Overview Copley Hospital, located in Morrisville/Stowe VT, is in search of a Registered Nurse to join our team on the Inpatient Med Surg Unit. This is a 21 bed acuity adaptable unit serving medical/surgical and progressive care patients. The scope of service includes providing post-operative surgical care for patients who have undergone orthopedic joint replacements, abdominal surgery, genitourinary surgery, as well as medical managementfor diabetic, cardiac, gastrointestinal, trauma, neurological, and respiratory patients requiring admission. Patients may be monitoredby telemetry. Progressive care patients need close monitoring and frequent assessment, but who aren't unstable enough to require ICU care. Delivery of age specific, direct patient care. The RN provides nursing care to patients utilizing the Nursing process and within the framework of the Department of Nursing Standards of Patient Care and Specialty Specific Standards of Patient Care. The RN assumes leadership responsibilities, which includes delegation of work to other levels of employees. Compliance with all applicable State and Federal laws, regulations, and policies governing the provision of health care. This is a Full-Time position (PT available). Copley Hospital has a variety of shifts available across Full-Time, Part-Time, and Per Diem needs. Please consider applying to discuss how your availability may align. Compensation: $31.16-53.21/hour. The posted salary reflects base compensation for candidates with limited experience. An offer may vary based on factors such as experience, education, skills, internal equity, and market data. An offer of employment may be outside of the posted range based on those factors. Responsibilities Demonstrates the unit specific skills requisite for assigned service area. Integrates various aspects of specific knowledge for the patient populations served within unit area of hire: applies knowledge of expected norms in planning interventions. Demonstrates integration of knowledge, skills, and abilities for the patient populations served in unit of care. Meets Copley Hospital standards related to: telephone etiquette, customer service, comportment, inter intra departmental relations, confidentiality, corporate compliance, patient provider rights, UOR reporting mechanism, QI, Code of Conduct. Develops and maintains human care relationships & integrates the influence of the human experience of health, illness &/or healing. Adapts care for diverse populations, assists colleagues with care delivery, refers all concerns/issues to appropriate resource. Incorporates teaching in delivery of care and demonstrates competence in health promotion & disease prevention. Provides information to patient family appropriately, assesses for barriers to learning, uses colleagues as a learning resource. The specific patient population may include infants, children, adolescents, adults, and geriatrics. Competency verification. Manages self and resources effectively. Organizes multitask workload, accepts changes in assignment, utilizes supplies appropriately, requests assistance appropriately. Applies leadership skills appropriately. Coordinates care within the multi-disciplinary team, interacts in a professional manner, communicates directly, verbalizes scope of practice for self and others. Supports the organizational values: Compassion and respect for Human Dignity, Commitment to Professional Competence, Commitment to a spirit of service, Honesty, Confidentiality, and Good Stewardship careful administration. Critical Care Transport: Provide direct patient care to the ill and injured during the transport along with the EMS transport and treatment protocols. Functions under written and standing orders of the transferring physician. Performs assessments, treats and monitors patients during inter-facility transports. Education, attendance, punctuality, meetings: Participates in continuing education programs & mandatory education to maintain competence and gain additional skills & documents attendance. Completes annual review and or training i.e. Healthstream topics, mandatory education, BLS renewal, etc. Attendance & punctuality expectations met. Attends unit staff mtgs or retrieves info from the same. Applies critical thinking knowledge, integration skills and considers alternatives in a multitask workload. Collects integrates data from multiple sources, seeks assistance information appropriately. Communicates with patients, team members, and management in an accurate, timely manner. Reports pertinent data, completes forms and charting, protects confidentiality, attends staff meetings or retrieves information from same, reads communications. Identifies & applies age specific safety needs when performing job duties in the following circumstances: disaster/evacuation, transfer of patients, minimizing security risks, restraints/immobilization devices, use of equipment. Incorporates appropriate assessment and intervention skills in all interactions and delivery of nursing care: medical asepsis, physical assessment, monitoring, pain management, reports, therapeutic interventions, medication administration, IV lines management, evaluation & revisions of plan of care, procedures, & medical technology. Qualifications Associate Degree (or certification equivalent). Minimum of one year experience preferred. Current Vermont licensure and BLS.
Overview Copley Hospital, located in Morrisville/Stowe VT, is looking for a Certified Registered Nurse Anesthetist to join our team! Work independently to provide anesthesia services within the full scope of practice to all patients at Copley Hospital. Including general anesthesia, regional anesthesia, emergency/critical care, invasive pain blocks and acute pain management. Compliance with all applicable State and Federal laws, regulations, and policies governing the provision of health care. This position is Full-Time (PT available). Copley Hospital has a variety of shifts available across Full-Time, Part-Time, and Per Diem needs. Please consider applying to discuss how your availability may align. Compensation: $130-135/hour. The posted salary range reflects compensation for candidates with limited experience. An offer may vary based on factors such as experience, education, skills, internal equity, and market data. An offer of employment may be outside of the posted range based on those factors. Responsibilities Administers anesthesia to safely achieve the desired end-point of any anesthetic – patient comfort and surgical working conditions with minimal physiologic trespass. Adheres strictly to established practices of preparing the patient and administering anesthetic. Safely and properly practices technical skills including, but not limited to: airway management including endotracheal intubation with or without machine controlled ventilation. Placement of intravenous therapy and monitoring lines, placement of intra-arterial monitoring lines and establishment of regional anesthesia with various nerve blocking techniques. Checks patient identification and positions patient on operating table according to established guidelines for type of procedure to be performed. Studies physical findings of preoperational examination to determine probable effects of anesthetic on patient. Will develop a professional relationship and support all staff in order to enhance patient care and efficient clinical operations, acting as a role model for nursing support staff. Shall abide by the policies and procedures of the practice and the Hospital. Uses administrative skills to direct the activities of the technical support people assigned by the Hospital to the anesthesia section.These activities include ordering supplies, inventory control, stocking of individual anesthetizing locations, maintenance of equipment, and maintenance of anesthesia activity log. Anesthesia care includes the assessment of patient history, physical exam and laboratory studies, selecting the appropriate technical and pharmacological anesthetic approach. Ascertains that blood for proper types is available for emergency use. Takes patient’s blood pressure, respiration and pulse. Explains procedure to patient to secure cooperation and bolster confidence. Insert arterial catheters, lumbar epidural catheters. Administers spinal anesthesia as required. Is familiar with and adheres to the Policy and Procedure Manual of the Anesthesia Service and the By-laws of the Medical Staff. Maintains patient in surgical anesthetic state, adjusting oxygen and gas flow and keeps air tubes in position as necessary or injects prescribed intravenous anesthetic. Participates in quality assurance and peer review activities as directed by the Medical Care Review Committee, The Executive Committee of the Medical Staff or otherwise. Participates with representatives of other departments in the formulation of mechanisms to provide uniform quality of anesthesia services throughout the Hospital. Performs the following anesthesia: Obstetric, Ortho, Pediatric, Trauma, General and Outpatient surgeries. Performs under stressful conditions and reacts quickly, efficiently and effectively when patient under surgery shows adverse symptoms. Periodically takes patient’s blood pressure, respiration and pulse. Watches for significant physical changes, such as dilation of pupils and change in skin color. Keeps surgeon informed of patient’s condition. Possess interpersonal skills to relate effectively with surgeons, anesthesiologists, nursing staff and patients in demanding and stressful situations. Records on the patient’s chart the condition of patient prior to, during and following administration of anesthetic and type of anesthetic used. Submits postoperative report on patient’s condition when effects of anesthetics have worn off. Maintains records of each anesthetic administered. Takes necessary remedial action, such as aspiration of throat and administration of oxygen, to prevent asphyxiation, strangulation or surgical shock. Uses cognitive skills to carry out the following: interpretation of monitored parameters, employment of appropriate on-line corrections and adjustments. Will observe confidentiality policies established by the practice and develop a relationship with patients displaying professionalism, sensitivity, empathy and respect. Will perform job in a safe and injury free manner, observing all safety guidelines and protocols associated with position. Will promote the practice’s public image both in the practice and outside of the practice, consistent with the high quality health services provided. Qualifications Education Requirements: Graduate from an accredited School of Nursing plus graduation from an accredited School of Nurse Anesthesiology. Certification as an unrestricted Registered Nurse Anesthetist by AANA and State of Vermont licensure. Experience Requirements: Comfortable with independent practice. Comfortable with regional anesthesia, and ultrasound guided blocks. Experience Desired: One to five years experience in direct, independent anesthesia care preferred. License and Certification Requirements: AANA Certification (NBCRNA) and Licensed by the Vermont Board of Nursing. Currently registered by the Drug Enforcement Administration (DEA). Current Vermont licensure in good standing with no restrictions or stipulations. License and Certification Desired: American Heart Association BLS, ACLS, PALS Skill Requirements: General Anesthesia Regional Anesthesia Labor Analgesia Emergency Intubation Intensive Care Support/Management/Stabilization for transfer Ultrasound Guided regional Blocks