Kaiser Permanente

RN, RNFA - CNOR Circulator

Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFAs will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases. Essential Responsibilities: Representative Functions or Duties: Practice standards of performance: Pre-operative. Performs pre-operative assessment and evaluation. Collaborates with the surgical team on plan of care. Intra-operative: Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Using instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Post-Operative. Evaluates the patient post-operatively according to facility protocols. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Intra operative nursing behaviors include: handling tissue, providing exposure, using instruments, clamp, cut, and legate as directed by the surgeon, providing homeostasis, suturing as directed by the surgeon. Assists with room preparation in collaboration with the Circulating Nurse and scrub person. Brings patient X-rays into room NOTE: Notifies Charge Nurse or designee if films are not available. Assists in patient transport to the operating room and patient transfer to the operating room table. Provides assistance to Anesthesia during induction. Participates in pre-op briefing time out process. Assists in patient position. Assists in patient preparation, i.e., prepping, catheterization, shaving, as necessary. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person. May perform pre and post-operative patient education as designated. Review chart for pertinent data. Assist in maintaining a safe environment and promoting efficiency in surgical. Procedures.
Kaiser Permanente

Seasonal RN Program - ICU/CCU

#SRNUC This position represents 15 openings. Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability. Understands own and team members scope of practice and escalates issues as appropriate. Demonstrates professional, supportive behavior. Champions new ideas. Leads and directs others through the change process. Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution. Mentors, orients, and coaches others in unit specific operations and patient care activities Shares responsibility and authority with subordinates and holds him/her accountable for performance. Demonstrates ability to problem solve with other departments in order to assist member problem resolution. Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan. Ensures plan shows multidisciplinary planning, consultation, and education. Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity. Ensures plan is discussed with patient, family/significant others, and completed in a timely manner. Monitors the patients progress based on the plan. Revises plan on ongoing basis based on patient condition and evaluation of progress. Ensures care meets standards of practice. Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan. Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections. Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge. Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge . Documentation: Charting is accurate, legible, dated, and timed. Documentation reflects nursing process and interventions and evaluations taken. Utilizes computer systems effectively and efficiently for optimal patient care. Clinical Outcomes: Discusses patient findings and progress toward outcomes with physicians and other members of the health care team. Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation. Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving. Workplace Safety: Adherence to LMP Workplace Safety principles and practices. Applies standard precautions; maintains a safe environment for self and others Patient Care Experience: Practices customer service standards as defined by the Service Area, Medical Center, and specified department. Promptly answers call lights, alarms, and patient requests. Makes appropriate referrals and facilitates the customers ability to utilize resources. Maintains and protects patient confidentiality Ensures clean, orderly, and functional work environment. Treats all families of patients with courtesy, respect, kindness and compassion. Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs. Gives patients information in a way they can understand and ensures comprehension. Provides a patient care experience that exceeds members expectations. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members. Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of an annual education plan. Keeps self informed of activities on the unit and makes recommendations for change. Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Supports a collaborative Labor-Management Partnership environment through unit based teams. Fiscal Responsibility Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that needs simplification or correction. Utilizes payroll and non-payroll resources to their maximum potential.
Kaiser Permanente

LVN - Outpatient - Level II - Fontana Med Center - Electrophysiology - Full Time TEMPORARY

Job Summary: Provides nursing care to patients under the direction of a Registered Nurse of physician/advanced practice provider. Utilizes observational skills to observe nursing intervention and assists medical staff to insure optimal care within established policies, procedures, and standards. Under the direct supervision of a Registered Nurse or provider provides nursing care in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Demonstrates performance consistent with the Mission, Vision, and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats coworkers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: Exhibits excellent customer relations with patients, visitors, providers, and co-workers; shows courtesy, compassion, and respect; conforms to the critical service standards established for the department. Provides therapeutic patient care in accordance with the patients established by physician/advanced practice providers and/or a registered nurse within the scope of practice. Transcribes physician/advanced practice providers orders and directed by policy. Communicates directly with a registered nurse to institute changes in the plan of care; assists with and contributes to the development of a nursing care plan. Administer specified medication appropriately and accurately following the providers order and or standing orders within scope of practice. Executes treatments such as urinary catheterizations, placement of intravenous catheters, bladder irrigations and instillations, suctioning procedures, throat irrigations and enemas, and utilizing equipment as required. Adheres to infection prevention and control policies and procedures. Adheres to high level of disinfectant, point of use, peel packs policies, and procedures. Perform related patient care functions such as taking temperature, pulse, respiration and blood pressure readings, wound care, may instruct patient in various self-administered treatment or procedures; obtain specimens; assures correct culture collection. Assist physician/advance practice providers or other medical staff personnel with examinations and treatments by selecting and passing instruments, providing support and restraint to the patient, draping, and other assistance as directed or required. Within scope observes and documents patients condition by gathering signs, symptoms, and reactions to therapy, to identify unexpected and/or significant findings, initiates appropriate emergency procedures as necessary, and reports unusual conditions to the registered nurse/advanced practice providers as established by policy and procedure in a timely manner. May volunteer to start and maintain intravenous flow rate with Certifications, notifies registered nurse/advanced practice/physician of any problems. May discontinue IV therapy except intra-cath and central venous lines. May volunteer to start perform venipuncture/blood withdrawal with Certifications. Collects and processes specimens per policy, procedures, guidelines, and protocols. Provides non-compoicated teaching following the registered nurse/advanced practice provider/physician plan for education. Report any identified learning needs and discharge barriers. Ensures cleanliness of nursing module/station, patient exam room, and proper functioning of patient care equipment by visual inspection, routine testing, and other related methods. Provides a safe and therapeutic environment for patients and staff. Utilizes effective verbal and non-verbal forms of communication. Performs in other departments or modules to which assigned as required by the nursing/department administration to provide and maintain the established standards of care and safety. Performs departmental back-office workflows including but not limited to proactive office encounter, successfully closing care gaps, patient outreach, access and/or nurse visits. Participates in staff meetings, and in-service programs. Assists in ordering and distribution/stocking of module/department supplies and equipment. Accepts verbal and telephone orders from the physician/advanced practice providers. Supports patient communication and message management including but not limited to patient emails, call center messages, and all other back-office messages. Administers pulse oximetry, humidification therapy, spirometer, oxygen therapy via mask or nasal cannula, oral, nasal, and trach suctioning, and sputum induction. Documents care in Health Connect per policy, procedures, guidelines, and protocols. Performs other related duties as assigned and required, including orientation of new employees. Assists in coordinating the discharge process. Performs all job functions within license certification and scope of practice. Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service. Consistently supports compliance and the Principles of Responsibilities (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and kaiser Permanentes policies and procedures. Age Related Competencies: Skills assessments and validations are utilized to ensure that employees providing patient care to specific age groups (i.e., infants, adolescents, elderly, etc.) are proficient in identifying the special needs and behaviors associated with a particular patient population.
Kaiser Permanente

Licensed Vocational Nurse - Outpatient - Level II - Fontana Med Center - Electrophysiology - Full Time TEMPORARY

Job Summary: Provides nursing care to patients under the direction of a Registered Nurse of physician/advanced practice provider. Utilizes observational skills to observe nursing intervention and assists medical staff to insure optimal care within established policies, procedures, and standards. Under the direct supervision of a Registered Nurse or provider provides nursing care in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Demonstrates performance consistent with the Mission, Vision, and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats coworkers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: Exhibits excellent customer relations with patients, visitors, providers, and co-workers; shows courtesy, compassion, and respect; conforms to the critical service standards established for the department. Provides therapeutic patient care in accordance with the patients established by physician/advanced practice providers and/or a registered nurse within the scope of practice. Transcribes physician/advanced practice providers orders and directed by policy. Communicates directly with a registered nurse to institute changes in the plan of care; assists with and contributes to the development of a nursing care plan. Administer specified medication appropriately and accurately following the providers order and or standing orders within scope of practice. Executes treatments such as urinary catheterizations, placement of intravenous catheters, bladder irrigations and instillations, suctioning procedures, throat irrigations and enemas, and utilizing equipment as required. Adheres to infection prevention and control policies and procedures. Adheres to high level of disinfectant, point of use, peel packs policies, and procedures. Perform related patient care functions such as taking temperature, pulse, respiration and blood pressure readings, wound care, may instruct patient in various self-administered treatment or procedures; obtain specimens; assures correct culture collection. Assist physician/advance practice providers or other medical staff personnel with examinations and treatments by selecting and passing instruments, providing support and restraint to the patient, draping, and other assistance as directed or required. Within scope observes and documents patients condition by gathering signs, symptoms, and reactions to therapy, to identify unexpected and/or significant findings, initiates appropriate emergency procedures as necessary, and reports unusual conditions to the registered nurse/advanced practice providers as established by policy and procedure in a timely manner. May volunteer to start and maintain intravenous flow rate with Certifications, notifies registered nurse/advanced practice/physician of any problems. May discontinue IV therapy except intra-cath and central venous lines. May volunteer to start perform venipuncture/blood withdrawal with Certifications. Collects and processes specimens per policy, procedures, guidelines, and protocols. Provides non-compoicated teaching following the registered nurse/advanced practice provider/physician plan for education. Report any identified learning needs and discharge barriers. Ensures cleanliness of nursing module/station, patient exam room, and proper functioning of patient care equipment by visual inspection, routine testing, and other related methods. Provides a safe and therapeutic environment for patients and staff. Utilizes effective verbal and non-verbal forms of communication. Performs in other departments or modules to which assigned as required by the nursing/department administration to provide and maintain the established standards of care and safety. Performs departmental back-office workflows including but not limited to proactive office encounter, successfully closing care gaps, patient outreach, access and/or nurse visits. Participates in staff meetings, and in-service programs. Assists in ordering and distribution/stocking of module/department supplies and equipment. Accepts verbal and telephone orders from the physician/advanced practice providers. Supports patient communication and message management including but not limited to patient emails, call center messages, and all other back-office messages. Administers pulse oximetry, humidification therapy, spirometer, oxygen therapy via mask or nasal cannula, oral, nasal, and trach suctioning, and sputum induction. Documents care in Health Connect per policy, procedures, guidelines, and protocols. Performs other related duties as assigned and required, including orientation of new employees. Assists in coordinating the discharge process. Performs all job functions within license certification and scope of practice. Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service. Consistently supports compliance and the Principles of Responsibilities (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and kaiser Permanentes policies and procedures. Age Related Competencies: Skills assessments and validations are utilized to ensure that employees providing patient care to specific age groups (i.e., infants, adolescents, elderly, etc.) are proficient in identifying the special needs and behaviors associated with a particular patient population.
Kaiser Permanente

Certified Registered Nurse Anesthetist (CRNA), Orange County/Anaheim (Full Time)

Job Summary: Under the medical supervision of an Anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators. Essential Responsibilities: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements). Evaluates patients pre-operatively by interviewing and examining patient. Reviews chart for relevant information. In collaboration with the anesthesiologist selects anesthetic for patient based on pre-operative examination. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric. Selects anesthetic for patient based on pre-operative examination. Evaluates patients response to pre-medication. Communicates with surgeon and anesthesiologist regarding special concerns of patient. Checks anesthesia equipment daily and between cases to assure safe operating condition. Prepares drugs for administration. Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof. Monitors the patient intraoperatively. Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability. Evaluates the patients postoperatively (within 24 hours). Precepts student nurse anesthetists. Maintains an accurate accounting of controlled substances in accordance with departmental guidelines. Maintains equipment and supplies as outlined in department policies and procedures. Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements). Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel. May perform other duties within scope of licensure/certification as required.
Kaiser Permanente

LVN - Outpatient-Lvl I- Colton MOB - Family Medicine-Regular Clinic - On Call (Bilingual Spanish)

Job Summary: Provides nursing care to patients under the direction of a Registered Nurse of physician/advanced practice provider. Utilizes observational skills to observe nursing intervention and assists medical staff to insure optimal care within established policies, procedures, and standards. Under the direct supervision of a Registered Nurse or provider provides nursing care in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Demonstrates performance consistent with the Mission, Vision, and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats coworkers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: Exhibits excellent customer relations with patients, visitors, providers, and co-workers; shows courtesy, compassion, and respect; conforms to the critical service standards established for the department. Provides therapeutic patient care in accordance with the patients established by physician/advanced practice providers and/or a registered nurse within the scope of practice. Transcribes physician/advanced practice providers orders and directed by policy. Communicates directly with a registered nurse to institute changes in the plan of care; assists with and contributes to the development of a nursing care plan. Administer specified medication appropriately and accurately following the providers order and or standing orders within scope of practice. Executes treatments such as urinary catheterizations, placement of intravenous catheters, bladder irrigations and instillations, suctioning procedures, throat irrigations and enemas, and utilizing equipment as required. Adheres to infection prevention and control policies and procedures. Adheres to high level of disinfectant, point of use, peel packs policies, and procedures. Perform related patient care functions such as taking temperature, pulse, respiration and blood pressure readings, wound care, may instruct patient in various self-administered treatment or procedures; obtain specimens; assures correct culture collection. Assist physician/advance practice providers or other medical staff personnel with examinations and treatments by selecting and passing instruments, providing support and restraint to the patient, draping, and other assistance as directed or required. Within scope observes and documents patients condition by gathering signs, symptoms, and reactions to therapy, to identify unexpected and/or significant findings, initiates appropriate emergency procedures as necessary, and reports unusual conditions to the registered nurse/advanced practice providers as established by policy and procedure in a timely manner. Collects and processes specimens per policy, procedures, guidelines, and protocols. Provides non-0compoicated teaching following the registered nurse/advanced practice provider/physician plan for education. Report any identified learning needs and discharge barriers. Ensures cleanliness of nursing module/station, patient exam room, and proper functioning of patient care equipment by visual inspection, routine testing, and other related methods. Provides a safe and therapeutic environment for patients and staff. Utilizes effective verbal and non-verbal forms of communication. Performs in other departments or modules to which assigned as required by the nursing/department administration to provide and maintain the established standards of care and safety. Performs departmental back-office workflows including but not limited to proactive office encounter, successfully closing care gaps, patient outreach, access and/or nurse visits. Participates in staff meetings, and in-service programs. Assists in ordering and distribution/stocking of module/department supplies and equipment. Accepts verbal and telephone orders from the physician/advanced practice providers. Supports patient communication and message management including but not limited to patient emails, call center messages, and all other back-office messages. Administers pulse oximetry, humidification therapy, spirometer, oxygen therapy via mask or nasal cannula, oral, nasal, and trach suctioning, and sputum induction. Documents care in Health Connect per policy, procedures, guidelines, and protocols. Performs other related duties as assigned and required, including orientation of new employees. Assists in coordinating the discharge process. Performs all job functions within license certification and scope of practice. Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service. Consistently supports compliance and the Principles of Responsibilities (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and kaiser Permanentes policies and procedures. Age Related Competencies: Skills assessments and validations are utilized to ensure that employees providing patient care to specific age groups (i.e., infants, adolescents, elderly, etc.) are proficient in identifying the special needs and behaviors associated with a particular patient population.
Kaiser Permanente

Licensed Vocational Nurse - Outpatient - Level II - Fontana Med Center - Electrophysiology - Full Time

Job Summary: Provides nursing care to patients under the direction of a Registered Nurse of physician/advanced practice provider. Utilizes observational skills to observe nursing intervention and assists medical staff to insure optimal care within established policies, procedures, and standards. Under the direct supervision of a Registered Nurse or provider provides nursing care in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Demonstrates performance consistent with the Mission, Vision, and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats coworkers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: Exhibits excellent customer relations with patients, visitors, providers, and co-workers; shows courtesy, compassion, and respect; conforms to the critical service standards established for the department. Provides therapeutic patient care in accordance with the patients established by physician/advanced practice providers and/or a registered nurse within the scope of practice. Transcribes physician/advanced practice providers orders and directed by policy. Communicates directly with a registered nurse to institute changes in the plan of care; assists with and contributes to the development of a nursing care plan. Administer specified medication appropriately and accurately following the providers order and or standing orders within scope of practice. Executes treatments such as urinary catheterizations, placement of intravenous catheters, bladder irrigations and instillations, suctioning procedures, throat irrigations and enemas, and utilizing equipment as required. Adheres to infection prevention and control policies and procedures. Adheres to high level of disinfectant, point of use, peel packs policies, and procedures. Perform related patient care functions such as taking temperature, pulse, respiration and blood pressure readings, wound care, may instruct patient in various self-administered treatment or procedures; obtain specimens; assures correct culture collection. Assist physician/advance practice providers or other medical staff personnel with examinations and treatments by selecting and passing instruments, providing support and restraint to the patient, draping, and other assistance as directed or required. Within scope observes and documents patients condition by gathering signs, symptoms, and reactions to therapy, to identify unexpected and/or significant findings, initiates appropriate emergency procedures as necessary, and reports unusual conditions to the registered nurse/advanced practice providers as established by policy and procedure in a timely manner. May volunteer to start and maintain intravenous flow rate with Certifications, notifies registered nurse/advanced practice/physician of any problems. May discontinue IV therapy except intra-cath and central venous lines. May volunteer to start perform venipuncture/blood withdrawal with Certifications. Collects and processes specimens per policy, procedures, guidelines, and protocols. Provides non-compoicated teaching following the registered nurse/advanced practice provider/physician plan for education. Report any identified learning needs and discharge barriers. Ensures cleanliness of nursing module/station, patient exam room, and proper functioning of patient care equipment by visual inspection, routine testing, and other related methods. Provides a safe and therapeutic environment for patients and staff. Utilizes effective verbal and non-verbal forms of communication. Performs in other departments or modules to which assigned as required by the nursing/department administration to provide and maintain the established standards of care and safety. Performs departmental back-office workflows including but not limited to proactive office encounter, successfully closing care gaps, patient outreach, access and/or nurse visits. Participates in staff meetings, and in-service programs. Assists in ordering and distribution/stocking of module/department supplies and equipment. Accepts verbal and telephone orders from the physician/advanced practice providers. Supports patient communication and message management including but not limited to patient emails, call center messages, and all other back-office messages. Administers pulse oximetry, humidification therapy, spirometer, oxygen therapy via mask or nasal cannula, oral, nasal, and trach suctioning, and sputum induction. Documents care in Health Connect per policy, procedures, guidelines, and protocols. Performs other related duties as assigned and required, including orientation of new employees. Assists in coordinating the discharge process. Performs all job functions within license certification and scope of practice. Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service. Consistently supports compliance and the Principles of Responsibilities (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and kaiser Permanentes policies and procedures. Age Related Competencies: Skills assessments and validations are utilized to ensure that employees providing patient care to specific age groups (i.e., infants, adolescents, elderly, etc.) are proficient in identifying the special needs and behaviors associated with a particular patient population.
Kaiser Permanente

LVN II - Plastic Surgery - On-Call: Bilingual Spanish

Job Summary: Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures. Demonstrates performance consistent with the Mission, Vision and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats co-workers, patients, families and all members of the health care team with dignity and respect. Essential Responsibilities: Representative Duties: Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Performs patient care functions, within the scope of competency, considering age related needs of the patient as prescribed by physician/health care professional(s) following established protocols, policies and procedures. Assist medical personnel with special procedures, minor surgical procedures and/or diagnostic exams. Assess and monitor patients condition and notify physician/health care professional for disposition. Prepare and administer medications as directed by physician order following established protocols. Maintain equipment and supplies. Identify and arrange for equipment needing repair. Apply principles of aseptic technique and infection control as directed by the Infection Control Manual. Monitor patient flow and assign/direct other ancillary personnel as needed. Provide medical information and education to patients, following established protocols and guidelines. Document pertinent patient information, assessment and nursing procedures following established protocols. Maintain patient confidentiality. Perform other duties as directed. Patient/Care Procedures: Explain purpose and process of examinations, tests and medical procedures to patients, following established guidelines. Instruct patients on general health and basic self care procedures. Review, explain and clarify physician orders with patient. Instruct patient in use of home equipment. Administer patient first aid. Apply basic orthopedic devices, as ordered by physician. Apply and remove dressings. Execute treatments such as urinary catheterization, bladder irrigations, suction procedures and throat irrigations. Follow standard infection control procedures. Administer enemas. Initiate emergency procedures (including basic CPR) and provide emergency patient treatments Lift patients. Monitor patient vital signs. Monitor patients for bleeding. Observe machine monitors. Administer inhalation therapy. Participate in development of nursing care plans. Perform surgical preps. Prepare and position patients for procedures. Prepare patients for physical examinations. Provide therapeutic care as ordered by physician. Rinse and clean instruments and equipment. Sterilize instruments and equipment. Arrange for equipment repair and maintenance. Maintain clean work area. Monitor supply of oxygen and gas tanks. Complete laboratory, radiology requisitions and specialized test forms. Notify appropriate personnel of abnormal lab test results. Answer member inquires. Observe patient condition for reactions during and after procedures. Remove sutures following established protocols. Respond to Code Blues. Take and record patient vital signs, height, weight, etc. Obtain specimens from patients (urine, stool, etc.). Perform venipuncture and finger sticks to obtain blood samples. Prepare specimens and specimens for lab analysis. Perform urine tests (tablet or dipstick.) Perform vision screening using Snellen chart. Perform routine diagnostic tests, following established protocols. Perform skin tests. Assist as member of surgical team. Assist physicians with endotrachael intubations. Assists physician in obtaining tissue specimens and biopsies. Assist with proctological procedures (i.e. Sigmoidoscopies.) Restrain or support patients during procedures. Perform EKGs (electrocardiograms.) Assist patients with ambulation and exercises, following established protocols Administer topical or aerosol medication as ordered. Administer medications as prescribed, within scope of practice. Transportation: Transport patients to/from designated areas. Route specimens to laboratory. Transport laboratory specimens, medical records, laboratory supplies and materials. Transport office supplies and materials, patient related supplies and materials. Transport equipment, and procedures trays. Administrative/Clerical/Record Keeping: Request charts/medical records. Schedule, cancel and reschedule patient appointments. Initiate follow up appointments with patients. Check in patients/members. Prepare outgoing mail. Locate personnel by paging system or beeper. Provide patient information to family members, following patient confidentiality guidelines. Record and send Faxs. Screen patient calls and take messages for providers. Maintain department logs. Maintain and update user manuals. Monitor and maintain protocol manuals. Respond to requests for information. Order medical supplies and equipment. Receive, store and distribute materials and supplies. Replenish linen. Adjust work schedules and/or reassign personnel as directed. Serve as resource to coworkers by answering procedure questions and assisting in problem solving. Participate in special projects and studies. Demonstrate safety procedures. Coordinate and monitor activities within the module. Function as team leader. Participate in department meetings. Train and orient new staff to equipment, general duties and procedures, following established protocols. Maintain proficiency in clinical skills. Answer call lights. Answer telephones and take messages. Call in telephone prescriptions, following established protocols. Assume other activities and responsibilities as directed.
Kaiser Permanente

RN, Outpatient -SPUPU 40 HRS

Job Summary: The RN participates as a member of the health care team in delivering quality health care to patients, which supports Kaiser Permanentes mission, vision and values. The RN provides a variety of nursing services both in person and by phone utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/she works under the general direction of the designated supervisor. Essential Responsibilities: Professional Competencies: Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, convenient and easy and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines. Demonstrates ethical and legal behavior in all professional activities. Acts as an advocate for individuals, groups and communities. Demonstrates accountability for own ethical behavior and for delegated actions. Demonstrates responsible and accountable behavior concerning own work schedule. Understands and supports Kaiser Permanente policies, legal considerations and professional ethics. Adheres to Health Insurance Portability and Accountability Act (HIPAA) and confidentiality policies. Utilizes a critical thinking approach to problem solve and make decisions. Applies analytical reasoning, reflection and rational problem-solving skills, using verifiable information, and clinical judgment, in order to choose among alternative solutions to clinical problems. Fosters and uses innovative thinking to create alternative solutions. Demonstrates the ability to analyze, synthesize and utilize data to provide optimal nursing care. Understands and provides competent care to a diverse population. Uses knowledge of cultural differences to provide nursing care that is sensitive to and consistent with cultural values, beliefs, and customs. Provides culturally sensitive teaching materials to individuals, families and groups. Practices health care team building and leadership skills. Applies leadership skills to facilitate effective team functioning and operations of the module or department. Role models and facilitates change within the health care team to respond to health care and organizational needs. Directs, delegates and monitors quality of care delivered by the health care team and brings deviations to the attention of staff involved and Team Leader. Mentors new staff and assists with orientation and staff development needs. Collaborates with Team Leader and Manager in setting quality standards for nursing care and in the development of policies and procedures. Provides input to Team Leader and Manager about the job performance of other RNs, LPNs and unlicensed personnel in the health care team. Demonstrates commitment to customer service. Participates in population-based care activities: Participates in out reach and in reach activities to meet clinical targets. Effectively identifies needs and provides prevention, early intervention and ongoing health education for panel population, individual patient and family. Assists individuals and groups to learn self-management skills that promote and protect health. Develops teaching plans for individuals and groups related to health promotion and disease prevention. Demonstrates technological literacy in using computerized information systems. Accesses, evaluates and uses data and information from a wide range of resources. Demonstrates effective use of computer-based information and practice management systems for decision support, provision of care, continuous quality improvement and professional development. Provides input to the development of information systems that impact the provision of patient care. Facilitates the members use of health care technologies. Participates in ongoing continuing education activities and shares knowledge with other health care team members. Demonstrates commitment to continuous learning that advances professional nursing practice. Demonstrates ability to identify own learning needs. Actively works to address personal and professional growth needs. Serves as resource, mentor and role model for other members of the health care team. Clinical Competencies: Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. Plans, implements, manages, coordinates and evaluates a plan of care across the care continuum. Facilitates member wellness and function and identifies needs for health care interventions. Utilizes appropriate assessment tools, processes, clinical pathways and guidelines to manage patient care. Integrates theory and research-based knowledge in the provision of direct and indirect nursing care. Performs and modifies therapeutic and preventive nursing measures and administers treatments and medications as authorized by law and determined by the State Board of Nursing. Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment. Performs triage and telephone advice independently and within scope of the Oregon and/or Washington Nurse Practice Acts. Maintains a safe and therapeutic environment for staff, patients and family members. Participates in the research process. Documents the nursing care provided which demonstrates the application of the nursing process and complies with departmental and/or organizational standards. Applies effective oral and written communication skills in interacting with patients, families and members of the health care team. This includes effective negotiation and conflict management skills. Organizational Competencies: Recognizes the impact of systems on health care delivery. Facilitates coordination of care across all settings with particular attention to transitional needs. Functions within interdisciplinary teams in a manner that promotes coordination, mutual respect and timely response to the patients health care needs. Acts as an advocate for individuals and groups with unmet health needs. Applies the knowledge and tools of continuous improvement in clinical practice and the delivery of health care.
Kaiser Permanente

RN, Outpatient -SPUPU 40 hrs

Job Summary: The RN participates as a member of the health care team in delivering quality health care to patients, which supports Kaiser Permanentes mission, vision and values. The RN provides a variety of nursing services both in person and by phone utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/she works under the general direction of the designated supervisor. Essential Responsibilities: Professional Competencies: Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, convenient and easy and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines. Demonstrates ethical and legal behavior in all professional activities. Acts as an advocate for individuals, groups and communities. Demonstrates accountability for own ethical behavior and for delegated actions. Demonstrates responsible and accountable behavior concerning own work schedule. Understands and supports Kaiser Permanente policies, legal considerations and professional ethics. Adheres to Health Insurance Portability and Accountability Act (HIPAA) and confidentiality policies. Utilizes a critical thinking approach to problem solve and make decisions. Applies analytical reasoning, reflection and rational problem-solving skills, using verifiable information, and clinical judgment, in order to choose among alternative solutions to clinical problems. Fosters and uses innovative thinking to create alternative solutions. Demonstrates the ability to analyze, synthesize and utilize data to provide optimal nursing care. Understands and provides competent care to a diverse population. Uses knowledge of cultural differences to provide nursing care that is sensitive to and consistent with cultural values, beliefs, and customs. Provides culturally sensitive teaching materials to individuals, families and groups. Practices health care team building and leadership skills. Applies leadership skills to facilitate effective team functioning and operations of the module or department. Role models and facilitates change within the health care team to respond to health care and organizational needs. Directs, delegates and monitors quality of care delivered by the health care team and brings deviations to the attention of staff involved and Team Leader. Mentors new staff and assists with orientation and staff development needs. Collaborates with Team Leader and Manager in setting quality standards for nursing care and in the development of policies and procedures. Provides input to Team Leader and Manager about the job performance of other RNs, LPNs and unlicensed personnel in the health care team. Demonstrates commitment to customer service. Participates in population-based care activities: Participates in out reach and in reach activities to meet clinical targets. Effectively identifies needs and provides prevention, early intervention and ongoing health education for panel population, individual patient and family. Assists individuals and groups to learn self-management skills that promote and protect health. Develops teaching plans for individuals and groups related to health promotion and disease prevention. Demonstrates technological literacy in using computerized information systems. Accesses, evaluates and uses data and information from a wide range of resources. Demonstrates effective use of computer-based information and practice management systems for decision support, provision of care, continuous quality improvement and professional development. Provides input to the development of information systems that impact the provision of patient care. Facilitates the members use of health care technologies. Participates in ongoing continuing education activities and shares knowledge with other health care team members. Demonstrates commitment to continuous learning that advances professional nursing practice. Demonstrates ability to identify own learning needs. Actively works to address personal and professional growth needs. Serves as resource, mentor and role model for other members of the health care team. Clinical Competencies: Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. Plans, implements, manages, coordinates and evaluates a plan of care across the care continuum. Facilitates member wellness and function and identifies needs for health care interventions. Utilizes appropriate assessment tools, processes, clinical pathways and guidelines to manage patient care. Integrates theory and research-based knowledge in the provision of direct and indirect nursing care. Performs and modifies therapeutic and preventive nursing measures and administers treatments and medications as authorized by law and determined by the State Board of Nursing. Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment. Performs triage and telephone advice independently and within scope of the Oregon and/or Washington Nurse Practice Acts. Maintains a safe and therapeutic environment for staff, patients and family members. Participates in the research process. Documents the nursing care provided which demonstrates the application of the nursing process and complies with departmental and/or organizational standards. Applies effective oral and written communication skills in interacting with patients, families and members of the health care team. This includes effective negotiation and conflict management skills. Organizational Competencies: Recognizes the impact of systems on health care delivery. Facilitates coordination of care across all settings with particular attention to transitional needs. Functions within interdisciplinary teams in a manner that promotes coordination, mutual respect and timely response to the patients health care needs. Acts as an advocate for individuals and groups with unmet health needs. Applies the knowledge and tools of continuous improvement in clinical practice and the delivery of health care.
Kaiser Permanente

Nurse Practitioner or Physician Assistant - OBGYN - 32 hour

Job Summary: Provide high quality health care to Kaiser Permanente members in a cost effect manner and in accordance with accepted professional practice standards. This Clinician floats to all service areas in the NW Region, works in adult Primary Care covering for other Clinician panels and/or for short term (three months or less) needs in the MOB. Essential Responsibilities: Provide high-quality health care through direct assessment, diagnosis, and formulation/implementation of treatment plan for patients with common acute and chronic illnesses and injuries (may include performing histories and physicals; ordering, interpreting, and following up on diagnostic studies; ordering medications). Perform health maintenance services, including patient education, for well members. Refer patients for specialty consultations or difficult problems. Document in writing all care in patients permanent medical record in accordance with accepted medical/legal standards. Provide all medical care in accordance with accepted practice standards, hospital/clinic protocols (including supervision by a physician), and State licensing guidelines for Oregon & Washington. Coordinate, develop or organize patient or department services or programs. Examples include, but are not limited to: Assist in developing NP/PA Float protocols. Develop written patient education materials. Provide in-service training. Chair or participate on committees such as Breastfeeding Task Force, Regional Controlled substance Abuse Committee, etc. Participate in NP/PA Meeting. Perform other duties as requested.
Kaiser Permanente

Nurse Practitioner / Physician Assistant - Population Management (Bilingual Spanish)

Job Summary: Nurse practitioners (NP) provide health care services to patients who may have acute episodic conditions or chronic problems, as well as those seeking health evaluation, preventive care and/or education and counseling. NPs provide care in areas within KP in primary care or specialty departments consistent with their educational preparation following the Regional Standardized Procedures and Process Protocols for Ambulatory and Hospital-Based Practice. They perform complete physical examinations, including ordering, interpreting and evaluating diagnostic tests and examinations. Assume on-going responsibility for each patient from discovery of the disorder to recovery. Diagnose and treat both chronic and episodic disorders including complications of otherwise normal processes. Establish and document the health care plan and diagnosis, maintain records of each case that are sufficiently complete for any physician reviewing them to evaluate the effectiveness of the plan. Consistently demonstrates the knowledge, skills, abilities and behaviors necessary to provide superior and culturally sensitive service to each other, to our members and to customers, contracted providers and vendors. Essential Responsibilities: Collect subjective data (obtain history). Collect objective data (perform a physical exam). Develop an assessment (diagnosis). Develop and implement a management plan. Facilitate the referral of patients to the appropriate health facilities, agencies and resources within the community. Order pharmacologic interventions. Develop and implement an educational plan. Plan for appropriate follow-up care. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.
Kaiser Permanente

LPN

Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Licensed Practical Nurse I (LPN I) I practices nursing as defined by the Georgia Board of Nursing standards of practice for Licensed Practical Nurses and by organizational policies, procedures, and guidelines. The LPN I, under the supervision of the Registered Nurse or Physician, provides direct and indirect nursing care to patients and families to promote or restore health and to prevent illness and injury. Educates patients and families and assists with coordination of care. Collaborates with members of the Health Care Team (HCT) and leaders to ensure the delivery of high-quality care that meets defined standards that optimizes health and wellness. Essential Responsibilities: Prepares patient for office visit by reviewing history, collecting relevant clinical information (e.g. height, weight, vision, or hearing screen), measuring vital signs, and documenting in the medical record. Completes POE and addresses care gaps during the patient encounter. Prepares room and equipment for procedure and assist the practitioner as needed. Initiates interventions and document response to treatment according to established workflows and guidelines. Participates in emergency care as directed by practitioner or registered nurse. Educates patients and provides preparation materials for diagnostic studies according to guidelines. Schedules appointments for patients with lab, radiology, or specialty consultations as ordered by practitioner. Monitors electronic messaging and emails (department InBasket) related to patient or provider requests and manages the messages within scope of practice. Participates in departmental or regional quality improvement activities and initiatives. Engages patients, families, and caregivers in the coordination of care. Resolves patient concerns promptly. Provides departmental orientation and training of new team members on standard work, policies, and procedures. Participates in the supervision of unlicensed personnel in the delivery of patient care. May perform other duties as assigned.
Kaiser Permanente

LPN, Virtual Care Onsite

Job Summary: Kaiser Permanente (KP) nurses advance the art and science of nursing through clinical and service excellence, professionalism, and leadership. The Licensed Practical Nurse - Virtual Care provides virtual nursing care to patients, members, and families to promote health and wellness and prevent illness. Collaborates with clinicians, leaders, and members of the virtual care team to deliver high quality care in accordance with scope of practice. Assist with patient education. Documents clinical information in the medical record. Essential Responsibilities: Monitors electronic messaging related to patient and provider requests and inquires within scope of practice and as delegated by RN. Manages messages in a timely and effective manner to resolve patient requests and concerns. Determines appropriateness and acuity of needs based upon electronic messaging content and initiates follow-up telephone contact within scope of practice. Directs messages and transfers calls if outside of scope of practice to RN for management and resolution. Determines patient and family health education needs, provides health teaching and counseling and evaluates effectiveness of the education process. Accurately documents patient data according to established guidelines and policies. Participates in quality improvement activities or initiatives. Serves as an advocate for the patient. Completes other department-specific procedures and nursing care within scope of practice and skill. Adheres to KP compliance standards and Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licensure requirements (if applicable), and Kaiser Permanentes policies and procedures. May perform other duties as assigned.
Kaiser Permanente

LPN

Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Licensed Practical Nurse I (LPN I) I practices nursing as defined by the Georgia Board of Nursing standards of practice for Licensed Practical Nurses and by organizational policies, procedures, and guidelines. The LPN I, under the supervision of the Registered Nurse or Physician, provides direct and indirect nursing care to patients and families to promote or restore health and to prevent illness and injury. Educates patients and families and assists with coordination of care. Collaborates with members of the Health Care Team (HCT) and leaders to ensure the delivery of high-quality care that meets defined standards that optimizes health and wellness. Essential Responsibilities: Prepares patient for office visit by reviewing history, collecting relevant clinical information (e.g. height, weight, vision, or hearing screen), measuring vital signs, and documenting in the medical record. Completes POE and addresses care gaps during the patient encounter. Prepares room and equipment for procedure and assist the practitioner as needed. Initiates interventions and document response to treatment according to established workflows and guidelines. Participates in emergency care as directed by practitioner or registered nurse. Educates patients and provides preparation materials for diagnostic studies according to guidelines. Schedules appointments for patients with lab, radiology, or specialty consultations as ordered by practitioner. Monitors electronic messaging and emails (department InBasket) related to patient or provider requests and manages the messages within scope of practice. Participates in departmental or regional quality improvement activities and initiatives. Engages patients, families, and caregivers in the coordination of care. Resolves patient concerns promptly. Provides departmental orientation and training of new team members on standard work, policies, and procedures. Participates in the supervision of unlicensed personnel in the delivery of patient care. May perform other duties as assigned.
Kaiser Permanente

Sp Unit Staff RN - Stepdown DOU

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability. Understands own and team members scope of practice and escalates issues as appropriate. Demonstrates professional, supportive behavior. Champions new ideas. Leads and directs others through the change process. Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution. Mentors, orients, and coaches others in unit specific operations and patient care activities Shares responsibility and authority with subordinates and holds him/her accountable for performance. Demonstrates ability to problem solve with other departments in order to assist member problem resolution. Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan. Ensures plan shows multidisciplinary planning, consultation, and education. Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity. Ensures plan is discussed with patient, family/significant others, and completed in a timely manner. Monitors the patients progress based on the plan. Revises plan on ongoing basis based on patient condition and evaluation of progress. Ensures care meets standards of practice. Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan. Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections. Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge. Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge . Documentation: Charting is accurate, legible, dated, and timed. Documentation reflects nursing process and interventions and evaluations taken. Utilizes computer systems effectively and efficiently for optimal patient care. Clinical Outcomes: Discusses patient findings and progress toward outcomes with physicians and other members of the health care team. Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation. Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving. Workplace Safety: Adherence to LMP Workplace Safety principles and practices. Applies standard precautions; maintains a safe environment for self and others Patient Care Experience: Practices customer service standards as defined by the Service Area, Medical Center, and specified department. Promptly answers call lights, alarms, and patient requests. Makes appropriate referrals and facilitates the customers ability to utilize resources. Maintains and protects patient confidentiality Ensures clean, orderly, and functional work environment. Treats all families of patients with courtesy, respect, kindness and compassion. Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs. Gives patients information in a way they can understand and ensures comprehension. Provides a patient care experience that exceeds members expectations. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members. Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of an annual education plan. Keeps self informed of activities on the unit and makes recommendations for change. Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Supports a collaborative Labor-Management Partnership environment through unit based teams. Fiscal Responsibility Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that needs simplification or correction. Utilizes payroll and non-payroll resources to their maximum potential.
Kaiser Permanente

Staff Nurse - 36 Hr Night - Wailuku/Kihei

Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any task requiring nursing knowledge, judgment, and skills. Administers medications. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the Maui Health Vision, Model and Values through out their Nursing Practice. Performs other duties and accepts responsibility as assigned within the scope of their practice. May be assigned to another cost center; that may include other work locations on a shift by shift basis to meet patient care requirements.
Kaiser Permanente

Emergency Department Charge RN

Job Summary: The Charge Nurse, under the direct and indirect supervision of the Nursing Unit Coordinator, Assistant Coordinator and/or Hospital Supervisor facilitates and assists with all levels of nursing care being provided to a group of patients within one nursing unit during the period of one working shift. In addition to these responsibilities, the Charge Nurse frequently assumes all or partial staff nurse responsibilities. The Charge Nurses are directly accountable to the Nursing Coordinator for the unit. The Charge Nurses assist the staff nurses with day to day problem solving, communication between shifts, and may serve as a link between staff nurse and the Nursing Coordinator. Essential Responsibilities: The Charge Nurse will assist in the supervising of nursing personnel: Assist in the interviewing process of applicants for posted positions and makes recommendations to the Coordinator. Support organizational goals and objectives. Provide input into staff evaluations. Monitor performance of staff and provide documentation of performance problems to the Coordinator. Provide input into the development and maintenance of staffing patterns for the patient care unit and helps to monitor day-to-day staffing and utilization of nursing resources. Coordinate staff meetings under the direction of the Coordinator. The Charge Nurse will contribute to overall functioning of the Unit by monitoring resources. Identify and communicate to the Coordinator systems problems that interfere with effective client care and convey risk situations to the Coordinator. Participate and give input into trend analysis for the operational budget. Assist with materials management, ensuring availability of supplies needed. Provide direction during emergency situations as delegated. The Charge Nurse will actively participate in providing and/or facilitating client care. Participate in the development and implementation of standards of client care, policies and procedures and protocols. Coordinate and participate in the delivery of patient care on a specific unit. Utilizing the nursing process: 1. Assess need and priorities of patient. 2. Assist in the implementation of nursing care. 3. Evaluate effectiveness of nursing care. Participate in the development and ongoing monitoring of quality assurance activities. Provide input into and participate in development and achievement of departmental goals and objectives. Participate in multi-disciplinary patient care conferences and discharge planning activities as appropriate. Identify and assist in problem-solving both intrashift and intershift. Keep Coordinators Hospital Supervisors informed of problems/resolutions. Function within expected behavior standards of Staff Nurse as participating in role. The Charge Nurse will function as an educator for other health care professional and clients. Assists in development and presentation of in-service programs. Participates in clinical orientation to the nursing unit. Participate in the planning and provision of education/teaching to patients and their families. Serve as a resource to other departments in area of specialty. The Charge Nurse will participate in professional activities for self and others. Support departmental and organizational philosophy, goals, objectives, policies and procedures. Participate in meetings, special projects, and committees as designated. Support and/or participate in research programs approved by the Department of Nursing as designated. Promote interdepartmental and intradepartmental communications. Foster good public relations. Assume responsibility for own continuing education and development. The Staff Nurse will apply knowledge of organizational expectations of personnel policies and procedures. Follow appropriate policies and procedures for use of time in work environment, including absenteeism and tardiness. Monitor and take corrective action to prevent recurring absences. Return promptly from breaks and schedule them in concert with co-workers to provide appropriate coverage of unit and client care activities. Consistently on time and ready to work at start of shift and has assignments completed at end of shift. Maintain confidentiality of all client and organizational records. Release information according to established policy/procedure. Demonstrate a positive attitude while at the work site. Does not conduct personal conversations when members are waiting for service. Does not carry on discussions regarding other staff members, the organization, or medical care in public areas. Restricts personal business to non-client care areas during bonafide break times. Identify self by wearing a name tag, and verbally introducing self by name, title and/or department. Address members with courtesy and respect. Provide assistance to members or connects member with appropriate person when needed. Apply same courtesy standards to members on the telephone as in person. Oversees quality of unit in conjunction with the manager.
Kaiser Permanente

Medical Assistant (Bilingual)

Job Summary: Under direct supervision and within established scope of practice, assists in the provision of direct patient care by performing routine patient care procedures, technical, and supportive functions in a medical office or clinic setting. Essential Responsibilities: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Performs routine patient care functions as prescribed by licensed health care providers following established clinical protocols, policies and procedures within defined scope of education, training and responsibilities. Assists assigned physician(s) and/or other health care professional(s). Performs routine clerical functions as assigned (i.e. making appointments, chart management, telephone calls etc.). Prepares and administers medications as directed by physician order and in accordance with Kaiser Permanente guidelines. Assists medical personnel with procedures and/or diagnostic exams. Applies principles of aseptic technique and infection control as directed by the Infection Control Manual. Establishes and maintains systems for patient test results and follow-up. Provides basic information and assistance to patients under the direction of licensed personnel. Documents pertinent patient information, nursing procedures and patient responses, following established guidelines and maintaining patient confidentiality. Establishes and maintains courteous and cooperative relations with members, staff and co-workers. Perform other duties as directed.
Kaiser Permanente

Certified Registered Nurse Anesthetist (CRNA), Los Angeles (Full Time)

$25,000 Sign on Bonus Eligible Job Summary: Under the medical supervision of an Anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators. Essential Responsibilities: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements). Evaluates patients pre-operatively by interviewing and examining patient. Reviews chart for relevant information. In collaboration with the anesthesiologist selects anesthetic for patient based on pre-operative examination. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric. Selects anesthetic for patient based on pre-operative examination. Evaluates patients response to pre-medication. Communicates with surgeon and anesthesiologist regarding special concerns of patient. Checks anesthesia equipment daily and between cases to assure safe operating condition. Prepares drugs for administration. Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof. Monitors the patient intraoperatively. Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability. Evaluates the patients postoperatively (within 24 hours). Precepts student nurse anesthetists. Maintains an accurate accounting of controlled substances in accordance with departmental guidelines. Maintains equipment and supplies as outlined in department policies and procedures. Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements). Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel. May perform other duties within scope of licensure/certification as required.
Kaiser Permanente

Medical Assistant, Primary Care - Port Orchard (per diem - float)

Job Summary: Kaiser Permanente Washington serves over 700,000 members across the state of Washington and is growing! We believe that achieving total health for our members takes teamwork and we are looking for exceptional team members who thrive on delivering an exceptional experience for our members and patients. Kaiser Permanente Washington is recognized as a best place to work that embraces diversity, fosters collaboration, practices mentorship, and believes in a positive, healthy work environment. Our Medical Assistants (MA) play a critical role and are key to our promise on delivering an exceptional patient experience. As an MA at Kaiser Permanente you will be part of a world class care team working with outstanding nurses, physicians, physicians assistants and nurse practitioners to provide the best care possible. Join us in our mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Essential Responsibilities: Collection of selected data about health status of the patient. Determines consumers purpose for visit, concerns and educational/physical needs. Checks and records consumers vital signs. Records pertinent data on the consumers medical record. Recognizes urgent/emergent situations and refers them in a timely fashion to physician or nurse. Participates with other health team members in the development of the nursing care plan. Contributes pertinent information to the nursing plan of care and passes it on to appropriate professional provider. Follows through and implements the nursing plan of care safely and completely according to role and team specifications. Documents accurate information in proper format. Communicates in an attentive and individualized manner in every encounter. Participates in the coordination and facilitation of care for the patient. Cooperates and communicates effectively with other team members in order to accomplish the workload. Recognizes and reports obvious psychosocial, cultural and/or emotional needs. Verifies the patients understanding of the purpose for visit. Instructs and orients patients and family/significant others to the health care team members, the services available, and the means of access to those services. Participates in the orientation of new consumers to KFHPWs policies and procedures. Demonstrates an awareness of the Consumer Bill of Rights and Responsibilities. According to the educational plan determined by the professional provider, provides instruction to the patient and family/significant others. Provides instruction that matches learning needs and the nursing plan of care. Encourages patient compliance with therapeutic and medical regimens. Under the direction of the professional provider, provides the patient with preventive care information that matches his/her age, sex, and health status. Utilizes available health education resources. Reinforces the plan with patient to improve general health status. Accurately documents selected patient history observations and procedures. Adheres to KFHPW documentation standards. Provides each patient a safe, comfortable, and private environment. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control policies and procedures. Demonstrates responsibility and accountability for practice, for continued growth and self-evaluation. Identifies own learning needs and participates in educational efforts to meet those needs. Participates in staff orientation and student education activities. Participates with managers in completing the process for self and colleague/team performance reviews. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.
Kaiser Permanente

Medical Assistant, 20hrs, Tysons

Job Summary: Under direct physician supervision, assists providers, nurses and allied health personnel in delivering comprehensive, high quality patient care to Kaiser Permanente members. Essential Responsibilities: Assists the physician in providing comprehensive medical care to targeted patient population in the ambulatory clinic setting by: Preparing the patient for the medical examination. Performing rooming-in, screening activities and patient histories for the appropriate to patient population. Performing assigned clinical tasks and/or procedures. Set up patient for virtual visit in clinic. Turnover room following patient visit. Serve as chaperone for exams if requested by patient. Assisting with scheduling follow-up appointments and activities as recommended by the physician. Performs clinical tasks and/or procedures appropriate to targeted patient population under the delegation and supervision of a licensed physician. Immediately notifies physician or other licensed health care provider of patients observed to be in distress. Documents all care given and actions taken on behalf of the patient in KP HealthConnect. Facilitates smooth and efficient operation of the clinical department by monitoring the flow of patients and intervening as appropriate to minimize wait times and promote a positive experience for the patient. Assists with inventory and requisition of required supplies; keeps exam and procedure rooms adequately stocked at all times. Engages in positive interactions with Kaiser Permanente members, visitors and fellow staff members at all times. Monitor and manage refrigerated medications under the supervision of the practicing physician. Serves and protects the practice by adhering to professional standards; facility policies and procedures; and federal, state, and local requirements. Administers medications per KP policy and using the 5 rights of medication administration. Performs basic diagnostic and laboratory tests and specimen collection per KP policy and CLIA regulations. Assist with routine patient education and self-care instructions as directed by providers. Performs other duties as assigned.
Kaiser Permanente

Medical Assistant III

Job Summary: Supports practitioner and clinical team to accomplish proactive patient management as delegated by and under indirect supervision of clinic nursing supervisor, and with direction from charge nurse, staff nurse, or practitioner. Performs variety of technical, clerical, receptionist and patient care duties to assist practitioners and other members of health care team in providing high quality patient care through health care system. Prepares sterile and un-sterile fields and assists practitioner with minor procedures and occasional office-based surgical procedures. Essential Responsibilities: Interacts with patients, families, customers, and other members of health care team in courteous and professional manner. Recognizes needs and concerns of members and employees while maintaining positive working relationships. Obtains, identifies and records vital signs, prevention data, medications, chief complaints and other pertinent information. Demonstrates and applies critical thinking. Observes, records and reports pertinent patient symptoms, reactions, condition changes and information. Immediately identifies and reports to RN or practitioner all adverse observations, reactions, conditions or emergency situations. Uses data systems to identify and pend orders for prevention and screening services. Provides for physical and emotional comfort, and safety of patient. Accepts orders from practitioner for treatments and procedures conducted in unit within scope of work and competencies. Transcribes patient specific data into electronic system using the most current practitioner generated ICD and CPT codes for purposes of billing, coding, and clinical data reporting and analysis. Anticipates providers needs during patient procedures. Adjusts to changes in procedures, assignments, or workload as directed by provider. Serves as member of health care team. Performs efficiently and remains calm in emergency patient care/clinic situations. Follows established procedures and Informs appropriate persons. Prioritizes care based on acuity of patient. Prepares room and instruments for use during exam or procedure. Assists practitioner or RN with wide variety of patient care procedures and tests. Collects, labels and processes specimens as required by practitioner and in accordance with policies and procedures. Performs point-of-care laboratory tests as authorized by policy and delegated by nursing supervisor. Reviews written instructions/educational materials with patient and family regarding preparation and/or follow-up for diagnostic tests, medical procedures, surgeries, and treatments as ordered by practitioner, nurse or nursing supervisor. Coordinates efforts with nursing supervisor, staff and other departments to maintain standards of patient care. Applies and removes dressings and pads as ordered by practitioner; applies and removes unna boots as ordered by practitioner and under direct supervision of nurse or practitioner, and after completion of training and competency requirements. Applies and instructs patients in the use of pre-manufactured splints, braces and other orthotic devices using pre-printed instructions. Assists practitioner by setting up sterile and unsterile fields and assisting with routine, minor surgical procedures as delegated by nursing supervisor, nurse and/or practitioner, in accordance with established guidelines, policies and procedures, and upon completion of clinical competency requirements. Respects patients rights to privacy, dignity and safety. Provides emotional support to patients as appropriate. Documents patient care interactions and activities following clinic standards, including all findings, instructions and patient responses. Ensures equipment is available and in clean, safe and operable condition. Follows appropriate procedures for reporting malfunctions, repairs or replacements within limits of authority. Identifies and reports equipment needing required maintenance or inspection. Maintains and promotes clean, safe and well-equipped environment for patients, family members and staff. Follows departmental and organizational directives to isolate and process contaminated instruments and supplies. Cleans rooms, furniture, instruments and equipment according to established polices and procedures. Reviews, compiles, documents and prepares paper or on-line clinical records for clinical encounters. Retrieves other clinical documentation and records as requested. Retrieves and/or delivers mail for practitioners and healthcare team members. Informs practitioner of diagnostic results to assure expeditious follow up. Notifies practitioner of patient cancellations, postponements, and failures to show. Encourages open channel of communication with co-workers and supervisor. Relays pertinent information to staff members in own department or other departments. Assures information is accurate and complete. Assists patients and/or family members with non-clinical complaints or inquiries, such as customer service, appointment scheduling, etc. Refers clinical related problems or issues requiring higher level intervention to clinic nursing supervisor or designated patient concerns resource personnel. Receives telephone calls. Transfers calls from patients for clinical concerns or questions to registered nurse (RN) or practitioner. Provides information to callers on service related questions. Arranges patient appointments based on guidelines specific to severity level and type of procedure. Answers and makes telephone calls regarding prescription refills. Relays normal diagnostic results according to patient specific instructions as ordered by practitioners. Relays messages between caller and practitioner or other member of health care team. Processes referrals as directed. Assists and supports receptionist(s) with daily and procedure/operating room schedules. Prepares and administers monthly calendar and practitioners schedules as they intersect with other departments and services. Identifies and reports problems with accuracy and completeness of appointment data, monthly practitioner and nursing schedules. Reviews, coordinates and documents scheduling corrections and changes. Adjusts practitioner schedules to accommodate same day appointments, patient surgeries/procedures, and/or patients schedule. Maintains familiarity with various schedules, clinic procedures, surgeries, coding techniques and preferences unique to individual practitioners and nursing staff. Assists in meeting organizational standards by gathering documents for practitioner notes and orders, and alerting about problems. Transcribes patient specific data into electronic system using the most current practitioner generated ICD and CPT codes for purposes of billing, coding and clinical data reporting and analysis. Directs patient to business office for financial concerns. Assures office, exam rooms and storage area is adequately stocked with supplies. Represents, attends and participates regularly in staff meetings, interdepartmental committees, and other department meetings to address concerns and issues in department/clinic and for improvement of patient care. Uses supplies conservatively to maintain inventory control and contain costs. Orders, inventories and maintains maintenance records/par levels of supplies. Prioritizes and coordinates daily workflow and activities. Participates in projects as requested. Adheres to organizational, departmental and clinic specific standards, policies, procedures, processes, protocols or guidelines. Performs duties in accordance with departmental scope of service and medical assistant scope of work. Demonstrates and applies knowledge, skills and competency in required clinical skills and use of clinical equipment. Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to age groups served. Demonstrates sufficient knowledge, skills, and abilities in area of specialization.
Kaiser Permanente

Staff Nurse RN - Primary Care Float Pool (Per Diem Silverdale)

Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.
Kaiser Permanente

Graduate Registered Nurse Anesthetist (GRNA), Orange County/Anaheim (Per Diem)

Job Summary: Under the medical supervision of a physicianAnesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators. Essential Responsibilities: Administers anesthesia to all age groups. Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements). Evaluates patients pre-operatively by interviewing and examining patient; reviews chart for relevant information. In collaboration with MD selects anesthetic for patient based on pre-operative examination. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric. Selects anesthetic for patient based on pre-operative examination. Evaluates patients response to pre-medication. Communicates with surgeon and physician anesthesiologist regarding special concerns of patient. Checks anesthesia equipment daily and between cases to assure safe operating condition. Prepares drugs for administration. Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof. Monitors the patient intraoperatively. Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability. Evaluates the patients postoperatively (within 24 hours). Maintains an accurate accounting of controlled substances in accordance with departmental guidelines. Maintains equipment and supplies as outlined in department policies and procedures. Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements). Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel. May perform other duties within scope of licensure/certification as required. Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.