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CLIN NURSE II

Overview Registered Nurse, Emergency Room Full Time, 72 Hours Per Pay Period, Night Shift Parkwest Overview: Parkwest Medical Center, Covenant Health’s flagship facility in West Knoxville, combines world-class cardiac expertise with the warmth of home in serving a vibrant East Tennessee community. Since 1973, Parkwest has grown into the region’s largest hospital in the area, offering advanced services like an all-digital catheterization lab, comprehensive breast health, emergency, and critical care. It’s consistently ranked among Tennessee's top 10 hospitals by U.S. News & World Report and earns national recognition as a Top 100 Heart Hospital, as well as an “A” safety grade from Leapfrog. As part of Covenant Health, the region’s largest employer, Parkwest Medical Center, marries cutting-edge technology with compassionate, community-centered care, earning accolades for cardiology, stroke, surgical excellence, and patient safety. To learn more about Parkwest Medical Center and our units, visit Covenant Health Parkwest Medical Center Opportunities. Position Summary: Provides professional nursing care within an assigned unit; coordinates care planning with other disciplines. Responsibilities Correlates patient history and support systems within hospital care/nursing home care. Assesses learning needs of patient and family. Develops and initiates plan of care, involving patient and family. Recommends interventions. Evaluates plan of care. Resolves problems regarding moderately complex issues without oversight or supervision. Demonstrates willingness to precept employees/students as directed. Reviews clinical performance of preceptee with unit leader or clinical instructor. Demonstrates competence in performing critical skills to include appropriate delivery of care according to the age-specific needs of the population served. Supervises LPNs, Nursing Assistants, HUCs, Techs, and sitters. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications Minimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Minimum Experience: Must possess at least one (1) year of professional nursing experience. Licensure Requirement: Must have and maintain Tennessee State RN licensure. CPR required.

Per Diem

2 weeks ago

Registered Nurse FSER Plaistow PRN

Parkland Medical Center Derry, NH

Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at Parkland Medical Center , you’ll have all the staffing support, technology and resources you need to deliver safe, high-quality care—so you can focus on what you do best. As PRN, must be able to commit to 48 hours each payroll period (every 2 weeks), including 2 weekend 12 hour shifts and 1 summer and 1 winter holiday. Job Summary and Qualifications Position Summary: The Emergency Department nurse is expected to assist in providing total care of the patient before, during and after treatment. This includes providing physical, emotional, spiritual and cultural support while providing necessary equipment and supplies for all emergency procedures. Cases may range from the very minor to the mortally ill or traumatized. Nurses will be proficient in triaging according to the Emergency Nursing Association triage category systems and maintain excellent assessment and reassessment to determine the response to medications and treatments. The Emergency Department nurse is expected to work well as a team member, be flexible and able to process much information quickly and correctly and to develop a care plan to meet the emergent needs of the patient and family. Essential Functions include but are not limited to: Incorporates appropriate assessments and intervention skills in all interactions and delivery of nursing care Communicates with patients, team members and management in an accurate, timely manner Documents in a complete, timely manner; appropriately uses computer charting/ ordering Applies critical thinking skills and considers alternatives Organizes multitask workload, prioritizes tasks, organizes/delivers care for multiple patient assignment Develops and maintains human care relationships Acknowledges the impact illness/hospitalization has on patients and families; adapts care management for diverse populations and environments’ advocates for needs of clients; provides care in an ethical and legal manner Recognizes the importance of teamwork among care providers Acknowledges limits of experience and capability and requests assistance appropriately Verbalizes scope of practice for self and others, delegates and assigns care, coordinates care within multi-disciplinary team Incorporates teaching in delivery of care with a focus on health promotion Provides information to patient, assesses for barriers to learning, uses colleagues as a resource as appropriate, provides counseling about health behaviors Applies know of the patient populations served within unit; provides age-appropriate care, applies knowledge of expected norms in planning care (i.e. VS, lab values, assessment, etc.) applies new data to improve care Applies new data to improve care Integrates technical, psychological, social, intellectual and physical skills Demonstrates the unit-specific skills required for assigned role and service area Maintains required competencies based on high-risk/low-volume/problem-prone areas Promotes internal and external customer satisfaction Builds and promotes a culture of service excellence and continuous improvement Works as scheduled and is compliant with Attendance and Tardiness Policy Daily operations of POCT. This includes but it not limited to: decision making, response to problems, error identification and corrective action. Perform quality control and maintenance on laboratory analyzers and POCT. Preform laboratory testing and POCT applicable to the FSED All other duties as assigned What qualifications you will need: Advanced Cardiac Life Spt must be obtained within 30 days of employment start date Basic Cardiac Life Support ACLS, PALS and CPI within 30 days of start TNCC preferred Nonviolent Crisis Intervention must be obtained within 30 days of employment start date (RN) Registered Nurse state of NH; or valid compact state licensure Associate Degree in Nursing required; BSN preferred Emergency Nurse Pediatric Cour, or PALS Pediatric Adv Life Supt must be obtained within 30 days of employment start date Minimum 2 years critical care nursing experience Benefits Parkland Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location Grow your career where your work truly matters—at Parkland Medical Center Located in Derry, NH, Parkland is an 86-bed regional acute-care hospital and a designated Level III Trauma Center, delivering high-quality care to the community with compassion and innovation. As part of HCA Healthcare’s trusted network, you’ll be connected to Catholic Medical Center in Manchester, Portsmouth Regional Hospital in Portsmouth, Frisbie Memorial Hospital in Rochester, three freestanding ERs, and more than 70 care sites across New Hampshire. With nearly 5,000 colleagues—including 1,500 nurses and 1,000 affiliated physicians—HCA Healthcare offers a supportive, team-oriented environment where your contributions are valued, your growth is encouraged, and your impact is felt every day. Join us and be part of something bigger. HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future." Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC Senior Vice President and Chief Nurse Executive HCA Healthcare If growth and continued learning is important to you, we encourage you to apply for our Registered Nurse FSER Plaistow PRN opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

PCU

2 weeks ago

Clinical Resource Nurse for PCU

Covenant Health (MA) Nashua, NH

$36.86 - $50.76 / hour

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!