RN Labor and Delivery
Kaiser Permanente

Sp Unit Staff RN - Labor and Delivery/Downey

Kaiser Permanente Bellflower, CA
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.
CMA Outpatient
Kaiser Permanente

Medical Assistant III

Kaiser Permanente Wailuku, HI
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.
LPN Outpatient Outpatient
Kaiser Permanente

LPN - Clinic I (Meds)

Kaiser Permanente Wailuku, HI
Possible $5k sign-on bonus eligibility! 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.
LPN Outpatient Outpatient
Kaiser Permanente

LPN - Clinic I (Meds)

Kaiser Permanente Kailua-Kona, HI
Possible $5k sign-on bonus eligibility! 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.
LPN Outpatient Outpatient
Kaiser Permanente

LPN - Clinic I (Meds)

Kaiser Permanente Wailuku, HI
Possible $5k sign-on bonus eligibility! 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.
CMA Outpatient
Kaiser Permanente

Medical Assistant III

Kaiser Permanente Wailuku, HI
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.
LPN Outpatient Outpatient
Kaiser Permanente

LPN - Clinic I (MEDS)

Kaiser Permanente Kailua, HI
Possible $5k sign-on bonus eligibility! 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.
NP Wound Care
Kaiser Permanente

Nurse Practitioner - Wound Care

Kaiser Permanente Wailuku, HI
Job Summary: Provides direct nursing care by utilizing advanced scientific knowledge, nursing theory and skills to assess, plan, and implement appropriate health and nursing care to patients, in addition to performing registered nursing functions. Provides indirect nursing care. Plans, guides, evaluates, and directs nursing care given by other personnel associated with the health care team. Teaches and counsels individuals or groups. Utilizes theories and skills to increase communication and knowledge among all members of health care team. Serves as a consultant and resource of advanced nursing knowledge and skills to those involved directly or indirectly in patient care. Participates in joint and periodic evaluation of services rendered. Essential Responsibilities: Evaluates physical and psychosocial health status of the patient through a comprehensive health history and physical examination, using skills of observation, inspection, palpation, percussion, and auscultation, and using or ordering diagnostic instruments or procedures that are basic to nursing evaluation of physical signs and symptoms. Assesses normal and abnormal findings from history, physical examination, and diagnostic reports. Diagnoses patients health status and health care issues. Oversees and directs nursing, medical and clerical personnel in provision of patient care. Plans, implements, and evaluates care. Consults with patient, support systems, and members of health care team to provide for acute and ongoing health care or referral of patient. Manages plan of care prescribed for patient. Initiates and maintains accurate records, appropriate legal documents, and other health and nursing care reports. Develops individualized teaching plans with patient based on overt and covert health needs. Counsels individuals, families, and groups about health and illness and promotion of health maintenance. Recognizes, develops, and implements professional and community educational programs related to health care. Participates in periodic and joint evaluation of services rendered. Conducts research and analyzes health needs of individuals and populations and designs programs which target at-risk groups and cultural and environmental factors which foster health and prevent illness. Participates in policy analysis and development of new policy initiatives in the area of practice specialty. Contributes to development, maintenance, and change of health care delivery systems to improve quality of health care services and consumer access to services. Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice. Performs other duties and accepts responsibility as assigned. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
RN Oncology Med-Surg
Kaiser Permanente

Staff RN - Hospital - Med Surg/Oncology - Zion

Kaiser Permanente San Diego, CA
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.
RN ICU
Kaiser Permanente

Staff Nurse-Critical Care/Cardiac/CDU

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

Specialty Unit Charge RN - Hospital (CVOR)

Kaiser Permanente Anaheim, CA
Job Summary: Functions as a Lead of the healthcare team, coordinates departmental operations that ensure quality patient care in a safe, healing environment that is patient and family centered. Demonstrates responsibility and accountability for own professional practice. Has appropriate clinical skills to be an expert resource. Is available and supportive to employees and understands priorities/needs of the department. Is a staff role model for professional nursing practice. May recommend to management in efficient resource allocation by assuring appropriate patient assignments, staffing, and scheduling. Demonstrates performance consistent with the strategic plan of the organization and the KP nursing mission and values. Essential Responsibilities: The Charge Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Directs reviews, assigns and organizes the work of at least three (3) or more employees, of which at least one (1) must be another Registered Nurse. Applies the KP Nursing mission, vision, values and behaviors in daily practice. Understands needs and sets priorities for the department. Provides professional leadership and direction of department personnel in order to maintain efficient delivery of effective patient care. Coordinates departmental operations and delegates tasks appropriately. Is an excellent staff role model for professional nursing practice (e.g. RN/MD Collaborating for Outcomes, Just Culture, Quality, Service, Safety). Supports and enhances the leadership skills of the staff RNs, LVNs and UAs/CNAs (and other ancillary staff as appropriate). Upholds compliance with Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, applicable state and federal laws and regulations, and accreditation and licensure requirements. Upholds the standards of the California Nurse Practice Act, American Nurses Association (ANA) Standards of Nursing Practice, and ANA Code of Ethics for Nurses. Champions new ideas; Actively collaborates with others through the change process. Acts as a resource, preceptor and mentor to new employees, registry, students, and other team members in department specific operations and patient care activities. Collaborates with or refers to manager/clinical nurse specialist/educator any outstanding issues or concerns on the unit. Demonstrates ability to identify and resolve problems in collaboration with work team and with other departments. Ensures compliance with regulatory requirements, policies, procedures, and standards of practice. Participates in activities related to patient flow, including admission and discharge processes. Facilitates inter-professional/interdisciplinary communication and collaboration. Nursing Process: Serves as a resource for clinical concerns, scope of practice and applicable state and federal regulations as well as operational concerns of providers and staff. Possesses experience and skills to be a resource for providers, RNs, LVNs, USs/CNAs, (and other ancillary staff as appropriate). Demonstrates flexibility in work schedule to meet the department demands of the day; facilitates and relieves staff breaks. Actively involved in assigning, orienting, and precepting and coaching staff as needed. Documentation: Conducts audits and ensures that documentation reflects thorough assessments, incorporates physical and psychosocial findings, diagnostic tests, learning needs, barriers, multidisciplinary education plans and age appropriate care. Clinical Outcomes: Participates/leads various aspects of department operations, staff competencies, department committees, Unit Based Teams (UBTs), new projects, quality efforts, and educational programs. Demonstrates knowledge of patients specific conditions commonly seen in the department and care required. Interfaces with leadership, peers, physicians, other healthcare providers, and support staff regarding performance, as necessary. Actively participates, champions and motivates other staff in quality improvement in patient care, workflow, and improvement in clinical initiatives and working conditions of the department. Provides input on employees performance evaluations through daily observation and monitoring of performance. Workplace Safety: Adjusts staffing needs of the department to assure quality patient care, patient and staff safety, efficiency, productivity and working conditions of provider and staff. Actively models Labor-Management Partnership (LMP) Workplace Safety principles and practices. Patient Care Experience/Customer Service: Acts as a role model for staff regarding providing a patient care experience that exceeds members expectations. Ensures timely and appropriate management of patients. Coordinates smooth transition for patients across the care continuum. Participates in daily leadership rounds, documents rounding activities on unit rounding logs (as appropriate.). Assures hourly rounds are conducted by staff. Where appropriate, assures hourly rounds are documented according to unit/facility policy or guidelines. Team Commitment: Ensures support of the collaborative LMP environment through unit based teams (UBTs). Identifies and supports staff professional/clinical development needs (i.e. certification, presentations, reward/recognition). Motivates staff to attain their fullest potential in improving performance, attendance, access, service and quality outcomes. Lead/facilitate daily/shift multidisciplinary huddles. Assures huddle messages are consistently communicated. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Fiscal Responsibility: Participates in resource allocation (assignments, scheduling, staffing, equipment/supplies management). Collaborates and assists with leadership, physicians, and peers in staffing, workflow and throughput to promote quality patient care, patient and staff safety, efficiency, productivity and working conditions of providers and staff. Professional Development: Attends Charge Nurse Educational programs. Takes responsibility for professional growth and development.
CMA Outpatient
Kaiser Permanente

Medical Assistant III

Kaiser Permanente Kaneohe, HI
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.
RN ER
Kaiser Permanente

Temp Emergency Department RN (24Hr, Nights)

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

TEMP Emergency Department RN (36Hr, Days)

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

TEMP Emergency Department RN (24Hr/Days)

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

TEMP Emergency Department RN (36Hr/Days)

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

Seasonal RN Program -DOU/SDU

Kaiser Permanente Los Angeles, CA
This position represents 4 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.
LPN Outpatient Outpatient
Kaiser Permanente

LPN - Clinic I (Meds)

Kaiser Permanente Honolulu, HI
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.
LPN Outpatient Outpatient
Kaiser Permanente

LPN - Clinic II (Meds)

Kaiser Permanente Kailua, HI
Possible $5k sign-on bonus eligibility! Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. 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 practitioners 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. 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 (I), 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 I 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. 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.
CMA Outpatient
Kaiser Permanente

Medical Assistant I

Kaiser Permanente Wailuku, HI
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, reception and patient care duties assisting 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. Identifies, draws up, and labels medications for immediate verification and use by the practitioner. Assists practitioner with administration of medications in accordance with established guidelines, policies and procedures, as ordered by authorized practitioner and delegated by practitioner or nurse, and upon completion of clinical competency requirements. Assists in resolving and/or responding to non-clinically related patient complaints and inquires. Acts as preceptor/trainer. Collaborates with clinic nursing supervisor to develop operational strategies and process improvements for department/unit. Assists practitioner with highly specialized procedures (e.g. frequent office-based surgical procedures, chain of custody urine collection, splint manufacturing, medicine administration) after completion of training and competency requirements, in accordance with policies/procedures, and as delegated by clinic nursing supervisor and ordered by authorized practitioner. 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 skills. 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 practitioner generated ICD-9 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. Assists practitioner with administration of medications as ordered by authorized practitioner and delegated by practitioner or nurse in accordance with established guidelines, policies and procedures, and upon completion of clinical competency requirements. 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. Packs wounds under personal supervision of practitioner or RN. Applies and instructs patients in the use of pre-manufactured splints, braces and other orthotic devices using pre-printed instructions. Manufactures and applies orthotic inserts and posterior fiberglass night splints as ordered by practitioner and under direct supervision of practitioner or nurse, and after completion of training and competency requirements. Instructs patient on use of device utilizing pre-printed materials. 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. Identifies, draws-up and labels medications on sterile and unsterile field for immediate verification and administration by the practitioner in accordance with established guidelines, policies and procedures. Verbalizes preparation and shows practitioner medication container as ordered by authorized practitioner, calls patient prescriptions to pharmacy. Assists practitioner with highly specialized procedures (e.g. medicine administration, highly specialized and technical office-based medical or surgical procedures, splint manufacture, chain of custody urine collection) in accordance with established guidelines, policies and procedures, as ordered by authorized practitioner and delegated by nurse, 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 policies 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 clinically 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 practitioner about problems. Transcribes patient specific data into electronic system using practitioner generated ICD-9 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. Assists with orientation of new clinic personnel. Updates nursing supervisor on new employees progress. Notifies nursing supervisor when special training required. Acts as preceptor/trainer or assists in training of new clinic personnel on non-clinical procedures. Provides feedback to nursing supervisor on progress and performance. Provides training and in-services to existing staff on medical assisting related topics that are within scope of practice. Recommends changes in non-clinical activities and department/unit activities to improve quality of patient care and balance workflow. Collaborates with nursing supervisor to develop operation strategies. Identifies issues and recommends solutions.
LPN Outpatient Outpatient
Kaiser Permanente

LPN - Clinic I (MEDS)

Kaiser Permanente Kailua-Kona, HI
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.
LPN Outpatient Outpatient
Kaiser Permanente

LPN - Clinic II (Meds)

Kaiser Permanente Kaneohe, HI
Possible $5k sign-on bonus eligibility! Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. 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 practitioners 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. 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 (I), 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 I 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. 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.
CRNA Full-time
Kaiser Permanente

Certified Registered Nurse Anesthetist (CRNA), San Diego (Full Time)

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

Certified Registered Nurse Anesthetist (CRNA), San Diego (Full Time)

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

OR RN Surgery 3-10's Capitol Hill

Kaiser Permanente Seattle, WA
3- 10S, HOURS AND DAYS VARY BASED ON DEPARTMENT NEED 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. Surgical Services includes areas such as General Surgery, ENT, Womens Health, Ambulatory Surgery Centers, Procedures, Neurosurgery, Orthopedics and more. The Surgical Services RN provides Patient/Family teaching and counseling for select complex procedures or high-risk patients to enhance surgical outcomes and self-management pre- and post-operatively. Perform complex nursing procedures such as wound care, administer IV medications, and specialty specific procedures that require concurrent assessment of patient. Perioperative Services/Operating Room area: provide nursing care of patients undergoing surgical or other invasive procedures. Work collaboratively to develop, coordinate, & implement a plan of care that is patient & outcome focused. 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.