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Registered Nurse - Surgical (4500) Nights

Mercy Fort Smith, AR

Find your calling at Mercy! Overview: Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct care givers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: SIGN ON BONUS AVAILABLE 10,000 Sign On Bonus for full-time RNs with at least 1 year of experience NO CONTRACT Qualifications: Education: Graduate of an accredited nursing program (Associate degree, Diploma, or BSN). Licensure: Current RN license in the hiring state and/or compact licensure; must meet state board requirements. Certifications: American Heart Association BLS and ACLS required or obtained within 90 days of hire. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

Kaiser Permanente Honolulu, HI

LPN - Clinic I (Meds)

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

Kaiser Permanente Kailua, HI

LPN - Clinic II (Meds)

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

Kaiser Permanente Wailuku, HI

Medical Assistant I

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.

Kaiser Permanente Kailua-Kona, HI

LPN - Clinic I (MEDS)

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