients, and a team focused on excellence. Overview This individual serves as a comprehensive health care provider providing follow-up care, assessment, diagnosis, and therapeutic procedures within the scope of advanced nursing practice in collaboration with Beebe Medical Center employed Medical Oncology physicians. Manages care given to Beebe Medical Center clients during outpatient clinic visits and inpatients when requested. Functions within approved scope and credentials as approved by Beebe Medical Center policies. Follow(s) established nursing standards, procedures, guidelines and protocols and gives specific patient care directions to patients, families, nursing and other staff when appropriate. Responsibilities Patient Assessments. Performs comprehensive assessments, utilizing focused medical and psychosocial history and physical examination. Keeps physician(s) informed, as is appropriate, of needs and problems related to patient care. Critical thinking/Evaluation and Interpretation of Diagnostics. Demonstrates critical thinking, prioritization, and time management skills based on patient assessment and interpretation of test results. Documentation. Effectively maintains confidential records, completes documentation timely, accurately and consistently, and reports findings as patient's condition requires. Documentation always provides justification for therapies ordered and reimbursement for services rendered. Comprehensive Plan of Care. Works in collaboration with attending physician to develop a comprehensive plan of care based on current theories and advanced clinical knowledge and expertise to include selection of appropriate pharmacologic agents, referrals and end of life care. Performance of Clinical Treatments and Procedures. Implements clinical treatments based on expert knowledge and technical competency to patients within specialty area. Makes referrals when appropriate. Communication. Communicates in a positive manner with physicians, patients, families, and co-workers. Demonstrates ability to facilitate positive relationships with all contacts. Communicates needed information to co-workers and supervisors and seeks answers to current issues, providing pertinent information to supervisors. Patient Education. Provides health education to patients and families regarding drugs and management of side effects, anticipatory teaching. Participates in formal and informal instruction of nurses, students and other health care professionals. Keeps current by attending continuing education programs, review of the literature related to clinical practice, or through writing publications. Research. Manages and participates in clinical trials program in the cancer center, including supervision of research nurses, ledgers for volumes and revenue and regular reporting of progress. Performance Improvement. Participates in all phases of the performance improvement process in the department and identifies areas in need of investigation. Other Duties. Performs other duties as assigned. Competencies Skills Essential: Experience In Hospital Or Acute Care Setting Clear Communication Skills Both Written And Verbal Knowledge Of Basic Computer Programs Able To Keep Confidential Information Regarding Patients, Team Members Able To Withstand Crisis Situations Has Skills To Provides Customer Service To Patients, Team Members And Visitors Knowledge And Experience With Electronic Health Records Credentials Essential: NP - Nurse Practitioner BLS - Basic Life Saving certification Education Essential: Master of Science in Nursing Other Information Clinical preceptorship in Medical Oncology and/or a minimum of five years in clinical oncology nursing. Entry USD $116,828.00/Yr. Expert USD $156,118.00/Yr.