Kaiser Permanente

Certified Registered Nurse Anesthetist (CRNA), Orange County/Anaheim (Per Diem)

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

Assistant Nurse Manager - Med/Tele

Job Summary: Manages activities of the unit(s), monitors quality, service and utilization standards. Supervises the day to day shift activities. Essential Responsibilities: Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement. Ensures the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements and established departmental policies and procedures. Develops and implements action plans to improve staff development. Supervises a single unit (8 to 24 hours) of approximately 20 - 60+ employees. Monitors the allocation and utilization of personnel based on continual changes in patient population/needs and provides the best level of patient care while identifying savings opportunities. Supervises the daily unit operations, including human resources management, department and employee safety programs, and risk management. Monitors the quality of service and utilization standards and assumes specific responsibility for patient care at the unit level. Ensures coordinated plans of treatment, customer focused care and cost effective utilization of services. Works with health care providers outside of the unit, to achieve optimal patient care across the continuum. Researches, identifies, and implements best practice models of other units. Investigates and resolves patient/family member concerns regarding patient care. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Kaiser Permanente

Level III Staff RN - Anaheim - Infusion - Per Diem (0) - 11:00 AM - 7:30 PM

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

Licensed Vocational Nurse III Bilingual Spanish - Harbor City - On Call Days

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: Upholds Kaiser Permanentes 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. Compliance and Integrity: Models and reinforces ethical behavior in self and others in accordance to the Principles of Responsibility. Adheres to organizational policies and guidelines. Supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty; shows consistency in words and actions. Follows through on commitments. Service Language: 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. And participates in service training and KP programs provided.
Kaiser Permanente

ARNP Nurse Practitioner - Nursing Home Service 1.0 FTE Seattle WA

** ARNP NURSE PRACTITIONER - NURSING HOME SERVICES - SEATTLE WA (NORTH REGION TERRITORY ** PRIOR NURSE PRACTITIONER WORK EXPERIENCE NEEDED - PRIOR SKILLED NURSING FACILITIES OR NURSING HOME SERVICES OR RELATED WORK EXPERIENCE NEEDED FOR THIS ROLE ** 4- HOURS PER WEEK - MONDAY - FRIDAY - MT. ST. VINCENT/BROADVIEW CENTER ** The ARNP hired into this role will primarily work within an assigned core facility building and must be flexible and willing to float to other buildings or care settings within the assigned geographic area when census or operational needs require additional clinical support. Must be willing and able to take on changes to the assigned core facility when census levels, staffing needs, organizational priorities change require additional clinical support. Job Summary: Provide mid-level practitioner services to geriatric population in sub-acute skilled nursing facility (SNF) stays and residential care. Perform in-depth physical assessment and management of illnesses or conditions within the ARNP scope of practice and in collaboration with MD, pharmacists, and other interdisciplinary team members. May diagnose and manage acute episodic and chronic health problems independently. Essential Responsibilities: Provides comprehensive evaluation and management of acute, episodic, and chronic health problems for patients in skilled nursing facility and residential care stays, ensuring complete and appropriate assessment and plan of care in a timely manner within ARNP scope of practice. Collaborates with attending physician and provides mid-level practitioner services, including initial evaluation, ongoing medical monitoring, triage of changes in patient condition for the MD/ARNP team, and ensures appropriate medical discharge planning. Uses prescriptive authority, in compliance with State and Federal law, to appropriately order medications, treatments, and therapies. Orders and interprets lab work, x-rays, and other tests. Facilitates day to day plans for ongoing medical care; makes telephone encounter or episodic visits as necessary in response to patient, family, and SNF/LTC facility concerns. Performs annual physical assessments for residential patients. Provides primary contact for health and medical care for Kaiser Foundation Health Plan of Washington members during a nursing home stay. Monitors quality of care and provides expert clinical resource for nursing home staff. Educates patients and families about medical treatment options. Participates in family care conferences when needed for health care planning. Coordinates care within KFHPW care continuum. Monitors quality of care and provides expert clinical resource for nursing home staff. Ensures complete, accurate, legible, and timely submission of paperwork. Attends staff meetings. Participates in after-hours call coverage rotation. Participates in precepting ARNP students. Makes presentations to facilities, communities, and colleagues. Participates in Nursing Home Services quality improvement projects.
Kaiser Permanente

Specialty Unit Staff RN - CVICU

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

Specialty Unit Staff RN - Hospital (Labor & Delivery)

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

Specialty Unit Staff RN - Hospital (PICU)

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. 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. 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 RN III - Day Surgery Float Pool

Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Staff Registered Nurse (RN) III practices professional nursing as defined by the Georgia Registered Professional Nurse Practice Act and by organizational policies, procedures, and guidelines. Provides nursing care for patients, members, and families to promote or restore health and to prevent illness and injury. Collaborates with members of the Health Care Team (HCT) and leaders to ensure the delivery of high quality, safe, effective, and efficient care. Essential Responsibilities: Utilizes the nursing process to assess patient health status, determine nursing diagnosis, establish nursing goals, and develop, implement, and evaluate the nursing plan of care. Completes POE and addresses care gaps during the patient encounter. Accurately documents patient data, actions, interventions, and response to treatment according to established policies and guidelines. Assists with procedures and monitors patients response during and after the procedure. Actively participates, as a member of the healthcare team, to engage patients, families, and caregivers in the coordination of patient care. Leads the nursing response to medical emergencies. Monitors electronic messaging and emails (department InBasket) related to patient or provider requests and manages the messages or triages them to physician, associate practitioner, or others as needed. Initiates and monitors IV therapy, administration of medications, and other nursing procedures as prescribed by the physician or associate practitioner, and documents accordingly. Assesses patient and family health education needs, provides health teaching and counseling, and evaluates effectiveness of the education process. Conducts outgoing telephone calls to patients requiring follow-up care and preventative outreach. Participates in quality improvement activities and/or initiatives. Participates in departmental orientation, training, and competency validation of new staff (after completion of validator training). Leads departmental or regional performance improvement initiatives (access, quality, service, people). Autonomously perform procedures under provider supervision and evaluate patients response during and after the procedure. Serves as a preceptor, resource, and mentor for new members of the healthcare team and nursing students. Provide at least one (1) training in-service each year. Seeks and completes formal continuing education relevant to clinical discipline. Utilizes advanced skills to provide patient care, education, and consultation. Autonomously perform procedures under physician supervision, such as cardiac stress tests, RN sonography, conscious sedation, or chemotherapy infusions. May perform other duties as assigned.
Kaiser Permanente

LPN Navigator

Job Summary: The Licensed Practice Nurse (LPN) Navigator utilizes a high level of knowledge of the disease process in the coordination of critical medical information for the specialty department. The Navigator works directly with physicians, associate practitioners, and nursing staff to effectively communicate medical issues. Coordinates care with referring providers inside and outside of Kaiser Permanente, including hospital systems, radiology, imaging studies, surgical procedures, and external physicians. Reviews data received prior to the visit and utilize standing orders, workflows, specialty guidelines, and sound judgment for timely scheduling of appointments that are in line with the treatment plan. Demonstrates the ability to be self-directed and act independently to manage multiple scheduling tasks at once and intervene as appropriate to resolve issues. Essential Responsibilities: Utilize direct template management in the daily coordination of member appointments. Ensures that members are scheduled with the appropriate subspecialist within a department. Serves as a resource for internal and external providers who may have STAT or urgent referrals. Asks pertinent questions to ascertain need for office visit and assist in scheduling appointments, if necessary, based on guidelines established by the department providers. Facilitate member appointments as triaged by the primary physician or associate practitioners, lab, radiology, or specialty consults for follow-up encounters. Ensure that various functions, outpatient schedules, procedural schedules, imaging are coordinated and efficient. Assist with the day-to-day management of new patient referrals from internal and external providers, as well as self-referrals. Act as a resource for the call center and advice for appropriate scheduling of members within a department. Responsible for new patient consult research of external medical records, procedures, pathology and radiology reports and lab test results. Maintains and updates medical record files, specialty charts, and completes disability forms. Responsible for communicating with external referring providers, patients, and family members to obtain necessary medical records, to include imaging films and reports, CT Scans, pathology reports, operative notes, office visit notes, lab data, and patient consult notes, and making them available for the provider interview during a new consult visit. Responsible for maintaining accurate record keeping, referral database and generating reports on referral activity. Consults with Practitioners, RNs, and Nursing Supervisor to provide information relating to the department. May arrange hospital admissions under the supervision of a RN. Answers inquiries from external/internal providers, HCT members, patients and family members by telephone or in person relating to the information needed in the referral process. Participates in departmental QA activities; assists supervisor in compliance with regulatory agencies, development and revision of general procedures and standards. Maintains statistical data as requested by provider or supervisor. Responsible for receipt of results and reviewed results with the timing of the consult visit. Carry out various direct patient care activities within scope of practice and accurately documents patient care in the medical record according to KP and department policy. Assist with the maintenance and revision of clinic templates. Assists in orientation of staff as needed. May perform other duties as assigned.
Kaiser Permanente

Oncology Nurse-Short Hours

Job Summary: To provide comprehensive nursing care to patients undergoing treatment in Kaiser Permanente clinical oncology departments. Essential Responsibilities: Performs comprehensive patient assessment prior to appointments with providers and appointments for chemotherapy to identify essential information for that visit. Provides ongoing assessment as appropriate during the course of the patients visit.
Kaiser Permanente

OR RN Circulator

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

Staff RN III - Day Surgery Float Pool

Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Staff Registered Nurse (RN) III practices professional nursing as defined by the Georgia Registered Professional Nurse Practice Act and by organizational policies, procedures, and guidelines. Provides nursing care for patients, members, and families to promote or restore health and to prevent illness and injury. Collaborates with members of the Health Care Team (HCT) and leaders to ensure the delivery of high quality, safe, effective, and efficient care. Essential Responsibilities: Utilizes the nursing process to assess patient health status, determine nursing diagnosis, establish nursing goals, and develop, implement, and evaluate the nursing plan of care. Completes POE and addresses care gaps during the patient encounter. Accurately documents patient data, actions, interventions, and response to treatment according to established policies and guidelines. Assists with procedures and monitors patients response during and after the procedure. Actively participates, as a member of the healthcare team, to engage patients, families, and caregivers in the coordination of patient care. Leads the nursing response to medical emergencies. Monitors electronic messaging and emails (department InBasket) related to patient or provider requests and manages the messages or triages them to physician, associate practitioner, or others as needed. Initiates and monitors IV therapy, administration of medications, and other nursing procedures as prescribed by the physician or associate practitioner, and documents accordingly. Assesses patient and family health education needs, provides health teaching and counseling, and evaluates effectiveness of the education process. Conducts outgoing telephone calls to patients requiring follow-up care and preventative outreach. Participates in quality improvement activities and/or initiatives. Participates in departmental orientation, training, and competency validation of new staff (after completion of validator training). Leads departmental or regional performance improvement initiatives (access, quality, service, people). Autonomously perform procedures under provider supervision and evaluate patients response during and after the procedure. Serves as a preceptor, resource, and mentor for new members of the healthcare team and nursing students. Provide at least one (1) training in-service each year. Seeks and completes formal continuing education relevant to clinical discipline. Utilizes advanced skills to provide patient care, education, and consultation. Autonomously perform procedures under physician supervision, such as cardiac stress tests, RN sonography, conscious sedation, or chemotherapy infusions. May perform other duties as assigned.
Kaiser Permanente

LPN - Urgent Care (Mt Talbert / OnCall)

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record. Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached. Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention. Provides population-based care outreach activities to include health maintenance screening as directed by clinician. Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives. Other duties as assigned consistent with job description.
Kaiser Permanente

Staff Nurse; FT36hrs, Night, Mixed MedSurg/Tele Unit 5

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

OR RN Circulator - On Call

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 OR On Call

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

Case Manager Specialty RN

Job Summary: Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of specific care management plan to address needs. In conjunction with the Physician, implements care/treatment plan by coordinating access to health services across multiple providers/ disciplines, monitors care, makes determination to arrange transportation and transfer patient if indicated, identifies cost-effective measures, makes recommendations for alternative levels of care and utilization of resources, promotes self-care management and ensures paper work is completed. Is an indirect caregiver. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team. Essential Responsibilities: Evaluates and identifies members needs. Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs. Monitors and evaluates the effectiveness of the case management plans and modifies as necessary. Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families. Acts as a clinical liaison, per their specialty, with outside agencies such as County CCS, non-plan facilities, outside providers, employers and/or workers compensation carriers and third party administrators. Prepares reports, communicates program changes to appropriate staff and develops protocols in accordance with state regulations. Acts as a patient advocate and educator to assure that the patient has the knowledge to care for his/her condition and patient is educated and empowered to be responsible for participating in the plan of care. Develops individualized patient/family education plan focused on self-management, delivers patient/family education specific to a disease state. Develops and updates training and educational materials and presents to appropriate staff, members and families. Facilitates patients return to normal daily activities by teaching and making appropriate referrals for outside services/continued care. Consults with internal and external physicians, health care providers, discharge planners, and outside agencies regarding continued care/treatment or hospitalization or referral to support services or placement. May need to facilitate transportation and housing arrangements for patient. Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies. Participates in data collection and analysis of clinical outcomes of care and customer satisfaction standards. Participates in the formulation and implementation/monitoring of action strategies and outcomes of care or customer service. Ensures that accurate records are maintained of the care associated with each patient. Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, and contract providers and outside agencies.
Kaiser Permanente

Temp RN, NICU (36hrs, Days)

Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.
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

Staff Nurse

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

LVN -Outpatient- Lvl II - Riverside Med Center - Ophthalmology 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. 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

Temp RN - Neonatal Intensive Care (KSMC_NICU / 36 hrs / Days)

Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.
Kaiser Permanente

PACU RN 3-12's Capitol Hill

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

RN, First Assist-Ambulatory Surgery

Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Region Ambulatory Surgery Centers. 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. Essential Responsibilities: Practice standards of performance: Pre-operative: Performs pre-operative assessment and evaluation if required. Collaborates with the surgical team on plan of care. Coordinate and communicate with circulator regarding equipment and implant needs for case, assist in obtaining. Practice standards of performance: Intra-operative: Provides knowledge based technical assistance to the surgeon and operating room team during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Use of 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. Practice standards of performance: Post-Operative: Apply post-op splints and/or braces. During Anesthesia emergence, bring stretcher into room. Help transfer patient to stretcher. Remain in room for turnover unless specific instructions for Post-op care required in PACU. 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. Assists with room preparation and opening of supplies in collaboration with the circulating nurse and scrub person. Have available patient X-rays/MRIs. Check image capture machine and films NOTE: Notify Team Lead or designee if films/MRIs etc. are not available. Assists in patient transport to the operating room and transfer to the operating room table. Assists in patient positioning. Assists in patient preparation, i.e., prepping, catheterization, clipping, as necessary. Participates in briefing/time out and debriefing. 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. Assist in maintaining a safe environment and promoting efficiency in surgical procedures. Available for breaks and lunch relief, local monitor, scrub and circulate as needed.