CRNA New Grad Full-time
Kaiser Permanente

Graduate Registered Nurse Anesthetist (GRNA), San Diego (Full Time)

Kaiser Permanente San Diego, CA
Job Summary: Under the medical supervision of a physician 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: Administers anesthesia to all age groups. Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements). Evaluates patients pre-operatively by interviewing and examining patient. Reviews chart for relevant information. In collaboration with MD selects anesthetic for patient based on pre-operative examination. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric. Selects anesthetic for patient based on pre-operative examination. Evaluates patients response to pre-medication. Communicates with surgeon and physician anesthesiologist regarding special concerns of patient. Checks anesthesia equipment daily and between cases to assure safe operating condition. Prepares drugs for administration. Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof. Monitors the patient intraoperatively. Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability. Evaluates the patients postoperatively (within 24 hours). Maintains an accurate accounting of controlled substances in accordance with departmental guidelines. Maintains equipment and supplies as outlined in department policies and procedures. Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements). Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel. May perform other duties within scope of licensure/certification as required. Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.
RN Outpatient Per Diem
Kaiser Permanente

Level III Staff RN - Clinic - Per Diem - Electrophysiology - Sunset

Kaiser Permanente Los Angeles, 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 Outpatient Per Diem
Kaiser Permanente

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

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

RN Float Pool Specialty Care Clinics Per Diem Capitol Hill

Kaiser Permanente Seattle, WA
Per Diem Float Pool for Specialty Clinics at our Capitol Hill campus.. Strongly prefer clinic experience, a plus if in specialty areas, i.e., Pulmonology, Cardiology, ENT, General Surgery, Ortho, Gastroenterology, Rheumatology, Urology, Bariatrics, etc. $3.50 hour float pool differential. Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.
RN Outpatient Per Diem
Kaiser Permanente

RN Specialty Clinic Per Diem Capitol Hill

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

LVN Bilingual Spanish - Clairemont Mesa - Occupational Health - Full Time Days

Kaiser Permanente San Diego, CA
Job Summary: Under direct supervision of an RN or provider performs routine patient care, excluding administration of IV medications and venipuncture, following established policies, procedures and standards; follows Quality of Service Standards; follows Universal Precautions. Essential Responsibilities: May perform nursing care functions such as vital signs, removal and/or application of dressings for assessment by licensed provider. Cleaning or irrigating wound after providers assessment and instructions, shaving and skin preparation, ear washes, NG insertion & lavage, urinary catheter insertion & irrigation. Reinforce standardized self care procedures as directed by licensed provider. Recognizes and responds to acute emergency situation following established procedures. Orients patients to system policies and practices. Provides appropriate instruction sheets based upon provider direction. Reviews instruction sheet with patient. Administers medications, excluding IV medications, as ordered by provider. Observes and documents patients response to medications and therapy. May perform tuberculin, coccidioidin and histoplasmin skin tests, provides such tests are part of a tuberculosis control program. May perform immunizations provides they are based upon written protocols. Completes necessary arrangements or organizes treatment rooms prior to surgical and/or examination procedures by setting up or laying out instruments, drapes and sponges contained in sterile trays and assembling equipment items as required for particular procedures as directed. May assist licensed provider with patient examinations and treatments by positioning, restraining patients, and assisting as directed. Provides assistance in treatment rooms during minor surgical procedures and/or various diagnostic examinations by positioning and draping. May hold clamps or retractors, sponge vascular areas, and pass instruments as specifically directed by the physician. Assures safety of patient during procedures. May prepare and transport items such as medical equipment and laboratory specimens. May clean and disinfect instruments/equipment according to standardized procedures. Follows Universal Precautions. Reports incidents of failure to follow procedures to Department Administrator or designee. Maintains departmental files, performing duties such as pulling file and assembling forms prior to appointment, and filing returned diagnostic reports as directed. Initiates and/or completes diagnostic rest forms per provider order, telephones prescriptions to pharmacies, relays medical information from physician to patient, and relays information from patient to physician. Charts in patients medical record as indicated. May perform lab tests including urine dip-tests, acetone tests, hemoccult tests, tests to determine. PH, protein, PKU. May perform hearing and vision tests, glaucoma tests and visual acuities. Collects, by non-invasive and invasive techniques, and preserves specimens for testing, including urine, and sputum and stool. Participates in Department Quality Assurance activities. Performs other duties, as required, such as checking patients medical records for incomplete data and relaying message to staff personnel. Note: Specific duties may vary depending on assignment. Note: Bold print indicates the differences between an MAII & LVN.
NP Full-time
Kaiser Permanente

Nurse Practitioner - Wailuku - Full Time - Chronic 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 Infusion Full-time
Kaiser Permanente

Staff Nurse - On Call - Chemo Infusion - Kona

Kaiser Permanente Kailua-Kona, HI
This position is a Hawaii Nurses and Healthcare Professionals Bargaining Unit represented position. 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 nursing task requiring nursing knowledge, judgment, and skill. Administers medications. As appropriate, may administer intradermal local anesthetic for IV placement. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the KP Vision, Model and Values through out their Nursing Practice. Performs administrative and 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 Full-time
Kaiser Permanente

Registered Nurse, OR Cardiovascular - 40 hrs. Variable Shift

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.