Bronson Healthcare

Registered Nurse Bronson Battle Creek NVU Full-Time 12D (7a-7p)

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BBC Bronson Battle Creek Title Registered Nurse Bronson Battle Creek NVU Full-Time 12D (7a-7p) Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift 12 Hour Day Shift Time Type Full time Scheduled Weekly Hours 36 Cost Center 6250 NVU Neuro Vascular Unit (BBC) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
Bronson Healthcare

Registered Nurse Bronson Battle Creek Hospital Float Pool PRN

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BBC Bronson Battle Creek Title Registered Nurse Bronson Battle Creek Hospital Float Pool PRN Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift Variable Time Type Part time Scheduled Weekly Hours 10 Cost Center 1670 Bed Utilization (BBC) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
Bronson Healthcare

Registered Nurse ( RN ) - Neonatal Intensive Care Unit ( NICU ) - Bronson Methodist Hospital - Part-time 12N (48hrs/pp)

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BMH Bronson Methodist Hospital Title Registered Nurse ( RN ) - Neonatal Intensive Care Unit ( NICU ) - Bronson Methodist Hospital - Part-time 12N (48hrs/pp) Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift 12 Hour Night Shift Time Type Part time Scheduled Weekly Hours 24 Cost Center 6000 NICU 4th Floor (BMH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
MountainStar Healthcare

Registered Nurse ( RN ) - Acute Care Unit ( med/surg ) - Bronson Lakeview Hospital - Full-time 12N

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BLH Bronson LakeView Hospital Title Registered Nurse ( RN ) - Acute Care Unit ( med/surg ) - Bronson Lakeview Hospital - Full-time 12N Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift 12 Hour Night Shift Time Type Full time Scheduled Weekly Hours 36 Cost Center 6400 General Care Unit (BLH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
Texas Health and Human Services

RN Shift Supervisor

$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: RN Shift Supervisor Job Title: Nurse III Agency: Health & Human Services Comm Department: Hinojos Creek - Nursing Posting Number: 16321 Closing Date: 06/26/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $7,532.75 - $8,886.16 Pay Frequency: Monthly Salary Group: TEXAS-B-24 Shift: Day Additional Shift: Days (First) 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: San Angelo State Supported Living Center Job Location City: CARLSBAD Job Location Address: 11640 US HWY 87 N Other Locations: San Angelo 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! Free CEUs and updated resources through Lippincott access for all nurses. The RN Shift Supervisor is responsible for coordinating and overseeing nursing activities and ensuring appropriate nursing staff coverage during the assigned shift. Serves as the point-of-contact for other interdisciplinary staff for coordination of nursing services for the assigned areas, or the SSLC as a whole, specific to SSLC needs. Responds to emergency situations to provide assessment and ensures safety and care of individuals and staff. Provides treatment to HHS employees injured in course and scope of employment. Performs complex nursing work, including comprehensive physical assessments and care intervention, such as health screenings, treatments and other nursing procedures. Evaluates and documents healthcare needs and/or issues and reports health care needs and/or issues to the appropriate person(s). Provides oversight and coaching of, and delegates work to, nursing staff including direct care RNs and LVNs during the assigned shift. Assists with on-the-job nursing instruction and training of other nurses as instructed and serves as a resource for other nurses. Reports personnel issues to the assigned nurse managers for follow up. Provides input into subordinate nursing staff evaluations, as requested. Models appropriate interaction with individuals with intellectual and developmental disabilities, their family members, and with staff members. Develops and presents information for inservice training or staff development, as assigned. Communicates with others, such as direct care staff, physicians, primary care practitioners (PCPs), administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the Nurse Manager, Nurse Operations Officer (NOO) or other designated supervisor, of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Maintains a professional, harmonious working relationship with facility employees as well as outside agency employees. Keeps informed of and follows all agency, and facility policies and procedures. Completes other assignments as instructed. Works under general supervision of the Nurse Manager, NOO or other designated supervisor, with moderate 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. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. During the shift, is assigned to either a home, group of homes or the SSLC as a whole, depending on SSLC size. Ensures appropriate nursing staff coverage is maintained for the assigned area during the assigned shift by collaborating with person(s) responsible for nursing schedule and other appropriate staff. Makes adjustment to nursing assignments based upon call-ins and the immediate needs of individuals served. Delegates work assignments to nursing staff within the assigned area and reports significant nursing coverage issues to the appropriate administrator. Serves as the point-of-contact for other interdisciplinary staff for coordination of nursing services for the assigned areas, or the SSLC as a whole, specific to SSLC needs. For the assigned area, receives calls for assistance from staff members such as direct care nurses, the campus coordinator, home supervisor, on-duty supervisor, incident and risk management staff and other department heads. Responds to these calls by assessing nursing services being providing and the need for additional or different services. Coordinates with other nursing staff, medical staff or administrative staff to ensure the needed services are received in the assigned area. Needs might include a specific nursing assessment, treatment, or consultation with medical staff for consideration for transfer offsite to a hospital to receive assessment or treatment. Performs complex nursing work including comprehensive physical health assessments, health screenings, and treatments campus wide. Performs technical nursing procedures according to facility and state regulations after demonstration for competency, i.e., tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Maintains competency in use of all medical equipment as ordered by physician/PCP. Administers medications, immunizations, and treatment and observes patients for unusual symptoms and reactions. Demonstrates knowledge of medications administered in order to identify desired effects or adverse reactions. Evaluates and documents healthcare needs and/or issues and reports health care needs and/or issues to the appropriate person(s). Communicates health status/needs to other disciplines, and to families as needed. Provides teaching and training to staff and individuals. Assists with on-the-job nursing instruction and training of other nurses, such as LVNs and Nurse Is during the assigned shift by observing them perform their essential job duties and providing feedback to them in their performance of nursing protocols and treatments. Develops and presents information for Inservice training or staff development, as assigned. Serves as a resource for other nurses by answering their questions about nursing protocols and providing information about where to seek additional information for in their professional development such as the use of online learning platforms. Models appropriate interaction with individuals with intellectual and developmental disabilities, their family members, and with staff members. Provides input to nurse manager and other supervisors to assist in the evaluation of employee performance. Responds to emergency situations to ensure safety of individuals. Performs CPR, suctioning, and other emergency procedures as directed by physician/PCP/protocol. Administers emergency medications as prescribed. Demonstrates a working knowledge of emergency procedures and emergency equipment. Recognizes and coaches appropriate Safe Use of Restraint (SUR) procedures. Provides treatment to HHS employees injured in course and scope of employment. Performs related work as assigned. Serves as resource/mentor to other nurses. Cross-trains other registered nurse(s) to back–up as RN Shift Supervisor, as needed. Provides back-up coverage for nursing activities on an as-needed basis. For example, as needed, assists in lab to draw blood samples as per scheduled time periods, etc. Collects specimens for laboratory examination and conducts appropriate screening tests (after competency is documented) as requested by lab personnel. Actively participates in, and prepares for in advance, essential meetings related to care of persons served in order to manage and coordinate health care to achieve optimal health. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines. Participates in competency-based training and continuing education activities and meetings to maintain competence in nursing best practice. Demonstrates knowledge of safety and infection control practices to ensure a safe working environment. Complies with state mandated continuing education to maintain licensure as a registered nurse. Follows information security protocols in order to maintain the accuracy and confidentiality of consumer records. Complies with all State/Federal/Local standards; Facility Policy, ICF Standards, and Texas Nurse Practice Act. by following standard precautions to minimize cross contamination. Provide 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 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, practices, and procedures; of program regulations and procedures; and of utilization review and control measures. 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. Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge. Knowledge of infectious diseases and infection prevention and control principles and practices in the healthcare setting. Knowledge of standards and Infection Prevention Control standards related to infection control and utilization management. Skills in the use of computer/software and an electronic health record system Skill in the care and treatment of patients. Exceptional physical assessment skills. Exceptional organizational skills. Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications, and via telemedicine equipment. 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; to recognize patterns of medical necessity treatment; and to plan, assign, and/or supervise the work of others. Ability to interpret regulations and communicate them effectively both orally and in writing. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to work independently and productively with all levels of staff. Ability to train all levels of staff and coordinate shift assignments. Ability to make decisions and recommendations to SSLC leadership including on-call administrators. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations. 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: At least one (1) year experience as a practicing registered nurse is required. At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Previous experience working with Individuals with Intellectual or Developmental Disabilities (IDD) is preferred. Nursing supervisory experience 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.
SSM Health

Registered Nurse - Specialty Procedure II - Interventional Radiology / Catheterization Laboratory

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: PRN Job Summary: The Registered Nurse (RN) is a professional practitioner who manages and directs nursing care activities in the areas of cath lab and interventional radiology. Must be energetic and highly motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (%of time) Essential Functions: The following are essential job accountabilities and performance criteria. 1) Assessment: Performs comprehensive nursing assessment as the database. (1, 2, 3, 4, 5) 20% Criteria A) Completes assessment of new admission or transfer upon arrival to PACU. B) Accurately performs and documents patient assessments. C) Provides timely ongoing patient reassessment documenting pertinent observations. 2) Planning: Establishes and coordinates a plan of care based on analysis of the initial assessment data, patient diagnosis, and physician orders. (1, 2, 3, 4, 5) 10% Criteria A) Identifies patient care needs. B) Formulates nursing interventions to achieve desired patient outcomes. C) Identifies and initiates individualized care plans. D) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. 3) Implementation: Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient condition. (1, 2, 3, 4, 5, 6, 7, 8) 30% Criteria A) Coordinates, communicates and documents patient care with other disciplines. B) Provides and documents patient education and discharge planning correctly on PACU flow sheet. C) Reviews and initiates physician orders in an accurate and timely manner. D) Recognizes changes in patient's condition, takes appropriate nursing actions. E) Adheres to medication/parenteral therapy administration and documentation per policy guidelines. F) Performs blood-drawing technique to obtain lab specimens including blood cultures. G) Anesthesia and surgical physicians notified of significant changes in patient condition. H) Assist physicians with procedures, examinations, and other processes related to patient care. 4) Evaluation: Documents effectiveness of nursing care and modifies plan of care as patient progresses toward expected outcomes. (1, 2, 3, 4, 5) 10% 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 education including level of understanding. C) Evaluates plan of care and modifies as indicated. D) Evaluates effectiveness of pain medication and then takes appropriate nursing action. 5) Professional/Leadership: Demonstrates accountability for own professional practice. (3, 5) 10% Criteria A) Participates in additional learning experience to increase professional competence including 1. Committee membership 2. Staff meetings 3. Mandatory in-services and other educational programs 4. Evaluation of self and peer performance by identifying strengths and areas for improvement. B) Is at work as scheduled and begins duties promptly at start of shift. C) Functions as a resource person to co-workers, patients/families, medical staff and ancillary personnel. D) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. E) Directs care delivered by Care Partners. F) Adheres to and incorporates all customer service standards in patient care and work practices. 6) Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5, 6, 7, 8) 5% Criteria A) Practices universal precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards. 1. Maintains clutter free environment. 2. Keeps conversations and 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. Safety/Fire 2. Blood Borne Pathogen 3. Hazardous Communication 4. TB 5. Department Specific 6. Age Appropriate Care (for clinical staff only) 7. EMTALA C) Works in a constant state of alertness and safe manner. D) Works in a constant state of alertness and safe manner. 7) 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, 3, 5, 6) 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. 3) Responds to patient needs promptly. 4) Apologizes for mix-ups and delays. B) Communicates Effectively and Maintains Confidentiality 1) Listens to patient/family concerns and addresses needs. 2) Explains procedures and all education in a manner that patient/family understands. 3) Allows time for questions. C) Demonstrates Competence and Collaboration 1) Provides accurate report. 2) Provides quality care in accordance to standards. 3) Shares knowledge with other departments to facilitate work flow and continuity. D) Provides Cost Effective Services 1) Uses resources wisely. 2) Recommends changes in practice that increases efficiency and minimizes waste. 3) Minimizes overtime and utilizes time well. Criteria 8) Quality Improvement (QI): Incorporates Quality Assessment into one’s daily work. (1, 2, 3, 4, 5, 6) 5% Criteria A) Assists in developing unit based PI plan. B) Collects PI data as assigned. C) Participates in discussion of PI outcomes. D) Collaborates in developing and implementing action plans. E) Participates in research activities on the nursing unit. Criteria 9) Age Appropriate Care: Provides age-appropriate care to: ____Infant ____Child __x__ Adolescent __x___ Adult __x___ 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. 10) Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5)
MountainStar Healthcare

Registered Nurse ( RN ) - Emergency Department ( ED ) - Bronson Lakeview Hospital - Part-time (48hrs/pp) 12D

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BLH Bronson LakeView Hospital Title Registered Nurse ( RN ) - Emergency Department ( ED ) - Bronson Lakeview Hospital - Part-time (48hrs/pp) 12D Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift 12 Hour Day Shift Time Type Part time Scheduled Weekly Hours 24 Cost Center 4300 Trauma Emergency Center (BLH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
Frederick Health

RN Progressive Care Unit 7p-7:30a

$36.07 - $55.17 / hour
Experienced nurses may be eligible for a $30,000.00 sign on bonus for night shift positions Unit Description The 4G/PCU specializes in the care of adult and geriatric patients requiring cardiac monitoring and/or closer observation than is generally provided on the Medical-Surgical Units, not needing intensive care. High volume diagnoses treated on this unit include cardiac diagnoses such as CHF, NSTEMI, pre-cardiac catheterization, stroke, pulmonary disorders, diabetes, multi-system diseases, and post- surgical patients. Schedule: Full time night shift 7p-7:30a with weekend and holiday rotation Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. Independently provides patient care using the nursing process and performs leadership and teaching duties necessary that supports effective patient care. Supports and participates in continuous quality improvement activities. Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies. Essential Functions: Assesses the biophysical, psychosocial, environmental, self-care, educational and discharge planning of patients according to nursing standards. Uses knowledge and experience in identifying patient needs and prioritizing treatment. Recognizes and accurately documents and communicates subtle changes in patient assessment. Provides initial assessment and reassessments according to current organizational and department standards for Assessment of Patients and Nursing Assessment and documents according to policy. Anticipates potential changes in patient’s condition and responds appropriately. Anticipates needs based on assessment findings and proposed procedure or course of care. Ensures an effective plan of care for assigned patients based upon the standards for planning and providing care. Initiates individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies. Efficiently organizes and prioritizes patient care and seeks assistance when necessary in order to meet the needs of individual patients. Actively participates in development of standards of care according to departmental, organizational, professional or regulatory standards. Implements plan of care in compliance with hospital and nursing policies in accordance with all appropriate standards. Completely and accurately implements and documents nursing interventions and patient response. Communicates pertinent information to patient and members of the health care team in a concise and timely manner utilizing an interdisciplinary approach. Assures that the patient/family are updated regarding the status of the patient and any changes in the patient or plan of care as they evolve. Demonstrates flexibility in giving and receiving patient assignments on the department and hospital-wide based on skill mix of the staff available and patient care demands. Evaluates nursing care, which includes tools and equipment related to patient care. Reviews, evaluates and documents effectiveness of interventions, making modifications as needed on the plan of care. Evaluates new and existing equipment, policies, procedures and programs. Anticipates patient’s response to interventions and collaborates with patient/family and health care team to revise treatment plan accordingly. Identifies variances from expected outcomes and makes appropriate recommendations. Provides patient/family education Assesses patient/family for: Current knowledge of health status, condition or disease process; barriers to learning; readiness, willingness and ability to learn Cultural, religious, financial and patient preference implications related to learning. Identifies learning needs and establishes goals using standardized or individualized teaching plans. Implements the plan through direct, interactive teaching with additional use of teaching aids and materials as appropriate. Evaluates effectiveness of teaching. Communicates patient/family progress toward learning goals and need for follow-up to other nurses and health care disciplines. Integrates discharge planning and referral into the teaching process. Documents teaching per policy. Independently offers support to less experienced staff to aid in patient/family teaching. Demonstrates professional expectations as evidenced by: Incorporates suggestions for self-development and/or performance into daily practice. Meets all requirements of clinical ladder level. Actively engages in department efforts to promote retention of staff and provide for a high level of employee morale. Utilizes supplies, equipment, and technology to ensure quality of patient care. Floats to other nursing units in the hospital as requested Demonstrates leadership/accountability qualities. Consistently utilizes communication style that sets department tone for positive professional behavior. Promotes meaningful focused communication between all members of the healthcare team as appropriate. Encourages professional interactions between ancillary healthcare givers, including physicians. Demonstrates effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers. Demonstrates effective precepting and mentoring skills for RN’s and ancillary staff. Adheres to program policies and participates in effective department orientation. Demonstrates accountability for the following which includes but is not limited to: Reviewing Quality Assurance report/data for accuracy and completeness according to departmental standards. Contributing to the evaluation/auditing process for CNA’s, Technicians, and peers, etc. Must complete all Hospital wide and Department specific competencies. Required Knowledge, Skills and Abilities: Clinical competency in their departmental area of practice. Ability to use technology and equipment to perform job duties. Effective interpersonal and communication skills. Effective use of proper body mechanics when handling patients, supplies and equipment. Ability to handle a physically demanding environment. Skills and abilities to perform all job description duties according to the age specific patient population served by their department. Ability to meet the requirements annually of the FH Clinical Ladder. Ability to keep patient and employee information confidential Competency in operating equipment required to meet patient care needs. Minimum Education, Training, and Experience Required: Eligible for or currently licensed as a Registered Nurse in State of Maryland or compact state. Associates degree in Nursing required; Bachelors of Science in Nursing preferred or willing to obtain within 5 years of employment Certified in Cardiopulmonary Resuscitation (CPR). BLS certification is required of ALL nurses within 90-days of hire. The following certifications are required for the nursing units specified. Each certification must be completed within 1 year of hire. § 2C (Oncology/Thorasic) – Chemotherapy § 4B, 4A, 4G, 2G (Telemetry) – ACLS § L&D, OB/OR – NRP, C-EFM w/in 3 years § Family Center – NRP § NICU – NRP § ICU – ACLS § Peds/Peds ED – PALS § OR – ACLS § Cath Lab – ACLS § PACU – ACLS § ENDO – ACLS § Pre-Op – ACLS § Emergency Dept – ACLS, PALS, Base Station Patient Contact Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups * This would be based on designated patient population for each nursing department. X Neonate (0 thru 30 days) X Infant (31 thru 12 months) X Child (13 months thru 12 years) X Adolescent (13 years thru 17 years) X Adult (18 years thru 65 years) X Geriatric (66+ years) Physical Demands: Medium-Heavy Work – Lifting up to 100 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 50 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour). Ergonomic Risk Factors: Repetition : Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved. Forceful Exertion : The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task. Awkward Posture : Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions. Contact Stress : Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders. Working Conditions: Bloodborne Pathogens Exposure Risk: Category A – WILL have exposure to blood or body fluids. Exposure to infectious diseases, hazardous materials and highly technical and heavy equipment. Reporting Relationship: Reports to Department Manager. Also receives supervision from Director or Hospital Supervisor. Disclaimer: The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements of the position. Caring for you as you care for the CommUNITY Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program. Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable. Pay range: Hourly rate $36.07 Min -$55.17 Max
Frederick Health

Cardiac Cath Lab Charge Nurse

$36.79 - $55.17 / hour
Cardiac Cath Lab Full time 72hrs/pay period - 7a-4:30p (4 shifts per week) with on-call required - Bachelors degree is required - Current Maryland RN license is required - Recent experience in the specialty area is required - CN/Relief CN or Supervisory experience required -Availability to cover late cases 2x per week Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. Provides oversight and coordination of patient care activities for the department using the nursing process. Performs leadership and teaching duties to support effective patient care. Participates in continuous quality improvement activities. Participates in patient/family teaching and provide leadership by working cooperatively with physicians, nursing services and other patient team personnel to maintain standards for professional nursing practice in the clinical setting. Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies. Example of Essential Functions: Coordinates and provides direct patient care in accordance with accepted nursing standards while utilizing the nursing process. Makes frequent patient rounds to assure the quality, customer service and appropriateness of patient care. Identifies areas needed for improvement in patient care delivery and plans for effective change. Serves as a resource to staff, colleagues and other departments. Prepares patient care assignments considering the staff skill mix, competence of the employee and the complexity/acuity of the patient care needs. Assures a safe patient care environment. Coordinates the maintenance repairs and environmental health needs for the department. Assures safety/ emergency checks are done according to department standards. Assures that the daily reports and records related to the operations of their unit are complete and accurate per shift. Provides the support necessary to assure appropriate patient/family teaching, discharge planning and phone calls. Cooperates with affiliating instructor(s) to implement and evaluate students’ clinical experience. Provides department environment conducive to future recruitment of students. Participates in the interview process for applicants. Coaches, counsels, mentors, and evaluates clinical staff under the guidance of the unit Manager/Director. Monitors and follows up appropriately with employees regarding work performance and attendance. Provides input into the development of the staffing schedule for the assigned unit. In collaboration with unit manager, forecasts scheduling deficits and implements corrective action as necessary. Provides for an effective orientation of new employees while adhering to appropriate payroll and scheduling policies. Collaborates with CNS to arrange an orientation schedule for new hires with designated preceptor. Serves as a mentor to staff on the nursing department. Actively participates in performing preceptor duties as appropriate. Supports new hires/orientees by ensuring reasonable patient assignment, keeping new employee with preceptor during scheduled shifts. Conducts unit huddles, briefs and de-briefs every shift to provide support to all staff as appropriate. Collaborates with the unit management team to develop and achieve departmental goals and objectives around all hospital pillars. Maintain staffing worked hours to premier productivity standards within designated work shift. Participates in the budget process by providing input into departmental needs, and participates in the implementation of the approved operational budget. Provides cost saving suggestions to Department Manager. Identifies opportunities for improved services and quality of patient care. Actively participates in the department PI activities. Encourages and arranges for staff involvement in PI efforts and implementation of evidence based practices. In collaboration with Unit Manager and CNS, monitors compliance with documentation, metrics, quality and other performance standards applicable to that unit. Participates in activities to improve performance and proactively engages in staff education. Consistently utilizes communication style that sets unit tone for positive professional behavior (TeamSTEPPS Model). Promotes meaningful focused communication between the physicians and staff using SBAR format. Actively engages in unit efforts to promote retention of staff. Provide for a high level of employee morale while ensuring adherence to standards of behavior. Demonstrates effective delegation to colleagues for department tasks/projects to facilitate staff ownership of own department successes. Participates and/or leads clinical task forces, special projects and unit huddles. Plans for own professional development and continuing education. Completes education appropriate for their own developmental needs as well as hospital and department mandatory education requirements and competencies. Required Knowledge, Skills and Abilities: Ability to use technology and equipment to perform job duties Effective interpersonal and communication skills. Effective use of proper body mechanics when handling patients, supplies and equipment Ability to handle a physically demanding environment. Skills and abilities to perform all job description duties according to the age specific patient population served by their department and standards of practice. Resource Personnel – Skills and abilities to perform all job description duties according to the age specific patient population served by the department to which they have been assigned. Ability to keep patient and employee information confidential · Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status. Possess the ability to interpret the appropriate information needed to identify each patient’s requirements relative to his/her age-specific needs and to provide the care needed as described in the unit’s/department’s policies and procedures. · Must have the ability to plan and direct work activities of staff to achieve organizational, unit, shift and quality safe patient centered care. He/she must be able to determine most effective use of resources to achieve unit fiscal stewardship. Minimum Education, Training, and Experience Required: Eligible for or currently licensed as a registered nurse in the State of Maryland Registered nurse with BSN, or BSN agreement with degree achieved within 5 years from the start of the positon. Certified in Cardiopulmonary Resuscitation (CPR) and/or other appropriate certifications. Clinical competency in their departmental area of practice, minimum 2 years of experience in clinical area of practice. Achieve certification in area of appropriate clinical specialty after two years of clinical experience or within 1 year in Charge nurse role. The following certifications are required for the nursing units specified. Each certification must be completed within 1 year of hire. · ALS or ACLS: Emergency Department, Float NSG, 4B, 4A, ICU, 4G, Preop, Surgical Services, PACU, Endoscopy Room, Cardiac Cath, Observation, 3A, Interventional Rad, Hyperbaric · PALS: Emergency Department, Pediatric Combined, PACU, Preop · NRP: Labor & Delivery, Family Center, NICU, Women & Children Float, Family Focus Baby Best · Oncology/Thorasic-Chemotherapy: 2C · Base Station: Emergency Department · C-EFM : Labor & Delivery, Family Center (Antepartum assigned RNs) · IBCLC: Family Focus Baby Best Patient Contact Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups: _X_ Neonate (0 thru 30 days) _X_ Infant (31 thru 12 months) _X_ Child (13 months thru 12 years) _X_ Adolescent (13 years thru 17 years) _X_ Adult (18 years thru 65 years) _X_ Geriatric (66+ years) Physical Demands: Medium-Heavy Work – Lifting up to 75 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 35 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour). Ergonomic Risk Factors: Repetition : Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved Forceful Exertion : The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task. Awkward Posture : Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions. Contact Stress : Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders. Working Conditions: Bloodborne Pathogens Exposure Risk: Category A – WILL have exposure to blood or body fluids. Reporting Relationship: Reports to Department Manager. Receives supervision from Manager, Director and Hospital Supervisor. Disclaimer: The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements of the position. Caring for you as you care for the CommUNITY Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program. Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable. Pay range: Hourly rate $36.79 Min -$55.17 Max
Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (NURSE PRACTITIONER)

Overview ADVANCED PRACTICE NURSE (NURSE PRACTITIONER) About the Position: This position is located at Fairchild Air Force Base in Spokane, Washington.This is a Direct Hire Solicitation Fairchild AFB is located in beautiful Spokane, Washington. Spokane is a beautiful four-season destination where there's always something to do whether you hope to stay in or adventure outdoors. If you're relocating with family, we've got you covered with fun things to do in Spokane to keep the kiddos busy and parents equally entertained. If you consider yourself an outdoor enthusiast, check out our numerous outdoor recreation options in our local and state parks. If you're a night owl, there's an abundance of Spokane nightlife to keep you entertained. If you're ready to dive into our arts and culture scene, we'll show you performances, history, and art museums to admire. Discover upcoming Spokane attractions and events with the latest Spokane event calendar and more! Visit https://www.visitspokane.com/ Fairchild Air Force Base is home to a wide variety of units and missions, the most prominent is the air refueling mission. Fairchild has two wings, the 92nd Air Refueling Wing, and the 141st ARW. Other units include the Air Force Survival, Evasion, Resistance and Escape school, medical detachments, a weapons squadron and the Joint Personnel Recovery Agency. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities MAJOR DUTIES DUTY 1: Provides comprehensive primary, preventative, and therapeutic health care service to assigned patients in a family practice clinic in a Military Treatment Facility (MTF). Performs comprehensive physical assessments of patients to include baseline data such as past medical and surgical history, family history, social history, and immunization history. Independently diagnoses and manages acute episodic and chronic illnesses including but are not limited to asthma, chronic obstructive pulmonary disease, hypertension, diabetes, arthritis, upper respiratory infections, sexually transmitted diseases, and dermatological or orthopedic conditions; minor traumas; behavior/psychological problems; and short term health issues such as injuries and infections. Performs baby exams, pre-employment physicals, and sports physicals. Performs pre-deployment and post-deployment assessments of active duty personnel. Performs Preventive Health Assessment (PHA)/Reserve Component PHA exams, overseas clearances for dependents, and medical evaluation board (MEB) summaries on military personnel in accordance with annual requirements. Performs or requests special screening and development tests and laboratory tests and interprets the results. Orders, performs, collects, and interprets laboratory tests to include but not limited to electrocardiogram (EKGs), wet preps, wet mounts, hema-occults, routine blood chemistry, hematology, microbiology, bacteriology, virology, toxicology, pathology, and cytology. Orders and interprets the findings of radiological studies, including but not limited to computerized tomography (CT) scans, magnetic resonance imaging (MRIs), X-rays, ventilation/perfusion (VQ) scans, nuclear medicine scans, and other tests that may be necessary for the diagnosis and treatment of a patient. When needed, requests consultations to assist on interpretation of abnormal studies. Performs procedures to include but not limited to biopsies such as shave biopsies, minor suturing, toenail removals, and joint aspirations. Uses knowledge of a variety of pharmacological agents to treat patients based the desired effects, side effects, and potential complications of the pharmacologic agent used. Accurately administrates pharmacologic agent and determines proper dosage calculations. Prescribes and monitors pain management regimes in patients with chronic pain. Uses knowledge of patient education principles and behavioral readiness to change along with knowledge of disease management programs and clinical practice guidelines (e.g., Department of Veterans Affairs (VA)/Department of Defense (DoD) Clinical Practice Guidelines (CPGs), and Healthcare Effective Data and Information Set (HEDIS) measurements to teach patients and family members ways to maintain or improve their health status. Uses patient education materials as appropriate. Maintains electronic medical records or patient paper charts to document medical information and treatment procedures. Incorporates current knowledge of disease and condition management into daily work activities to include evidence-based primary, secondary, and tertiary prevention. Recognizes scope of practice/limitations, consults with a physician and/or medical specialty services as needed, and refers patients as appropriate. Ensures referrals include the appropriate level of severity/urgency of the care needed. DUTY 2: As a Family Nurse Practitioner (FNP), provides comprehensive health care services. Performs procedures, treatments, and orders medications based on assessment results and standards of care. Educates patients and family members on diagnosis, discusses treatment options and makes recommendations, and ensures patients/family members have information required to provide informed consent for treatment. Prescribes medications and adjusts dosage according to patient’s needs and responses, to include appropriate dosing, side effects, and medication interactions. Performs minor diagnostic procedures, such as punch biopsies, mole removal, wart removal, needle aspiration for culture, and shave biopsies. Also performs minor suturing, toenail removals, and joint aspirations. Additionally performs procedures such as intravenous (IV) line placement, dressing changes, catheterizations, wound irrigation, oxygen administration, and specimen collection such as blood and cerebrospinal fluid. Participates with the consulting physician in planning, instituting, evaluating, and revising program plans; assists in determining conditions, resources, and policies essential to the delivery of health care services. In partnership with physicians, makes decisions concerning medical care needs of patients as well as nursing care needs. Provides surveillance of adherence to medical and nursing regimens to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other health team members. Develops family nursing protocol and defines and develops relevant procedures for the facility. DUTY 3: Shares clinical expertise as consultant and instructor. Evaluates clinical practices and collaborates with health care team members to improve patient care delivery IAW evidence based practice standards. Participates in staff development programs. Participates in evaluation of the quality and effectiveness of activities/services of the unit by organizing nursing monitoring and evaluation activities. Submits to and performs peer reviews on providers. Participates in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. DUTY 4: Participates in committees, functions, and other meetings as directed. Serves as a member of various committees, functions, and other meetings as needed. Provides relevant and timely information to these groups. Assists with decision making and process improvement. Serves as a functional expert on family health care for the medical group, serving as an advocate for these functions. PERFORMS OTHER DUTIES AS ASSIGNED Qualifications %MCEPASTEBIN% Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Advanced Practice Nurse (Practitioner/Family Practice):Degree: A graduate or higher-level degree from an accredited professional nursing educational program in Family Practice is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. APN Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Family Practice or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Professional Nursing Experience: One or more full years of professional nursing experience which includes performing examinations of patients, interpreting laboratory tests, and prescribing medications. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11).Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
UCSF Health

Registered Nurse - Radiation Oncology

Job Description Under the supervision of the Administrative Nurse (AN) or Charge Nurse, the Registered Nurse (RN) is responsible for providing skilled and comprehensive nursing care to radiation oncology patients with a wide variety of oncological and/or disease-related problems seen for consultation, treatment, and follow-up. Through application of the nursing process, the RN provides direct care and implements plans for continuity and coordination of patient care with other members of the patient’s health care team. In collaboration with the AN, the nurse provides appropriate guidance and supervision for ancillary nursing personnel and participates in orientation of new medical and/or technical personnel. Responsibilities include compliance with Medical Center and departmental Policies and Procedures, Environmental Safety, House and Telephone Standards, and compliance with all regulatory agency requirements. The hours are generally day time from about 7AM to 5PM, but may vary with start times from 6:00 AM to 11:00 AM and end times may vary from 3:00 PM to 8:00 PM. This role will function as the primary contact for the patients of a specific MD(s) to manage side effects, symptoms, care and coordination of complex interdisciplinary services. The RN will work closely with one or more physicians who will be directing and delegating care as appropriate. This role will be primarily at our Mount Zion location. The position may involve travel between or working at any of our other UCSF Radiation Oncology sites. Responsibilities % of time Essential Function (Yes/No ) Key Responsibilities (To be completed by Supervisor) 20 Assessment Identifies patients’ physiological and psychosocial status in order to implement plans of care. Seeks and utilizes available diagnostic tests, lab values, reports and medical record information to increase awareness of current or potential problems. Responds to or refers inquiries appropriately. Recognizes and reports specific physical and emotional conditions/needs/concerns of the patient to the appropriate members of the healthcare team. Alerts physician to unusual conditions of the patient to facilitate immediate attention. Obtains vital signs (including blood pressure, heart rate, temperature, respiratory rate, and oxygen saturation) and weights on patients being seen for consult, for follow-up, and for weekly treatment visits. Reports abnormal findings to MD. Anticipates patient’s response to treatment and/or disease progression and assesses appropriately per the patients clinical condition. 20 Planning Develops holistic health care plans based upon the patient’s medical condition, treatment goals, and psychosocial status. Anticipates potential physical and psychosocial problems in order guide patient teaching, support, coordination of, and timely provision of necessary care. Incorporates the patient’s family into the plan of care as appropriate. Coordinates planning with other members of the Cancer Center, SFGH, VA, and other facilities as relevant. Mentors, trains, assists, and is a resource for staff to improve coordination of patients’ care. 30 Implementation Demonstrates and applies specialized knowledge of oncology and radiation therapy nursing in providing direct care, education and support to patients/families. Responsible for care of gamma knife patients from admission through discharge including counseling and evaluating patients prior to the procedure, assisting the neurosurgeon with frame placement, scan preparation, coordination, discharge teaching, and all other duties related to the nursing care of the gamma knife patient. Makes follow-up calls to gamma knife patients after discharge to determine status post-procedure status of the patient. Provides appropriate nursing care according to UCSF standards outlined in the Nursing Procedures Manual. This includes, but may not be limited to, care of patients requiring intravenous therapy, oxygen therapy, contrast injection, pain management and sedation. It also includes monitoring of various systems (e.g. tubes, drains, catheters) and management of surgical revisions (e.g. ostomies and wounds), skin care, and nutrition teaching. Reports concerns about patient status and/or abnormal changes in patients’ conditions to appropriate health care team members. Assists physician and patient during diagnostic procedures (e.g. pelvic exams, needle biopsies and aspirations), nasopharyngeal scoping, spinal tap, sedation, and brachytherapy appliance insertion and removal, and other unit-based therapy procedures. Complies with all UCSF/ MTZ Comprehensive Cancer Center and unit-based policies and procedures including infection control, safety and administrative and clinical practices. Understands and implements the procedures for medical emergencies, Code Blue and other emergency/disaster situations. Evaluates and documents response of patient to treatment plan and nursing interventions. Directs and delegates appropriate tasks to Medical Assistants and Administrative Staff and ensures adequate follow-through. Acts as Charge Nurse in the absence of the Administrative Nurse as assigned. May work at any UCSF Radiation Oncology Site as determined by the needs of the department. This may include traveling to another UCSF location during the course of a shift. Ability to work flexible hours as determine by the needs of the department.Start times generally vary from about 6:00 AM to 11:00 AM and end times may vary from about 3:00 PM to 8:00 PM, and may occasionally require overtime. Other start and end times may occur as needed for example to cover partial shifts of 4 hours. Assists the patient to navigate complex health care system between various clinics, specialty practices, treatments and other medical services. Assists the physicians in managing and coordinating care between various other specialty practices and medical services as needed. Assists in upholding the quality of care, and is a responsible steward of resources avoiding waste and mindful of efforts to control cost. 10 Advocacy/Patient Education Assesses patient’s and family’s understanding of illness and knowledge of Radiation Therapy; educates and documents accordingly. Utilizes clinical knowledge and communication skills to serve as an initial and continued resource for patients/family. Informs patients/family about services available at UCSF/MTZ Comprehensive Cancer Center and in the community. Promotes the patient’s participation in planning for and understanding of their care. Evaluates the effectiveness of health teaching by obtaining feedback from patients and/or families, observations of outcomes and progress, and contributes to revision of care plan accordingly. 10 Coordination/Communication Coordinates resources and communicates to minimize fragmentation of care within the department, patient care units, other clinics and departments, or other facilities. Communicates directly with appropriate nurses verbally and in writing (when appropriate) regarding specific needs or concerns of the patient. Assists in the supervision of timely and appropriate transportation of patients to and from other units/facilities.This includes obtaining report and giving report as needed from outside units/facilities to safely provide/manage patient care. Facilitates appropriate community health and social service referrals (i.e. VNA, Hospice, housing, transportation, etc.). Documents nursing assessments and interventions in patient chart appropriately. Coordinates the efforts for patient teaching, directions and planning for diagnostic tests, other appointments and hospital admissions. Evaluates the effectiveness of health care teaching by obtaining feedback form patient and caregivers and observation of procedures and outcomes. Uses the Principles of AIDET and Living Pride initiatives of the Medical Center in communication with patients and others. Upholds the Medical Center Telephone Communication Standards. Uses APEX MyChart effectively and responds to patient messages within the required time. Uses email, internet and other electronic communications within Medical Center and departmental policies. Maintains HIPPA privacy standards per Medical Center Policies. 10 Professionalism Assumes responsibility for keeping informed of changes in policies and procedures related to his/her role in the job setting. Demonstrates knowledge of radiation safety standards and practices and observes all required precautions. Timely returns radiation safety badges. Treats all patients, visitors, and co-workers with courtesy, sensitivity, and respect at all times accordance with Medical Center standards. Maintains flexibility in shift and work assignments (i.e. overtime, shifts, assignment, site, and Holidays). Maintains confidentiality in matters related to patients and/or staff. Timely complies with all UCSF nursing service requirements and state licensure requirements. Complies with all activities mandated by regulatory agencies such as CMS, JCAHO and/or Title 22. Assists with data collection for various research projects, QA/QI initiatives such as hand-hygiene data, chart audits, etc. Participates in the orientation of nursing, medical and technical personnel with regard to the patient care functions and standards in the Department of Radiation Oncology. Uses conflict resolution skills. Is engaged or participates in Department, Nursing, Medical Center Committees such as Magnet as applicable or recommended Participates in special projects for the department such as work groups for the department IAP goal, or delegated tasks from Administrative Nurse 100 0% Qualifications Required Qualifications: Minimum of 1-2 years clinical experience as a Registered Nurse (RN) employed in acute care setting. (or infusion center work) At least 1-2 years oncology experience. Radiation Oncology experience within the last 6 months At least 1-2 years experience in relevant clinic or other outpatient/ambulatory setting. Excellent communication skills. Experience with starting IV’s. Ability to function independently in making decisions and problem solving within scope of licensure and good clinical judgement. Ability to interact on an interpersonal level with patients and staff. Ability to deal with issues related to death and dying. Basic computer skills including, use of email, internet, navigating windows, and ability to learn various computer systems such as Epic, Aria and other clinical tools. Adheres to all regulatory, and UCSF policies and procedures. This position requires flexibility to orient and work at all UCSF Medical Center Radiation Oncology locations. Preferred Qualifications Both inpatient and outpatient/ambulatory oncology experience Experience in ambulatory setting with Epic’s “InBasket,” triaging, care navigation/coordination. Accessing ports Radiation Oncology experience Licenses/Certification Current licensure as a Registered Nurse (RN) in the State of California. Current healthcare provider CPR certification. American Heart Association BLS Certification. 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
UCSF Health

Registered Nurse - Radiation Oncology

Job Description Under the supervision of the Administrative Nurse (AN) or Charge Nurse, the Registered Nurse (RN) is responsible for providing skilled and comprehensive nursing care to radiation oncology patients with a wide variety of oncological and/or disease-related problems seen for consultation, treatment, and follow-up. Through application of the nursing process, the RN provides direct care and implements plans for continuity and coordination of patient care with other members of the patient’s health care team. In collaboration with the AN, the nurse provides appropriate guidance and supervision for ancillary nursing personnel and participates in orientation of new medical and/or technical personnel. Responsibilities include compliance with Medical Center and departmental Policies and Procedures, Environmental Safety, House and Telephone Standards, and compliance with all regulatory agency requirements. The hours are generally day time from about 7AM to 5PM, but may vary with start times from 6:00 AM to 11:00 AM and end times may vary from 3:00 PM to 8:00 PM. This role will function as the primary contact for the patients of a specific MD(s) to manage side effects, symptoms, care and coordination of complex interdisciplinary services. The RN will work closely with one or more physicians who will be directing and delegating care as appropriate. This role will be primarily at our Mount Zion location. The position may involve travel between or working at any of our other UCSF Radiation Oncology sites. Responsibilities % of time Essential Function (Yes/No ) Key Responsibilities (To be completed by Supervisor) 20 Assessment Identifies patients’ physiological and psychosocial status in order to implement plans of care. Seeks and utilizes available diagnostic tests, lab values, reports and medical record information to increase awareness of current or potential problems. Responds to or refers inquiries appropriately. Recognizes and reports specific physical and emotional conditions/needs/concerns of the patient to the appropriate members of the healthcare team. Alerts physician to unusual conditions of the patient to facilitate immediate attention. Obtains vital signs (including blood pressure, heart rate, temperature, respiratory rate, and oxygen saturation) and weights on patients being seen for consult, for follow-up, and for weekly treatment visits. Reports abnormal findings to MD. Anticipates patient’s response to treatment and/or disease progression and assesses appropriately per the patients clinical condition. 20 Planning Develops holistic health care plans based upon the patient’s medical condition, treatment goals, and psychosocial status. Anticipates potential physical and psychosocial problems in order guide patient teaching, support, coordination of, and timely provision of necessary care. Incorporates the patient’s family into the plan of care as appropriate. Coordinates planning with other members of the Cancer Center, SFGH, VA, and other facilities as relevant. Mentors, trains, assists, and is a resource for staff to improve coordination of patients’ care. 30 Implementation Demonstrates and applies specialized knowledge of oncology and radiation therapy nursing in providing direct care, education and support to patients/families. Responsible for care of gamma knife patients from admission through discharge including counseling and evaluating patients prior to the procedure, assisting the neurosurgeon with frame placement, scan preparation, coordination, discharge teaching, and all other duties related to the nursing care of the gamma knife patient. Makes follow-up calls to gamma knife patients after discharge to determine status post-procedure status of the patient. Provides appropriate nursing care according to UCSF standards outlined in the Nursing Procedures Manual. This includes, but may not be limited to, care of patients requiring intravenous therapy, oxygen therapy, contrast injection, pain management and sedation. It also includes monitoring of various systems (e.g. tubes, drains, catheters) and management of surgical revisions (e.g. ostomies and wounds), skin care, and nutrition teaching. Reports concerns about patient status and/or abnormal changes in patients’ conditions to appropriate health care team members. Assists physician and patient during diagnostic procedures (e.g. pelvic exams, needle biopsies and aspirations), nasopharyngeal scoping, spinal tap, sedation, and brachytherapy appliance insertion and removal, and other unit-based therapy procedures. Complies with all UCSF/ MTZ Comprehensive Cancer Center and unit-based policies and procedures including infection control, safety and administrative and clinical practices. Understands and implements the procedures for medical emergencies, Code Blue and other emergency/disaster situations. Evaluates and documents response of patient to treatment plan and nursing interventions. Directs and delegates appropriate tasks to Medical Assistants and Administrative Staff and ensures adequate follow-through. Acts as Charge Nurse in the absence of the Administrative Nurse as assigned. May work at any UCSF Radiation Oncology Site as determined by the needs of the department. This may include traveling to another UCSF location during the course of a shift. Ability to work flexible hours as determine by the needs of the department.Start times generally vary from about 6:00 AM to 11:00 AM and end times may vary from about 3:00 PM to 8:00 PM, and may occasionally require overtime. Other start and end times may occur as needed for example to cover partial shifts of 4 hours. Assists the patient to navigate complex health care system between various clinics, specialty practices, treatments and other medical services. Assists the physicians in managing and coordinating care between various other specialty practices and medical services as needed. Assists in upholding the quality of care, and is a responsible steward of resources avoiding waste and mindful of efforts to control cost. 10 Advocacy/Patient Education Assesses patient’s and family’s understanding of illness and knowledge of Radiation Therapy; educates and documents accordingly. Utilizes clinical knowledge and communication skills to serve as an initial and continued resource for patients/family. Informs patients/family about services available at UCSF/MTZ Comprehensive Cancer Center and in the community. Promotes the patient’s participation in planning for and understanding of their care. Evaluates the effectiveness of health teaching by obtaining feedback from patients and/or families, observations of outcomes and progress, and contributes to revision of care plan accordingly. 10 Coordination/Communication Coordinates resources and communicates to minimize fragmentation of care within the department, patient care units, other clinics and departments, or other facilities. Communicates directly with appropriate nurses verbally and in writing (when appropriate) regarding specific needs or concerns of the patient. Assists in the supervision of timely and appropriate transportation of patients to and from other units/facilities.This includes obtaining report and giving report as needed from outside units/facilities to safely provide/manage patient care. Facilitates appropriate community health and social service referrals (i.e. VNA, Hospice, housing, transportation, etc.). Documents nursing assessments and interventions in patient chart appropriately. Coordinates the efforts for patient teaching, directions and planning for diagnostic tests, other appointments and hospital admissions. Evaluates the effectiveness of health care teaching by obtaining feedback form patient and caregivers and observation of procedures and outcomes. Uses the Principles of AIDET and Living Pride initiatives of the Medical Center in communication with patients and others. Upholds the Medical Center Telephone Communication Standards. Uses APEX MyChart effectively and responds to patient messages within the required time. Uses email, internet and other electronic communications within Medical Center and departmental policies. Maintains HIPPA privacy standards per Medical Center Policies. 10 Professionalism Assumes responsibility for keeping informed of changes in policies and procedures related to his/her role in the job setting. Demonstrates knowledge of radiation safety standards and practices and observes all required precautions. Timely returns radiation safety badges. Treats all patients, visitors, and co-workers with courtesy, sensitivity, and respect at all times accordance with Medical Center standards. Maintains flexibility in shift and work assignments (i.e. overtime, shifts, assignment, site, and Holidays). Maintains confidentiality in matters related to patients and/or staff. Timely complies with all UCSF nursing service requirements and state licensure requirements. Complies with all activities mandated by regulatory agencies such as CMS, JCAHO and/or Title 22. Assists with data collection for various research projects, QA/QI initiatives such as hand-hygiene data, chart audits, etc. Participates in the orientation of nursing, medical and technical personnel with regard to the patient care functions and standards in the Department of Radiation Oncology. Uses conflict resolution skills. Is engaged or participates in Department, Nursing, Medical Center Committees such as Magnet as applicable or recommended Participates in special projects for the department such as work groups for the department IAP goal, or delegated tasks from Administrative Nurse 100 0% Qualifications Required Qualifications: Minimum of 1-2 years clinical experience as a Registered Nurse (RN) employed in acute care setting. (or infusion center work) At least 1-2 years oncology experience. At least 1-2 years experience in relevant clinic or other outpatient/ambulatory setting. Excellent communication skills. Experience with starting IV’s. Ability to function independently in making decisions and problem solving within scope of licensure and good clinical judgement. Ability to interact on an interpersonal level with patients and staff. Ability to deal with issues related to death and dying. Basic computer skills including, use of email, internet, navigating windows, and ability to learn various computer systems such as Epic, Aria and other clinical tools. Adheres to all regulatory, and UCSF policies and procedures. This position requires flexibility to orient and work at all UCSF Medical Center Radiation Oncology locations Preferred Qualifications Both inpatient and outpatient/ambulatory oncology experience Experience in ambulatory setting with Epic’s “InBasket,” triaging, care navigation/coordination. Accessing ports Radiation Oncology experience License/Certifications Active Registered Nurse (RN) licensure in the State of California Active American Heart Association CPR Certification American Heart Association BLS Certification . 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
Chinese Hospital San Francisco

Registered Nurse- Medical Surgical

$60.07 - $89.18 / hour
Registered Nurse - Medical Surgical Chinese Hospital | San Francisco Bay Area About This Role Department Medical Surgical Reports to Nurse Manager/Shift Supervisor/Charge Nurse Type Full Time (1.0 FTE) NOC Shift Requisition # 12732 Position Summary The Clinical RN is a professional caregiver who assumes responsibilities and accounts for a group of patients for a designated time frame and provides therapeutic and safe care to patients using the nursing process of individualized patient/client assessment, outcomes identification planning, implementation/intervention and evaluation. The RN is responsible and accountable for nursing care delivered to their assigned patients by LVNs, HAs and others. Professional duties include patient teaching, staff development, delegation, supervision, coordination, and patient advocacy. The RN will demonstrate competency and commitment in achieving organizational and nursing department goals, as outlined in the RN Behavior List and Competency Checklist. Essential Duties And Responsibilities Complies with CHA Compliance Handbook including Code of Ethics and all Statues, regulations and guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statue, regulations, agreements or guidelines applicable to all healthcare programs. Practices Chinese Hospital service philosophy standards in all aspects of job performance and promotes professional, positive, supportive work relationships with all members of the hospital work force. Demonstrates positive behavior and the ability to perform ongoing clinical assessment of the patient, establishes and implements a plan of care and evaluates the outcome of that care, utilizing the nursing practice process that is specific of the patient. Demonstrates the personal responsibility to deliver high quality patient care, which is founded upon established nursing standards and practice, emphasizing education, practice skills and clinical competence. Responsible for delegating the delivery of care to others as well as motivating staff to deliver and maintain care that best demonstrates the mission, vision and values of Chinese Hospital through professional excellence with personal concern. Maintains Chinese Hospital’s attendance and punctuality standards in a consistent and regular manner. Promotes and maintains a safe working environment and ensures safe conduct in all aspects of job performance. Formulates a plan of care based on assessment and information obtained from patient, family and other health team members. Reviews and revises discharge goals and care plans daily. Delivers care as outlined in plan of care in accordance to Policy and Procedures, Standards of Care and the Registered Nurse Practice Act, Blood borne Pathogens/Infection Control Standard and other professional standards. Communicates and accurately documents all nursing care delivered on the patient’s medical record. Administers prescribed medications and treatments in accordance to approved nursing standards and protocols. Assesses, plans, teaches and provides the patient/family the necessary knowledge and skills to better address their knowledge deficits. Involved in the PI activities on the nursing unit. Provide general nursing care, which address the personal, hygienic, comfort and safety needs of the patient. Takes vital signs and complete other assessments as needed. Serves/collects food trays and assist in the feeding of patients. Greets and direct all visitors. Answer calls light and telephone promptly and professionally. Assist in the preparation of the unit, room, bed for admissions and completes or reviews admission assessment. Assist in preparation for discharge and/or provide post-mortem care. Must be proficient in the operation of the following: computer keyboard, patient call system, telephone copier, fax machine and addressograph. Must be proficient in the operation of the equipment used in the unit in which the nurse is assigned to work. Follows Hospital and Department policies and procedures at all times, including but not limited to: Administrative Manual, Environment of Care, Human Resources, Infection Control, Corporate Compliance, Code of Ethics, etc. Attend, actively participate and complete in-services, training classes, mandatory classes, seminars/workshops, staff meetings, exercises and drills; reads all department communication and assigned materials. Customer Service – Provides excellent customer service and shows compassion to all patients, visitors and co-workers. Seeks feedback to ensure all needs are met. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed. Communication – Keeps manager and team informed of progress, problems, development and plans. Gets along and interacts positively with co-workers and others. Accepts and performs other duties as assigned. Behavior List Work Relationship Formulates and uses effective work relationship with all health care team, patients and families that will enrich and enhance team Actively works to build positive staff relationship by: Showing dignity, respect and honesty to all Compassionate care provided through teamwork Sensitivity to the feeling and points of view of others Be accountable for the results of the team Conflict Resolution Practices effective problem identification and resolution skills as a method of sound decision-making. Uses insight into own behavior and that of others to resolve conflict without prodding from others; uses positive mechanisms to resolve Communication Demonstrates effective communication methods and skills, using lines of authority a Nursing Process Performs assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychologic and cognitive Formulates a goal directed plan of care, which is prioritized and based on determined nursing diagnoses and patient outcomes that are appropriate to patient’s age and developmental Implements care in a knowledgeable, skillful, consistent and continuous manner by utilization of/adherence to pre-determined standards, which define the structure process and desired patient’s outcomes of nursing process. Evaluates effectiveness of self, care given by all health care team members and contribution of systems, environment an instrumentation in progressing patients toward desired Technical skills Demonstrates competency in selected psychomotor Identifies learning needs, barriers to learning and implements measures appropriate to patient’s age and developmental Documentation Document in patient record which is timely, accurate, concise and according to documentation s Patient/SO rights Demonstrates awareness/sensitivity and confidentiality to patients/SO rights as identified in the organization. Also considers cultural/sexual/spiritual Safety Functions with an awareness and application of safety issues as identified by the hospital/department of nursing structure Completes patient care in a safe and cost effective manner. Emergency Situation Performs efficiently in emergency patient situation following establish protocols, remaining calm, informing appropriate persons and documenting Knowledge base Demonstrates applied knowledge base in areas of Structure Standards, patient care resources/references, protocols, pertinent drugs, standards of care and significant laboratory Professionalism Demonstrates an awareness of self respect and accountable for own professional Attends the mandatory in-services Comply timely with licensure and annual competency Teaching Others Participates actively in staff development/preceptor ship activities for unit and Department of Self-development Demonstrates self directed learning and participates in CE to meet own professional Self validates Seeks validity of knowledge base, skill level and decision making as necessary and assertively seeks guidance in areas of question. Legal issues Demonstrates and strives to manage situation in a reduced/risk free Goals Participates in development/attainment of unit and departmental Standard/PI Participates in Standards Development, as well as unit and Department Performance Improvement (PI) Delegates/Coordinate/Organize Demonstrates appropriate delegation of tasks/duties in the direction and coordination of health care team members, patient care/unit activities, using appropriate organized priority-setting Staffing Remains flexible and co-operative with 24 hours staffing patterns, scheduling needs for provision of care and participates in temporary assignment measures to all Department of Nursing. Values/Core Competencies Integrity –We adhere to a code of values and make commitments that contribute to the welfare of our community. Respect – We seek to create a community within our organization that enhances self-worth of individuals working with us and for our patients. The dignity and respect shown to employees by management and by their fellow staff will be the model for caring for our patients. Management is committed to treating employees fairly, honestly and with respect. In return, management expects a commitment from employees to the values of the organization and its work on behalf of the community. Empowerment – we are committed to action and expect all employees to be proactive in decision making and problem solving. We delegate authority to match responsibility, expecting decision making to occur as close to the customer as possible. Team Work – We believe that quality, cost effective, compassionate care can only be provided through team work. The nature of our work and mission require sensitivity to the feelings and points of view of many. We work for the good of the team, are accountable for the results of the team and together share our successes or failures. We maintain an atmosphere of openness, honesty and trust. Accountability – We accept personal responsibility for our actions and take ownership of our results. We as individuals recognize achievement and are challenged to improve our performance by providing and accepting coaching and feedback. Quality Improvement – We will improve value through the process of continuous quality improvement with focus on the relationship between quality and cost. We have a sense of urgency in our search to find better ways of doing everything. We encourage others to try new ideas and measure and recognize results. We are willing to change the status quo to improve. Community collaboration and Benefit – We will collaborate within the limits or our resources with other agencies and providers to address the health care wellness needs of our community, recognizing that access to services must be made available regardless of an individual’s ability to pay. Prudent use of resources – We will use and maintain our assets and resources prudently in order to meet community expectations. Our organization requires an overall positive return on investment to carry out its mission and to invest in new programs, equipment and facilities. We believe that integration simplifies and improves the process of health care and is a means of achieving economies of scale which will ultimately reduce costs. We seek simplification in the process of patient care and the efficient use of our resources in a changing environment. Qualifications Required Currently licensed in the State of California to practice as a Registered Six (6) months previous experience in Medical-Surgical (M/S) nursing Basic Cardiac Life Support (BCLS) Certification Able to speak, write and understand English Bilingual Cantonese-speaking preferred Familiarity with computer Specific Qualification For Specialty Units Advanced Cardiac Life Support (ACLS) certificate required for ICU, Emergency department, Post Anesthesia Care Unit (PACU), Same Day Surgery Unit (SDSU) and Endoscopy Suite (ENDO). CCRN recommended for ICU. Current Oncology Nursing Society (ONS) certification required for core Outpatient Medical Therapy Center (OMTC) Must be able to assess and care for the special needs and behavior of specific age population: Medical/Surgical (M/S), Telemetry Units and ICU – Adolescent to frail elderly Surgical Suite/PACU – Adolescent to frail elderly SDSU/ENDO Suite/OMTC – 13 years to frail elderly Emergency Department – Birth to elderly Physical Requirements While performing the duties of this job, staff is regularly required to sit, stand, walk, talk and/or listen. He/she uses his/her hands to do computer work, write reports, do equipment set-up/cleaning/storage, clerical support, etc. He/she will be using the phone frequently. Good vision is needed to be able to read schedules, enter accurate data, etc. He/she must have good general health and demonstrate emotional stability so as to carry out the above-enumerated duties. Able to lift up to 30 pounds Use proper body mechanics when handling equipment Standing, walking and moving 50% of the day Compliance Requirements Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs. Base Pay Scale Starting at $60.07 – $89.18 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
Frederick Health

Home Care RN - Full-time

$36.07 - $55.17 / hour
The Home Care RN position will work 80 hours bi-weekly, Monday - Friday from 8:00am - 4:30pm. On Call and Holiday Rotation Frederick Health’s Home Care has exciting things happening. Be part of the dynamic changes taking place and work with a diverse healthcare team committed to providing the highest quality care to our community. Frederick Health values the knowledge, skill and time the Home Care team dedicates to our patients, and recognizes this by: Providing a new hourly pay structure that replaces a per visit rate. RNs and LPNs are paid for their time and receive applicable shift differential for weekend, holiday, or off shift work. Established a productivity rate to ensure you spend more quality time with your patients. Home Care staff participate in organizational and unit based committees/councils. Nurses are encouraged to share in the decision making process that affects the care delivery model and patient outcomes Frederick Health values the safety of all our staff. All Home Care staff receive safety training specific to the Home Environment of Care as part of orientation in addition to receiving a personal safety alert device. Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. Independently provides patient care using the nursing process and performs leadership and teaching duties necessary that supports effective patient care. Supports and participates in continuous quality improvement activities. Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies. Essential Functions: Assesses the biophysical, psychosocial, environmental, self-care, educational and discharge planning of patients according to nursing standards. Uses knowledge and experience in identifying patient needs and prioritizing treatment. Recognizes and accurately documents and communicates subtle changes in patient assessment. Provides initial assessment and reassessments according to current organizational and department standards for Assessment of Patients and Nursing Assessment and documents according to policy. Anticipates potential changes in patient’s condition and responds appropriately. Anticipates needs based on assessment findings and proposed procedure or course of care. Ensures an effective plan of care for assigned patients based upon the standards for planning and providing care. Initiates individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies. Efficiently organizes and prioritizes patient care and seeks assistance when necessary in order to meet the needs of individual patients. Actively participates in development of standards of care according to departmental, organizational, professional or regulatory standards. Implements plan of care in compliance with hospital and nursing policies in accordance with all appropriate standards. Completely and accurately implements and documents nursing interventions and patient response. Communicates pertinent information to patient and members of the health care team in a concise and timely manner utilizing an interdisciplinary approach. Assures that the patient/family are updated regarding the status of the patient and any changes in the patient or plan of care as they evolve. Demonstrates flexibility in giving and receiving patient assignments on the department and hospital-wide based on skill mix of the staff available and patient care demands. Evaluates nursing care, which includes tools and equipment related to patient care. Reviews, evaluates and documents effectiveness of interventions, making modifications as needed on the plan of care. Evaluates new and existing equipment, policies, procedures and programs. Anticipates patient’s response to interventions and collaborates with patient/family and health care team to revise treatment plan accordingly. Identifies variances from expected outcomes and makes appropriate recommendations. Provides patient/family education Assesses patient/family for: Current knowledge of health status, condition or disease process; barriers to learning; readiness, willingness and ability to learn Cultural, religious, financial and patient preference implications related to learning. Identifies learning needs and establishes goals using standardized or individualized teaching plans. Implements the plan through direct, interactive teaching with additional use of teaching aids and materials as appropriate. Evaluates effectiveness of teaching. Communicates patient/family progress toward learning goals and need for follow-up to other nurses and health care disciplines. Integrates discharge planning and referral into the teaching process. Documents teaching per policy. Independently offers support to less experienced staff to aid in patient/family teaching. Demonstrates professional expectations as evidenced by: Incorporates suggestions for self-development and/or performance into daily practice. Meets all requirements of clinical ladder level. Actively engages in department efforts to promote retention of staff and provide for a high level of employee morale. Utilizes supplies, equipment, and technology to ensure quality of patient care. Floats to other nursing units in the hospital as requested Demonstrates leadership/accountability qualities. Consistently utilizes communication style that sets department tone for positive professional behavior. Promotes meaningful focused communication between all members of the healthcare team as appropriate. Encourages professional interactions between ancillary healthcare givers, including physicians. Demonstrates effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers. Demonstrates effective precepting and mentoring skills for RN’s and ancillary staff. Adheres to program policies and participates in effective department orientation. Demonstrates accountability for the following which includes but is not limited to: Reviewing Quality Assurance report/data for accuracy and completeness according to departmental standards. Contributing to the evaluation/auditing process for CNA’s, Technicians, and peers, etc. Must complete all Hospital wide and Department specific competencies. Required Knowledge, Skills and Abilities: Clinical competency in their departmental area of practice. Ability to use technology and equipment to perform job duties. Effective interpersonal and communication skills. Effective use of proper body mechanics when handling patients, supplies and equipment. Ability to handle a physically demanding environment. Skills and abilities to perform all job description duties according to the age specific patient population served by their department. Ability to meet the requirements annually of the FH Clinical Ladder. Ability to keep patient and employee information confidential Competency in operating equipment required to meet patient care needs. Minimum Education, Training, and Experience Required: Eligible for or currently licensed as a Registered Nurse in State of Maryland or compact state. Associates degree in Nursing required; Bachelors of Science in Nursing preferred or willing to obtain within 5 years of employment Certified in Cardiopulmonary Resuscitation (CPR). BLS certification is required of ALL nurses within 90-days of hire. The following certifications are required for the nursing units specified. Each certification must be completed within 1 year of hire. ACLS: Emergency Department, Float NSG, 4B, 4A, ICU, 4G, Preop, Surgical Services, PACU, Endoscopy Room, Cardiac Cath , Observation, 3A, Interventional Rad, Hyperbaric PALS: Emergency Department, Pediatric Combined, PACU, Preop NRP: Labor & Delivery, Family Center, NICU, Women & Children Float, Family Focus Baby Best Oncology/Thorasic-Chemotherapy: 2C Base Station: Emergency Department C-EFM : Labor & Delivery, Family Center (Antepartum assigned RNs) IBCLC : Family Focus Baby Best Patient Contact Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups * This would be based on designated patient population for each nursing department. X Neonate (0 thru 30 days) X Infant (31 thru 12 months) X Child (13 months thru 12 years) X Adolescent (13 years thru 17 years) X Adult (18 years thru 65 years) X Geriatric (66+ years) Physical Demands: Medium-Heavy Work – Lifting up to 100 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 50 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour). Ergonomic Risk Factors: Repetition : Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved. Forceful Exertion : The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task. Awkward Posture : Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions. Contact Stress : Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders. Working Conditions: Bloodborne Pathogens Exposure Risk: Category A – WILL have exposure to blood or body fluids. Exposure to infectious diseases, hazardous materials and highly technical and heavy equipment. Reporting Relationship: Reports to Department Manager. Also receives supervision from Director or Hospital Supervisor. Disclaimer: The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements of the position. Caring for you as you care for the CommUNITY Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program. Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable. Pay range: $36.07 - $55.17
Bronson Healthcare

Bronson Battle Creek Hospital Registered Nurse (RN) Medical ICU PRN/Per-Diem Variable Shift

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BBC Bronson Battle Creek Title Bronson Battle Creek Hospital Registered Nurse (RN) Medical ICU PRN/Per-Diem Variable Shift The Bronson Battle Creek Critical Care Unit (CCU) is a 20-bed unit specializing in the care of patients with life-threatening conditions such as cardiogenic shock, heart failure, liver/renal failure, respiratory failure, neurological conditions, and sepsis. Our multidisciplinary approach and state-of-the-art equipment ensure that patients receive continuous, high-quality care. The Critical Care Unit also includes the Progressive Care Unit, which serves as an intermediary step between ICU and the med/surge floor. Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the State of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS is required for some RNs, unit specific RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours Shift Variable Time Type Part time Scheduled Weekly Hours 10 Cost Center 6320 MICU (BBC) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
Bronson Healthcare

Registered Nurse (RN) - Surgery (OR) - Bronson Methodist Hospital - Full Time and Part Time

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BMH Bronson Methodist Hospital Title Registered Nurse (RN) - Surgery (OR) - Bronson Methodist Hospital - Full Time and Part Time Join Our Team as an OR Registered Nurse at Bronson Methodist Hospital! Are you ready to advance your nursing career in a supportive, patient-focused environment? We are looking for compassionate and dedicated Registered Nurses (RNs) to join our team. Why Choose Bronson? We offer competitive benefits and incentives, including: ✅ Day 1 health benefits – no waiting period! ✅ Competitive pay with opportunities for growth and advancement ✅ Generous PTO accrual to support work-life balance ✅ 403(b) retirement plan with employer matching ✅ Tuition reimbursement to further your education ✅ Wellness benefits to support your overall health ✅ Sign-On Bonuses Available! We are excited to offer competitive sign-on bonuses for Registered Nurses: Up to $10,000 for RNs with less than 1 year of experience Up to $20,000 for experienced RNs Please note: Bonus amounts vary based on shift, experience and approved hours. This is a general posting for Surgery RN positions at Bronson Methodist Hospital. Once you apply, a Talent Acquisition Specialist will connect with you within 48 hours to discuss your areas of interest and preferred hours. From there, your application will be forwarded to the appropriate hiring manager(s). Qualifications Previous operating room experience required. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. Overview: Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. Shift Variable Time Type Full time Scheduled Weekly Hours 40 Cost Center 5700 Surgery (BMH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
Bronson Healthcare

Registered Nurse (RN) - Emergency Department (ED) - Bronson South Haven - Part-time 12N - Up to $10,000 sign on bonus

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BSH Bronson South Haven Title Registered Nurse (RN) - Emergency Department (ED) - Bronson South Haven - Part-time 12N - Up to $10,000 sign on bonus Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Word day CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Shift Time Type Part time Scheduled Weekly Hours 0 Cost Center 4300 Trauma Emergency Center (BSH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
Bronson Healthcare

Registered Nurse (RN) - Observation Unit - Bronson Methodist Hospital - Full-time 12N

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BMH Bronson Methodist Hospital Title Registered Nurse (RN) - Observation Unit - Bronson Methodist Hospital - Full-time 12N Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift 12 Hour Night Shift Time Type Full time Scheduled Weekly Hours 36 Cost Center 4355 Observation Unit (BMH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
State of New Hampshire

LICENSED NURSING ASSISTANT I-III / LMNA

$19.24 - $34.32 / hour
State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED NURSING ASSISTANT I-III / LMNA Position #16764 $19.24 - $34.32 hourly Direct Care up to $10.00/week The New Hampshire Veterans Home has a full-time, 1st shift vacancy for a Licensed Nursing Assistant I-III / LMNA. Proposed Schedule Includes: 6:45am - 3:15pm shifts Alternating weekends (additional $2.00/hour) Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full time employees. See information at the bottom of this posting for details. Summary: LNA I Under the direct supervision of licensed nursing staff, provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. LNA II With direction and oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors new nursing assistants. LNA III With general oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors/instructs new nursing assistants and makes suggestions for care, treatment, and practice/procedural improvements. YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Other information: LNA I MINIMUM QUALIFICATIONS: Education/Experience: High school diploma or equivalent credential License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Candidates without a high school diploma or equivalent credential, or without a NH Nursing Assistant license, may be considered and hired in 'trainee status' for this position. Individuals hired in ‘trainee status’ will have their responsibilities adjusted as necessary for compliance with facility credentialling. PREFERRED QUALIFICATIONS: Experience in long-term or geriatric care setting or other role involved in the provision of medical care. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: If hired in trainee status, must obtain a NH Nursing Assistant license within 6 months of hire. Candidates may be able to obtain their license through participation in onsite training program. CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☐ Yes ☒ No Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113001BGA01 (Level 1 to Level 2) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-1 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Has one year of experience functioning as a Licensed Nursing Assistant or other practicing medical professional Demonstrates sufficient competency in performance of required tasks to serve as mentor for new nursing assistants Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA II MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 1 year education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least one year of experience as a practicing Licensed Nursing Assistant or other practicing medical professional. Experience in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113002IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant license Assumes responsibility for administering medications Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113002BGA01 (Level 2 to Level 3) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-3 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Holds five NH Nursing Board Approved competencies Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA III MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 3 years of education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: Satisfactory completion of five NH Nursing Board Approved competencies May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least three years of experience as a Licensed Nursing Assistant in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113003IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant License Assumes responsibility for administering medications Broad Group Level Advancement Available: ☐ Yes ☒ No DISCLAIMERS: The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title. When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position. Responsibilities: LNA I DETAILED TASKS (STANDARD): Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Utilizes appropriate equipment and follows established safety protocols to ensure resident’s comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs. Acts in accordance with established care plans; participates in Plan of Care meetings as assigned/needed. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Collects specimens for routine laboratory testing. Reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Reports any shortages. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Prepares residents for appointments and medical team consults. Provides a level of security/support for the resident. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA II DETAILED TASKS (STANDARD): Exercises some independent judgement in providing daily care and resolving minor physical and emotional needs. Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs, while recognizing variations in capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Follows medical orders and acts in accordance with established care plans. Participates in Plan of Care meetings as assigned/needed; presents patient/resident information when applicable. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. May serve as mentor for new nursing assistants providing guidance on established facility/unit responsibilities, policy and procedures to meet the standards of care. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Maintains proper inventory and prepares/submits supply orders when necessary. Documents equipment/maintenance issues and repairs needed. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA III DETAILED TASKS (STANDARD): Mentors and instructs new nursing assistants on facility/unit responsibilities and established policies and procedures to meet the standards of care. Exercises independent judgement to determine and prioritize resident needs. Assists with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Recommends supplemental assistance to meet ADLs. Ensures proper dietary intake and adequate hydration, and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring individuals to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs and demonstrates a keen understanding of each individual’s capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Collaborates with the healthcare team to plan and implement treatment plans to address complex patient/resident needs. Follows medical orders and acts in accordance with established care plans. Makes recommendations for treatments/therapies and changes in care and participates in Plan of Care meetings as needed. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Manages inventory, prepares/submits supply orders, and prepares work orders for equipment repairs and maintenance needs. Ensures charts, medical supplies, and personal protective equipment (PPE) are stocked and distributed as required. Follows infection control protocols and safety procedures and recommends practice changes when needed. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Refers questions to appropriate senior staff. Assists with basic social problems and facilitates the adjustment of residents. Guides residents in therapeutic activities to enhance residents’ quality of life and maintain ADL skills. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. For further information please contact Justin Souther, Nursin g Coordinator, at justin.w.souther@nhvh.nh.gov or (603) 527-4894. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964
Bronson Healthcare

Registered Nurse (RN) - Observation Unit - Bronson Methodist Hospital - Full-time Days 7a-7p *Up to $20,000 Sign on Bonus*

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BMH Bronson Methodist Hospital Title Registered Nurse (RN) - Observation Unit - Bronson Methodist Hospital - Full-time Days 7a-7p *Up to $20,000 Sign on Bonus* Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift 12 Hour Day Shift Time Type Full time Scheduled Weekly Hours 36 Cost Center 4355 Observation Unit (BMH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
Frederick Health

RN Float Pool P480

$36.07 - $55.17 / hour
Job Summary: Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. This Registered Nurse – Float Pool position is a highly skilled role requiring advanced clinical judgment, leadership, and comprehensive medical-surgical expertise to care for diverse, high-acuity patient populations across multiple units within our health system. Assignments include a wide range of inpatient care areas, such as medical/surgical, progressive care, neurology, observation and oncology, with the expectation of delivering seamless, evidence-based care in every setting. Due to the scope and complexity of this position, the nurse must demonstrate advanced theoretical knowledge, evidence-based practice integration, leadership in care coordination, and strong interprofessional collaboration skills—competencies cultivated through BSN-level education or equivalent. Float pool RNs are redeployed or shifted based upon workforce gaps requiring them to support our hospital, women’s and children’s division and emergency department, filling a vital role utilizing the nursing process to independently deliver nursing care to patients to achieve quality outcomes. Receive guidance/supervision as needed. Supports and participates in continuous quality improvement activities. Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies. Essential Functions: · Assesses the biophysical, psychosocial, environmental, self-care, educational and discharge planning of patients according to nursing standards. · Use knowledge and experience in identifying patient needs and prioritizing treatment. Recognizes and accurately documents and communicates subtle changes in patient assessment. · Provides initial assessment and reassessments according to current organizational and department standards for Assessment of Patients and Nursing Assessment and documents according to policy. · Anticipates potential changes in patient’s condition and responds appropriately. · Anticipates needs based on assessment findings and proposed procedure or course of care. · Ensures an effective plan of care for assigned patients based upon the standards for planning and providing care. · Initiates individualized plans of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies. · Efficiently organizes and prioritizes patient care and seeks assistance when necessary to meet the needs of individual patients. · Actively participates in the development of standards of care according to departmental, organizational, professional or regulatory standards. · Implements the plan of care in compliance with hospital and nursing policies in accordance with all appropriate standards. · Completely and accurately implements and documents nursing interventions and patient response. Communicates pertinent information to patients and members of the health care team in a concise and timely manner utilizing an interdisciplinary approach. · Assures that the patient/family are updated regarding the status of the patient and any changes in the patient or plan of care as they evolve. · Demonstrates flexibility in giving and receiving patient assignments in the department and hospital-wide based on skill mix of the staff available and patient care demands. · Evaluates nursing care, which includes tools and equipment related to patient care. · Reviews, evaluates and documents effectiveness of interventions, making modifications as needed on the plan of care. · Evaluates new and existing equipment, policies, procedures and programs. · Anticipates patient’s response to interventions and collaborates with patient/family and health care team to revise treatment plan accordingly. · Identifies variances from expected outcomes and makes appropriate recommendations. · Provides patient/family education · Assesses patient/family for: · Current knowledge of health status, condition or disease process; barriers to learning; readiness, willingness and ability to learn · Cultural, religious, financial and patient preference implications related to learning. · Identifies learning needs and establishes goals using standardized or individualized teaching plans. · Implements the plan through direct, interactive teaching with additional use of teaching aids and materials as appropriate. Evaluates effectiveness of teaching. · Communicates patient/family progress toward learning goals and need for follow-up to other nurses and health care disciplines. · Integrates discharge planning and referral into the teaching process. Documents teaching per policy. · Independently offers support to less experienced staff to aid in patient/family teaching. · Demonstrates professional expectations as evidenced by: · Incorporates suggestions for self-development and/or performance into daily practice. · Meets all requirements of clinical ladder level. · Actively engages in department efforts to promote retention of staff and provide a high level of employee morale. · Utilizes supplies, equipment, and technology to ensure quality of patient care. · Floats to other nursing units in the hospital as requested · Demonstrates leadership/accountability qualities. · Consistently utilizes communication style that sets department tone for positive professional behavior. Promotes meaningful focused communication between all members of the healthcare team as appropriate. · Encourages professional interactions between ancillary healthcare givers, including physicians. · Demonstrates effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers. · Demonstrate effective precepting and mentoring skills for RN’s and ancillary staff. Adheres to program policies and participates in effective department orientation. · Demonstrates accountability for the following which includes but is not limited to: · Reviewing Quality Assurance report/data for accuracy and completeness according to departmental standards. · Contributing to the evaluation/auditing process for CNA’s, Technicians, and peers, etc. · Must complete all Hospital wide and Department specific competencies. Required Knowledge, Skills and Abilities: Float between multiple high-acuity units, adapting quickly to differing workflows, patient populations while maintaining seamless continuity of care. Manage patients across medical/surgical, progressive care, neurology, observation and oncology, adjusting interventions to meet diverse acuity levels. Perform rapid, comprehensive clinical assessments and synthesize data from multiple sources to identify urgent priorities and initiate interventions. Communicate complex and critical patient information clearly to physicians and the interprofessional team, often in situations requiring independent clinical decision-making. Serve as a clinical resource and mentor to unit staff when floating into departments with less specialty experience. Assess patient and family learning needs, incorporating cultural, cognitive, and situational considerations; deliver focused education in a high-turnover environment to ensure safe transitions of care. Exhibit resilience, emotional intelligence, and time management skills essential for success in a fast-paced, high-pressure environment. Clinical competency in their departmental area of practice. Ability to use technology and equipment to perform job duties. Effective interpersonal and communication skills. Effective use of proper body mechanics when handling patients, supplies and equipment. Ability to handle a physically demanding environment. Skills and abilities to perform all job description duties according to the age specific patient population served by their department. Ability to meet the requirements annually of the FH Clinical Ladder. Ability to keep patient and employee information confidential Competency in operating equipment is required to meet patient care needs. Minimum Education, Training, and Experience Required: · Eligible for or currently licensed as a Registered Nurse in the State of Maryland or compact state. · Bachelors degree in Nursing is required (or equivalent) with one year of experience in acute care. · Certified in Cardiopulmonary Resuscitation (CPR) and BLS certification is required within 90-days of hire. The following certifications are required for the nursing units that they are floating to. Each certification must be completed within 1 year of hire if support one of these units: · ACLS: Emergency Department, Float NSG, 4B, 4A, ICU, 4G, Preop, Surgical Services, PACU, Endoscopy Room, Cardiac Cath · PALS: Emergency Department, Pediatric Combined · NRP: Labor & Delivery, Family Center, NICU, Women & Children Float · Oncology/Thoracic-Chemotherapy: 2C · Base Station: Emergency Department · C-EFM : Labor & Delivery, Family Center (Antepartum assigned RNs) Patient Contact Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups * This would be based on designated patient population for each nursing department. · X Neonate (0 thru 30 days) · X Infant (31 thru 12 months) · X Child (13 months thru 12 years) · X Adolescent (13 years thru 17 years) · X Adult (18 years thru 65 years) · X Geriatric (66+ years) Physical Demands: Medium-Heavy Work – Lifting up to 100 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 50 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour). Ergonomic Risk Factors: Repetition : Repeating the same motion repeatedly again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved. Forceful Exertion : The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task. Awkward Posture : Posture is the position your body is in and its effect on the muscle groups that are involved in physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions. Contact Stress : Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders. Working Conditions: 1. Bloodborne Pathogens Exposure Risk: Category A – WILL have exposure to blood or body fluids. Exposure to infectious diseases, hazardous materials and highly technical and heavy equipment. Reporting Relationship: Reports to Department Manager or the manager of the department for a long-term/float assignment. Also receives supervision from the department Director or Hospital Supervisor. Disclaimer: The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements of the position. Schedule: - Variable shifts; minimum of 48 hrs per clinical schedule based on identified hospital needs; 24 of the 48 hours must be on the weekend. Must float to one or more clinical areas. One major and one minor holiday are required annually. Caring for you as you care for the CommUNITY Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program. Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable. Pay range: Hourly Rate $36.07 Min -$55.17 Max
State of New Hampshire

LICENSED NURSING ASSISTANT I-III / LMNA

$19.24 - $34.32 / hour
State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED NURSING ASSISTANT I-III / LMNA Position #41632 $19.24 - $34.32 hourly Direct Care up to $10.00/week The New Hampshire Veterans Home has a full-time, 1st shift vacancy for a Licensed Nursing Assistant I-III / LMNA. Proposed Schedule Includes: Two 12-hour shift (6:45am - 7:15pm) Two 8-hour shifts (6:45am - 3:15pm) Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full time employees. See information at the bottom of this posting for details. Summary: LNA I Under the direct supervision of licensed nursing staff, provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. LNA II With direction and oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors new nursing assistants. LNA III With general oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors/instructs new nursing assistants and makes suggestions for care, treatment, and practice/procedural improvements. YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. LNA I MINIMUM QUALIFICATIONS: Education/Experience: High school diploma or equivalent credential License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Candidates without a high school diploma or equivalent credential, or without a NH Nursing Assistant license, may be considered and hired in 'trainee status' for this position. Individuals hired in ‘trainee status’ will have their responsibilities adjusted as necessary for compliance with facility credentialling. PREFERRED QUALIFICATIONS: Experience in long-term or geriatric care setting or other role involved in the provision of medical care. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: If hired in trainee status, must obtain a NH Nursing Assistant license within 6 months of hire. Candidates may be able to obtain their license through participation in onsite training program. CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☐ Yes ☒ No Criteria: None Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113001BGA01 (Level 1 to Level 2) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-1 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Has one year of experience functioning as a Licensed Nursing Assistant or other practicing medical professional Demonstrates sufficient competency in performance of required tasks to serve as mentor for new nursing assistants Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA II MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 1 year education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least one year of experience as a practicing Licensed Nursing Assistant or other practicing medical professional. Experience in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113002IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant license Assumes responsibility for administering medications Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113002BGA01 (Level 2 to Level 3) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-3 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Holds five NH Nursing Board Approved competencies Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA III MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 3 years of education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: Satisfactory completion of five NH Nursing Board Approved competencies May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least three years of experience as a Licensed Nursing Assistant in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113003IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant License Assumes responsibility for administering medications Broad Group Level Advancement Available: ☐ Yes ☒ No DISCLAIMERS: The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title. When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position. Responsibilities: LNA I - DETAILED TASKS (STANDARD): Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Utilizes appropriate equipment and follows established safety protocols to ensure resident’s comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs. Acts in accordance with established care plans; participates in Plan of Care meetings as assigned/needed. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Collects specimens for routine laboratory testing. Reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Reports any shortages. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Prepares residents for appointments and medical team consults. Provides a level of security/support for the resident. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA II - DETAILED TASKS (STANDARD): Exercises some independent judgement in providing daily care and resolving minor physical and emotional needs. Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs, while recognizing variations in capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Follows medical orders and acts in accordance with established care plans. Participates in Plan of Care meetings as assigned/needed; presents patient/resident information when applicable. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. May serve as mentor for new nursing assistants providing guidance on established facility/unit responsibilities, policy and procedures to meet the standards of care. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Maintains proper inventory and prepares/submits supply orders when necessary. Documents equipment/maintenance issues and repairs needed. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA III - DETAILED TASKS (STANDARD): Mentors and instructs new nursing assistants on facility/unit responsibilities and established policies and procedures to meet the standards of care. Exercises independent judgement to determine and prioritize resident needs. Assists with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Recommends supplemental assistance to meet ADLs. Ensures proper dietary intake and adequate hydration, and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring individuals to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs and demonstrates a keen understanding of each individual’s capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Collaborates with the healthcare team to plan and implement treatment plans to address complex patient/resident needs. Follows medical orders and acts in accordance with established care plans. Makes recommendations for treatments/therapies and changes in care and participates in Plan of Care meetings as needed. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Manages inventory, prepares/submits supply orders, and prepares work orders for equipment repairs and maintenance needs. Ensures charts, medical supplies, and personal protective equipment (PPE) are stocked and distributed as required. Follows infection control protocols and safety procedures and recommends practice changes when needed. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Refers questions to appropriate senior staff. Assists with basic social problems and facilitates the adjustment of residents. Guides residents in therapeutic activities to enhance residents’ quality of life and maintain ADL skills. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. For further information please contact Franciene Clement, Nursing Coordinator, at franciene.r.clement@nhvh.nh.gov or (603) 527-4823. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964
MountainStar Healthcare

Registered Nurse (RN) - Acute Care Unit (Med/Surg) - Bronson Lakeview Hospital - Part-time 12N (48hrs/pp)

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BLH Bronson LakeView Hospital Title Registered Nurse (RN) - Acute Care Unit (Med/Surg) - Bronson Lakeview Hospital - Part-time 12N (48hrs/pp) Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift 12 Hour Night Shift Time Type Part time Scheduled Weekly Hours 24 Cost Center 6400 General Care Unit (BLH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
Vanderbilt University Medical Center

New Grad Neonatal Nurse Practitioner - NICU

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: In-Patient Nrs Practnrs 30 Job Summary: Works in collaboration with a multidisciplinary health care team to provide healthcare in the acute care and critical care settings independently. Functions as an intensivist responsible for the day to day management of critically ill and convalescing infants from admission to discharge. . Position Hours: 12 Hour Shifts (Rotating Monthly Day/Night Shift Schedule) or 24 Hour Shifts Department Summary: In the NICU at the Monroe Carell Children’s Hospital at Vanderbilt we are committed to providing the highest standard of care to our newborns and their families. Our state-of-the-art NICU is equipped with advanced technology and staffed by a compassionate team of experts who work tirelessly to ensure the best outcomes for our patients. We are the largest unit within Vanderbilt University Hospital system with 116 beds, with an increase to 131 beds in Summer 2025. We are a level IV tertiary care NICU that attends to the complex care needs of more than 1400 fragile newborns per year. Why Join Our Team? Cutting-Edge Facilities : Work in a modern, well-equipped NICU that supports innovative treatments and practices. Collaborative Environment : Collaborate with a multidisciplinary team dedicated to achieving the best patient outcomes. Professional Development : Take advantage of ongoing training and professional growth opportunities. Achievements: The NICU at Monroe Carell Jr. Children's Hospital is recognized for its excellence in neonatal care, evidenced by: Monroe Carell Jr. Children’s Hospital at Vanderbilt has been named a state, regional and national leader in pediatric health care, achieving the title of No. 1 children’s hospital in Tennessee and sharing the top spot in the Southeast, according to the latest U.S. News & World Report rankings. A strong history of Magnet designation, reflecting our commitment to nursing excellence and high-quality patient care. Recognized as a Leapfrog Top Hospital, highlighting our dedication to the highest standards of safety and quality in healthcare. Member of Extracorporeal Life Support Organization (ELSO) data registry for national and international ECMO Centers. Since 2008, Monroe Carell's ECMO Program has been recognized as an ELSO Center of Excellence . We were awarded this honor at the Platinum level in 2023 for our commitment to patient quality and outcomes, training and collaboration. Continuous Improvement and Engagement: Actively involved with the Tennessee Initiative for Perinatal Quality Care (TIPQC), which seeks to improve health outcomes for mothers and infants in Tennessee. Member of the Vermont Oxford Network is a nonprofit voluntary collaboration of health care professionals working together to improve the quality, safety, and value of care for newborn infants and their families through a coordinated program of data-driven quality improvement, education, and research. Annual Vanderbilt Neonatal Symposium ( https://pediatrics.vumc.org/events/neonatal-symposium ) Why Nashville? Nashville, known for its rich music heritage and offers an unparalleled quality of life. From its thriving arts and entertainment districts to its beautiful parks and friendly communities, Nashville is an ideal place to live and work. Enjoy a city that perfectly blends the charm of Southern hospitality with the excitement of urban living. Relocation available for candidates over 100+ miles from Nashville, TN Neonatal Nurse Practitioner NNP, Acute Care Pediatric Nurse Practitioner CPNP-AC, or Physician Assistant PA (NICU PA Fellowship Required) KEY RESPONSIBILITIES Obtains and documents a health history for a neonate. Performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care. Provides neonatal healthcare services for critically ill and complex patients. Manages patient's overall care, identifying expected outcomes for diagnoses. Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Forms differential diagnoses and treats acute and chronic conditions in the neonatal population. Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Performs delivery room service and neonatal transport services, initiates appropriate referrals and consultations, and provides consultation services as requested within scope of practice. Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice. Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing. Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidences to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science. Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employs screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient-centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient-centered care to include confidentiality privacy, comfort, emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient's control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care. Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge. Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. 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-Licensed Nurse Practitioner - TennesseeTennessee, LIC-Physician's Assistant Certified - Tennessee Work Experience: Relevant Work Experience Experience Level: Less than 1 year Education: Master's 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.
State of New Hampshire

LICENSED NURSING ASSISTANT I-III / LMNA

$19.24 - $34.32 / hour
State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED NURSING ASSISTANT I-III / LMNA Position #41721 $19.24 - $34.32 hourly Direct Care up to $10.00/week The New Hampshire Veterans Home has a full-time vacancy for a Licensed Nursing Assistant I-III / LMNA. Proposed Schedule Includes: Two 12-hour shift (7:00pm - 7:00am) (Additional $4.00/hour) Two 8-hour shifts (11:00pm - 7:00am) (additional $7.00/hour) Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full time employees. See information at the bottom of this posting for details. Summary: LNA I Under the direct supervision of licensed nursing staff, provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. LNA II With direction and oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors new nursing assistants. LNA III With general oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors/instructs new nursing assistants and makes suggestions for care, treatment, and practice/procedural improvements. YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. LNA I MINIMUM QUALIFICATIONS: Education/Experience : High school diploma or equivalent credential License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option : Candidates without a high school diploma or equivalent credential, or without a NH Nursing Assistant license, may be considered and hired in 'trainee status' for this position. Individuals hired in ‘trainee status’ will have their responsibilities adjusted as necessary for compliance with facility credentialling. PREFERRED QUALIFICATIONS: Experience in long-term or geriatric care setting or other role involved in the provision of medical care. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: If hired in trainee status, must obtain a NH Nursing Assistant license within 6 months of hire. Candidates may be able to obtain their license through participation in onsite training program. CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☐ Yes ☒ No Criteria: None Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113001BGA01 (Level 1 to Level 2) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-1 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Has one year of experience functioning as a Licensed Nursing Assistant or other practicing medical professional Demonstrates sufficient competency in performance of required tasks to serve as mentor for new nursing assistants Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA II MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 1 year education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least one year of experience as a practicing Licensed Nursing Assistant or other practicing medical professional. Experience in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113002IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant license Assumes responsibility for administering medications Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113002BGA01 (Level 2 to Level 3) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-3 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Holds five NH Nursing Board Approved competencies Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA III MINIMUM QUALIFICATIONS: Education/Experience : Equivalent combination of 3 years of education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: Satisfactory completion of five NH Nursing Board Approved competencies May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least three years of experience as a Licensed Nursing Assistant in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113003IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant License Assumes responsibility for administering medications Broad Group Level Advancement Available: ☐ Yes ☒ No DISCLAIMERS: The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title. When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position. Responsibilities: LNA I DETAILED TASKS (STANDARD): Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Utilizes appropriate equipment and follows established safety protocols to ensure resident’s comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs. Acts in accordance with established care plans; participates in Plan of Care meetings as assigned/needed. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Collects specimens for routine laboratory testing. Reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Reports any shortages. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Prepares residents for appointments and medical team consults. Provides a level of security/support for the resident. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA II DETAILED TASKS (STANDARD): Exercises some independent judgement in providing daily care and resolving minor physical and emotional needs. Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs, while recognizing variations in capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Follows medical orders and acts in accordance with established care plans. Participates in Plan of Care meetings as assigned/needed; presents patient/resident information when applicable. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. May serve as mentor for new nursing assistants providing guidance on established facility/unit responsibilities, policy and procedures to meet the standards of care. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Maintains proper inventory and prepares/submits supply orders when necessary. Documents equipment/maintenance issues and repairs needed. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA III DETAILED TASKS (STANDARD): Mentors and instructs new nursing assistants on facility/unit responsibilities and established policies and procedures to meet the standards of care. Exercises independent judgement to determine and prioritize resident needs. Assists with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Recommends supplemental assistance to meet ADLs. Ensures proper dietary intake and adequate hydration, and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring individuals to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs and demonstrates a keen understanding of each individual’s capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Collaborates with the healthcare team to plan and implement treatment plans to address complex patient/resident needs. Follows medical orders and acts in accordance with established care plans. Makes recommendations for treatments/therapies and changes in care and participates in Plan of Care meetings as needed. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Manages inventory, prepares/submits supply orders, and prepares work orders for equipment repairs and maintenance needs. Ensures charts, medical supplies, and personal protective equipment (PPE) are stocked and distributed as required. Follows infection control protocols and safety procedures and recommends practice changes when needed. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Refers questions to appropriate senior staff. Assists with basic social problems and facilitates the adjustment of residents. Guides residents in therapeutic activities to enhance residents’ quality of life and maintain ADL skills. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. For further information please contact Franciene Clement, Nursing Coordinator, at franciene.r.clement@nhvh.nh.gov or (603) 527-4823. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964