Nursing Jobs in Southwest Portland, OR

Nurse Practitioner - Neonatal - On-Call

Job Summary: Provide direct patient care including assessment, diagnosis, treatment and technical procedures to a group of normal to high risk infants. Manages neonatal case load with physician consultation and collaboration. Serves as a patient and family advocate in identifying healthcare needs and actions for neonatal cases. Coordinates pre- and post-operative care activates for normal to high risk infants. Supports neonatal units during crisis situations. Utilizes planning, implementation, and evaluation in formulating neonatal diagnosis and intervention. Essential Responsibilities: Interprets antenatal/perinatal health history. Assesses gestational age. Performs resuscitations of newborns in delivery room and in Neonatal units with bag and mask, laryngoscopy, endotracheal intubation, cardiac compressions, intravenous access and emergency medications. Ability to provide care for infants on the well newborn units including assessments, admissions, discharges, physical exams and evaluations on infants in the Delivery, Neonatal and Mother-Baby units. Performs specialized procedures on high risk infants to include: umbilical artery and vein catheterization, endotracheal intubation, suprapubic bladder tap, lumbar puncture, peripheral central venous catheterization, peripheral arterial catheterization, needle aspiration of pneumothorax, sepsis work ups and other procedures following clinical competencies for advanced practice. Orders and interprets lab tests, radiographs and routine diagnostics to include Newborn Screening head ultrasounds, ophthalmic retinal and outpatient evaluations. Manages adjustment of inspired oxygen concentration and mechanical ventilation per arterial blood gas measurement, physical exam, and/or clinical course. Prescribe phototherapy, antimicrobial therapy and enteral parenteral nutrition and supplements. Performs rounds on designated patients. Evaluates care and progress. Develops plan of care and writes orders. Documents admission history and physicals, resuscitations, assessments, procedures, progress notes, and discharge summaries. Collaborates with attending MD regarding treatment plan of assigned infants. Develops, implements, reviews and revises standards/procedures/protocols for Neonatal care. Develops practice guidelines that reflect current research, trends, and tech ology in the Neonatal units. Keeps current with standards/issues/implications for advanced practice nursing. Provides educational programs for staff to support quality improvement activities. Participates in Perinatal Quality Management Program. Serves as clinical resource to staff. Identifies learning needs for staff and implements formal and informal educational programs. Maintains current knowledge and skills to the neonatal area. Utilizes resources in a cost-effective manner. Provides input to Hospital/Regional committees for planning, policy development, patient care, and quality improvement issues and activities. May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct provision of care on the unit. Provides direct patient care on an as needed basis. Provides services that are within the scope of license and in compliance with all legal, regulatory, and policy requirement relevant to clinical role performed. Incorporates the KP Nursing Vision, Model and Values throughout their nursing practice.

RN

PACU

2 weeks ago

Registered Nurse PreOp PACU II - East Pavilion Surgery Center

SCA Health Portland, OR

$50.92 - $61.53 / hour

Overview At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn’t just what we do, it’s how we do it . Each decision we make is rooted in seven core values : Clinical quality Integrity Service excellence Teamwork Accountability Continuous improvement Inclusion Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America. At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits. Your ideas should inspire change. If you join our team, they will . Responsibilities East Pavilion Surgery Center is a state-of-the-art ambulatory surgery center (ASC) jointly owned and managed by SCA Health. We have 5 operating rooms and offer patients services in General Surgery, Gynecology, Neuro-Spine, Upper Extremity Orthopedics, Otolaryngology (ENT), Ophthalmology, Podiatry, Plastic Surgery, Urology, Urogynecology. We are a fast-paced, high quality and safety centered outpatient surgery center that provides exceptional care to all patients, offering a tremendous work-life balance and boasting a culture that is employee and patient-focused. Join our growing team today! We are actively hiring for an Registered Nurse (RN) PreOp PACU. Promote the mission, vision, and values of SCA . Assess patient’s preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient’s cardiovascular system, respiratory system and airway management needs, neurological system, hemodynamic stability, pain and comfort needs, and mental status. Interpret information accurately from various noninvasive and invasive monitors. Describe the underlying pathophysiology of commonly encountered disease processes. Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions. Apply the relevant scoring system/discharge criteria for patient transfer ( e.g. , Aldrete Score, Modified Aldrete Score [ i.e. , PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. Develop an individualized perianesthesia plan of care. Implement the plan of care including the following interventions: Preparing for and managing patient recovery from anesthesia – general. Preparing for and managing patient recovery from anesthesia – monitored anesthesia care. Preparing for and managing patient recovery from anesthesia – regional. Preparing for and managing patient recovery from anesthesia – local. Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects. C ommunicating the patient’s current status throughout the perianesthesia continuum of care. P roviding acute pain and comfort management as needed. A dministering medications safely and correctly by using the 8 -rights of safe medication administration. P erforming interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels . P erforming interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels. P erforming interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. P erforming interventions to protect patient from infection. M anaging patient’s other co-morbid conditions as applicable. M anaging patient’s fluid as prescribed. A ssessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure; I nvolving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process. P rotecting patient’s rights, dignity, and privacy. P roviding age-specific, culturally competent, ethical care within legal standards of practice; and P roviding consistent and comparable care regardless of the setting. Evaluate the patient’s progress toward attaining outcomes. Transfer care as needed. Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care. Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions. Document nursing care completely, accurately, and legibly. Collaborate effectively with other disciplines as needed. Participate in quality review and performance improvement projects. Participate in the performance appraisal process. Use p roblem-solving and conflict resolution skills to foster effective work relationships with team members. Maintain required competencies. Pursue professional growth. Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. Comply with all facility policies and procedures when providing patient care . Actively participate in team meetings, trainings, and daily safety huddles . Demonstrate fiscal responsibility. Perform all other duties as assigned . Qualifications Graduate of an Accredited School of Nursing. One year of Pre Operative or PACU experience required Medical / surgical nursing experience Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification. Why join SCA Health? Consider the following fantastic benefits… Positive work culture Monday-Friday work schedule Career growth opportunities Comprehensive medical, vision and dental insurance – eligible on Day 1 of employment Paid time off 9 employer paid holidays Maternity/paternity/adoption benefits Employer-paid life and short- and long-term disability insurance Excellent 401(k) Plan USD $50.92/Hr. USD $61.53/Hr.

Infusion Nurse - Part Time - Portland

Option Care Health Portland, OR

$40.78 - $67.97 / hour

Extraordinary Careers. Endless Possibilities. With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare. Job Description Summary: An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physician’s plan of care. Works under structured supervision of the designated supervisor. Job Description: Job Responsibilities (listed in order of importance and/or time spent) Initiates, develops, and implements intermediate nursing plan of care treatments, evaluating patient progress towards goals. Organizes and participates in the provision of direct patient care, performs treatments, administers medications, and educates patients and families/caregivers. Modifies plan of treatment in response to changing patient status or physician orders to achieve established or revised patient care goals. Assesses patient needs and physical status at each skilled visit through health data access and patient interview. Re-evaluates patient needs through physical reassessment, response to therapy, and supplemental physician orders. Obtains and clarifies physician orders for plan of treatment revisions, informs physician promptly of significant changes in patient's condition, and provides written summary to physician within supplemental order. Provides training and mentorship to Infusion Nurse I’s as needed to ensure patient safety and compliance. Provides effective and safe teaching using patient-centered care approach for patient and family to achieve independence with prescribed therapy and care needs through active participation per plan of treatment goals. Effectively and timely communicates with Option Care’s Clinical team, medical providers, patients, and families/caregivers to facilitate continuity of care. Prepares clinical documentation in real-time during visits and submits to the nursing department to comply with established timelines for billing optimization. Completes all documentation legibly and applies approved abbreviations and documentation error correction practices per Option Care’s policy. Coordinates discharge planning and prepares discharge summaries with patient instructions and thoroughly reports patient care needs, progress and goals when transferring care. Demonstrates compliance with agency operations, Option Care’s policies and procedures, professional standards, local, state, federal regulations/guidelines, and accreditation standards. Maximizes work efficiency through the use of computers and other automation technologies to validate plan of treatment orders, communicates patient care provided, and follows assigned visit schedule. Responds promptly and appropriately to patient requests. Initiates emergency procedures as necessary. Accepts accountability for own practice through ethical and professional conduct. Follows established programs and practice within policies and procedures reflective of Option Care’s mission, values, and objectives. Observes legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary Option Care information including adherence to HIPAA regulations. Speaks knowledgeably about Option Care’s scope of services and effectively instructs patients about related financial obligations for care and service charges. Attends and completes required training modules, in-services, and continuing education to maintain competency and professional licensure for demonstrated knowledge regarding the care and management of patients in the home and/or alternate care settings. Effectively provides oversight and coordination of paraprofessionals in the home setting and may act as the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with state and federal regulations. Participates in multidisciplinary team conferences and provides precepting, training, and mentoring to other nurses for orientation, and onboarding and supervisory activities as assigned. Participates in nursing department on-call responsibilities. Performs other related duties as directed by supervisor. If applicable: Inserts PICC/Midlines per physician order. Troubleshoots/declots obstructed central line catheters. Monitors PICC/Midline and educates on prevention of line infection and routine care. Supervisory Responsibilities Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No - X Yes Basic Education and/or Experience Active and unrestricted RN license in the state of practice. Minimum of 1 years of nursing experience. Current CPR certification required. Basic Qualifications Demonstrated competency in patient care standards required for safe delivery of services and infusion skill sets applicable to agency programs and service needs. Advanced certification and training as applicable. Required licensure to operate a motor vehicle in the state of practice with access to a vehicle for business travel with proof of liability insurance. Basic knowledge of computer operating systems and software applications with the abilityn self-evaluation for annual appraisal and jointly sets professional growth goals with nurse manager. to apply knowledge in the effective use of nursing technology tools to communicate and document care provided. Physical Demand Requirements Ability to lift up to 50 pounds with a maximum lifting of 75 pounds. Exerting up to 20 pounds of force occasionally, or up to 10 pounds of force frequently. Physical demands may involve walking, standing, crouching, kneeling, turning, pivoting, balancing, stooping, reaching overhead, grasping, pushing, pulling, lifting and carrying. Fine motor skills and visual acuity required by this job include ability to see up close and from a distance, color and peripheral vision, depth perception and the ability to adjust focus. Team members in this job classification have the likelihood of occupational exposure to blood, body fluids and other potentially infectious materials. Possible exposure to hazardous substances with possible effect on reproduction, injury from needles, other sharps, fumes, chemicals, humidity, cold, heat, adverse weather elements, animals, secondhand smoke/vape and unpredictable home environments. Safety requirements include closed toe-shoes, facemask, goggles, gown and/or gloves and functioning device for communication in both routine and emergency situations. Travel Requirements: (if required) Willing to travel up to 100 % of the time for business purposes. Preferred Qualifications & Interests (PQIs) Bachelor of Science in Nursing as granted by an accredited school of nursing preferred. 1-2 years of previous infusion nursing experience preferred. Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $40.78-$67.97 Benefits: -401k Retirement Savings With Company Match -Paid Time off -Flexible Spending Accounts -Mental Health Services -Award/Recognition Programs -myFlexPay Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

RN

Part-time

2 weeks ago

Registered Nurse RN -PRN NOC or DAY Shift

Avamere Skilled Advisors, LLC Lake Oswego, OR

Registered Nurse | RN Setting: Skilled Nursing Statue: PRN Shift: Days (6:00 AM to 6:00 PM) and NOCs (6:00 PM to 6:00 AM) 12-hour shifts PRN Available ALL Shifts Location: The Pearl at Kruse Way, 4550 Carman Drive, Lake Oswego, Oregon 97035 Apply at www.TeamAvamere.com The primary responsibility of the Registered Nurse (RN) is to provide comprehensive patient care, including assessing residents, administering medications, monitoring health, and coordinating care with other healthcare professionals, while also supervising nursing staff. Essential Duties and Job Responsibilities Patient Assessment and Care Planning: Conduct thorough assessments of residents' physical, cognitive, and emotional needs. Develop and implement individualized care plans in collaboration with the interdisciplinary team, including physicians, therapists, and other healthcare professionals. Regularly evaluate and update care plans based on residents' changing needs and responses to interventions. Medication Administration and Monitoring: Administer medications and treatments as prescribed by physicians, ensuring accuracy and safety. Monitor residents' responses to medications and treatments, documenting any adverse effects or changes in condition. Vital Signs and Health Monitoring: Monitor and document vital signs, such as temperature, pulse, respiration, and blood pressure. Observe residents for any signs of illness or changes in condition and promptly report any concerns to the physician. Wound Care and Other Specialized Care: Collaborate with wound care specialists or other healthcare professionals to ensure optimal wound healing. Supervision and Training: Supervise and provide guidance to licensed practical nurses (LPNs) and certified nursing assistants (CNAs). Provide orientation and training for new staff members. Communication and Documentation: Maintain accurate and complete documentation of residents' care, including assessments, interventions, and evaluations. Communicate effectively with residents, families, and other healthcare professionals. Participate in interdisciplinary team meetings to coordinate care and address resident needs. Quality Improvement: Participate in quality improvement initiatives to ensure the delivery of high-quality care. Stay current with best practices and evidence-based guidelines for nursing care in skilled nursing facilities. Must possess a nursing degree from an accredited college or university. Must possess a current, unencumbered, active license to practice as an RN in this state. BSN preferred. Must maintain and have an active CPR/BLS during employment. Prefer experience in long term care, geriatric rehab, sub-acute and or critical care clinical setting. Experience in electronic medical records documentation. At Avamere, we believe in taking care of our employees. We offer a comprehensive benefits package that includes: Health Insurance: Comprehensive medical, dental, and vision plans. Low individual and family deductible. 401 (k) Plan: After 90 days of employment, with matching program. Paid Time Off (PTO): Accrue up to 4 weeks PTO per year, 6 holidays and accrued sick leave. EAP Canopy with unlimited telehealth mental health visits. Continuing Education and Higher Education Reimbursement. Generous employee referral bonus program. Flexible Spending Accounts & CERA: Medical FSA, Dependent Care FSA and CERA (Commuter Expense Reimbursement Account). Professional Development: Opportunities for growth and development within the company. Voluntary Benefits: Life insurance, disability coverage, supplemental hospital, accident and critical illness coverage, Legal Services, Pet Insurance, discount programs and more. Avamere is an Equal Opportunity Employer and participates in E-Verify.

NP

2 weeks ago

Nurse Practitioner - Neonatal

Kaiser Permanente Happy Valley, OR

Job Summary: Provide direct patient care including assessment, diagnosis, treatment and technical procedures to a group of normal to high risk infants. Manages neonatal case load with physician consultation and collaboration. Serves as a patient and family advocate in identifying healthcare needs and actions for neonatal cases. Coordinates pre- and post-operative care activates for normal to high risk infants. Supports neonatal units during crisis situations. Utilizes planning, implementation, and evaluation in formulating neonatal diagnosis and intervention. Essential Responsibilities: Interprets antenatal/perinatal health history. Assesses gestational age. Performs resuscitations of newborns in delivery room and in Neonatal units with bag and mask, laryngoscopy, endotracheal intubation, cardiac compressions, intravenous access and emergency medications. Ability to provide care for infants on the well newborn units including assessments, admissions, discharges, physical exams and evaluations on infants in the Delivery, Neonatal and Mother-Baby units. Performs specialized procedures on high risk infants to include: umbilical artery and vein catheterization, endotracheal intubation, suprapubic bladder tap, lumbar puncture, peripheral central venous catheterization, peripheral arterial catheterization, needle aspiration of pneumothorax, sepsis work ups and other procedures following clinical competencies for advanced practice. Orders and interprets lab tests, radiographs and routine diagnostics to include Newborn Screening head ultrasounds, ophthalmic retinal and outpatient evaluations. Manages adjustment of inspired oxygen concentration and mechanical ventilation per arterial blood gas measurement, physical exam, and/or clinical course. Prescribe phototherapy, antimicrobial therapy and enteral parenteral nutrition and supplements. Performs rounds on designated patients. Evaluates care and progress. Develops plan of care and writes orders. Documents admission history and physicals, resuscitations, assessments, procedures, progress notes, and discharge summaries. Collaborates with attending MD regarding treatment plan of assigned infants. Develops, implements, reviews and revises standards/procedures/protocols for Neonatal care. Develops practice guidelines that reflect current research, trends, and tech ology in the Neonatal units. Keeps current with standards/issues/implications for advanced practice nursing. Provides educational programs for staff to support quality improvement activities. Participates in Perinatal Quality Management Program. Serves as clinical resource to staff. Identifies learning needs for staff and implements formal and informal educational programs. Maintains current knowledge and skills to the neonatal area. Utilizes resources in a cost-effective manner. Provides input to Hospital/Regional committees for planning, policy development, patient care, and quality improvement issues and activities. May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct provision of care on the unit. Provides direct patient care on an as needed basis. Provides services that are within the scope of license and in compliance with all legal, regulatory, and policy requirement relevant to clinical role performed. Incorporates the KP Nursing Vision, Model and Values throughout their nursing practice.

Caregiver

2 weeks ago

Caregiver

Brookdale Senior Living Vancouver, WA

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our Caregivers have the option to explore exciting opportunities for advancement in positions such as Certified Nursing Assistant (CNA/STNA) and Medication Technician (QMAP). Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Caregivers provide direct care to residents, recognize individual needs, encourage independence and treat each senior with respect and dignity. You will assist residents with activities of daily living, including bathing, dressing, grooming and other personal care needs, as well as help residents with vacuuming, dusting, sweeping, mopping and dishes. Engage residents in meaningful conversations and provide attentive care. Based on state regulation, completion of training/certification may be required. Brookdale is an equal opportunity employer and a drug-free workplace.

NP

NICU

2 weeks ago

Nurse Practitioner - NICU

Kaiser Permanente Happy Valley, OR

Job Summary: Provide direct patient care including assessment, diagnosis, treatment and technical procedures to a group of normal to high risk infants. Manages neonatal case load with physician consultation and collaboration. Serves as a patient and family advocate in identifying healthcare needs and actions for neonatal cases. Coordinates pre- and post-operative care activates for normal to high risk infants. Supports neonatal units during crisis situations. Utilizes planning, implementation, and evaluation in formulating neonatal diagnosis and intervention. Essential Responsibilities: Interprets antenatal/perinatal health history. Assesses gestational age. Performs resuscitations of newborns in delivery room and in Neonatal units with bag and mask, laryngoscopy, endotracheal intubation, cardiac compressions, intravenous access and emergency medications. Ability to provide care for infants on the well newborn units including assessments, admissions, discharges, physical exams and evaluations on infants in the Delivery, Neonatal and Mother-Baby units. Performs specialized procedures on high risk infants to include: umbilical artery and vein catheterization, endotracheal intubation, suprapubic bladder tap, lumbar puncture, peripheral central venous catheterization, peripheral arterial catheterization, needle aspiration of pneumothorax, sepsis work ups and other procedures following clinical competencies for advanced practice. Orders and interprets lab tests, radiographs and routine diagnostics to include Newborn Screening head ultrasounds, ophthalmic retinal and outpatient evaluations. Manages adjustment of inspired oxygen concentration and mechanical ventilation per arterial blood gas measurement, physical exam, and/or clinical course. Prescribe phototherapy, antimicrobial therapy and enteral parenteral nutrition and supplements. Performs rounds on designated patients. Evaluates care and progress. Develops plan of care and writes orders. Documents admission history and physicals, resuscitations, assessments, procedures, progress notes, and discharge summaries. Collaborates with attending MD regarding treatment plan of assigned infants. Develops, implements, reviews and revises standards/procedures/protocols for Neonatal care. Develops practice guidelines that reflect current research, trends, and tech ology in the Neonatal units. Keeps current with standards/issues/implications for advanced practice nursing. Provides educational programs for staff to support quality improvement activities. Participates in Perinatal Quality Management Program. Serves as clinical resource to staff. Identifies learning needs for staff and implements formal and informal educational programs. Maintains current knowledge and skills to the neonatal area. Utilizes resources in a cost-effective manner. Provides input to Hospital/Regional committees for planning, policy development, patient care, and quality improvement issues and activities. May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct provision of care on the unit. Provides direct patient care on an as needed basis. Provides services that are within the scope of license and in compliance with all legal, regulatory, and policy requirement relevant to clinical role performed. Incorporates the KP Nursing Vision, Model and Values throughout their nursing practice.

RN

PACU

2 weeks ago

Registered Nurse PreOp PACU II - Northwest Spine and Pain Surgery Center

SCA Health Wilsonville, OR

$52 - $56 / hour

Overview At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn’t just what we do, it’s how we do it . Each decision we make is rooted in seven core values : Clinical quality Integrity Service excellence Teamwork Accountability Continuous improvement Inclusion Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America. At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits. Your ideas should inspire change. If you join our team, they will . Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. Promote the mission, vision, and values of SCA . Assess patient’s preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient’s cardiovascular system, respiratory system and airway management needs, neurological system, hemodynamic stability, pain and comfort needs, and mental status. Interpret information accurately from various noninvasive and invasive monitors. Describe the underlying pathophysiology of commonly encountered disease processes. Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions. Apply the relevant scoring system/discharge criteria for patient transfer ( e.g. , Aldrete Score, Modified Aldrete Score [ i.e. , PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. Develop an individualized perianesthesia plan of care. Implement the plan of care including the following interventions: Preparing for and managing patient recovery from anesthesia – general. Preparing for and managing patient recovery from anesthesia – monitored anesthesia care. Preparing for and managing patient recovery from anesthesia – regional. Preparing for and managing patient recovery from anesthesia – local. Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects. C ommunicating the patient’s current status throughout the perianesthesia continuum of care. P roviding acute pain and comfort management as needed. A dministering medications safely and correctly by using the 8 -rights of safe medication administration. P erforming interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels . P erforming interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels. P erforming interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. P erforming interventions to protect patient from infection. M anaging patient’s other co-morbid conditions as applicable. M anaging patient’s fluid as prescribed. A ssessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure; I nvolving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process. P rotecting patient’s rights, dignity, and privacy. P roviding age-specific, culturally competent, ethical care within legal standards of practice; and P roviding consistent and comparable care regardless of the setting. Evaluate the patient’s progress toward attaining outcomes. Transfer care as needed. Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care. Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions. Document nursing care completely, accurately, and legibly. Collaborate effectively with other disciplines as needed. Participate in quality review and performance improvement projects. Participate in the performance appraisal process. Use p roblem-solving and conflict resolution skills to foster effective work relationships with team members. Maintain required competencies. Pursue professional growth. Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. Comply with all facility policies and procedures when providing patient care . Actively participate in team meetings, trainings, and daily safety huddles . Demonstrate fiscal responsibility. Perform all other duties as assigned . Qualifications Graduate of an Accredited School of Nursing. One year of Pre Operative or PACU experience required Medical / surgical nursing experience Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification. USD $52.00/Hr. USD $56.00/Hr.