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Yale New Haven Health New Haven, CT

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. A member of the nursing staff who is highly involved in the delivery of quality nursing care. He/She will work in conjunction with the Charge Nurse to meet the resident's needs and/or resolve problems. EEO/AA/Disability/Veteran Responsibilities 1. DUTIES: 1. Must be able to lift objects in excess of 50 pounds. 2. Must be able to perform tasks that require routine standing, bending, and lifting. Must be able to position, turn, move, walk, and transfer patients in and out of beds, chairs, bathtubs, showers, etc. 3.Provides nursing care according to established policies and procedures. 4. Arrives to work on a timely manner and keeps absences down to a minimum. 5. Adheres to the dress code and comes to work prepared (watch, pen)/ 6.. Reports on and off duty to the Charge Nurse. 5. Takes breaks and meals as designated by the Charge Nurse. 6. Receives report and resident assignment from the Charge Nurse and satisfactorily completes the assignments by the end of his / her shift including documentation of care. Reports to the nurse any unusual findings noted while giving care. 7. Completes additional task as requested. 8. Assumes responsibility for all residents on the unit especially when the assigned caregiver has gone off the unit. 9. Alerts the Charge Nurse immediately of any procedures or duty that needs clarification or instruction. 10. Adjusts to charges in the routines to meet resident's needs. 11. Adjust and adheres to changes in policies and procedures as revised by the facility. 12. Checks the master schedule to see when h/she is scheduled to work. 13. Requests time off, and vacation according to the facility policies and procedures. 14. Works holidays according to facility policies and procedures. 2. CLINICAL DUTIES: 1. Practices proper infection control techniques. Follows facility infection control policies and procedures. 2. Maintains meticulous personal hygiene and grooming of the resident. Give showers, bathes, and shampoos residents as assigned. Besides bathing and incontinent care daily AM and PM care includes oral hygiene, as well as denture care, shaves for men daily and women as needed, inspecting fingernails to ensure they are clean and well-trimmed, washing inspecting skin for red or open areas, bruises, skin tears, reports to Charge Nurse. 3. Toileting and/or incontinent care is provided according to the facilities policies and procedures. 4. Encourage resident to participate in active ROM when possible and perform passive ROM according to the facility policies and procedures. 5. Residents are assisted before, during, and after meals by placing residents in an upright position, ensuring teeth are in, glasses are on, setting up food in front of resident checking that resident has correct meal, at correct consistency and using Thickener if required. Give resident as much assistance as required (cut meat, open containers) encourage the resident to eat and/or feeds resident as indicated on the assignment sheet. Record resident's intake and repost to nurse if resident's intake is low meal is refused, etc. 3. CLINICAL DUTIES CONTINUED: 6. Transfers residents according to method indicated on assignment sheet. Follows policies and procedure on body mechanics and use of resident lifts. Notify nurse if in doubt of resident's capabilities or questions about transfer method to be used. 7. Ambulates residents as directed by assignment sheet, Charge Nurse or Physical Therapy. 8. Obtains the resident's vital signs and weight according to shift routine or as directed by Charge Nurse. 9. Answers calla lights promptly for any resident and addresses the resident's needs 10. Responds immediately to bed/chair alarms, Code Alert or door alarms. 11. Collects specimens of urine, stool, and sputum as directed by the Charge Nurse. 12. Passes out fresh water and ice, nourishments and snacks to residents as assigned, being sure to follow the resident's diet. 4. CLINICAL DUTIES CONTINUED: 13. Ensures safety of all residents. 14. Immediately reports to Charge Nurse any unusual occurrences or injury of a resident. 15. Immediately reports hazard/malfunctioning equipment to the Charge Nurse. 16. Obtains supplies for resident care as needed. 17. Assist with the transfers of a resident to another room or unit by packing the resident's belonging and then unpacking them in the new room. 18. Assist in resident's admission to the facility. Welcome resident and their family checking for name band, makes resident comfortable in the bed or chair. Unpacks the resident's belongings and puts them in appropriate place. Assist Charge Nurse in admission process as directed. 19. Makes resident beds, change linens as needed. Handles linens both clean and soiled according to facility policies. 20. Accepts changes in assignment as designated. Works in areas according to daily assignment. 5. NON-CLINICAL DUTIES: 1. Care for the resident's immediate environment and unit by making sure drawers, closets and bedside stands are clean, neat and orderly and the bed is properly made. 2. Ensures that resident is wearing a name band. 3. Places resident's personal clothing in hamper for laundry or in resident's closet if family does laundry. 4. Gathers and transports residents to recreational activities. 5. Accompanies residents to appointments at MD offices as directed. 6. Transports the resident to and from appointments with the facility. 7. Accepts changes in assignment as designated. 6. COMMUNICATION: 1. Communicates in a pleasant, polite, and helpful manner to residents, visitors, coworkers. 2. Works as a team member with co-workers. 3. Welcomes new employees and assists in their orientation by acting as preceptor. 4. Directs resident or visitors concerns to Charge Nurse or appropriate department head. 5. Exhibits a professional manner at all times. 6. Follows Employees Code of Conduct Policy. 7. DOCUMENTATION: 1. Records vital signs, weights, intake, and output, percentage of meals, bowel movements, bladder assessment, and ambulation list on the proper forms or in the EMR. Notifies the Charge Nurse of abnormal findings. 2. Documents care in the Electronic Medical Record (EMR) 8. DUTIES SPECIFIC TO SHIFT: 7-3 Annual heights during month of December monthly weights by the end of the 1st full week of the month. Clean bedside stands. 3-11 Monthly blood pressure and pulses by the end of the 1st full week of the month. Cleans closets. Stores resident wheelchair and recliners in appropriate areas once resident is in bed. 11-7 Name band checks on residents nightly. Name plate on doors nightly. May be asked to perform other duties or be assigned Quality Monitoring projects as needed. 9. INSERVICE TRAINING 1. Attends State and Federal mandated in-service annually. 2. Attends in-service demand mandatory by the facility. 3. Attends at least 12 hours of in-service training in a calendar year (completed by December) as required by OBRA regulations. 10. Chaperone: will be responsible to chaperone patients as necessary to appointments and be in the room with them for certain procedures, examinations and treatments. i.e. Pelvic examination; Intravaginal physical therapy, Examination treatments, or procedures of or involving the external genitalia (inclusive of urinary catheterization); Examination, treatments, or procedures of the female patient's breast(s)Rectal examinations or treatments, or procedures (inclusive of rectal tube insertion) Qualifications EDUCATION High School education or GED EXPERIENCE Certified according to State of Connecticut Public Health Code regulations. SPECIAL SKILLS Demonstrates excellent communication and personal skills. YNHHS Requisition ID 189047

CNA

Home Health

2 months ago

Certified Nursing Assistant- Home Health

Yale New Haven Health Guilford, CT

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Home Health Aide is a certified individual who provides direct patient care (personal care) as designated by the Registered Nurse Case Manager, Physical Therapist, Occupational Therapist, or Speech Therapist. EEO/AA/Disability/Veteran Responsibilities 1. Gives competent and safe patient care, i.e. bathing, dressing, oral, toileting, etc, according to the home health aide plan of care established by the RN Case Manager or Therapist. 2. Meets the needs of complex patients, i.e. bedbound, palliative and hospice patients, etc 3. Provides safe techniques for ambulation, transfers, and use of assistive devices. Uses proper body mechanics in positioning and movement of patients. 4. Assists with range of motion exercises as directed and also with exercise programs instructed by the nurse or therapist. 5. Assists with meal preparation in accordance with prescribed diet. Understands fluid restrictions, recording, and feeding. 6. Addresses clean up and maintenance of the patient's immediate environment. 7. Communicates any untoward patient findings to the RN Case Manager or therapist. 8. Follows universal precautions and appropriately uses personal protective equipment. 9. Documents care rendered and observations as instructed by RN Case Manager or Therapist. 10. Ensures that all patient related documents are signed and dated and handed in timely. 11. Conforms to payroll standards. 12. Complies with HIPAA. 13. Complies with weekday and weekend commitments. 14. Participates in staff meetings, in-service programs, and all other required meetings. Qualifications EDUCATION High School education or GED preferred, but not necessary. EXPERIENCE Certified according to State of Connecticut Public Health Code regulations. LICENSURE Successful completion of a home health aide training program approved by the State of Connecticut Department of Health or a student LPN or RN who has successfully completed 75 hours of theoretical and clinical instruction in the fundamental skills of nursing approved by the CT DPH. Successful completion of a home health aide competency evaluation program approved by the State of CT DPH Successful completion of a new competency evaluation program, if there has been a consecutive period of 24 months that the home health aide has not performed nursing-related services for monetary compensation. All Home Health Aides are required to have a valid CT driver's license, a clean driving record, and a car available for work purposes as a condition of employment. SPECIAL SKILLS Demonstrates excellent communication and interpersonal skills. Must be adaptable, flexible, ability to learn quickly, and have a comfort level in providing care in patient homes. PHYSICAL DEMAND Must be able to lift objects in excess of 50 pounds. Must be able to perform tasks that require routine standing, bending, and lifting. Must be able to position, turn, move, walk, and transfer patients in and out of beds, chairs, bathtubs, showers, etc. YNHHS Requisition ID 186965

Pedi Heme Onc/BMT Per Diem; Registered Nurse

Yale New Haven Health New Haven, CT

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. The professional role of the RN is exemplified by the qualities of leadership, delegation, collaboration, effective communication, ensuring quality outcomes. YNHHS nurses practice in a framework outlined in our professional practice model, which states, "Achieving outcomes through Autonomy and Accountability". We value Nursing Professional Governance, and use evidence and data to support our practice with the patient and family at the center, always. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. EEO/AA/Disability/Veteran Responsibilities 1. STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or situation Diagnosis: The RN analyzes the assessment data to determine the actual and potential diagnoses or the issues. Outcomes Identification: The RN identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Implementation: The RN implements the identified plan. Coordination of Care: The RN coordinates care delivery and transitions in care. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment. Evaluation: The RN evaluates progress toward attainment of outcomes. 2. STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in professional role activities, including leadership, appropriate to their education and position. The RN is accountable to for their professional actions to themselves, their healthcare consumers, their peers and ultimately to society. Ethics: The RN practices ethically. Culturally congruent practice: The RN practices in a manner that is congruent with cultural diversity and inclusion principles. Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Leadership: The RN leads within the professional practice setting and the profession. Education: the RN seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Professional Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner. Qualifications EDUCATION Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. LICENSURE Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. SPECIAL SKILLS Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. PHYSICAL DEMAND Requires prolonged standing; walking; use of sight, hearing, and touch. May be exposed to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care. Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds. Additional Information Pediatric Experience Required Heme or Onc Experience Required APHON Chemo Provider Required Two Years RN Experience Required YNHHS Requisition ID 172384

Per Diem LPN Behavioral Health

Yale New Haven Health Guilford, CT

Yale New Haven Health Waterford, CT

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Manages skilled professional nursing care to the client as ordered by the physician in accordance with the policies and procedures of Visiting Nurse Association of Southeastern Connecticut. Participates in health promotion programs as needed. The Home Care Nurse is directly responsible to the Supervisor of Clinical Services. EEO/AA/Disability/Veteran Responsibilities 1. Admits clients to service; develops care plan; implements, evaluates, and revises plan of care as indicated. 2. Provides professional nursing care including appropriate preventative, therapeutic, and rehabilitative nursing in accordance with physician's orders and the nursing care plan.plan. 3. Implements or delegates responsibility for 24 hour care plan and home health aide services. 4. Coordinates services with the client, family and others involved in the care plan 5. Evaluates client on ongoing basis; notify physician and other personnel of changes in client condition; revises care plan as appropriate 6. Identifies client and family needs for other health or community services and refers when appropriate. 7. Promotes safe environment for the client. 8. Determines aspects of care plan for delegation to home health aide; develops written plan of care and instructions for home health aide, supervises and evaluates home health aide according to Agency policies, participates in orientation and teaching of home health aides when appropriate. 9. Arranges supervision of home health aide when necessary. 10. Documents all services and coordination in the clinical record. 11. Completes all required statistical and financial information. 12. Assumes responsibility to participate in at least 12 hours of education per year. 13. Participates in other assignments as necessary to implement agency programs. 14. Maintains the productivity level as established by the Supervisor of Clinical Services. 15. Projects a positive attitude and enthusiasm about agency mission, philosophy, and policies. Qualifications EDUCATION Nursing Diploma or Associates Degree in Nursing. Bachelors in Nursing preferred. EXPERIENCE Two years nursing experience preferred. Previous home care experience desirable, but not required. LICENSURE Registered Nurse with Valid (or eligible) Connecticut license. SPECIAL SKILLS Excellent clinical knowledge, verbal/written skills, and organizational skills. Must be able to work independently. Able to competently assess patients' needs and follow through accordingly. Strong ability to work with providers and members of the multidisciplinary team. PHYSICAL DEMAND Ability to perform tasks involving physical activity which may include heavy lifting and extensive bending and standing. YNHHS Requisition ID 164773