Kaiser Permanente

Staff Nurse II L&D Float

Job Summary: The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members. Essential Responsibilities: Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy. Formulates a goal-directed plan of care when and where appropriate to do so. Implements care in a thorough, skillful, consistent, and continuous manner. Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies. Identifies patient/family learning needs and acts to meet them. Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs. Provides/coordinates care for patients/patient populations. Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs. Delegates appropriately and coordinates duties of health care team members. Evaluates effectiveness of care given by health care team members. Utilizes effective communication methods and skills, following lines of authority, as appropriate. Demonstrates knowledge of and applies safety principles as identified within the institution. Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. Participates in unit and Department Performance Improvement activities as directed. Participates in nursing research activities as requested. Identifies and solves problems effectively. Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests. Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application. Perform other related duties as necessary. Formulates a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes. Identifies patient/family learning needs and implements appropriate measures. Demonstrates sound knowledge base and actions in the care of a designated patient population. Participates regularly in staff development activities for unit and Department of Nursing personnel. Documents patient care and unit activities in a timely, accurate, and concise manner. If no qualified candidate, may be willing to train in the specialty areas listed below. Candidates in training are required to obtain appropriate certifications within 6 months of hire or transfer into unit.
Kaiser Permanente

Licensed Practical Nurse-Nurse Clinic

$5,000 SIGN-ONN BONUS ELIGIBLE ROLE! May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: https://www.lmpartnership.org/local-contracts. Job Summary: Makes members/patients and their needs a primary focus of ones actions; develops and sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs and resolves problems. Performs duties as under Nurse Practice Act (Portions adopted from the Colorado State Nurse Practice Act CRS 12-38-103). Essential Responsibilities: This position knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications including the consistent use of 5 rights and 3 checks of medication administration, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly. Applies principles of asepsis and infection control. Maintains a safe and therapeutic patient care environment, including identifying malfunctioning equipment. Supports the physician and other medical providers in the care and treatment of patients, including rooming the patient; communicating delays to patient, provider, and team members; and facilitating the medical providers schedule. Performs duties and responsibilities with excellence, enthusiasm, great service orientation demonstrating courteous behaviors and mannerisms, and by anticipating physician and other medical providers needs. Practices within scope of practice perimeters as inferred by licensure, standard nursing practice, knowledge, skill level, and KP guidelines. Performs routine and specialized nursing procedures following physicians orders and approved nursing care plan, e.g. administers treatment using therapeutic equipment, such as intermittent positive pressure breathing apparatus; administers medications (including narcotics) orally or by injections; and provides specialized nursing care to acutely ill patients. If IV certified LPN, may perform intravenous therapy, as per Colorado State Board of Nursing Chapter IX. Monitors patients condition by observing, collecting, reporting, and recording objective/subjective data; identifies changes in the patients condition; collect data and report sign and symptoms of deviation from normal health status, symptoms and/or reactions to medications and treatments; initiates appropriate standard emergency procedures and reports adverse patient conditions to physician, Nursing Manager, or registered nurse. Teaches and promotes general preventive health measures to patients and members of their families regarding home health care, such as use of medications, administering injections, taking blood pressure, general post-operative care, and general diabetic care. Disseminates pre-printed standard aftercare instructions and pre-printed patient instruction material. Licensed Practical Nurse. Assists physician with examinations, treatments and minor surgery, by preparing patient and room for a specific procedure and attending patient during procedure. Records pertinent information in patients medical chart, e.g., patients nursing history, physical data, vital signs, symptoms, treatments, examinations, medications administered, reactions and general observations, according to standard requirements. Assists in orienting and training new employees, as assigned. May perform the duties of a Nursing Assistant or Medical Receptionist, as required. May assign/coordinate activities for nursing and medical assistants and medical receptionist. Orders, stores and maintains adequate inventory of supplies and instruments used by department as assigned. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.
Kaiser Permanente

Staff Nurse

OUR COMMITMENT TO OUR EMPLOYEES GOES BEYOND THE WORKPLACE, INCLUDING COMPETITIVE WAGES THAT REFLECT YOUR VALUE TO THE COMPANY! APPLY TODAY TO LEARN MORE! Additional pay benefits of the new contract for SEIU represented roles, full and part time (can be stacked): - $2.00/hour Acute Care Premium (Urgent Care, Perioperative Services and Capitol Hill Inpatient Unit) Premiums - $2.00/hour Location Premium for onsite work at Bellevue Medical Center and Capitol Hill Campus WEEK 1: MON, TUE, SAT; WEEK 2: SUN, MON, TUE 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. The Urgent Care RN will provide care in a fast-paced, high-acuity environment that acts similarly to a free-standing emergency department. Patient populations will include all ages, from neonates to geriatrics. Care will also include a large variety of chief complaints ranging from neurological, cardiac, and minor injury or illness. Ability to quickly prioritize and use critical thinking and clinical judgement to provide emergent and urgent care. Ability to work collaboratively with providers and other Urgent Care staff to provide high-quality patient care. 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

Staff Nurse

OUR COMMITMENT TO OUR EMPLOYEES GOES BEYOND THE WORKPLACE, INCLUDING COMPETITIVE WAGES THAT REFLECT YOUR VALUE TO THE COMPANY! APPLY TODAY TO LEARN MORE! Additional pay benefits of the new contract for SEIU represented roles, full and part time (can be stacked): - $2.00/hour Acute Care Premium (Urgent Care, Perioperative Services and Capitol Hill Inpatient Unit) Premiums - $2.00/hour Location Premium for onsite work at Bellevue Medical Center and Capitol Hill Campus WEEK 1: WED, THU, FRI; WEEK 2: FRI, SAT 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. The Urgent Care RN will provide care in a fast-paced, high-acuity environment that acts similarly to a free-standing emergency department. Patient populations will include all ages, from neonates to geriatrics. Care will also include a large variety of chief complaints ranging from neurological, cardiac, and minor injury or illness. Ability to quickly prioritize and use critical thinking and clinical judgement to provide emergent and urgent care. Ability to work collaboratively with providers and other Urgent Care staff to provide high-quality patient care. 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-AMB 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.
Kaiser Permanente

RN, FIRST ASSIST-AMB 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.
Kaiser Permanente

Staff Nurse II Float

Job Summary: The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members. Essential Responsibilities: Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy. Formulates a goal-directed plan of care when and where appropriate to do so. Implements care in a thorough, skillful, consistent, and continuous manner. Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies. Identifies patient/family learning needs and acts to meet them. Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs. Provides/coordinates care for patients/patient populations. Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs. Delegates appropriately and coordinates duties of health care team members. Evaluates effectiveness of care given by health care team members. Utilizes effective communication methods and skills, following lines of authority, as appropriate. Demonstrates knowledge of and applies safety principles as identified within the institution. Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. Participates in unit and Department Performance Improvement activities as directed. Participates in nursing research activities as requested. Identifies and solves problems effectively. Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests. Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application. Perform other related duties as necessary. Formulates a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes. Identifies patient/family learning needs and implements appropriate measures. Demonstrates sound knowledge base and actions in the care of a designated patient population. Participates regularly in staff development activities for unit and Department of Nursing personnel. Documents patient care and unit activities in a timely, accurate, and concise manner. If no qualified candidate, may be willing to train in the specialty areas listed below. Candidates in training are required to obtain appropriate certifications within 6 months of hire or transfer into unit.
Kaiser Permanente

Advanced Urgent Care RN (36 hours/week Bellevue)

OUR COMMITMENT TO OUR EMPLOYEES GOES BEYOND THE WORKPLACE, INCLUDING COMPETITIVE WAGES THAT REFLECT YOUR VALUE TO THE COMPANY! APPLY TODAY TO LEARN MORE! Additional pay benefits of the new contract for SEIU represented roles, full and part time (can be stacked): - $2.00/hour Acute Care Premium (Urgent Care, Perioperative Services and Capitol Hill Inpatient Unit) Premiums - $2.00/hour Location Premium for onsite work at Bellevue Medical Center and Capitol Hill Campus WEEK 1: MON, TUE, SAT; WEEK 2: SUN, MON, TUE 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. The Urgent Care RN will provide care in a fast-paced, high-acuity environment that acts similarly to a free-standing emergency department. Patient populations will include all ages, from neonates to geriatrics. Care will also include a large variety of chief complaints ranging from neurological, cardiac, and minor injury or illness. Ability to quickly prioritize and use critical thinking and clinical judgement to provide emergent and urgent care. Ability to work collaboratively with providers and other Urgent Care staff to provide high-quality patient care. 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

Advanced Urgent Care RN (30 hours/week Bellevue)

OUR COMMITMENT TO OUR EMPLOYEES GOES BEYOND THE WORKPLACE, INCLUDING COMPETITIVE WAGES THAT REFLECT YOUR VALUE TO THE COMPANY! APPLY TODAY TO LEARN MORE! Additional pay benefits of the new contract for SEIU represented roles, full and part time (can be stacked): - $2.00/hour Acute Care Premium (Urgent Care, Perioperative Services and Capitol Hill Inpatient Unit) Premiums - $2.00/hour Location Premium for onsite work at Bellevue Medical Center and Capitol Hill Campus WEEK 1: WED, THU, FRI; WEEK 2: FRI, SAT 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. The Urgent Care RN will provide care in a fast-paced, high-acuity environment that acts similarly to a free-standing emergency department. Patient populations will include all ages, from neonates to geriatrics. Care will also include a large variety of chief complaints ranging from neurological, cardiac, and minor injury or illness. Ability to quickly prioritize and use critical thinking and clinical judgement to provide emergent and urgent care. Ability to work collaboratively with providers and other Urgent Care staff to provide high-quality patient care. 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

Sp Unit Staff RN - Hospital - Transitional Care Unit - DOU - San Diego

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

OR RN Circulator On Call

Job Summary: Participates with the Health Care Team in delivering quality health care to patients in a manner which reflects Kaiser Permanentes mission, vision, and values while supporting the Labor Management Partnership (LMP) principles and practice. Participates in creating a high-performance culture based on a joint decision making process. Provides support and assistance to the patient and Health Care team to promote population-based care, continuity of care, customer satisfaction, and self-care. Demonstrates strong interpersonal and communication skills with a caring, courteous, flexible, supportive, respectful, open minded, appreciative attitude that is committed to a team environment. The RN is responsible for assessing, planning, directing, providing and evaluating the nursing care for patients during the inter-operative phase and coordinating care activities with other ASC professionals. Essential Responsibilities: Representative Functions or Duties: Professional Practice Standards of Performance. Complies with shift, unit and organizational policies and procedures including reliability and attendance standards. Monitors and takes corrective action to prevent recurring absences. Returns promptly from breaks and schedules them to provide adequate coverage. Restricts personal business to non-patient care areas during break times. Complies with Kaisers Time Keeping Policy to accurately reflect productive time worked. Takes responsibility to keep informed of organizational policies and current information as provided by employer. Complies with contractual responsibilities related to work schedule. Participates in clinic and nursing Quality Assurance Programs. Maintains current knowledge and skill base with personal commitment to continuous learning and professional development. Utilizes professional communication techniques. Maintains confidentiality of all patient and organizational records. (HIPPA Standards). Promotes collaboration and professional interaction with the health care team. Promotes professional conduct, knows and complies with department Standards of Behavior. (group norms). Attends and constructively participates in staff meetings. Demonstrates awareness of new information posted in the communication notebook. Planning Standard of Performance: Utilizes assessment data when instituting plan of care. Nursing Plan of Care is sensitive to the developmental needs of the patient. Utilizes knowledge of type of procedure to plan for appropriate set up. Obtains and demonstrates the skills and knowledge needed to provide age-appropriate care to patients and families through education, training, and experience. Implementation Standard of Performance: Applies principles of correct body alignment in positioning and transferring patient. Organizes nursing activities in an efficient manner in both circulating and scrub role. Records and documents relevant information according to policy and procedure. Evaluation Standard of Performance: Demonstrates an ability to evaluate and document patient outcomes. Participates in unit quality assurance activities on a monthly basis. Safety Management Standard of Performance: Maintains safety in use of all equipment according to manufacturers instructions and policy and procedures. Complies with all Kaiser and unit specific policies and procedures.
Kaiser Permanente

Specialty Unit Staff RN - Hospital

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

LVN II

$37.44 - $41.47 / hour
Job Summary: Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures. Demonstrates performance consistent with the Mission, Vision and Strategic Plan of the organization. Demonstrates quality and effectiveness in work habits and clinical practice and treats co-workers, patients, families and all members of the health care team with dignity and respect. Essential Responsibilities: Representative Duties: Upholds Kaiser 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.
Kaiser Permanente

Certified Registered Nurse Anesthetist (32 Hours Per Week)

Job Summary: Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order. Essential Responsibilities: Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons. Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy. Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards. Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients. Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gains concurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. and evaluates and manages the patient, according to departmental policy. Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite. Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary. Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc. Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards. Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order. Charts details of procedures done on progress notes. 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

Physician Assistant II / NP II - Cardiac Surgery Endoscopic Vein Harvesting Full-time (Anaheim)

***This position is eligible for a $15,000 SIGN-ON BONUS*** Job Summary: Physician Assistants (PA) provide health care services to patients who may have acute episodic conditions or chronic problems, as well as those seeking health evaluation, preventive care and/or education and counseling. Under physician supervision, PAs provide care in areas within KP in primary care or specialty departments consistent with their educational preparation following the Regional Practice Guidelines and Protocols for Ambulatory and Hospital-Based Practice. They perform complete physical examinations, including ordering, interpreting and evaluating diagnostic tests and examinations. Assume on-going responsibility for each patient from discovery of the disorder to recovery. Diagnose and treat both chronic and episodic disorders including complications of otherwise normal processes. Establish and document the health care plan and diagnosis, maintain records of each case that are sufficiently complete for any physician reviewing them to evaluate the effectiveness of the plan.Consistently demonstrates the knowledge, skills, abilities and behaviors necessary to provide superior and culturally sensitive service to each other, to our members and to customers, contracted providers and vendors. Functions in an expanded role to regularly provide primary, acute or emergency care to patients with complicated medical or surgical conditions which requires an intensive level of care and advanced certification in a specialty area (e.g., neonatal, intensive care, emergency medicine, operating room, etc.). A formal internship and/or equivalent on-the-job training in the specialty area are also required. Essential Responsibilities: Collect subjective data (obtain history). Collect objective data (perform a physical exam). Develop an assessment (diagnosis). Develop and implement a management plan. Facilitate the referral of patients to the appropriate health facilities, agencies and resources within the community. Order pharmacologic interventions. Develop and implement an educational plan. Plan for appropriate follow-up care. Manages the care of patients with complicated medical or surgical conditions. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.
Kaiser Permanente

Registered Nurse First Assistant, On Call, Tyson's MOB

Job Summary: To provide qualified surgical assistance when requested by the surgeon, in order to ensure optimal results for the patient. This position is adjunct to the basic functions of the OR Nurse. Essential Responsibilities: See OR Nurse representative duties. RNs as first assistants in the OR will work interdependently with the surgeon, providing a safe operation with optimal results for the patient. The Registered Nurse First Assistant will at all times act under the direct supervision of the Surgeon performing only those functions specifically stated in a manner consistent with his/her education and experience. All assignments will be made by the ASC Supervisor or designee, with regard to optimum patient care. Knowledge of surgical anatomy, physiology and operative technique pertaining to the procedure being. Skill and knowledge in applying principles of asepsis and infection control. Assists in positioning, propping and draping of the patient. Provides hemostasis by applying hemostatic clamps and/or clips, coagulates bleeding points and, ligates vessels. Provides exposure by suctioning sponging and retracting. Handles tissue, implants, etc., as directed by the surgeon during operative procedure. Performs other related duties as directed.
Kaiser Permanente

Nurse Practitioner - NICU

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

Nurse Practitioner - Neonatal

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

Licensed Practical Nurse

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

Medical Assistant, ORTHO - Bellevue Medical Center (40 hrs)

4/10S SCEDULE Job Summary: Kaiser Permanente Washington serves over 700,000 members across the state of Washington and is growing! We believe that achieving total health for our members takes teamwork and we are looking for exceptional team members who thrive on delivering an exceptional experience for our members and patients. Kaiser Permanente Washington is recognized as a best place to work that embraces diversity, fosters collaboration, practices mentorship, and believes in a positive, healthy work environment. Our Medical Assistants (MA) play a critical role and are key to our promise on delivering an exceptional patient experience. As an MA at Kaiser Permanente you will be part of a world class care team working with outstanding nurses, physicians, physicians assistants and nurse practitioners to provide the best care possible. Join us in our mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Essential Responsibilities: Collection of selected data about health status of the patient. Determines consumers purpose for visit, concerns and educational/physical needs. Checks and records consumers vital signs. Records pertinent data on the consumers medical record. Recognizes urgent/emergent situations and refers them in a timely fashion to physician or nurse. Participates with other health team members in the development of the nursing care plan. Contributes pertinent information to the nursing plan of care and passes it on to appropriate professional provider. Follows through and implements the nursing plan of care safely and completely according to role and team specifications. Documents accurate information in proper format. Communicates in an attentive and individualized manner in every encounter. Participates in the coordination and facilitation of care for the patient. Cooperates and communicates effectively with other team members in order to accomplish the workload. Recognizes and reports obvious psychosocial, cultural and/or emotional needs. Verifies the patients understanding of the purpose for visit. Instructs and orients patients and family/significant others to the health care team members, the services available, and the means of access to those services. Participates in the orientation of new consumers to KFHPWs policies and procedures. Demonstrates an awareness of the Consumer Bill of Rights and Responsibilities. According to the educational plan determined by the professional provider, provides instruction to the patient and family/significant others. Provides instruction that matches learning needs and the nursing plan of care. Encourages patient compliance with therapeutic and medical regimens. Under the direction of the professional provider, provides the patient with preventive care information that matches his/her age, sex, and health status. Utilizes available health education resources. Reinforces the plan with patient to improve general health status. Accurately documents selected patient history observations and procedures. Adheres to KFHPW documentation standards. Provides each patient a safe, comfortable, and private environment. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control policies and procedures. Demonstrates responsibility and accountability for practice, for continued growth and self-evaluation. Identifies own learning needs and participates in educational efforts to meet those needs. Participates in staff orientation and student education activities. Participates with managers in completing the process for self and colleague/team performance reviews. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.
Kaiser Permanente

Nurse Practitioner - Neonatal - On-Call

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

Seasonal RN Program - ICU/CCU

#SRN This position represents {2 } openings. Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability. Understands own and team members scope of practice and escalates issues as appropriate. Demonstrates professional, supportive behavior. Champions new ideas. Leads and directs others through the change process. Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution. Mentors, orients, and coaches others in unit specific operations and patient care activities Shares responsibility and authority with subordinates and holds him/her accountable for performance. Demonstrates ability to problem solve with other departments in order to assist member problem resolution. Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan. Ensures plan shows multidisciplinary planning, consultation, and education. Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity. Ensures plan is discussed with patient, family/significant others, and completed in a timely manner. Monitors the patients progress based on the plan. Revises plan on ongoing basis based on patient condition and evaluation of progress. Ensures care meets standards of practice. Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan. Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections. Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge. Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge . Documentation: Charting is accurate, legible, dated, and timed. Documentation reflects nursing process and interventions and evaluations taken. Utilizes computer systems effectively and efficiently for optimal patient care. Clinical Outcomes: Discusses patient findings and progress toward outcomes with physicians and other members of the health care team. Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation. Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving. Workplace Safety: Adherence to LMP Workplace Safety principles and practices. Applies standard precautions; maintains a safe environment for self and others Patient Care Experience: Practices customer service standards as defined by the Service Area, Medical Center, and specified department. Promptly answers call lights, alarms, and patient requests. Makes appropriate referrals and facilitates the customers ability to utilize resources. Maintains and protects patient confidentiality Ensures clean, orderly, and functional work environment. Treats all families of patients with courtesy, respect, kindness and compassion. Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs. Gives patients information in a way they can understand and ensures comprehension. Provides a patient care experience that exceeds members expectations. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members. Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of an annual education plan. Keeps self informed of activities on the unit and makes recommendations for change. Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Supports a collaborative Labor-Management Partnership environment through unit based teams. Fiscal Responsibility Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that needs simplification or correction. Utilizes payroll and non-payroll resources to their maximum potential.
Kaiser Permanente

Nurse Practitioner or Physician Assistant - Fertility

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

Medical Assistant III

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

LPN - Clinic I (Meds)

Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. In addition, orients and serves as a resource to LPN Clinic/Meds I as needed. Essential Responsibilities: Reviews and prepares medical records for assigned patients; initiates follow-up for medical record as requested; reviews patients needs; identifies and prepares orders for needs of patient for authorization by practitioner and may accept verbal orders per policy; observes, collects, and documents new information on patient; informs RN or practitioners regarding incomplete data, new observation, or abnormal/unusual data. Implements basic nursing procedures per plan of care; administers treatments, immunizations and medications as prescribed by practitioner; prepares medications for practitioner to use; performs point of care testing as authorized; provides laboratory, x-ray, and other reports to practitioner for review; notifies patients of normal results as directed by practitioner; considers special needs of different age groups when providing care; sets priorities of care based on acuity of patients. Documents implementation of orders/interventions; records findings, instructions, and patient responses on appropriate forms or on-line records using department and/or JCAHO standards.Observes patients/familys responses to plan of care; reports unexpected responses to RN or practitioners; collaborates with RN/Practitioner to revise care plan when needed. Demonstrates and applies competency in basic nursing skills and use of equipment; maintains current knowledge and skills needed to perform position; attends and participates in staff meetings as needed; participates in projects as requested. In addition, coordinates projects as requested. Performs efficiently in emergency patient care/clinic situation; follows established procedures; informs appropriate practitioner/RN. Assigns basic nursing tasks to unlicensed personnel as appropriate and according to department/unit standards; provides clear directions; acts as resource person to unlicensed staff; follows-up on assigned care to ensure it is given per standards, policies, procedures, protocols, and guidelines. Follows discharge plan developed by Practitioner or RN; processes and/or follows-up with referrals as directed by practitioners; provides instruction and pre-printed information to patients as directed by RN and/or Practitioners, observes and documents patient/family response to instructions and reports any concerns. Manages all patient vaccine data, including updating Hawaii Immunization Registry System (HIR), Electronic Health Records (EHR), and all patient and/or external records at each patient visit. Readies any available immunization information prior to the time of visit with the provider. Stores and administers immunizations according to Health plan and VFC guidelines. Identifies patient immunization requirements in accordance with age specific guidelines per CDC.Fills out appropriate immunization paperwork for recording purposes. Facilitates vaccine Health Plan and VFC inventory control at assigned clinic. Ordering vaccine and maintaining appropriate vaccine inventories. Utilizes file maintenance to ensure newly arrived vaccines are entered in the EHR lot manager system as needed. Assures immunization clinics comply per health plan, federal and state guidelines - i.e., compliance with Health department site visits. Complete annual VFC enrollment training requirements and forms.Maintain all records related to the VFC program per program guidelines. Trains new and existing LPNs on emergency vaccine storage procedures. Serves as a liaison with the state to coordinate VFC (vaccines for children) inventory. Generates reports on patients and contacts them for immunization compliance and updates as needed. Assists in ensuring compliance with infection control policies and protocols and follows medication administration, storage procedures, Health plan CDC, State and federal VFC program guidelines.Provides educational materials to patients and reviews printed instructions with patients; collaborates with RN/Practitioner to revise teaching plan when needed. Participates in orientation of new personnel. Orients and serves as a resource to LPNs and unlicensed personnel as needed; demonstrates and instructs other team members in use of vendor specific products and /or department/unit standards and procedures. Demonstrates sufficient knowledge, skills, and abilities in area of specialization. Performs clean/sterile technique, sets up for procedures, assists with clinical procedure within department scope. Follow the recommended process for handling point of use instruments as outlined by the High-Level Disinfection Committee. Maintain, order, organize, rotate, and stock supplies. Schedule patients for routine care, acute care, and addressing care gaps. Prepares and processes patient forms. OHS only: Certification in Spirometry, Hearing Conservation, & Substance Abuse Specimen Collection or acquire certification within one year of hire. Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to age groups served. Demonstrates knowledge, skills, and abilities necessary to provide culturally sensitive care and/or service. Performs other duties and accepts responsibility as assigned within scope.