Somnia

CRNA - Per Diem | $1,400/day | Providence Regional Medical Center - Everett, WA

$1,400 / day
Overview Somnia Anesthesia | Independent Practice | Great Culture | Diverse Case Mix | Flexible & Equitable Scheduling | Great Comp $1400/day Per Diem CRNA – Seattle, WA Providence Regional Medical Center – Where Your Expertise Meets Opportunity Looking for a high-acuity CRNA role where your skills are valued, your independence is respected, and your lifestyle matters? Join the dynamic anesthesia team at Providence Regional Medical Center (PRMC), a flagship hospital located just north of Seattle, WA. With a full spectrum of cases, generous compensation, and a supportive team culture, this is more than a job—it’s a place to grow and thrive. This is a friendly, collegial environment where CRNAs enjoy strong working relationships with both anesthesiologists and surgeons. Teamwork, respect, and professionalism define the culture here. Talk with our clinical leaders and recruiters at AANA Congress 2026 Booth 923 Compensation & Benefits: Per diem rate: $1,400/day Additional Earning Opportunities: Opportunity for extra shifts with increased compensation Premium pay for weekend and evening hours Employment Options : We offer a variety of engagement options tailored to fit different professional preferences and project needs. Whether you're looking for a more structured employment arrangement or greater flexibility and independence, we have opportunities that align with your goals Practice Environment: Practice Independently in a full-service, Level 2 Trauma Center 26 ORs + 2 OB Suites | ~17,000 cases annually | ~4,000 births Case Variety : General, ortho, neuro, GYN, urology, GI, plastics, robotics, OB Skills: Regional Lines, epidurals, spinals. Practice to the full scope of your training. Flexible Shifts : 10s, 12s, 14s, and 24s available Schedule : Standard day shift 7a–5p No more than two late shifts (past 5pm) per week Independent Practice Qualifications: Board Certified CRNA Active WA license, DEA, State CDS ACLS, BLS, and PALS Minimum 1 year of experience To learn more about this opportunity, please text or call Katie Bezler, Clinical Recruiter, at (914) 629-8006 or email at kbezler@somniainc.com Hospital Profile Providence Regional Medical Center Everett is part of the largest healthcare system in Washington. As a 615-bed Level 2 Trauma Center , PRMC offers cutting-edge care while maintaining a community-focused atmosphere. You’ll enjoy proximity to Seattle without the daily congestion—and access to everything the Pacific Northwest has to offer: hiking, skiing, water sports, and vibrant urban life. Location Highlights Providence Regional Medical Center is just north of Seattle in Everett, WA. Everett offers proximity to Seattle’s job market with more space, affordability, and access to the outdoors—ideal for professionals seeking career growth and quality of life. Minutes from Seattle and major employment centers Strong aerospace, manufacturing, and healthcare presence Waterfront living with easy access to mountains and parks: Condos, townhomes, and apartments with views of the marina, river, and Puget Sound. Walkable restaurants, marina access, and waterfront parks About Somnia Anesthesia Since 1996, Somnia has had a singular focus on anesthesia–investing in clinician professional development so patients can get the best care possible. Refer a Colleague and Be Rewarded Know someone who would be a great fit? Recommend a colleague and earn a referral bonus of up to $5,000 if they are *hired. *Terms and conditions apply. Somnia does not discriminate against any person based on race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Somnia is committed to complying with all applicable national, state, and local laws on nondiscrimination and equal opportunity.
Mount Sinai Health System

Patient Care Associate-KCC 4 North Heart-Mount Sinai Hospital-Full-time Night-11:15pm–7:15am, EOW

$27.85 - $29.88 / year
Description As an integral part of the clinical care team, the Patient Care Associate is responsible for patient care and support activities promoting patient focused care within the Specialty Service. The Patient Care Associate supports the registered nurse in patient care activities, such as: assisting patient with activities of daily living, collecting specimens and performing procedures; maintaining a safe, clean environment; and other duties as needed. Responsibilities A. Clinical/Technical/Service • Demonstrates the ability to perform clinical/technical/service/administrative tasks • Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area. • Performs and records patient’s vital signs, such as blood pressure, pulse, temperature and respirations. Documents intake and output and other data as assigned • Obtains patient’s rating on pain scales as a fifth vital sign in all areas except Pediatrics • Performs clinical procedures, such as specimen collection including blood glucose, venipuncture, EKG, application of compression devices, post-mortem care, and maintenance of skin integrity. • Sets up for selected procedures and assists RN’s accordingly. • Assists patient with activities of daily living, such as feeding, bathing and/or toileting. Orients Patients to clinical environment. Assists patient with ambulation and all levels of mobilization. • Assists with dietary functions, including delivering and collecting patient trays at bedside, passing menus to patients and assisting them with menu completion, mixing nutritional supplements, reporting variation in eating patterns to RN/Dietitian, and maintaining accurate and timely systems for transmission of patient dietary orders and changes • Maintains a safe, clean and functional environment, including ensuring for the comfortable Movement of the patient. Assists the patient in room maintenance, such as bed-stripping and trash removed, when necessary • Performs on-to-one observation or close observation status of patients, e.g. safety, elopement risk, or suicide prevention. • Maintains “isolation status” for patients under direction of an RN and according to set procedures • Performs scheduled hourly care checks/ rounding on patients with emphasis on caring for toileting needs, comfort, and positioning and pain awareness. Notifies RN if rounding has not been completed. • Utilizes Vocera system/Mount Sinai phone according to sign in/sign out protocol where activated. • Performs other duties as assigned, including generating reports • Is open and responsive to the diverse backgrounds and experience of other people and promotes an environment that is sensitive to cultural diversity. • Respects and values each patient’s unique, individual needs, beliefs, and diversity and incorporates these into delivery of care. • Greets visitors and answers telephones promptly and courteously. Escorts visitors to appropriate area, when necessary. Provides information as appropriate. • Answers Patient Call System and refers calls to appropriate staff. • Maintains a safe, clean and functional environment, including removing trash and bringing physical plant and equipment problems to the attention of the managers. • Transports patients to stretchers or wheelchairs, as required • Delivers and collects trays and bedside, delivers flowers to patients. • Strips units/cubicles • Performs emergency clean-up • Performs emergency transport • Performs discharge bed making • Transport specimens. • Updates communication board/discharge log • Assembles medical records • Updates Admission/Transfer/Discharge System/Processes • Maintains supplies and care of equipment. B. Organizational/Managerial • Participates in the department’s performance improvement activities. • Maintains patient/employee confidentiality in the management of information. • Observes the Health Care System’s compliance policies. C. Educational/Professional Development • Participates in the development of other staff members. • Meets regulatory, licensure and annual health assessment requirements. • Identifies learning strengths and needs • Utilizes learning resources. D. Communication/Relationships • Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families and significant others. • Displays courtesy, tact and patience during interactions with all members of the hospital staff and extended community. Qualifications • High School Diploma (graduate or equivalent). • Certificate of completion of a medical assistant/patient care assistant program/equivalent with skills in venipuncture and EKG. • Interpersonal skills to communicate and collaborate effectively with other members of the Specialty Service. • Documentation of Medical Assistant/Patient Care Associate training • Three to nine months of healthcare experience preferred. • Ability to set priorities, problem solve, use proper judgement in difficult situations and be flexible • Sufficient oral and writing skills in the English language in order to communicate effectively. • Physical stamina and manual dexterity to perform a variety of tasks and skills in the area of assignment • American Heart Association Heartsaver or BLS Certification Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $27.8501 - $29.8772 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Alaska Native Tribal Health Consortium

Registered Nurse II PACU

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction. ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state. Our vision: Alaska Native people are the healthiest people in the world. ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes: Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers. Cost-Share Dental and Vision Insurances Discounted Pet Insurance Retirement Contributions with Pre-Tax or Roth options into a 403(b). 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer. Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service. Eleven Paid Holidays Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members. Flexible Spending Accounts for Healthcare and Dependent Care. Ancillary Cash Benefits for accident, hospital indemnity, and critical illness. On-Site Child Care Facility with expert-designed classrooms for early child development and preschool. Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice. Tuition Discounts for you and your eligible dependents at Alaska Pacific University. On-Site Training Courses and Professional Development Opportunities. License and certification reimbursements and occupational insurance for medical staff. Emergency Travel Assistance Education Assistance or Education leave eligibility Discount program for travel, gym memberships, amusement parks, and more. Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org. Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act. Summary: Provides professional nursing services to accomplish the individual patient plan of care; independently and consistently using the nursing process to safely, therapeutically, and efficiently care for a full assignment of patients with subtle and sometimes unidentified needs. Supports the operations of the Alaska Native Medical Center and programs. Provides professional nursing services to accomplish the individual patient plan of care; independently and consistently using the nursing process to safely, therapeutically, and efficiently care for a full assignment of patients with subtle and sometimes unidentified needs. Supports the operations of the Alaska Native Medical Center and programs. Responsibilities: Evaluates one’s own nursing practice in relation to professional practice standards and relevant statutes and regulations, identifying short and long term professional goals. Utilizes the ANA Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as the foundation for nursing practice. Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice. Makes decisions and takes actions on behalf of patients are determined in an ethical manner, and care is delivered in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity preserving patient autonomy, dignity, and rights. Collaborates with the patient, family, and other health care providers in the formation of overall goals and the plan of care, as well as in decisions related to care and the delivery of services. Considers factors related to safety, effectiveness, evidence based-practice, and cost in planning & delivering patient care, and assists the patient and family in identifying and securing appropriate and available services to address health-related needs. Delivers timely and effective nursing care according to established standards including physical, social and emotional care. Performs nursing assessments, interventions, and evaluations. Directs the day-to-day activities of LPNs, NAs and PSAs. Performs other duties as assigned. Evaluates one’s own nursing practice in relation to professional practice standards and relevant statutes and regulations, identifying short and long term professional goals. Utilizes the ANA Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as the foundation for nursing practice. Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice. Makes decisions and takes actions on behalf of patients are determined in an ethical manner, and care is delivered in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity preserving patient autonomy, dignity, and rights. Collaborates with the patient, family, and other health care providers in the formation of overall goals and the plan of care, as well as in decisions related to care and the delivery of services. Considers factors related to safety, effectiveness, evidence based-practice, and cost in planning & delivering patient care, and assists the patient and family in identifying and securing appropriate and available services to address health-related needs. Delivers timely and effective nursing care according to established standards including physical, social and emotional care. Performs nursing assessments, interventions, and evaluations. Directs the day to day activities of LPNs, NAs and PSAs. Performs other duties as assigned. Other Information: KNOWLEDGE and SKILLS Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology and concepts of disease. Knowledge and ability to utilize evidence-based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of Alaskan culture. Knowledge of nursing theorists and ability to provide theory-based care for patients. Knowledge of shared governance environment with shared-decision making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in providing effective nursing services, assessing patient situations and taking effective courses of action. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Skill in evaluating health problems and making recommendations based on observations. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION An Associate Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education. Must have participated in 30 hours every 2 years continuing education in nursing in general, 16 of which are in the specific area of practice. Minimum Experience Qualification Specific experience may be required for each work area. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support card required. All other certifications as required for specific work area: New Employees must obtain the required certifications within six months of hire; New graduates must obtain the required certifications within 18 months of hire; Contract and MOA employees must come to us with the required training completed as outlined in their individual contracts/MOAs, and must be licensed as a registered nurse by the State of Alaska and remain active with all annual licensing requirements. Preferred Education Qualification A Bachelor's Degree in Nursing is preferred. Preferred Certification Qualification National certification is preferred. Additional Requirements Depending on the needs of the organization, some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas. KNOWLEDGE And SKILLS Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology and concepts of disease. Knowledge and ability to utilize evidence based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of Alaskan culture. Knowledge of nursing theorists and ability to provide theory based care for patients. Knowledge of shared governance environment with shared-decision making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in providing effective nursing services, assessing patient situations and taking effective courses of action. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Skill in evaluating health problems, and making recommendations based on observations. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION An Associates Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education. Must have participated in 30 hours every 2 years continuing education in nursing in general, 16 of which are in the specific area of practice. MINIMUM EXPERIENCE QUALIFICATION Specific experience may be required for each work area. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support card required. All other certifications as required for specific work area : New Employees must obtain the required certifications within six months of hire; New graduates must obtain the required certifications within 18 months of hire; Contract and MOA employees must come to us with the required training completed as outlined in their individual contracts/MOAs, and must be licensed as a registered nurse by the State of Alaska and remain active with all annual licensing requirements. PREFERRED EDUCATION QUALIFICATION Bachelor’s Degree in Nursing preferred. PREFERRED CERTIFICATION QUALIFICATION National certification is preferred. ADDITIONAL REQUIREMENTS Depending on the needs of the organization , some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas.
Alaska Native Tribal Health Consortium

Registered Nurse II Day Surgery - Day Surgery

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction. ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state. Our vision: Alaska Native people are the healthiest people in the world. ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes: Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers. Cost-Share Dental and Vision Insurances Discounted Pet Insurance Retirement Contributions with Pre-Tax or Roth options into a 403(b). 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer. Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service. Eleven Paid Holidays Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members. Flexible Spending Accounts for Healthcare and Dependent Care. Ancillary Cash Benefits for accident, hospital indemnity, and critical illness. On-Site Child Care Facility with expert-designed classrooms for early child development and preschool. Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice. Tuition Discounts for you and your eligible dependents at Alaska Pacific University. On-Site Training Courses and Professional Development Opportunities. License and certification reimbursements and occupational insurance for medical staff. Emergency Travel Assistance Education Assistance or Education leave eligibility Discount program for travel, gym memberships, amusement parks, and more. Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org. Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act. Summary: Provides professional nursing services to accomplish the individual patient plan of care; independently and consistently using the nursing process to safely, therapeutically, and efficiently care for a full assignment of patients with subtle and sometimes unidentified needs. Supports the operations of the Alaska Native Medical Center and programs. Provides professional nursing services to accomplish the individual patient plan of care; independently and consistently using the nursing process to safely, therapeutically, and efficiently care for a full assignment of patients with subtle and sometimes unidentified needs. Supports the operations of the Alaska Native Medical Center and programs. Responsibilities: Evaluates one’s own nursing practice in relation to professional practice standards and relevant statutes and regulations, identifying short and long term professional goals. Utilizes the ANA Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as the foundation for nursing practice. Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice. Makes decisions and takes actions on behalf of patients are determined in an ethical manner, and care is delivered in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity preserving patient autonomy, dignity, and rights. Collaborates with the patient, family, and other health care providers in the formation of overall goals and the plan of care, as well as in decisions related to care and the delivery of services. Considers factors related to safety, effectiveness, evidence based-practice, and cost in planning & delivering patient care, and assists the patient and family in identifying and securing appropriate and available services to address health-related needs. Delivers timely and effective nursing care according to established standards including physical, social and emotional care. Performs nursing assessments, interventions, and evaluations. Directs the day-to-day activities of LPNs, NAs and PSAs. Performs other duties as assigned. Evaluates one’s own nursing practice in relation to professional practice standards and relevant statutes and regulations, identifying short and long term professional goals. Utilizes the ANA Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as the foundation for nursing practice. Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice. Makes decisions and takes actions on behalf of patients are determined in an ethical manner, and care is delivered in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity preserving patient autonomy, dignity, and rights. Collaborates with the patient, family, and other health care providers in the formation of overall goals and the plan of care, as well as in decisions related to care and the delivery of services. Considers factors related to safety, effectiveness, evidence based-practice, and cost in planning & delivering patient care, and assists the patient and family in identifying and securing appropriate and available services to address health-related needs. Delivers timely and effective nursing care according to established standards including physical, social and emotional care. Performs nursing assessments, interventions, and evaluations. Directs the day to day activities of LPNs, NAs and PSAs. Performs other duties as assigned. Other Information: KNOWLEDGE and SKILLS Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology and concepts of disease. Knowledge and ability to utilize evidence-based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of Alaskan culture. Knowledge of nursing theorists and ability to provide theory-based care for patients. Knowledge of shared governance environment with shared-decision making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in providing effective nursing services, assessing patient situations and taking effective courses of action. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Skill in evaluating health problems and making recommendations based on observations. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION An Associate Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education. Must have participated in 30 hours every 2 years continuing education in nursing in general, 16 of which are in the specific area of practice. Minimum Experience Qualification Specific experience may be required for each work area. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support card required. All other certifications as required for specific work area: New Employees must obtain the required certifications within six months of hire; New graduates must obtain the required certifications within 18 months of hire; Contract and MOA employees must come to us with the required training completed as outlined in their individual contracts/MOAs, and must be licensed as a registered nurse by the State of Alaska and remain active with all annual licensing requirements. Preferred Education Qualification A Bachelor's Degree in Nursing is preferred. Preferred Certification Qualification National certification is preferred. Additional Requirements Depending on the needs of the organization, some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas. KNOWLEDGE And SKILLS Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology and concepts of disease. Knowledge and ability to utilize evidence based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of Alaskan culture. Knowledge of nursing theorists and ability to provide theory based care for patients. Knowledge of shared governance environment with shared-decision making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in providing effective nursing services, assessing patient situations and taking effective courses of action. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Skill in evaluating health problems, and making recommendations based on observations. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION An Associates Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education. Must have participated in 30 hours every 2 years continuing education in nursing in general, 16 of which are in the specific area of practice. Specific Experience May Be Required For Each Work Area. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support card required. All other certifications as required for specific work area: New Employees must obtain the required certifications within six months of hire; New graduates must obtain the required certifications within 18 months of hire; Contract and MOA employees must come to us with the required training completed as outlined in their individual contracts/MOAs, and must be licensed as a registered nurse by the State of Alaska and remain active with all annual licensing requirements. Preferred Education Qualification Bachelor’s Degree in Nursing preferred. Additional Requirements Depending on the needs of the organization, some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas.
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Cardiology

$93.75 - $114.84 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P145090-3034 Job Description This is a Fixed Term position JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Tufts Medicine

Registered Nurse, RN - Perianesthesia (Periop/PACU)

$43.01 - $70.95 / hour
Registered Nurse, RN - PACU Tufts Medical Center is a world-renowned academic medical center that has been caring for patients across New England for more than 200 years. As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Nurses are at the heart of that mission. As a Magnet® designated organization, Tufts Medical Center offers nurses the opportunity to practice at the highest level grounded in teamwork, clinical inquiry, and a culture of continuous improvement. We are committed to advancing nursing through evidence-based care, shared decision-making, and strong interdisciplinary collaboration. Nurses at Tufts MC are deeply integrated into all aspects of clinical care and operations. Whether providing high-acuity specialty care or leading quality and safety initiatives, our nurses are respected as full partners in care delivery and innovation. Their insight drives progress. Their expertise shapes outcomes. Nurses are supported through strong peer networks, diverse clinical experiences, and opportunities for professional development. Professional growth is expected, encouraged, and championed. At Tufts Medical Center, nursing isn’t just supported but integral to who we are. Join us and be part of a team that’s leading with purpose and redefining what’s possible in healthcare. Hours: 32 Hours per Week, Day/Night Rotating Shifts Position/Job Title: Prof RN Home Department: Post Anesthesia Care Unit (PACU) Job Overview The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. Job Description Minimum Qualifications: 1. Registered Nurse (RN) license. 2. Basic Life Support (BLS) certification. 3. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN) 2. Specialty Nursing certifications. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. 2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. 3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. 5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. 6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families. 7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. 8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. 9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. 10. Performs as an advocate and as an educator for patients and families. 11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. 12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives. 13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction. 15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources. 18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model. 19. May assume charge nurse functions in collaboration with unit leadership; 20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Contact with patients under wide variety of circumstances. 7. Subject to varying and unpredictable situations. 8. Handle emergency and crisis situations. 9. Subjected to irregular hours. 10. May have contact with hazardous materials. Skills & Abilities: 1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $43.01 - $70.95
Somnia

Cardiac CRNA (Certified Registered Nurse Anesthetist) - Full-Time | $255k - $265k | ACT Model | Methodist Le Bonheur Healthcare - Memphis, TN

$238,800 / year
Overview Cardiac CRNA - Full-Time - Methodist Le Bonheur Healthcare - Memphis, TN Somnia Anesthesia | Comp: $238k + Zero Cost medical benefits | Welcoming Care Team model | Strong mentoring + professional development | Clinician-led - CRNA + Physician model | Traditional Mon-Fri Schedule | NO CALL Talk with our clinical leaders and recruiters at AANA Congress 2026 Booth 923 Advance Your Anesthesia Career in Memphis with a Supportive, High-Performing Team Join a dynamic, clinician-led team of CRNAs and anesthesiologists that values your expertise, supports your professional growth, and offers the flexibility to thrive. You’ll be primarily based at two locations, Methodist Le Bonheur Germantown Hospital & Methodist University Hospital, with limited coverage of general cases. Compensation and Benefits: $238,800 Annual base salary + Opportunities for time and a half 8 weeks PTO $20,000 annual CV Stipend $10,400 Seniority Premium - 10+ years of experience $16,667 Commencement Bonus $16,667 Annual Retention Bonus $3,000 Education Stipend Traditional Mon-Fri Schedule | NO CALL Cases will be CV, structural heart, and occasionally helping out with general cases Health | Dental | Vision | Life | Disability | Malpractice Zero-cost medical benefits for you and your family 401(k) | Flexible Spending Accounts Cover State Licenses, AANA dues, and Certification fees Why You'll Love This Opportunity: Collaborative Supervision Model – CRNA & physician-only practice with a strong culture of mutual respect Mentorship & Career Growth – Comprehensive support for new graduates and ongoing professional development Full-Scope Autonomy – Perform regional anesthesia, arterial lines, and central lines Collegial Culture – Work with a supportive, engaged team that values autonomy and work-life balance Variety & Challenge – Diverse clinical experience across community hospitals and academic centers Education-Oriented – Clinical teaching opportunities available for those interested Hear From the Team: “Our team offers something for everyone — whether you are just beginning your CRNA career or bringing years of experience. Not only do we have the best team in Memphis, but also the best package in the city.”— Amanda Christopher, CRNA – System Team Lead “The support here is unmatched. You are never alone, and the opportunities to grow clinically and professionally are real.”— Anna McCleskey, CRNA – Team Lead, University & North Hospitals To learn more about this opportunity, please text or call Megan Stahlnecker, Clinical Recruiter, at 914-635-0618 or email at mstahlnecker@somniainc.com Qualifications: Active state license | DEA | State CDS Board certification required. ACLS | PALS | BLS System Overview: You’ll be primarily based at two locations. Methodist University Hospital 18,000 cases | 18 anesthetizing locations No OB Methodist Le Bonheur Germantown 20,000 cases | 20 anesthetizing locations Location Highlights: Build a Career You Love. Live a Life You'll Enjoy. Keep more of your paycheck with no Tennessee state income tax. Enjoy a lower cost of living and get more home for your money. Join one of the South's largest and most respected healthcare communities. Experience Memphis' renowned music, food, sports, and entertainment scene. Travel is easy with Memphis International Airport just 15 minutes from downtown. Find your fit in welcoming neighborhoods with great schools, parks, and plenty to do year-round. Hospital System Profile: Methodist Le Bonheur Healthcare in Memphis, TN, is a comprehensive healthcare system and is recognized as one of the best hospitals in Memphis by U.S. News & World Report. The Anesthesia Residency program at Methodist Le Bonheur Healthcare is anticipated to be Memphis’ premier program in the near future. Residency subspecialty training is currently available at Methodist Le Bonheur, including cardiac, obstetrics, critical care, acute, and chronic pain Refer a Colleague and Be Rewarded Know someone who would be a great fit? Recommend a colleague and earn a referral bonus of up to $5,000 if they are *hired. *Terms and conditions apply. Somnia does not discriminate against any person based on race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Somnia is committed to complying with all applicable national, state, and local laws on nondiscrimination and equal opportunity.
Tufts Medicine

Registered Nurse- MICU

$43.01 - $70.95 / hour
Tufts Medical Center is a world-renowned academic medical center that has been caring for patients across New England for more than 200 years. As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Nurses are at the heart of that mission. As a Magnet® designated organization, Tufts Medical Center offers nurses the opportunity to practice at the highest level grounded in teamwork, clinical inquiry, and a culture of continuous improvement. We are committed to advancing nursing through evidence-based care, shared decision-making, and strong interdisciplinary collaboration. Nurses at Tufts MC are deeply integrated into all aspects of clinical care and operations. Whether providing high-acuity specialty care or leading quality and safety initiatives, our nurses are respected as full partners in care delivery and innovation. Their insight drives progress. Their expertise shapes outcomes. Nurses are supported through strong peer networks, diverse clinical experiences, and opportunities for professional development. Professional growth is expected, encouraged, and championed. At Tufts Medical Center, nursing isn’t just supported but integral to who we are. Join us and be part of a team that’s leading with purpose and redefining what’s possible in healthcare. Job Profile Summary ​This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. Job Description Minimum Qualifications: 1. Registered Nurse (RN) license. 2. Basic Life Support (BLS) certification. 3. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN) 2. Specialty Nursing certifications. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. 2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. 3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. 5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. 6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families. 7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. 8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. 9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. 10. Performs as an advocate and as an educator for patients and families. 11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. 12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives. 13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction. 15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources. 18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model. 19. May assume charge nurse functions in collaboration with unit leadership; 20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Contact with patients under wide variety of circumstances. 7. Subject to varying and unpredictable situations. 8. Handle emergency and crisis situations. 9. Subjected to irregular hours. 10. May have contact with hazardous materials. Skills & Abilities: 1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $43.01 - $70.95
Tufts Medicine

Registered Nurse MICU

$43.01 - $70.95 / hour
Tufts Medical Center is a world-renowned academic medical center that has been caring for patients across New England for more than 200 years. As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Nurses are at the heart of that mission. As a Magnet® designated organization, Tufts Medical Center offers nurses the opportunity to practice at the highest level grounded in teamwork, clinical inquiry, and a culture of continuous improvement. We are committed to advancing nursing through evidence-based care, shared decision-making, and strong interdisciplinary collaboration. Nurses at Tufts MC are deeply integrated into all aspects of clinical care and operations. Whether providing high-acuity specialty care or leading quality and safety initiatives, our nurses are respected as full partners in care delivery and innovation. Their insight drives progress. Their expertise shapes outcomes. Nurses are supported through strong peer networks, diverse clinical experiences, and opportunities for professional development. Professional growth is expected, encouraged, and championed. At Tufts Medical Center, nursing isn’t just supported but integral to who we are. Join us and be part of a team that’s leading with purpose and redefining what’s possible in healthcare. Job Profile Summary ​This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. Job Description Minimum Qualifications: 1. Registered Nurse (RN) license. 2. Basic Life Support (BLS) certification. 3. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN) 2. Specialty Nursing certifications. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. 2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. 3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. 5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. 6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families. 7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. 8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. 9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. 10. Performs as an advocate and as an educator for patients and families. 11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. 12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives. 13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction. 15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources. 18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model. 19. May assume charge nurse functions in collaboration with unit leadership; 20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Contact with patients under wide variety of circumstances. 7. Subject to varying and unpredictable situations. 8. Handle emergency and crisis situations. 9. Subjected to irregular hours. 10. May have contact with hazardous materials. Skills & Abilities: 1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $43.01 - $70.95
Gracy Woods I Nursing Center

LVN's and RN's

Summary Description: To plan and deliver nursing care to patients/ residents requiring long-term or rehabilitative care. Essential Duties and Responsibilities: 1. Works using the guidelines established from the Nurse Practice Act, facility policies and procedures, and nursing judgement. 2. Assesses, plans and evaluates nursing care delivered to patients/residents requiring long-term or rehabilitation care. 3. Delivers nursing care to patients/residents requiring long-term or rehabilitative care. 4. Implements the patient/residents plan of care and evaluates the patient/resident response 5. Directs and supervise care given by other nursing personnel. 6. Provides input in the formulation and evaluation of standards of care. 7. Maintains knowledge of necessary documentation requirements. 8. Maintains knowledge of equipment set-up, maintenance and use, i.e. monitors, infusion devices, drain devices, etc. 9. Maintains confidentiality and patient/resident rights, regarding all patient/ resident/ personnel information. 10. Provides patient/resident/family/caregiver education as directed. 11. Conducts self in a professional manner in compliance with unit and facility policies. 12. Works rotating shifts, holidays and weekends as scheduled. 13. Initiates emergency support measures (i.e., CPR, protects patients/residents from injury) 14. Assessment A. Admission and routine resident observations/transfer notes are complete and accurately reflect the patient=s/resident’s status. B. Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures. C. Nursing history is present in the medical record for all patients/residents D. Assessment identifies changes in the patient=s/resident’s physical or psychological condition (i.e., changes in lab data, vital signs, mental status). 15. Planning of Care A. Nursing care plans are initiated/reviewed/individualized on assigned patients/residents monthly and PRN. 1. Pertinent nursing problems are identified. 2. Goals are stated. 3. Appropriate nursing orders are formulated. 16. Evaluation of Care A. The effectiveness of nursing interventions, medications, etc., is evaluated and documented in the progress notes. B. Care Plans: 1. Evaluation of care plan is noted monthly or as indicated. 2. The care plan is revised as indicated by the patient’s/residents status. 17. General Patients/Resident Care A. Patient/Resident is approached in a kind, gentle and friendly manner. Respect for the patients/resident dignity and privacy is consistently provided B. Interventions are performed in a timely manner. Explanations for delays in answers/responses are provided. C. Independence by the patient/resident in activities or daily living is encourages to the extent possible. D. Treatments are completed as indicated. E. Safety concerns are identified and appropriate actions are taken to maintain a safe environment. 1. Side-rails and height of bed are adjusted 2. Patient/residents call light and equipment is within reach 3. Restraints, when used are maintained properly. 4. Rooms are neat and orderly. F. Patient/resident identification and allergy bands (if applicable)are present. G. Functional assignments are completed. H. Emergency situation are recognized and appropriate action is instituted. I. All emergency equipment can be readily located and operated (emergency oxygen supply, drug box, fire extinguisher, etc.) 18. Patient/Resident Education/Discharge Planning A. The patient/resident and family are involved in the planning of care and treatment (documented on the plan of care.) B. Patient/resident and/or family are provided with information related to all intervention and activities as indicated. C. Discharge/death summaries are complete and accurate. D. Transfer forms are complete and accurate. E. Active participation in patient/resident care management is evident. 19. Adherence to Facility Procedures A. Facility procedure manuals or reference materials are utilized as needed. B. Procedures are performed according to method outlined in procedure manual. C. Body substance precautions and other appropriate infection control practice are utilized with all nursing interventions. D. Safety guidelines established by the facility (i.e., proper needle disposal), are followed. 20. Documentation A. The patients/residents full name and room number are present on the chart forms. Allergies are noted on the chart cover. B. Only approved abbreviations are utilized. C. TPR graphic is completed properly and timely. D. I&O summaries are recorded and added correctly. E. Blood pressure graphic is competed accurately and timely. F. Progress notes are timed, dated and signed with full signature and title. G. Unit flow-sheets are completed properly (i.e., wound care records, treatment records, IV therapy record, etc.). 21. Medication Administrations/ Parenteral Therapy Record A. Dates that medication are started or discontinued are documented. B. Medication are charted correctly with name, dose, route, site, time and initials of nurse Administering. C. Pulse and BP are obtained and recorded with appropriate. D. Medications not given are circled, reason noted and physician notified if applicable, E. Appropriate notes are written for medication not given and actions taken. F. Name and title of nurse administering medication are documented. G. Patient/residents medication records in labeled with full name, room number, date and allergies. H. The procedure for administration and counting of narcotics is followed. I. All parenteral fluids including additives are charted with time and date started, time infusion completed, site of infusion and signature of nurse. J. All parenteral fluids are administered according to the ordered infusion rate. K. Parenteral intake is accurately recorded ion the unit flow sheet or I&O record. L. IV sites are monitored and catheters changed according to unit policy. M. IV bags and tubing are changed according to unit policy N. Appropriate actions are taken related to identified IV infusions problems (infiltration, phlebitis, poor infusion, etc.) policy. 22. Coordination of Care A. Tests are scheduled and preps are completed as indicated. B. Co-workers are informed of changes in patient/resident condition or of any other Changes occurring on the unit. C. information is relayed to the member of the health care team (i.e., physicians, respiratory therapy, physical therapy, social services, etc.,). D. Unit activities are coordinated (i.e. changing patients/residents room for admissions Coordination transfer/discharge forms, etc.) 23. Leadership A. Equitable care assignments are made prior to shift that are appropriate to patient/resident’s needs. B. Staffing needs are communicated to the nursing supervisors. C. Assistance, direction and education are provided to unit personnel and families. D. Problems are identified, data are gathered, solutions are suggested and communication regarding the problem is appropriate. E. Transcriptions of all orders is checked. F. All work areas are neat and clean 24. Communication A. Change of shift report is complete, accurate and concise. B. Incident reports are completed accurately and in a timely manner. C. Staff meeting are attended, if on duty, or minutes read and initialed if not on duty. 25. Professionalism A. Decisions are made that reflect knowledge and good judgment and demonstrate and awareness of patient/resident/family/physician needs. B. Awareness of own limitations is evident and assistance is sought when necessary. C. Dress code is adhered to D. Committee meeting (if assigned) are attended. Reports related to the committee are given during staff meetings. E. Responsibility is taken for own professional growth. All mandatory and other in-service’s are attendee annually. F. Organizational ability and time management is demonstrated. G. Confidentiality of patient/resident is respected at all times (i.e, when answering telephone and/or speaking to co-workers) H. Professional behavior is demonstrated. 26. Human Relations A. A positive working relationship with patient/residents, visitors and facility staff is demonstrated. B. Authority is acknowledged and response to the direction of supervisors is appropriate. C. Time is spent with residents rather than personnel. D. Co-workers are readily assisted as needed. 27. Cost Awareness A. Supplies are used appropriately. B. Charge stickers (or charge system) are utilized appropriately. C. Minimal supplies are stored in resident room. D. Discharged medications are returned to the pharmacy or destroyed in a timely manner. E. Floor-stock medications are charged and re-stocked 28. Participates in the identification of staff educational needs. 29. Serves as a preceptor, as delegated, for new staff 30. Maintains patient/resident care supplies, equipment and environment. 31. Participates in the development of unit objectives 32. Participates in the quality assessment and improvement process and activities. Other Duties: 1. As this job description is no intended to be all-inclusive, the employee will be expected to perform other duties as assigned. Standard Responsibilities: 1. Supports the facility 2. is knowledgeable of patient/residents rights and promotes an atmosphere which allows for the privacy, dignity and well-being of all residents in a safe, secure environment. 3. Supports, cooperates with, and implements specific procedure and programs for: A. Safety, including precautions and safe work proactive, established fire/safety/disaster pans, risk management, and security, report and / or correct unsafe working conditions, equipment repair and maintenance needs. B. Confidentiality and privacy of all data, including patient/resident, employee and operation data. C. Compliance with all regulatory requirements. D. Compliance with and enforcement of current law and policy to provide a work environment free from harassment and all illegal and discriminatory behavior. 4. Supports and participates in common teamwork: A. Cooperates and works together with all co-workers; plan and complete job duties with minimal supervisory direction, including appropriate judgement. B. Uses tactful, appropriate communication in sensitive and emotional situations. C. Reports complaints, problems and concerns regarding co-workers, management or residents in accordance with facility policy. D. Promotes positive public relation with patients, residents, family member and guests. E. Completes requirements for in-service training, acceptable attendance, uniform and dress code including personal hygiene, and other work duties as assigned. 5. Agrees to company with code of conduct. Employment Standards: Education: Must be a graduate of basic education program in professional nursing Experience: A minimum of one year medical/surgical nursing experience in an acute care (hospital) setting or long-term care or acute care is preferred. Critical care experience is preferred. License/Other: Must possess a current RN License in the State(s) of practice. Must have a reliable source of transportation. Must have a valid driver’s license and automobile insurance. Working Conditions: Works in office areas as well as throughout the facility. Must be able to move about intermittently during working hours including standing, lifting, bending stooping, twisting, pushing and pulling. Must be able to read, write and speak the English language. Must be able to transfer resident and assist in emergency evaluations. Interacts with resident, family members, staff, visitors, government agencies/personnel, etc., under all conditions/circumstances. Must be able to relate and work with the disabled, ill, elderly, emotionally upset and at times, hostile people within the facility. May be involved in community/civic health matters/ projects. May be exposed to infectious waste, disease, conditions, etc., including exposure to the AIDS and hepatitis B Viruses. Must be able to effectively communicate with management staff, medical staff, nursing staff, and other unit supervisors,. Maintains a liaison with residents, their families, support staff, etc. to assure that the residents’ needs continually met.
University of Cincinnati Health

Registered Nurse (RN), Operating Room, Full-time, 12hr Flex ONA

Job Description At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. The Registered Nurse (RN) is an individual who holds a current state license to practice nursing. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social and nursing sciences to assess, plan, implement and evaluate patient care. The care is culturally based and age specific. Location Cincinnati, OH, United States Qualifications Graduate from an accredited school of nursing. Bachelor of Science in Nursing preferred. | Current Ohio RN license. | Medical/Surgical: 0+ (will accept new grads) Critical Care: 2+ years equivalent experience preferred Perioperative Services: 2+ years equivalent experience preferred Emergency Department: 2+ years equivalent experience preferred Obstetrics/Gynecology: 2+ years equivalent experience preferred Mobile Care/Transport: 2+ years critical care/emergency nursing or 2 years’ pre-hospital Paramedic level experience and 2 years’ critical care/emergency experience. Transport nursing experience preferred. Radiology: 2+ years of critical care or emergency care experience preferred; one year interventional radiology preferred PICC (peripherally inserted central catheter): 2 + years clinical nursing experience required; Prefer critical nursing experience or one year of PICC experience Responsibilities PATIENT POPULATION - (CLINICAL ONLY): Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Assessment Demonstrates nursing clinical skills necessary to make pertinent and accurate assessments of the physical, psychosocial, spiritual and educational needs of the patient. Demonstrates knowledge base of normal age-specific, physiological and psychosocial functions of the unit’s population. Performs a basic physical assessment. Initiates upon admission, a nursing admission history and nursing assessment including an educational needs assessment. Initiates referrals upon admission and throughout care as based on patient assessment. Understands signs and symptoms and data related to the patient’s presenting problems and potential problems. Reassesses and evaluates patient needs each shift and more frequently when indicated by unit standards of care or patient condition. Assesses patient and environmental safety continuously. Receives and gives a complete, concise and timely report on condition of assigned patients. Recognizes and appropriately reports basic abnormal data and subtle changes in patient conditions. Incorporates into plan of care as applicable. Collaborates with other health team members to collect and share pertinent data regarding patient’s physiological and psychological condition. Participates in discharge planning. Planning Utilizes collected data to establish and prioritize a list of actual, and potential, individualized age-specific patient problems and/or needs. Prepares, implements, evaluates, revises and coordinates interdisciplinary plan of care for each assigned patient in a collaborative effort with the other health care team members and patient/family within the time frame indicated by unit’s standards of practice. Communicates formulated plan of care, as appropriate, to all levels of associates involved in the patient’s care. Demonstrates ability to establish priorities of care based on patients’ assessment and needs. Implementation Implements plan of care and interventions to provide quality care based on assessed needs, established standards of care and according to policy and procedures. Implements nursing actions, either by direct care or delegation of responsibility, based upon patient’s plan of care and skill level of personnel. Implements plan of nursing care in collaboration with the patient, family/designee, and other health care team members. Demonstrates critical thinking and accountability in evaluating and implementing of physician. Demonstrates competency for medication administration as allowed by licensure and institution policy Able to recognize emergent situations and implement emergency measures. Demonstrates professional manner during emergent situations. Based upon nursing assessment, makes appropriate referrals to other health care team members in a timely manner. Implements safety interventions to maintain patient/family/staff safety. Reports actual and potential patient safety issues. Demonstrates competency in infection control measures. Professional Development Assumes responsibility for personal professional development and contributes to the professional development of peers, colleagues and others. Participates in unit or department staff meetings. Utilizes learning opportunities on the unit for improvement of self and others. Identifies personal strengths and weaknesses as a professional nurse. Takes initiatives in professional growth in regards to identified weaknesses. Maintains individual competency in nursing practice. Completes all educational, certification and regulatory requirements, submits required tests and paperwork in a timely manner. Involved in best practice recommendations and implementation to improve patient care at the unit or department level. Evaluates nursing practice by participating in self/peer review and performance improvement activities. Documentation Nursing process is accurately and concisely documented, including evaluation of treatment. Documents according to UC Health policy and procedures. Documents plan of care reflective of collaborative practice with other health care team members. Documents patient/family/designee teaching and response appropriately. Evaluation Continuously evaluates nursing practice in relation to the standards of care and individual plan of care. Evaluates effectiveness of nursing care interventions and revises or continues with plan of care based on patient’s response. Involves patient, family and other health care team members in evaluation process when appropriate. Maintains continuity of care between shifts or encounter and transfers by reporting or following up on patient care needs if applicable. Leadership Effectively manages care through others. Demonstrates time management when providing patient care. Demonstrates flexibility and a cooperative attitude to meet the needs of the unit. Acts as a resources person and mentor for new personnel, floater, and/or supplemental staff working on the unit. May function as a preceptor. Appropriately delegates to ancillary staff; communicates effectively. Productivity Considers factors related to cost and effective outcomes when planning patient care. Manages workload effectively. Initiates care in a timely manner. Answers and responds to patient requests or call lights promptly when applicable Supports effective use of staff and supplies.
Vanderbilt University Medical Center

Nurse Manager, ICU and Stepdown Units, Full time Days, Clarksville

Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: VCH Nursing Admin Job Summary: Reporting to the Clinical Director, directs unit personnel in care activities, controls and monitors the patient care and hospital services to meet the requirements of the accrediting agency, Federal and State agencies, VWCH, and the community. Collaborates with ancillary departments to achieve patient care goals. Mentors new employees and assists with educational needs of the staff. Gathers and collates data as assigned. Assists with evaluations, coordinates schedules. . The ideal candidate will have previous clinical management experience in an acute care setting - preferably in critical care. Vanderbilt Clarksville Intensive Care Unit (ICU), is a 21 bed mixed medical/surgical adult ICU specialized in providing close monitoring and treatment for patients with a wide-range of diagnosis . We care for patients being treated for Cardiovascular conditions, Acute Respiratory Failure, Acute Respiratory Distress Syndrome (ARDS), Multisystem Organ System Failure, Sepsis, Drug Overdoses, Gastrointestinal Bleeds, Diabetic Ketoacidosis, Hypertensive Crisis, Acute/Chronic Renal Failure, STEMI, cardiogenic shock and post heart catheterization. Our staff is committed to provide exceptional care to our patients. Our environment is challenging, team oriented, patient and family centered. We work collaboratively to provide opportunities for nurses to grow in critical thinking, professionalism, and participate in ongoing education. Our team consists of Intensivists, advanced practice nurses, critical care nurses, and respiratory therapists. Daily multidisciplinary rounds include the intensivist, advanced practice nurse, ICU nurse, case manager, respiratory therapy, pharmacy, infectious disease, and a nurse leader. SWAT team consists of intensivist, advance practice nurse and charge nurse available as bedside consult. ICU charge nurse responds to codes, and RRT’s. Each shift begins with a safety huddle to look back and forward 24 hours to review safety and quality concerns. Certifications: BLS, ACLS, NIH, ECG interpretation. Orientation: 12 weeks of orientation is offered based on nursing experience for nurses with at least one year of experience. Ratios 2:1 Medical Equipment - cardiac monitors, mechanical ventilators, high flow, bipap, feeding tubes, intravenous (IV) lines, arterial lines swan ganz catheters, foley catheters, chest tubes, alaris, pca, epidural, arctic sun, blanketrol, ultrasound, glidescope, bladder scanner, tele neurobot, ventilator, ETc02, wound vac. Clinical Skills: Hemodynamic monitoring, invasive and noninvasive, Tracheostomy care, ventilator management protocols, cardiac arrthymias, drip titration, cardiac drips, oxygenation management, lines tubes, drains, Sheath pulls. Professionalism: critical thinking, collaboration, multidisciplinary rounding, bedside shift report, shared governance, certifications. New Services: Neurosurgery Drips: Vasopressors, inotropes, paralytics, thrombolytic, all sedation, insulin, Blood products, TPN Bedside procedures: Central lines, bronch, chest tube, arterial lines, paracentesis, thoracentesis, sheath pulls, cardioversions. Specialized competencies: Intra-Aortic Balloon pump, Impella device, EVD, Swan Ganz, Arterial Line. STEPDOWN UNIT Stepdown is a 21 bed hardwired telemetry unit that focuses on acutely ill but stable patients requiring closer monitoring. We care for patients with a variety of cardiac, vascular and medical diagnoses with specialized needs such as cardiac arrhythmias, bedside cardioversions, titrated medications, oxygenation management, withdrawal, sepsis, stroke, and post-operative care. Our staff is dedicated to provide excellent care to our patients. Our environment is challenging, fast-paced, team oriented, and patient and family centered. Our staff is very engaged with problem-solving and identifying ways to improve patient care. They have a desire to continue learning, have strong communication skills, and collaborate with the team to provide excellent patient care. Daily interdisciplinary rounds include the provider, registered nurse, case manager, and a nurse leader. Each shift begins with a safety huddle to look back and forward 24 hours to review safety and quality concerns. Ratio 4:1 Certifications: BLS, ACLS, NIH Orientation: We offer 8-12 week orientation based on nursing experience. Professionalism: critical thinking, collaboration, multidisciplinary rounding, bedside shift report, shared governance, certifications. Medical equipment: ECG hardwired, alaris, pca, epidural, Etc02, bladder scanner, bipap, high flow oxygen therapy. Drips: cardiac, IV fluids, blood products, sedation, TPN Key Responsibilities: Assisting Director with scheduling/staffing, reporting, communications Overall Department management when Director is unavailable or otherwise needs assistance Provide nursing care as needed Chart audits/quality Oversee departmental education Technical Capabilities: Business Results (Fundamental Awareness): Implements appropriate measures for attaining business results and tracks progress in meeting goals and objectives. Demonstrates the ability to deliver products and services on time, within budget, and in accordance with organizational standards and goals. Continuously demonstrates a strong focus on quality. Responds effectively to customer or client needs. Recognizes incipient problems and communicates them to management. Quality Management (Novice): Has provided continuous analysis and evaluation of assignment work processes, constantly striving for improvement in the way tasks and activities are accomplished by questioning their value to the process and contributing creative solutions. Has participated in the process of establishing, communicating and monitoring standards for quality and excellence. Demonstrates the ability to actually work on and improve a current business process, product or service. Operations Planning (Novice): Demonstrates ability to realistically anticipate resource needs, identify discrete tasks, set priorities, define dependencies, schedule activities, meet deadlines, and organize work within areas of direct responsibility. Appropriately matches equipment and capital resources to task demands. Achieves results within budget. Competently handles multiple assignments simultaneously. Reshapes project during life-cycle evolution, if needed. Demonstrates ability to break down work into manageable and measurable units. Accepts changes to assignments with minimal disruption and loss of productivity. Able to absorb changes to major assignments while maintaining a high level of performance. Uses available time efficiently. Follows up to assure problems and issues are resolved. People Management (Novice): Conducts performance reviews. Effectively delegates tasks to others. Coaches subordinates on technical and interpersonal topics, as well as professional development. Demonstrates team building techniques and provides leadership through personal example of good work habits, open communication and effective people relationships. Involves subordinates in decisions which affect them. Demonstrates self-reliance and resourcefulness as an example to others. Clinical Expertise (Intermediate): Demonstrates the mastery of patient care including patient assessment and treatment, care planning, patient education and evidence based practice. Possesses sufficient knowledge, training and expertise to role model and coach less experienced staff. Compliance (Novice): Can explain and apply basic statutory instructions in normal situations on the job. Understands the principles upon which the rules and regulations are based. Appropriately escalates problems relating to rules and regulations in timely and effective manner. Leadership (Novice): Sets the example in challenging and difficult situations. Can demonstrate different leadership styles, such as supportive and authoritative, as individuals and situations require it. Communicates team and unit goals clearly and effectively. Is receptive to ideas and suggestions from team members. Shows leadership and initiative in situations where supervision is not present or required. Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: Affordable High Quality Health Plan Options Dental and /or vision plan 403 (b) retirement plan Paid Time off (flex PTO) Tuition Reimbursement and adoption assistance (maximums applied) Short-Long term disability Subsidized backup childcare And many more... Ask us about our current inpatient nursing supplemental Pay Program! Achieve the Remarkable: Learn more about VUMC Nursing here . Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: LIC-Registered Nurse - Licensure-OthersLicensure-Others Work Experience: Relevant Work Experience Experience Level: 2 years Education: Bachelor's This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
Cleveland Clinic

Advanced Practice Provider (NP/PA): Cardiovascular Medicine - Heart Failure II

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Advanced Practice Provider (NP/PA): Cardiovascular Medicine - Heart Failure II Location Port St Lucie Facility Tradition Hospital Department HVTI Administration-Heart Vascular & Thoracic Institute Job Code 001128 Shift Days Schedule 8:00am-5:00pm Job Summary Job Details Cleveland Clinic's Heart, Vascular and Thoracic Institute (HVTI) Department of Heart Failure for Martin Health is seeking a full-time Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our growing Advanced Heart Failure team. This role provides comprehensive care for patients with advanced heart failure across both the inpatient and outpatient settings, including patients undergoing evaluation for, living with, or recovering from advanced heart failure therapies such as heart transplantation, LVADs, and other complex heart failure interventions. The APP will care for a diverse advanced heart failure population and will manage patients independently and collaboratively with Advanced Heart Failure physicians as part of a multidisciplinary team. The ideal candidate is energetic, highly motivated, detail-oriented, thrives in a fast-paced environment, remains calm under pressure, and is committed to delivering exceptional patient care while continuously expanding their clinical expertise. Schedule: Four 10-hour shifts (4x10s) Location: Tradition Participation in shared call responsibilities, weekends, and holidays is required and distributed among the APP team. Minimum Qualifications: Minimum of two (2) years of Advanced Heart Failure experience as a Nurse Practitioner or Physician Assistant is required. • Strong foundation in cardiovascular disease management, with a demonstrated interest in advanced heart failure. A willingness to learn, seek mentorship, and develop expertise in advanced heart failure management is highly valued. Ability to work collaboratively within a high-performing multidisciplinary team and manage complex patient populations. This position offers an exceptional opportunity to care for patients across the continuum of advanced heart failure management at Cleveland Clinic Martin Health while working alongside a nationally recognized cardiovascular team dedicated to innovation, excellence, and patient-centered care. Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs. Responsibilities: OR first assist, procedures such as dialysis catheter placement, pre and post operative care, consultations and hospital rounds, clinic. Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Must be able to work with collaborating physician. Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life- threatening situations, as privileged by CCF Credentialing Board. May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy. Performs specialized procedures, including central line placement as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board. Additional Responsibilities: Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team. Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies. Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards. Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care. Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management. Supports professional development of the health care team. Promotes translation of evidence-based practices, guidelines, and research. May conduct research studies. May assists in data collection and analysis. May serve as clinical preceptor for students. May onboard new caregivers. Other duties as assigned. ​ Education: APRN Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. Graduate of an accredited APRN program. If in neonatal care service area Master’s Degree is required upon hire. PA Graduate of an A.R.C. approved Physician Assistant Program. Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board. Languages: Oral and written communication in English Certifications: NP Currently licensed as a Nurse Practitioner in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. PA Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board. License to practice and prescribe issued by their practicing states Licensing Board. Current DEA License or DEA designee as required by NCQA. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting. If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. Complexity of Work: Excellent analytical and decision-making skills are required. Strong written and verbal communication skills. Ability to work as a member of a multi-disciplinary team. Demonstrated competency and the ability to perform advanced assessment and diagnosis. Demonstrated ability to utilize the electronic medical record. Demonstrates a high standard of moral and ethical behavior. Demonstrates compassion and professionalism and a commitment to excellent patient care. Requires critical thinking skills, decisive judgement, and the ability to work independently. Must be able to work in a stressful environment and take appropriate action. Work Experience: Related clinical experience preferred. Physical Requirements: Typical physical demands include the ability to walk and stand for long periods of time. Manual and finger dexterity and eye/hand coordination to perform physical examinations. Requires corrected vision and hearing to a normal range. Occasionally lifts and carries items weighing up to 50 pounds. May require exposure to communicable diseases and/or body fluids. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer.
Palmdale Regional Medical Center

CNO - ACUTE

Responsibilities One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com UHS is currently recruiting for our CNO at Palmdale Regional Medical Center located in Palmdale, CA. Palmdale Regional Medical Center serves the region by providing high quality medical services to residents and surrounding communities. The hospital features 190 licensed acute care beds, inpatient and outpatient surgery, cardiac services featuring a STEMI Receiving Center (heart attack), and a 35-bed 24-hour emergency department. The Center for Wound Care provides treatment for people with chronic non-healing wounds. This comprehensive wound-healing service includes hyperbaric oxygen therapy. More than 400 physicians are on the medical staff at Palmdale Regional Medical Center and they have around 900 employees. The Chief Nursing Officer is a key member of the Hospital Leadership Team who will integrate and coordinate a patient centric nursing strategy with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective health care is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. The CNO participates in the hospital’s strategic planning and contributes to the achievement of institutional goals and objectives. The Chief Nursing Officer will focus on 5 key areas: People, Service, Quality, Growth, and Finance. PEOPLE: Creates an environment which supports employee development and teamwork to deliver compassionate patient care. 1. Coaches and provides feedback to subordinate staff to ensure consistency of staff supervision. 2. Encourages continuous learning through mentoring, education and knowledge sharing. 3. Develops and carries out plans to ensure the technical, professional and managerial proficiency of all subordinate staff in accordance with regulatory, professional, licensing standards and UHS professional development programs. 4. Implements standards of care and practice in every nursing specialty area to address national evidence-based practice guidelines. 5. Implements High Reliability Patient Care Units to support excellence. 6. Coordinates initiatives for evidence-based practice within nurse practice councils and in high reliability teams. SERVICE: Creates systems, processes and care standards to support the delivery of patient care in a safe, fiscally sound environment of service excellence. 1. Ensures proper management and clinical documentation, reporting and analysis for nursing and assigned patient care activities in compliance with UHS management, regulatory and accreditation requirements. 2. Represents nursing and assigned patient care functions during the Joint Commission and regulatory compliance reviews and managed care organization interface. 3. Practices and requires staff to demonstrate their daily commitment to Service Excellence Standards in job related functions and activities. Champions the importance of Service Excellence in communication with staff. Recognizes and rewards those who demonstrate a commitment to Service Excellence on a regular basis as well as in annual performance reviews. Requires and manages to annual Service Excellence Action Plans. Builds a culture that is focused on quality / safe patient care and is open and receptive to changes to improve clinical care. 4. Participates in the decision making associated with the purchase of clinical, patient care equipment and computerized technologies to support the delivery of safe, quality patient care. QUALITY: Provides accessible, timely, efficient, cost effective care by utilizing evidenced -based practice and continuous performance improvement. 1. Assesses patient needs and services to identify trends and opportunities to advance the hospital’s market position, ensuring Quality / Safe patient care. 2. Reinforces the hospital’s business strategy in day-to-day interactions with staff. 3. Builds a culture of safety that is open and receptive to changes to improve clinical care. 4. Emphasizes the importance of employee engagement to build a stable, productive workforce. 5. Directs or assigns responsibility for quality ensuring policies and procedures are accessed and reflect current evidence based practice information. GROWTH/COMMUNITY: Fosters an environment that supports growth and community through activities, partnerships and shared goals. 1. Participates in public relations, marketing and communication of hospital services to patients and payers such as insurance companies and managed care organizations. Assesses patient needs and services to identify trends and opportunities to advance the hospital’s market position. 2. Emphasizes the importance of employee engagement to build a stable, productive workforce. 3. Chairs or participates on various management and ad hoc committees, project teams and task forces. Proactively addresses issues that require nursing input through various committees. 4. Promotes the hospital and its capabilities at networking events. 5. Shapes organizational expertise by promoting best practices and by recognizing excellence in clinical or professional practice. FINANCE: Supports an environment of financial stability to achieve the UHS mission and strategy. 1. Utilizes performance indicators to monitor department performance and operational goals. 2. Directs the nursing and assigned clinical support services to achieve operating goals consistent with financial plans. Ensures appropriate resources to provide high-quality, cost-effective nursing care. Responsible for developing and managing the fiscal plan for the patient care units and direct report departments. Prepares departmental budgets and takes corrective action to ensure adherence to budget. 3. Develops, monitors, adjusts FTE levels to achieve budgeted staffing levels, organizational goals, accepted staffing models within the industry, and patient care needs defined by law, physician orders and/or a standardized nursing workload measurement system. Develops, monitors, adjusts FTE levels to meet the recruiting and professional development goals for nursing staff. This opportunity provides the following: • Challenging and rewarding work environment • Growth and development opportunities within UHS and its subsidiaries • Competitive Compensation • Excellent Medical, Dental, Vision and Prescription Drug Plan • 401k plan with company match • Generous Paid Time Off • Relocation benefits To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. The posted salary range applies to the current job posting and may not take into consideration other compensation such as bonus, stock grants, equity, etc. Salary offers may be based on key factors such as geographic location, education and related experience, licensure and certifications. Qualifications Job Requirements: • Licensure: current license or permit to practice professional nursing in the state of employment. • Demonstrated working knowledge of nursing clinical practices and management. • Extensive knowledge of principles and practices relevant to nursing and patient care activities. • Demonstrated knowledge of effective management and supervisory practices. Highly developed written and verbal communication skills. • Master's degree and Five or more years of progressive nursing management experience in an acute care setting. • Ability to plan, direct, and monitor others’ activities with demonstrated leadership abilities that contribute to a positive work environment • Proficiency with common computer based applications such as electronic mail, word processing and various databases, whether PC, network or mainframe based. • Travel Requirements: Occasional US travel to conferences and UHS management meetings. *UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will not be accepted. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449
UCSF Health

Nurse Practitioner - Pediatric ICU

Job Description UCSF Benioff Children's Hospital is recognized throughout the world as a leader in health care, known for innovation, technology and compassionate care. UCSF has one of the top children's hospitals in the nation, according to a ranking by U.S. News & World Report. Our 183-bed UCSF Benioff Children's Hospital has more than 150 specialists in more than 40 areas of medicine. The Pediatric Intensive Care Unit (PICU) at UCSF Benioff Children's Hospital provides extraordinary high-level care for children who require continuous monitoring. The unit has 20 beds for infants and children suffering from a variety of conditions or recovering from surgery. More than 1,000 children per year are admitted into the intensive care units at UCSF Benioff Children's Hospital arriving via ambulance, helicopter and airplane from throughout the western United States. The Pediatric Transitional Care Unit (TCUP) is a 18-bed unit for infants and children suffering from a variety of conditions or recovering from surgery. The TCU provides care to patients with a moderate to high complexity of disease such as those recovering from solid organ transplantation, titration of anticoagulant therapy and other infusion, and post-operative specialty surgery care (ENT, neurosurgery). Patients requiring respiratory support including BIPAP, CPAP, high flow nasal cannula and patients requiring mechanical ventilation with tracheostomy in place are also routinely admitted to the TCUP. The Nurse Practitioner will act as a full member of the team taking responsibility for the safe delivery of care in collaboration with attending physicians, fellows and residents. This team member will meet productivity expectations as set forth by the Division Chief, performing any duties related to patient care activities that are appropriate and clearly delineated. Nurse Practitioners on the PICU and TCUP Team provide care in rotating 12h shifts. Responsibilities Function % of time Duties Inpatient - Direct Patient Care (may include some or all of the responsibilities listed) 70 Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients. Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days. 1.2. Performs procedures granted to them via privileges/standardized procedures. 1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician. 1.4. Initiates consultations as indicated. 1.5. Documents independent assessment findings and recommends appropriate treatments. 1.6. Participates in service rounds and patient evaluation and treatment planning. 1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans. 1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care. 1.9. Interprets and acts upon completed tests, procedures, and radiographic studies. 1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations . 1.11. Effectively communicates findings, treatment options, and care plans with patients and their families 1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring. 1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen. 1.14. Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries. Inpatient – Care Coordination (may include some or all of the responsibilities listed) 30 1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. 1.2. Coordinates episodic care and determines timing of routine clinic follow up. 1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention. 1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. 1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty. Outpatient – Independent Encounters (may include some or all of the responsibilities listed) ## Evaluates and manages patients in independent APP encounters, including telehealth. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, formulating evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Reviews or collaborates with attending physician as needed. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . 1.2. Performs procedures individually granted to them via standardized procedures/privileges. 1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate. 1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations. 1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion. 1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters. Outpatient – Shared Encounters with Physician(s) (may include some or all of the responsibilities listed) ## Evaluates and manages patients in shared encounters with attending physician, including telehealth. This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, collaborating on evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . May first-assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring. 1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate. 1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations. 1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion. 1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters. Outpatient – Care Coordination (may include some or all of the responsibilities listed) ## 1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. DOES not include management of inpatients. 1.2. Coordinates episodic care and determines timing of routine clinic follow up. 1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention. 1.4. Attends department quality improvement meetings and participates in patient evaluation and planning. 1.5. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.6. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. Total 100 Qualifications Required qualifications: Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master’s or doctoral degree aligned with an Acute Care Pediatric Nurse Specialization Nurse Practitioner 1: Minimum of two (2) years of recent experience working as an RN in a Pediatric ICU setting Nurse Practitioner 2: Minimum of two (2) years of Nurse Practitioner experience in a pediatric inpatient or emergency department setting AND minimum of two (2) years inpatient RN experience in pediatric critical or transitional/intermediate care Preferred Qualifications Minimum of three (3) years of experience working as an AC-PNP in a level III Pediatric Intensive Care Unit Licenses/Certifications California Registered Nurse (RN) License without restriction California Nurse Practitioner (NP) License without restriction California Nurse Practitioner Furnishing Number NP national board certification from an accepted certifying agency aligned with the patient population and clinical role - Pediatric Inpatient (CPNP-AC). See Addendum A below for more detail. California Driver License (if required for position) Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address American Heart Association (AHA) Basic Life Support (BLS) certification Additional required AHA certifications: PALS Additional required certifications (such as ENLS): None About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Alaska Native Tribal Health Consortium

Certified Nursing Assistant - Orthopedic Inpatient

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction. ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state. Our vision: Alaska Native people are the healthiest people in the world. ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes: Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers. Cost-Share Dental and Vision Insurances Discounted Pet Insurance Retirement Contributions with Pre-Tax or Roth options into a 403(b). 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer. Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service. Eleven Paid Holidays Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members. Flexible Spending Accounts for Healthcare and Dependent Care. Ancillary Cash Benefits for accident, hospital indemnity, and critical illness. On-Site Child Care Facility with expert-designed classrooms for early child development and preschool. Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice. Tuition Discounts for you and your eligible dependents at Alaska Pacific University. On-Site Training Courses and Professional Development Opportunities. License and certification reimbursements and occupational insurance for medical staff. Emergency Travel Assistance Education Assistance or Education leave eligibility Discount program for travel, gym memberships, amusement parks, and more. Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org. Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act. Summary: Under general supervision, provides basic patient care to all patients including those in isolation. Provides age specific assistance with activities of daily living and therapeutic measures that will result in a lower level of agitation or higher level of comfort for the patient. Under direct supervision, ensures patient safety under ANMC care through observation. L evel I employees are new graduate or newly certified within their first 2 years of practice. Level II employees have at least 2 years of practice and demonstrate increased levels of training, certification, and precepting. Level III employees perform high level, complex, and responsible tasks within this position, assist with process improvements, train lower-level employees, and generally work with minimum supervision and follow-up from their supervisor. Under general supervision, provides basic patient care to all patients including those in isolation. Provides age specific assistance with activities of daily living and therapeutic measures that will result in a lower level of agitation or higher level of comfort for the patient. Under direct supervision, ensures patient safety under ANMC care through observation. L evel I employees are new graduate or newly certified within their first 2 years of practice. Level II employees have at least 2 years of practice and demonstrate increased levels of training, certification, and precepting. Level III employees perform high level, complex, and responsible tasks within this position, assist with process improvements, train lower-level employees, and generally work with minimum supervision and follow-up from their supervisor. Responsibilities: Observes patients experiencing suicidal ideation, behavioral health issues, or other safety concerns to ensure safety and stability. Reports significant changes or unusual occurrences to primary Registered Nurse (RN). Records and reports all information within scope of knowledge. Conducts regular environmental assessments to ensure the environment is free of objects, equipment, medications, etc. that a suicidal patient may use to harm themselves. Must be able to work in situations with isolation precautions. Provides basic care including hygiene and activities of daily living such as bed baths, showers, grooming, dressing, toileting, monitoring body functions, preventative skin care, incontinence care, feeding, and oral hygiene. Assists nursing staff with mobility using safe transfer techniques, patient transport, range of motion, ambulation, restraints, care for the patient’s environment, and application of safety measures to all patients. Obtains and records vital signs, temperature, height, weight, girth measurements, incentive spirometry, calorie counts, and other specific parameters as directed. Documents findings on appropriate electronic health record (EHR) flow sheet and reports findings to the RN. Identifies and reports changes in patients’ status to the RN. Performs patient treatments as directed such as application of heat or cold, and simple non-sterile dressings. Provides ostomy, post-mortem, and indwelling catheter care. Assists with oral suctioning, care of established tracheostomies, and care of long term permanent-placed feeding tube sites (not nasal tubes). Performs a variety of technical tasks which may include: non-invasive collection and transportation of specimens to the laboratory, obtaining blood glucose levels, measuring and recording fluid and food intake and output, removal of urinary catheter, bowel care, placing electrodes and leads for electrocardiograms, cardiac monitoring, and telemetry, traction frame set up, cast care, and application of external monitoring devices. Documents and reports results to the RN. Recognizes abnormal signs and symptoms including shortness of breath, rapid respiration, fever, chills, cough, chest or abdomen pain, blue color to the lips, drowsiness, and excessive thirst or sweating. Reports changes in body function, abnormal signs and symptoms to RN. Initiates CPR and other basic life support or emergency measures as required. Adheres to established safety, emergency and disaster procedures. Assists with patient examinations and therapeutic procedures, including aseptic procedures requiring sterile preps. Transports patients and equipment as required. Maintains cleanliness and safety of a variety of equipment; reports any hazardous equipment and seeks repairs when necessary; maintains confidentiality in regard to patient care information and chart contents. Assist in infection control including using standard precautions and isolation precautions as appropriate. Collaborates with personnel in nursing and supportive services and with members of the health care team to promote respect in delivery of patient care. Performs clerical duties. Answers the phones, completes requisitions, schedules tests and appointments, scans and files reports, orders supplies and equipment, and manages patients’ medical records. Performs other duties as assigned. Certified Nursing Assistant II Acts as a preceptor for new hire employees. Actively participates in a unit or hospital wide council. Participates in at least one specialty training relating to patient safety, injury prevention or hospital acquired conditions (i.e., EKG, HAPI, CAUTI, Falls, etc.) Certified Nursing Assistant III Participates in providing training for safe patient handling and mobility at skill fairs or other training venues. Obtains interdepartmental training to develop skills related to wound care, telemetry services, and any others determined as needed by supervisor. Assists department leadership by performing audits or other department improvement surveillance. Provides department leadership input on process improvement opportunities or is involved in a workgroup to support implementing change process. Observes patients experiencing suicidal ideation, behavioral health issues, or other safety concerns to ensure safety and stability. Reports significant changes or unusual occurrences to primary Registered Nurse (RN). Records and reports all information within scope of knowledge. Conducts regular environmental assessments to ensure the environment is free of objects, equipment, medications, etc. that a suicidal patient may use to harm themselves. Must be able to work in situations with isolation precautions. Provides basic care including hygiene and activities of daily living such as bed baths, showers, grooming, dressing, toileting, monitoring body functions, preventative skin care, incontinence care, feeding, and oral hygiene. Assists nursing staff with mobility using safe transfer techniques, patient transport, range of motion, ambulation, restraints, care for the patient’s environment, and application of safety measures to all patients. Obtains and records vital signs, temperature, height, weight, girth measurements, incentive spirometry, calorie counts, and other specific parameters as directed. Documents findings on appropriate electronic health record (EHR) flow sheet and reports findings to the RN. Identifies and reports changes in patients’ status to the RN. Performs patient treatments as directed such as application of heat or cold, and simple non-sterile dressings. Provides ostomy, post-mortem, and indwelling catheter care. Assists with oral suctioning, care of established tracheostomies, and care of long term permanent-placed feeding tube sites (not nasal tubes). Performs a variety of technical tasks which may include: non-invasive collection and transportation of specimens to the laboratory, obtaining blood glucose levels, measuring and recording fluid and food intake and output, removal of urinary catheter, bowel care, placing electrodes and leads for electrocardiograms, cardiac monitoring, and telemetry, traction frame set up, cast care, and application of external monitoring devices. Documents and reports results to the RN. Recognizes abnormal signs and symptoms including shortness of breath, rapid respiration, fever, chills, cough, chest or abdomen pain, blue color to the lips, drowsiness, and excessive thirst or sweating. Reports changes in body function, abnormal signs and symptoms to RN. Initiates CPR and other basic life support or emergency measures as required. Adheres to established safety, emergency and disaster procedures. Assists with patient examinations and therapeutic procedures, including aseptic procedures requiring sterile preps. Transports patients and equipment as required. Maintains cleanliness and safety of a variety of equipment; reports any hazardous equipment and seeks repairs when necessary; maintains confidentiality in regard to patient care information and chart contents. Assist in infection control including using standard precautions and isolation precautions as appropriate. Collaborates with personnel in nursing and supportive services and with members of the health care team to promote respect in delivery of patient care. Performs clerical duties. Answers the phones, completes requisitions, schedules tests and appointments, scans and files reports, orders supplies and equipment, and manages patients’ medical records. Performs other duties as assigned. Certified Nursing Assistant II Acts as a preceptor for new hire employees. Actively participates in a unit or hospital wide council. Participates in at least one specialty training relating to patient safety, injury prevention or hospital acquired conditions (i.e., EKG, HAPI, CAUTI, Falls, etc.) Certified Nursing Assistant III Participates in providing training for safe patient handling and mobility at skill fairs or other training venues. Obtains interdepartmental training to develop skills related to wound care, telemetry services, and any others determined as needed by supervisor. Assists department leadership by performing audits or other department improvement surveillance. Provides department leadership input on process improvement opportunities or is involved in a workgroup to support implementing change process. Other Information: KNOWLEDGE and SKILLS Knowledge of safety factors and medical terminology. Knowledge of policies and procedures for the care of patients. Knowledge of customer service concepts and practices. Knowledge of communication skills, both oral and written to interact with patients and families. Skill in observing patients and taking appropriate action as needed. Skill in analyzing safety issues and preparing recommendations based on findings. Skill in establishing and maintaining cooperative working relationships with other employees. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION A high school diploma or GED equivalent. Minimum Experience Qualification Certified Nursing Assistant I Non-supervisory - Zero (0) year of work experience. Certified Nursing Assistant II Non-supervisory - Two (2) years’ experience working as a Certified Nursing Assistant. Certified Nursing Assistant III Non-supervisory – Four (4) years’ experience working as a Certified Nursing Assistant. MINIMUM CERTIFICATION QUALIFICATION Current State of Alaska Nurse’s Aide license. Certification in Basic Life Support required. Preferred Experience Qualification Previous work experience in a hospital setting. Additional Requirements Must complete Crisis Prevention Intervention training and Suicide Observation training within sixty (60) days of hire. Additional Requirements Must complete Crisis Prevention Intervention training and Suicide Observation training within sixty (60) days of hire.
Wellpath

Certified Nursing Assistant

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Certified Nursing Assistant performs basic and specialized nursing care functions under the supervision of licensed nurses. They adhere to local and regulatory policies and procedures to ensure proper patient care. The Nursing Assistant collaborates with other healthcare team members and correctional officers to plan and implement patient care activities in a correctional setting. After a general orientation to medical-surgical and psychiatric patient care areas, they may also float between units to ensure adequate nursing staff for patient care areas. Key Responsibilities Provides basic nursing care to patients under the direction of a licensed nurse, including assistance with ADLs, vital sign measurement, and accurate documentation of patient data. Maintains professional behavior and prioritizes work flow to ensure completion of all assigned duties, while adhering to policies and procedures and promoting patient safety and confidentiality. Collaborates with other members of the health care team, participates in staff meetings and training sessions, and notifies the licensed nurse of any patient concerns or issues. Demonstrates basic knowledge of nursing procedures and proficiently uses medical supplies and equipment, while also ensuring their proper storage and cleaning. Performs other duties as assigned by the supervising nurse, such as assisting with patient care in different units and participating in the orientation of new staff members. Additional Details This position is every other weekend from 6am to 10am Qualifications & Requirements Education High school diploma or equivalent required. Completion of training course for Nursing Assistants. Experience Work requires level of knowledge of basic patient care methods, procedures, and techniques. Ability to handle a variety of simple tasks that are routine in nature, while keeping work flowing in an orderly manner. Must have the ability to pass a background check and drug screen. Must be able to pass and maintain clearance for a Public Trust Position, if working with specific patients. Ability to express thoughts logically, in English, in both written and verbal form. Ability to use computers and the typical software such as Outlook, Excel, PowerPoint and various database systems. Licenses/Certifications Current certification in the state of practice is required. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.
Texas Health and Human Services

Senior Direct Care Registered Nurse with associate degree in nursing (SDCRN - ADN)

$7,532.75 - $8,886.16 / month
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Senior Direct Care Registered Nurse with associate degree in nursing (SDCRN - ADN) Job Title: Nurse III- SDCRN (ADN) Agency: Health & Human Services Comm Department: Woodland Crossing - Nursing Posting Number: 19931 Closing Date: 09/10/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $7,532.75 - $8,886.16 Pay Frequency: MonthlySalary Group: TEXAS-B-24 Shift: Evening Additional Shift: Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Lufkin State Supported Living Center Job Location City: POLLOK Job Location Address: 6844 N US HWY 69 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! The Senior Direct Care Registered Nurse with Associate’s Degree in Nursing (ADN) performs highly complex (senior level) nursing work providing for the assessment, care and integrated treatment of individuals residing at the SSLC. Performs highly complex and technical nursing tasks, procedures, and assessments, administers medications, immunizations and treatments in accordance with HHSC, SSLC and state regulations. Interprets and evaluates diagnostic tests, collects specimens, and communicates findings and recommendations. Makes rounds, coordinates, and organizes nursing services and activities, monitors and reports the health of individuals. Provides consultation, training, instruction, and technical assistance to others. Develops in-service training and health education strategies. Provides leadership, oversight, coaching and monitoring to tasks performed by LVNs and RNs, and acts as a preceptor, as assigned, to RNs. Performs timely and accurate documentation. Works independently and productively with all levels of staff and departments. Identifies and implements various courses of action for routine and non-routine situations and works in conjunction with other nurses and health care providers. Analyzes data, evaluates nursing intervention outcomes, and provides input to other members of the interdisciplinary team (IDT) to assist in assessing the treatment plan. Attends assigned meetings and communicates results. Responds to emergency situations in accordance with protocols. Provides treatment to HHS employees injured in the course and scope of employment as needed. Performs other duties as assigned. Works under the limited supervision of the Nurse Manager or other designated supervisor depending on SSLC needs, with considerable latitude for the use of initiative and independent judgment. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Performs highly complex and technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, and breathing treatments. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. For new admissions, in collaboration with the assigned RN Case Manager, provides a detailed initial assessment and review of data to present key findings to providers and other members of the interdisciplinary team. Interprets and evaluates diagnostic tests to identify and assess individuals’ response to planned care, as appropriate to the scope of practice. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel. Communicates findings and recommendations to other nurses, Primary Care Providers (PCP) and other staff. Coordinates and organizes the nursing services and activities they provide for individuals on their assigned home/unit to ensure tasks are completed effectively and efficiently. Observes individuals and gathers pertinent information. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors for signs and symptoms of illness and uses appropriate nursing judgement to provide adequate care for the individual, including initiating acute care plans. Makes rounds and/or to other homes/units as needed and works in other locations at the SSLC as needed. Discusses any pressing issues or concerns that are found with the appropriate supervisor. Communicates effectively, and provides consultation, training, and technical assistance to direct support professionals (DSPs) about individuals’ unique care needs. Instructs DSPs on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms. Answers questions from DSPs and other members of the treatment team, related to treatment or medication, within the scope of practice. Develops in-service training and health education strategies related to the assigned individual(s) when needed including signs and symptoms to observe for and report to a nurse. When warranted, instructs, counsels, and assists individuals in meeting their health care needs. Assists the Nurse Manager by providing leadership and oversight within the assigned home/unit/department such as overseeing the work of, coaching and monitoring services provided by Licensed Vocational Nurses (LVNs) assigned to the nursing department. Acts as a preceptor for other registered nurses, as assigned. Trains/instructs new nurses to perform nursing functions at the SSLC, including acclimating them to the individuals, their needs and preferences. Serves as a Nurse Manager in their absence, as appointed. Provides support to Nurse Managers by providing day-to-day supervision including reviewing and following up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temperature logs, and glucose controls. Assists LVNs and RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Assists with completing follow up assessments, guidelines, acute care plan (ACP) interventions, interventions in the chronic care plan, injury reports, restraints, and med variances. Assists in monitoring the completion of chronic care plan interventions. Timely and accurately documents and reports pertinent treatments and observations in the individual’s electronic medical record (EMR) in accordance with SSLC procedures and protocols. When training others, oversees the completion of their required documentation. Works independently and productively with all levels of staff and departments. Identifies and implements various courses of action for routine and non-routine situations and works in conjunction with other nurses and health care providers. For example, assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the Quality Assurance Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. Makes recommendations to supervisors on how to improve processes to ensure quality services for individuals. Analyzes data, evaluates nursing intervention outcomes, and provides input to other members of the interdisciplinary team (IDT) to assist in assessing the treatment plan. As assigned, attends and/or provides information to a designee for meetings related to the status and care of assigned individuals such as daily morning medical, Incident Management Review Team (IMRT), or IDT meetings to ensure nursing issues or concerns are addressed promptly. Follows local SSLC policies and protocols to ensure pertinent information, such as diagnoses and treatment plans is clearly communicated to SSLC staff and, when instructed to do so, to guardians/Legally Authorized Representatives (LARs). Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC. Provides educational and safety training to SSLC staff upon request. Provides treatment to HHS employees injured in course and scope of employment. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of: State and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules, regulations, policy and procedures related to State Supported Living Center or ability to quickly gain that knowledge. Evidence-based practices applicable to treatment of individuals with developmental disabilities Emergency procedures and emergency equipment, i.e., Cardiopulmonary Resuscitation (CPR), and ability to assess and care for residents and/or staff members in emergency situations. Advanced knowledge of nursing techniques, standards, and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment patterns; of community health and nursing care principles, best practices, and procedures; of program regulations and procedures; and of utilization review and control measures Advanced knowledge of nursing care standards and Healthcare Guidelines. Skill in: The care and treatment of patients. The use of computer/software and an electronic health record system. Working with individuals with complex physical and nutritional management needs, behavioral challenges and varying methods of communication. Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications. Ability to: Provide patient care; to prepare and maintain records; to organize, coordinate, and evaluate nursing activities and delivery of health services; to interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment. Interpret regulations and communicate them effectively both orally and in writing. Appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members and with staff members. Work independently and productively with all levels of staff. Train, in-service, coach, monitor and instruct all levels of staff in accordance with the scope of practice. make nursing decisions and recommendations to the team. Must maintain current CPR certification. Must have strength and flexibility to safely perform CPR, safe use of restraint (SUR) and Ukeru techniques (once trained). Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas (or a state that recognizes reciprocity through the Nurse Licensure Compact) Initial Screening Criteria: Associate degree in nursing (ADN) is required. At least two (2) year of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is required. Experience in assessment and documentation of health status is required. Specialized training or experience working with individuals with complex medical and behavioral health issues is preferred. Experience working with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Lucile Packard Children's Hospital Stanford

Clinical Nurse II - Pediatric CVICU

$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description LPCH Cardiovascular Intensive Care Unit (CVICU), located at the Betty Irene Moore Children's Heart Center, is a premier 36 bed Unit which has grown into a world-class comprehensive cardiac and cardiothoracic program. Our CVICU cares for critically ill infants, children, adolescents and adults with congenital or acquired heart disease. We are staffed by more than 150 nurses who are specially trained in caring for children with heart disease. Lucile Packard Children's Hospital Stanford's CVICU is globally recognized for providing innovative pediatric advanced cardiac therapies such as heart failure treatments, heart transplants, ventricular assist devices (VADs) and extracorporeal membrane oxygenation (ECMO). Family centered care espousing a nurturing climate of comfort and support offsets a high tech state of the art environment. Advance your career in a renowned center of clinical and educational excellence. Job ID: P140363-1978 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Education: Graduate from an accredited nursing program. Experience: 1 year of RN experience in pediatric critical care OR 2 years of RN experience in neonatal or adult critical care OR 2 years of RN experience in pediatric or adult cardiac acute care. License/Certification RQI Healthcare Provider Pediatric Advanced Life Support or Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days of hire Registered Nurse by California Board of Registered Nursing RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) Advanced Cardiovascular Life Support by American Heart Association (AHA) or RQI Healthcare Provider Advanced Life Support KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Lucile Packard Children's Hospital Stanford

Clinical Nurse II, Neonatal Float Team

$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description This position floats to the following three units: Neonatal Intensive Care Unit, Intermediate Care Nursery and Lucile Packard Special Care Nursery The Neonatal Intensive Care Unit (NICU) is a 40-bed Level IV nursery specializing in care for newborns, which includes the tiniest premature babies and critically ill neonatal infants with a variety of diagnoses and conditions, such as congenital heart disease, pulmonary hypertension, metabolic disorders, and other congenital defects. Some of the interventions we do include ECMO, CVVH, Peritoneal Dialysis and Therapeutic Hypothermia. The Intermediate Care Nursery (ICN) is a 34-bed level II Neonatal Intensive Care Nursery designed to provide care to recovering newborns and those infants requiring level II care. The team cares for infants requiring direct admission from the Delivery Room, the Emergency Department, other hospitals, re-admissions from home, post-surgery cases, as well as more chronic conditions or premature infants from our Level IV NICU. The Lucile Packard Special Care Nursery is a 6-bed, Level II Neonatal Intensive Care Unit (NICU) located within Sequoia Hospital. The team includes Stanford University doctors and Lucile Packard Children's Hospital Stanford nurses. In addition to providing care to the SCN babies our team serves Sequoia Hospital with newborn nursery care and delivery attendance. Job ID: LP_00025727-2658936 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred. Experience: Minimum 2 years of current neonatal nursing experience in a level III NICU. License/Certification Registered Nurse by California Board of Registered Nursing or Temporary Registered Nurse License by California Board of Registered Nursing NRP Provider Card by American Academy of Pediatrics (AAP) RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Pediatric Advanced Life Support Current American Heart Association (AHA) Certification for Basic Life Support (BLS) as a Healthcare Providers. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Mount Sinai Health System

Nurse Manager - Outpatient surgery - New York Eye & Ear Infirmary of Mount Sinai - Full Time Days

$140,001.21 - $177,585.91 / year
Description The Nurse Manager (NM) is responsible for the management of nursing practice and operations on a designated unit/service setting such as inpatient, procedural, emergency department or ambulatory care. This includes, but is not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor relations, supply chain and budget, staffing, employee performance evaluation, quality improvement, staff education, medical records, internal and external regulatory and survey requirements. The Nurse Manager collaborates with multiple professionals to support and coordinate the provision / management of patient care. This individual works closely with the Nursing Clinical Director, unit Dyad partner and staff in insuring that the Service/Unit setting maintains the highest standards of patient care and is responsive to the needs of the patient & family as well as the organization. Responsibilities Patient Care Leads nursing practice using the tenets of the Professional Practice Model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing for the promotion of the patient experience. Demonstrates proficiency in all aspects of Care Checks and role models expected behaviors. Ensures the integration of Care Checks into clinical activities to enhance Relationship Centered Care validates staff members Care Checks on all patients by direct observation and patient feedback. Assesses staff competency in Care Checks/PHR and provides consistent meaningful feedback with more focused feedback as needed. Conducts rounding of patients on a daily basis (Monday-Friday.) Conducts rounding on staff on a weekly basis. Communicates quantitative and qualitative information regarding the patient experience and staff engagement to the staff and the Interdisciplinary Patient Care Team that leads to the development and implementation of an action plan. Collaborates with the physician dyad and escalates concerns as appropriate. Follows up on all patient concerns in a timely manner and provides service recovery as needed. Demonstrates caring, agility, respect, compassion, empathy and active listening through dialogue, body language and actions. Patient Experience Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions but not limited to: Admission Welcome, Bedside Shift Report, HELP, AM/PM Care, Dedicated Sit Down, Purposeful Hourly Rounding (PHR)/Care Checks, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration as applies to the care setting (inpatient, procedural ambulatory). Participates and facilitates Communication Huddle with staff at the start of the shift, identifying high-risk patients who require special attention and escalates concerns in a timely manner for resolution.. Communicates to nursing leadership concerns or issues identified during huddle and throughout shift. Initiates service recovery for patients and family members who have concerns and escalates to Nursing Director/designee and Patient Relations as needed. Interprets and communicates patient experience scores and benchmarks and keeps staff informed of progress and areas of opportunity. Empowers staff to use evidence-based practices to increase understanding of patients’ perceptions of care. Demonstrates caring, respect, compassion, empathy and active listening through verbal and body language and actions. Quality and Safety Designs, supports and leads a safe, therapeutic and efficient patient-centered care environment for professional practice. Identifies and investigates issues or variances in practice/operations by participating in the RCA process and implements corrective action plans/safety solutions accordingly. Participates in unit and hospital based quality, patient safety and patient experience process improvement initiatives Utilizes the principles of Lean methodology for process improvement through the use of the Daily Management Boards. Fosters a fair and open Just Culture that encourages error and near-miss occurrence reporting. Leads interdisciplinary quality improvement teams using the principles of high reliability. Reviews unit progress, changes, and compliance with quality and safety metrics with clinical nurses and other members of the healthcare team. Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol. Monitors institutional information technology infrastructure and corrects gaps in clinical nursing documentation. Leads staff participation in quality and safety initiatives and mandated compliance measures. Demonstrates accountability for all unit quality and safety practices and compliance, and ensures required evaluation of staff competencies is maintained. Operations and administration Supports implementation of the mission, vision, goals and objectives of the department, throughout the clinical service and individual patient care units. Provides administrative and clinical oversight to ensure that all activity (staffing, support services, inter disciplinary collaboration, resources and financial viability) supports the goals of the organization. Works collaboratively with physician dyads and all members of the healthcare team to promote patient care and regulatory standards. Prioritizes recruitment and retention strategies in accordance with system and local hospital retention goals. Maintains a nursing unit in compliance with all regulatory agency mandates, including the regulations of NYS DOH and The Joint Commission. Oversees 24 hour patient care delivery, throughput, staffing and processes to ensure efficient and effective operations in all clinical specialties. Implements and monitors unit salary and supply budgets, including capital equipment allocation, budget variances, management of OT and vacancies according to MSHS financial goals. Monitors availability and maintenance of nursing equipment and supplies Maintains position control of established positions and manages the recruitment and retention of qualified staff. Maintains patient/employee confidentiality in the management of information. Evaluates nursing staff performance and mentors, coaches, counsels and disciplines staff as needed. Evaluates all newly hired/transferred staff and participates in the decision about passing the probationary period. Participates in the ongoing and completes the annual performance appraisals for all staff. Completes performance improvement plans of employees as needed and shares feedback with the Associate Directors/Directors and Senior Directors accordingly. Interprets and implements the associated collective bargaining agreements and System and Hospital policies and procedures. Performs disciplinary actions as necessary with collaboration with Nursing and Labor Relations. Acts as a management witness in disciplinary activities. Insures all staff have met their orientation goals/weekly progress reports and annual competency requirements and participates in the Competency Planning Tool for unit/service. Conducts regular staff meetings to ensure communication with staff about progress, changes and compliance with all hospital policies and procedures. Maintains records of minutes for staff team meetings. Encourages, recognizes and rewards staff participation in quality and safety initiatives, compliance and successes. Facilitates organizational change initiatives by using effective strategies. Leads a shared decision making model by establishing a structure of shared governance, just culture and staff engagement in practice councils, departmental meetings and initiatives. Responds to protest of assignment in a timely manner as detailed in the collective bargaining agreement and discusses the resolution in unit staff meetings. Participates in staffing planning committees to meet all NYS mandatory requirements to insure safe staffing Professional Development Performs as a clinical leader who actively creates and supports nursing practice and an environment of care that reflects clinical excellence. Organizes the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. Projects and cultivates a professional image to colleagues by communicating caring, respect, compassion, empathy and trust. Incorporates ethical principles into decision making for patient and family in collaboration with the clinical nursing staff and the healthcare team. Fosters a spirit of scholarship, inquiry, life-long learning and innovation for self and others. Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty and global or local health community needs. Leads shared decision making through unit/service practice councils, nursing department and hospital committees, and clinical service/unit initiatives. Serves as a professional role model and preceptor for new leadership staff and students. Integrates the values of research and evidence-based practice and its application to nursing practice and the environment of care. Contributes to the profession of nursing through leadership and participation in professional organizations. Qualifications Education Requirements Bachelor of Science with a major in nursing and master?s degree in nursing or healthcare-related field or be enrolled in a program preferred Experience Requirements Minimum of 3-5 years of progressive clinical and nursing expertise on a clinical psychiatry unit and Med/Surg unit 3-5 years of progressive management/leadership experience/success required. Excellent organizational, interpersonal, and communication skills Psychiatric mental health nurse preferred (Board Certified, PMHN, PMH-BC) Crisis Prevention Institute (CPI) ? Crisis prevention & intervention de-escalation and training certification preferred Licensing and Certification Requirements (if applicable) Licensed as a registered nurse, Issuing Agency: Department of Health/Office of Professions in the state of New York. Basic Life Support (BLS) Issuing Agency: AHA Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $140001.21 - $177585.91 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
SSM Health

Registered Nurse - Medical ENT

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Summary: The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. ​ Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. ​ Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) ​ Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. ​ The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1030000037 Med Surg - 6N Scheduled Weekly Hours: 24 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.
SSM Health

Registered Nurse - Medical ENT

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Summary: The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. ​ Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. ​ Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) ​ Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. ​ The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1030000037 Med Surg - 6N Scheduled Weekly Hours: 24 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.
SSM Health

Care Partner

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Join a team where your work matters—every moment, every patient, every community. At SSM Health, you’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact. Department : Bone Marrow Clinic Schedule: 7:30 AM to 4:00 PM Monday through Friday. The clinic operates every day, including holidays and weekends. Staffing for weekends and holidays is determined based on patient volume and acuity. Apply today. SSM Health –We bring out the incredible in you, everyday. Job Summary: Care Partners are responsible for meeting the basic needs of patients by providing skilled levels of bedside patient care under the direction of the Registered Nurse. Care Partners also perform clerical duties necessary to the functioning of the nursing unit. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of Time) Essential Functions: The following are essential job accountabilities and performance criteria: 1) General Patient Care: Criteria A) Carries out the patient’s plan of care as it relates to the patient’s physical needs under the direction of the Registered Nurse. B) Delivers care requiring broad knowledge of aseptic technique, medical terminology and equipment. C) Assists nurses and physicians with procedures. D) Maintains knowledge of and operates equipment used in patient care safely. E) Retrieves patient care items that are not routinely available on the unit. F) Retrieves, recovers or follows up on patient care needs. G) Completed unit clerical duties including the coordination of designated unit activities, transcription of orders, medical record maintenance and serving as a unit receptionist. H) Prepares rooms prior to admissions and following discharges. Completes patient’s belongings list on admission and transfer. I) Directs prompt and courteous attention to the needs of patients, families, and visitors. J) Rounds with purpose. K) Engages in service recovery activities referring unusual problems to Nurse Manager/ Designate. L) Rounds after dietary trays are passed to ensure all meals are appropriate or as required for patient satisfaction /care needs. M) Takes appropriate action when necessary including the resolution of issues related to late or wrong trays. N) Feeds and sets up trays as needed. O) Recognizes needs and initiates appropriate action in regard to maintaining supplies and equipment P) Notifies appropriate department in order to maintain a clean safe environment (housekeeping, maintenance, dietary, etc.) Q) Functions as a resource person to co-workers, patients/families, medical staff, and ancillary personnel. 2) Safety and Comfort Criteria A) Correctly places restraints; observes for constriction of circulation, changes to skin integrity, adequate breathing; knows when and how to change position; provides range of motion (ROM) and skin care, toileting, and opportunities for socialization. B) Operates Cardiac Monitor i.e. 1. On/off switch 2. Alarms/stand-by 3. Obtaining strip 4. Lead placement 3) Vital Signs/Measurement Criteria A) Completes Point of Care Testing as approved by hospital and competency B) Obtains vital signs including temperature C) Measures abdominal girth D) Weighs patients E) Measures intake and output 4) Mobility and Exercise: Criteria A) Applies Pneumatic Air Stockings / Ted Hose B) Ambulates, turns and positions patients. 5) Respiratory Care Criteria A) Assists with incentive spirometry and cough / deep breath. B) Sets up oxygen therapy such as, nasal cannula or mask as directed by Registered Nurse. C) Monitors pulse oximetry D) Completes tracheostomy care E) Performs suctioning 1. Oral 2. Tracheal: When the patient is assessed by the Registered Nurse to be stable. 6) Wound Care Criteria A) Places patient on specialty bed B) Performs dressing changes (sterile and clean) C) Cares for pin care site after assessment has been completed by the Registered Nurse. Assists in monitoring that traction weights are hanging freely and in good alignment. 7) Bowel and Bladder Elimination Criteria A) Administers enemas B) Performs straight catheterization. Provides catheter care. 8) Hygiene Criteria A) Provides: 1. Hygiene and grooming daily 2. Mouth care (including dentures) at least twice/day. 3. Fresh water at 0800, 1600, 2400 and as needed 4. Perineal care 5. Toileting 9) Specimen Collection Criteria A) Obtains: 1. Midstream (clean-voided) urine specimen. 2. Timed urine specimen 3. Sterile urine specimen from an indwelling catheter 4. Urine specific gravity (5 South and 5 ICU only) 5. Urine pH 6. Expectorated sputum specimens 7. Blood specimens by venipuncture 8. Stool specimens 10) Clerical Criteria A) Answers phone within 3 rings identifying self, title and nursing unit. Does not keep person on hold for extended periods. B) Provides directions to physicians, hospital personnel, and visitors to patient’s room. C) Notifies the physician and nursing staff of new patient’s arrival to unit. D) Assists in the receiving of articles brought to the nursing unit. E) Answers pneumatic tube promptly and returns carriers to the appropriate area. F) Prepares a daily worksheet and confirms all appointments concerning daily work (including blood work) and updates worksheet on each shift. G) Verifies census sheet, maintains and updates as necessary. H) Informs Admitting Department of all transfers, discharges, admissions, room changes, and deaths through the computer. Includes disposition of appropriate paperwork. I) Informs staff/charge nurses / nurse manager of nursing unit activities: return of patients to the floor, physician stat orders, new admissions, etc. J) Assist nursing staff and ancillary personnel to ensure appropriate and complete specimen labels/requisition orders. K) Reports critical lab values to appropriate personnel. L) Initiates and completes secretarial portion of the pre-op checklist. M) Completes the administrative data screen for all new admissions and updates daily. N) Assists the nursing staff with paperwork involved in the patient transfer and discharge procedure to include movement of medications. O) Gives a full report to the oncoming person. (Leaves a written report if unable to give verbal). Informs the Charge Nurse if additional orders are left for the night shift. P) Checks patient chart periodically throughout the shift for “stat”, flagged and un-flagged orders. Q) Checks physician orders daily for unsigned verbal/telephone orders and places appropriate flag. R) Enters orders into the computer accurately. S) Calls departments to order tests, procedures, and consults which cannot be ordered through the computer. T) Transcribes orders for tests/procedures/consults onto the TESTS/PROCEDURES section of the profile. U) Ensures labels are correctly placed on all forms V) Transcribes medication orders to the medication administration record accurately. W) Places all physician orders in pharmacy bin. Faxes all physician orders to pharmacy during night shift. X) Signs orders to indicate orders were taken off with date, time, signature and title Y) Utilizes appropriate backup systems in the event of computer downtime. Z) Ensures that stat and timed orders are transcribed promptly. AA) Initiates and assembles charts BB) Keeps chart in order; thins chart as needed and places in appropriate file. CC) Obtains old charges from Medical Records through the computer. DD) Ensures that Medical Records picks up old charts by placing them in assigned pick up area on day of discharge. EE) Completes medical record checklist and ensures that the complete chart is sent to Medical Records within 24 hours of discharge and immediately upon patient death. FF) Sends complete chart including thinned chart and old chart on transfer to patient. GG) Ensures allergy, and isolation cards are posted in charts when indicated. HH) Completes and signs secretarial portion of death summary. 11) Safety/Infection Control: Performs job in accordance with safety and infection control policies. (5,8) 5% Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients / families / employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Keeps personal conversations/background noise to a minimum. 3. Adheres to dress code. C) Reports risk management concerns. D) Assumes responsibility for completing all annual mandatory requirements: 1. Yearly TB Screening 2. Annual Ethics Training (Initial Ethics, if new employee) 3. Annual Safety Training 4. Required Information Security course 5. Required Abuse & Neglect course 6. Annual Blood Borne Pathogens training (if required) 7. Coursework as assigned for .edu 8. Annual competency 9. Age/Population specific competency (if applicable) 10. Orientation competency (if new hire) 11. Unit Specific E) Obtains report from Registered Nurse and informs nurse of changes in patient’s condition. F) Communicates concerns or patient complaints to Registered Nurse and other team members as appropriate. G) Documents all procedures and care concisely and legibly on chart forms according to chart form guidelines. H) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. I) Empties soiled linen containers. J) Works in a constant state of alertness and safe manner. 12) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. (1, 2, 3, 4, 5) 10% Criteria A) Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2.Meets physical, spiritual, psychological and emotional needs of patients and families as directed by Registered Nurse. 3. Responds to call lights promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient / family concerns and addresses needs within scope of responsibility. 2. Explains procedures and all education in a manner that staff / patient/ family understands. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate change of shift report. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. 13) Personal Accountability: Demonstrates accountability for own job performance. (6) 5% Criteria A) Adheres to and incorporates all customer service standards in patient care and work practices. B) Participates in additional learning experiences to increase competence including: 1. Staff meetings 2. Mandatory in-services and educational programs 3. Evaluation of self-performance by identifying strengths and areas for improvement. C) Assists in identifying and implementing nursing unit goals. 14) Performance Improvement (PI): Incorporates Performance Improvement into one's job performance. (6) 5% Criteria A) Identifies problems, participation in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. B) Participates in the performance / process improvement process. 1. Assists in developing unit based PI plan. 2. Participates in discussion of PI outcomes. 3. Collaborates in developing and implementing action plans. C) Incorporates Performance Improvement and Commitment to Quality (C2Q) results into job performance D) Offers suggestions for improvement of unit activities. E) Participates in discussion of PI C2Q data outcomes. F) Collects PI C2Q data as assigned G) Participates in research activities on the nursing unit as appropriate. 15) Age Appropriate Care: Provides age-appropriate care to: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B) Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E) Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. F) Position specific: Need to enter those responsibilities specific for position 16) Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8)
SSM Health

Registered Nurse - Clinical - Abdominal Transplant

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Summary: The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. ​ Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. ​ Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) ​ Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. ​ The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1020000037 Med Surg - 7S Scheduled Weekly Hours: 24 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.