Banner Health

Registered Nurse RN MedSurg

$30.95 - $51.59 / hour
Primary City/State: Sterling, Colorado Department Name: Med/Surg-Hosp Work Shift: Night Job Category: Nursing **Hiring Incentive Available $20,000.00 for 1 year or more of experience as an RN or $10,000.00 New Grads** Banner Health has earned Great Place To Work® Certification™ for the third consecutive year. We’re committed to a workplace culture where team members trust the people they work for, take genuine pride in their work, and enjoy collaborating with colleagues. Join our exceptional nursing team at Sterling Regional Medical Center! We're seeking a dedicated Registered Nurse for our MedSurg Unit to become part of a collaborative, close-knit team that prioritizes patient safety and quality care. What Makes Us Special Collaborative Team Environment: Work alongside a great team of nurses who support each other and work closely together Award-Winning Safety: Recognized for outstanding patient safety metrics Varied Patient Care: Experience diverse patient populations and conditions in our medical/surgical unit Professional Growth: Opportunities to develop your skills in a supportive environment Position Details Shift: Night shift, 7:00 PM to 7:30 AM Schedule: Varied days with rotating weekends and holidays Unit Type: Medical/Surgical (no special services) Key Responsibilities Provide direct patient care in accordance with established policies and procedures Collaborate with interdisciplinary team members to ensure optimal patient outcomes Maintain accurate patient documentation and records Administer medications and treatments as ordered Monitor patient conditions and respond appropriately to changes Educate patients and families on health conditions and care plans Uphold our commitment to exceptional patient safety standards Why Banner Health? At Banner Health, we're committed to providing exceptional care to our patients and supporting our team members. Join us and be part of a healthcare organization that values teamwork, safety, and professional excellence. Since 1938, Sterling Regional MedCenter has been the center of healthcare excellence in Northeast Colorado providing care for more than 20,000 members in Logan County, and over 50,000 people in its larger market. Sterling Regional MedCenter is licensed for 25 beds with both Medical/Surgical and Intensive Care Units, as well as full Women and Infant Services. For obstetrics, Sterling utilizes a computerized intelligent OB program designed to reduce the chance of complications during labor. As a level III trauma designated hospital, Sterling has 24/7 coverage for Emergency Medicine, Anesthesia, General Surgery, Orthopedic Surgery, Imaging, Family Medicine/Peds, and Rehabilitation. Sterling boasts cutting edge technology facilitating telehealth access for sub-specialty and tertiary services and state-of-the-art equipment in Imaging, Laboratory, Operating Suites, Emergency Department, and Inpatient Units. The hospital continues to invest facility upgrades and new equipment. Attached to the hospital is the David Walsh Cancer Center, which provides both Medical and Radiation Oncology, with a beautiful infusion center and new linear accelerator. Sterling Regional is the only rural hospital in Colorado with a linear accelerator. In addition, Sterling Regional MedCenter is closely integrated with our Family Medicine and Surgical Specialty Clinics and the hospital and clinics are part of a 2-year, rural training track residency program affiliated with the University of Northern Colorado. Lastly, Sterling Regional MedCenter is one of Logan County's largest employers with approximately 300 employees and more than 20 physicians representing ten specialties and has been voted Best Employer in Northeastern Colorado for three years in a row. POSITION SUMMARY This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients. CORE FUNCTIONS 1. Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy. 2. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. 3. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. 4. Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching. 5. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner. 6. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate. 7. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations. 8. In some roles, this position may supervise staff and work flow of the department. 9.Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status. MINIMUM QUALIFICATIONS Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice. Relates throughout the interview process the experience, training and education needed to perform the job. Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting. In a Home Health setting, team members must be able to operate personal vehicle and possess a valid driver's license. Auto insurance coverage is also required to be active and maintained. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral or BUMG, BUMCT in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. Employees working at BUMCS in a Behavioral Health clinical setting must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working in any Banner Staffing (BSS) Behavioral Health role in Arizona must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. PREFERRED QUALIFICATIONS Bachelor's degree preferred. Professional certification preferred. Additional related education and/or experience preferred. Estimated Pay Range: $30.95 - $51.59 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained. Anticipated Closing Window (actual close date may be sooner): 2026-12-09 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
Children’s Hospital of Philadelphia

Registered Nurse, Cardiac Stepdown Unit

SHIFT: Rotating (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview The Cardiac Care Unit (CCU) provides intermediate level care to patients with congenital and acquired heart disease as well as those with primary rhythm abnormalities. Patients include medical and surgical cardiac patients with an age range typically spanning newborns to young adults. These patients may include those with non-invasive ventilation, such as CPAP/BiPaP and stable trachs. Some patients require continuous inotropic infusions to support their heart function while others require mechanical support such as ventricular assist devices (VADs). As a unit dedicated to inter-professional collaboration and education, we strive to provide care to our patients and families while on the continuum of their inpatient stay within the Cardiac Center. This is a part-time, rotating shift position. The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care. The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. Clinical Nurses practice in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site. What you will do Clinical Practice Follows the nursing process to deliver safe, compassionate, and culturally effective care. Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated. Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate. Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care. Develops, implements and/or revises the patient’s plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team. Care is coordinated across the continuum – understands and utilizes case management resources. Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes. Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation. Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families. Evaluates and documents the care provided on each assigned shift. Accountable for the rapid adoption and implementation of clinical practice changes into own practice. Communication Documents the evaluation of nursing interventions and outcomes of nursing care utilizing hospital standards, policies and procedures. Consistently follows safe hand-off practices as defined in patient care standards and procedures. Utilizes and exemplifies safety behaviors for error prevention. Identifies potential safety concerns and communicates with unit leadership as appropriate. Enters safety nets when applicable, including good catch/near miss situations. Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate with patients/ families, and colleagues. Encourages patient/family self-advocacy. Collaboration Demonstrates effective teamwork as a member of the interdisciplinary care team, fostering and exemplifying a culture of respect. Recognizes/addresses situations where disrespectful collaboration may impact patient care and/or create non-collaborative relationships. Seeks resources as needed to resolve situations involving incivility and/or disrespect. Actively participates in interdisciplinary patient care rounds and/or meetings and makes recommendations to the plan of care that reflect nursing goals, interventions, and expected outcomes. Revises the plan of care according to the patient care decisions made on rounds. Incorporates evidence based practice into direct clinical care in collaboration with other members of the multidisciplinary team. Develops and implements effective partnerships with members of the ancillary staff; delegates tasks effectively to assure comprehensive nursing care is provided. Develops and sustains professional, well- boundary, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense. Professional Development Models appearance and behaviors that promote a positive image of professional nursing. Expands clinical judgment and critical thinking skills with increased experience o Demonstrates mastery of the principles of Family Centered Care, including dignity and respect, information sharing, participation, and collaboration. Demonstrates understanding of optimal patient/family experiences and incorporates into care delivery. Has a working knowledge of patient/family experience results (NRC Picker) at the unit and organizational level. Participates and/or leads in initiatives to improve satisfaction scores. Practices within a shared decision making environment. Familiar with and participates in Shared Governance council activities at the unit and/or department level. Progresses to leading council activities at the unit and/or department levels. Familiar with Magnet designation and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: o Manages own time to accomplish direct/indirect care in a cost-effective manner o Conserves unit and organizational resources; assures supplies are not wasted or misused. o Does not incur incidental overtime. o Understands the implications of the cost of staffing decisions. o Identifies observed opportunities for cost savings. Well informed about the Professional Advancement Program (PEAK) and considers the opportunity to participate. Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology. Understands nursing sensitive outcomes and knows how to navigate the nursing scorecard. Participates and/or leads improvement initiatives to improve outcomes. Identifies own learning needs and actively assures learning needs are met. o Seeks out opportunities to meet needs and attends all required programs. o Maintains CEU’s for nursing licensure. o Maintains compliance with mandatory education and annual nursing competencies. Recognizes individual preferences regarding an environment of constant change and understands change management. Develops effective methods to cope with and incorporate learning from a fast-paced, ever changing environment. Understands the principles and methodology of quality improvement; progresses to participating in and/or leading QI initiatives at the unit or organizational level. Understands and contributes to the science of nursing: o Develops a sense of inquiry. o Reads articles pertinent to the patient population. o Performs literature reviews. o Develops clinical questions and advances understanding and application of evidence based practice. o Understands the nursing research process and utilizes resources to participate in research projects. Participates in activities that contribute to improving the health of the community. Education Qualifications Technical Diploma Nursing - Required Bachelor's Degree Nursing - Preferred Experience Qualifications At least one (1) year RN experience - Required Prior experience in pediatrics or area of specialty - Preferred Skills and Abilities Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). Web browsing, intranet search, document access. Use of shared network file space. Basic use of patient facing technology (e.g. IV pumps, point of care devices, CR monitors). Navigation and use of clinical communication systems. Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. Accesses needed information effectively and efficiently. Evaluates information and its sources critically and appropriately incorporates it into clinical practice. Evaluates outcomes of the use of information. Information Management Literacy Navigation of the electronic health record system. Ability to locate and review specific patient data in various clinical information systems. Effectively uses clinical decision support tools. Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Ability to collect clinical data using quality improvement tools. Licenses and Certifications Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Cardiopulmonary Resuscitation (CPR) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $48.30 - $58.15 Hourly Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.
Vanderbilt University Medical Center

Nurse Practitioner/Physician Assistant - Vanderbilt Perioperative Services

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: VPEC Job Summary: The Advanced Practice Provider (APP) plays a vital role in delivering specialized care and managing the health needs of patients in either inpatient, ambulatory, or a combination of both settings. With advanced training and expertise, the APP focuses on subspecialized care, including chronic illness and disease management, ensuring continuity of care throughout the patient’s healthcare journey, which may span multiple years. This role involves specialization in a specific organ system, where the APP provides expert consultation within their area of expertise as appropriate. The APP is integral to supporting patients across the continuum of care in both inpatient and outpatient specialty settings, collaborating with multidisciplinary teams to achieve optimal patient outcomes. . Outpatient Position Position Hours: 4 - 10 Hour Shifts Per Week (8:00am - 6:00pm) Weekdays No Weekends or Holidays Department Summary: Welcome to the VPEC clinic, the clinic is located at Vanderbilt Health at One Hundred Oaks, 719 Thompson Lane Suite 21100 Nashville, TN 37204. We provide preoperative anesthetic evaluations for individuals undergoing elective surgery for the adult population. We are looking for highly motivated individuals that would like to join a growing clinic. Our excellent, patient centered care is directed and/or delivered by a collaborative team made up of Attending Anesthesiologist’s, Resident Physicians and Nurse Practitioners. The Leadership Team is comprised of a Medical Director, Administrative Director, Clinic Manager, a lead Clinical NP. Clinic staff members include Registered Nurses, Licensed Practical Nurses and Patient Services Representatives. Various support resources are also available, such as, social work, referral specialists, laboratory and radiology. We are committed to providing excellent service to our patients and a supportive and caring work environment for our staff. Nurse Practitioner (FNP, ANP, AGPCNP, AGACNP) or Physician Assistant (PA) 1 or more years of APP experience required KEY RESPONSIBILITIES Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care. In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ 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. Prescribes therapeutic interventions for both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Utilizes evidence-based, approved practice protocols in planning and implementing care. Initiates appropriate referrals and consultations Provides specialty specific consultation services upon request and within a specialty scope of practice. Facilitates the patient’s transition between and within health care settings. The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. 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. Employes 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. 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 evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science. 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. 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. 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 - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee Work Experience: Relevant Work Experience Experience Level: Less than 1 year Education: Master's This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
Baystate Health

Registered Nurse- The Birthplace (24 hours, 7a-7:30p)

$37.98 - $62.87 / hour
Department: Baystate Franklin Medical Center Schedule: 7am-7:30pm, 24 hours Summary: Responsible for the provision of basic nursing care to assigned patients in accordance with current FMC Standards of Care. Administers and monitors therapeutic interventions proficiently. Demonstrates proficiency in applying the nursing process to assigned patients and families. Assumes accountability for the outcomes of nursing care. Collaborates with health team members, patients/families in the provision of care. Provides direct supervision to other health team members in the implementation of the patient care plan. Effectively delegates care to peers, Licensed Practical Nurses, Nursing Assistants, Orderlies and other direct care givers consistent with their level of education and expertise. Acts as an advocate for patients/families/significant others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Practices within accepted ethical and legal parameters of nursing. This description covers the essential functions of the position. Job Responsibilities: 1) Provides age-appropriate care to patients. Demonstrates knowledge of developmental stages for the following age groups and applies developmental theories and concepts when planning and implementing care for patients. 2) For each assigned patient, the nurse will proficiently perform a comprehensive nursing assessment and use professional judgment to obtain selective data to arrive at nursing diagnoses and discharge planning needs. The nurse will perform a systematic comprehensive assessment of the health needs of all assigned patients 100% of the time. Ensures that all assigned patients have a completed admission profile, health database/patient history. Elicits relevant selective data for a comprehensive nursing history, incorporating patient strengths and limitations. Integrates a variety of methods to collect relevant patient data, (e.g., nursing history, observation, examination, communication with colleagues and chart review) to formulate realistic nursing diagnoses. Anticipates appropriate health care needs beyond acute care setting. 3) Performs a proficient ongoing assessment of assigned patients recognizing subtle changes in health status 100% of time. Recognizes changes that require immediate intervention. Anticipates consistently predictable changes in patient status. Determines frequency of observation based on an ongoing assessment. Furnishes physician and appropriate health team members with pertinent assessment data. Documents pertinent assessment data in a clear and concise manner. 4) For each assigned patient, the nurse will formulate a detailed, realistic plan of care specific to each patient's identified needs. Develops and updates a realistic plan of care with measurable and achievable goals 100% of the time. Upon identification of an actual or potential problem, the nurse promptly initiates a plan of care and updates per unit specific guidelines. Reassesses priorities and makes appropriate changes in plan of care with patient/family's input. Formulates realistic and attainable goals appropriate to the hospital setting and discharge needs. 5) Analyzes the psycho-social impact of illness & hospitalization on individuals and families 100% of the time Collaborates and negotiates with patients and families to arrive at an agreed upon plan of care. utilizes and communicates with physicians and interdisciplinary team members to establish goals. Incorporates psycho-social, spiritual and cultural needs into plan of care. 6) For each assigned patient the nurse will proficiently implement the individualized plan of care. Demonstrates proficiency in clinical nursing skills 100% of the time. Independently organizes own assignment and prioritizes plan of care accurately. Delegates aspects of care to other personnel consistent with job description and skill 100% of the time. Consistently initiates interventions to maintain a safe and therapeutic environment 100% of the time as evidenced by an absence of preventable incidents. Anticipates outcomes of physician orders and nursing actions and seeks explanation when in question. Demonstrates flexibility in care without deviating from FMC standards, procedures or policies. Responds consistently, to urgent and life-threatening situations with appropriate actions. 7) Provides formal and informal teaching relevant to health care needs of patients utilizing available resources 100% of the time. Ensures patients/families are informed concerning treatments, procedures and hospital policies and routines. Documents each phase of the learning process, reinforcing teaching and implementing change as needed. Considers patient/family's level of knowledge and readiness to learn. 8) Effectively implements and revises the discharge plan 100% of the time. Initiates interdisciplinary discharge plan at time of admission. Completes appropriate discharge/transfer form and documents accordingly. Prepares patient/family for the changes in the health care delivery system. 9) For each assigned patient the nurse will establish a pattern of ongoing evaluation and modification of patient care interventions while demonstrating accountability and responsibility for professional nursing practice. Evaluates and modifies patient plan of care on a continuing basis 100% of the time. Observes patient responses to treatment, illnesses and hospitalization and compares the expected with the actual outcomes. Documents present status and notes significant alterations from anticipated status. Utilizes available resources to assist in the evaluation process. 10) Accurately determines the effectiveness of his/her nursing care 100% of the time. Evaluates whether selected nursing interventions were appropriate to reach set goals. Uses patient outcomes to evaluate effectiveness of nursing interventions. Continually re-evaluates strengths and weaknesses for accountability of nursing care. Demonstrates credibility and honesty in nursing practice. 11) Accurately and concisely communicates pertinent patient information while maintaining confidentiality 100% of the time. Documents patient care and patient responses promptly, clearly and thoroughly on appropriate forms. Understands and utilizes professional hierarchy in problem solving related to significant changes in patient status and documents appropriately. Communicates pertinent patient information in a concise manner through shift to shift report and intra-hospital transfer. Maintains a patient's right to privacy and confidentiality. 12) Acts as an advocate for patient families 100% of the time. Acts as a representative in communicating patient/family's needs to physicians and other health care team members. Understands and supports Franklin Medical Center's "Patients' Bill of Rights." Intervenes consistently, in situations where patient integrity is threatened. Supports and encourages patient/family's decisions maintaining respect for life and dignity. 13) Will assume accountability for management of patient care and will provide direct supervision to other health team members. Demonstrates behaviors that will promote effective management of patient care 100% of the time. Develops and evaluates patient care assignments, considering the patient needs and capability of the nursing personnel. Promotes cost containment by utilizing human and material resources efficiently. Provides constructive feedback regarding performance of peers to unit supervisor/designated individuals. Consistently initiates incident reports when indicated and provides information for timely follow-up. Orients to charge role and acts as alternate charge nurse as designated. 14) Will demonstrate proficiency in applying the principles of teaching/learning to patient/family & with minimal assistance identify own professional educational needs. Assesses each patient/family's comprehensive learning needs in relation to health and illness 100% of the time. Individualizes standardized teaching plans to meet specific needs of patient/family. Participates in patient care conferences (discharge planning) and communicates critical information at change of shift report. 15) Identifies own professional educational needs with minimal guidance 100% of the time. Performs a realistic self evaluation to determine own strengths and weaknesses. Orients to preceptor role. Consistently supports the growth and development of students and new personnel. Attends continuing education programs (5-8 contact hours or equivalent) related to the achievement of own professional goals as evidenced by self report with appropriate documentation. Is a member of unit-based committee, task force or change producing group. Attends and participates in 80-90% of Unit Staff meetings as evidenced by attendance roster/review of minutes. Demonstrates ability to develop a therapeutic relationship with patients, families and other members of the health care team. Promotes collaboration/team building and healthy interpersonal relationships with others. 16) Will promote active participation in quality assurance research activities of health team members within realm of responsibility. Demonstrates active participation in quality assurance/research activities 100% of the time. Identifies 1-2 patients and/or nursing problems that need to be systematically investigated as evidenced by committee reports and/or evaluation/research tools. Communicates consistently with colleagues about quality assurance/research findings and their relevance to nursing practice. Participates in and ensures follow-through of research/quality assurance data collection. Is able to state current Unit CQI initiatives. Communicates an attitude of positive customer focused interactions in daily work activities. Required Work Experience: 1) None Preferred Work Experience: 1) Minimum of 1 year of nursing experience Skills and Competencies: 1) Evidence of a commitment to professional growth through participation in continuing education Department Certification Requirements MHU - CPI within 30 days of hire Oncology - Oncology certification required within 2 years of hire Quality – no required certifications Cardiopulmonary – ACLS required by end of orientation ICU and Med/Surg - ACLS required by end of orientation OB – NRP and ACLS required by the end of orientation Surgical Services - ACLS and PALS required by the end of orientation ED - ACLS, PALS, and CPI by the end of orientation Education: Diploma in Nursing (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts Compensation Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $37.98 - $50.43 - $62.87 Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
Bon Secours Mercy Health

Registered Nurse (RN) – Progressive Care (Step down) – St. Joseph Warren Hospital

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 36 Work Shift: Days (United States of America) Mercy Health The Intermediate Care (IMC) Unit is currently seeking dedicated and compassionate Registered Nurses to join our award-winning team. Our 30-bed unit includes 14 private rooms and 8 semi-private rooms, and we provide care for a diverse patient population including those with cardiac and pulmonary conditions, as well as patients experiencing surgical complications. Unique to our unit, we are one of the few areas outside of the ICU that cares for ventilator-dependent patients with tracheostomies. We strive to maintain a 1:4 nurse-to-patient ratio to ensure safe, high-quality care and support for our staff. The IMC team is a dynamic mix of experience levels, from new graduate nurses to professionals with over 30 years of service. We are proud recipients of the Daisy Team Award, recognizing our commitment to excellence, teamwork, and patient-centered care. If you’re looking to build your skills in a high-acuity environment while being supported by a collaborative and knowledgeable team, we would love to welcome you to the IMC family! Join our team today! *Higher Pay Scales and Sign-On Incentives *Flexible Schedule to live the life you deserve *Referral Bonus programs *Paid Time Off *Excellent Health Benefits (UMR) *Unlimited Tuition Reimbursement through Guild Education (only an 18 month commitment) SHIFT/SCHEDULE Full Time: Scheduled for 36 Weekly Hours Shift Time: 7:00am-7:30pm This position will have scheduled shifts every other weekend About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Registered Nurse (RN) – Progressive Care (Step down) – St. Joseph Warren Hospital: Summary of Primary Function/General Purpose of Position The Stepdown Registered Nurse (RN) delivers patient care utilizing the nursing process through data collection and assessment, identifying and determining the priority of patient’s problems/needs, and evaluating the process and outcome of nursing care, all in collaboration with the interdisciplinary care team. The RN coordinates, provides, and directs patient teaching activities and coordinates the care provided by health team members. Essential Job Functions Conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment, and evaluates treatment effectiveness Administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures. Serves as point of contact for patients' care coordination throughout hospital departments. Acts as a patient safety advocate by participating in ongoing quality improvement in the department. Serves as patient advocate in collaboration with spiritual care, palliative care, and ethics. Serves as a point of care with care coordination and family members or caregivers. Clinically manages patients with multi-system organ failure and/or multisystem trauma. Using the AACN Synergy Model, restores, supports, promotes, rehabilitates, or palliates to maintain the physiologic, psychologic, and psychosocial stability of patients across the lifespan. Synthesizes and prioritizes information in order to take immediate and decisive evidence-based, patient-focused action using clinical judgement and clinical inquiry. Anticipates and responds with confidence and adapts to rapidly changing patient conditions. Responds to the unique needs of the patients and families coping with unanticipated illness or injury and treatment and advocate for their choices in quality of life. BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Current RN license in state they are working or covered by compact (required) BLS Basic Life Support or ACLS Advanced Cardiac Life Support (preferred at hire, must obtain from approved source prior to direct patient care, ACLS required within 6 months of hire) CCRN Critical Care Registered Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) National Institute of Health (NIH) Stroke Certification (preferred) Education Bachelor of Science Nursing (preferred) Work Experience 1 year of RN experience (required) 6 months RN experience in an acute care hospital setting (preferred) Training EPIC Electronic Health Record (EHR) training (preferred) Critical Care Course (preferred) Skills Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff. Orients, facilitates learning experience, and provides education (based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others. Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure, and BSMH mission. Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources. Safely and efficiently develops, implements, and prioritizes plan of care. Application of the nursing process in patient care delivery. Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly. Assists patient and family in coping with patient's illness. Collaborates with others in the delivery of coordinated patient care. Strong interpersonal and verbal/written communication skills. Applies cultural diversity and inclusion principles when caring for patients and their support resources. Recognizes own limitations and seeks assistance and acquires information to perform safely. Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops. Exhibits professionalism through accountability for own and delegated actions. Integrates cost-effective measures into practice and models effective stewardship of available resources. Practices self-care and cultivates resilience in conflict and difficult circumstances. Protects the safety and privacy of all persons. Understanding and utilization of office and clinical technologies. Ability to communicate with patients in a manner they can understand considering their personal preferences. Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence. Remains calm, adaptive, and collective during an emergency. Manages care of patients with chest tubes. Assesses patients through hemodynamic monitoring. Inserts and monitors transvenous pacing/temporary pacing. Administers means for conscious sedation. Knowledge of advanced respiratory modalities. Working Conditions Periods of high stress and fluctuating workloads may occur May be exposed to physical altercations and verbal abuse May be required to use physical restraints May be exposed to high noise levels and bright lights May be exposed to limited hazardous substances or body fluids* May be exposed to human blood and other potentially infectious materials* May have periods of constant interruptions *Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Adults (18-64 years) Geriatrics (65 years and older) Mercy Health is an equal opportunity employer. As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Progressive Care Unit (PCU) - St. Joseph - Intermediate Care Unit 1 It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .
One Brooklyn Health

Registered Nurse - Ambulatory BFCC / Pediatric Specialty Clinics

Overview Assumes responsibility and accountability for patient screenings; triage; pain management; falls prevention, nutritional and psychosocial, discharge planning and other interventions to restore, maintain or promote patients’ physical health. Utilizes the nursing process in the provision of direct patient care. Assists all patients, families/significant others through the healthcare system by acting as a patient advocate and navigator. Responsible and accountable for prescribing, delegating, and coordinating all care provided to assigned patients. Executes medical plan of care, at the direction of the treating clinician, in accordance with licensure of a Registered Professional Nurse. Utilizes nursing diagnoses to treat human responses to actual and potential health problems through such services as case finding, health teaching, health counseling, and provision of care supportive or to restorative of life and well-being. Supervises patient care provided by Licensed Practical Nurses (LPN), Medical Office Assistants (MOAs), Nursing Attendants (NAs), technicians, and supplemental staff. Supports patients’ self-management of disease and behavior modification interventions. Coordinates continuity of patient care with external healthcare organizations and facilities, including the process from admission to discharge and referrals from the primary care provider to the specialty care provider. Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding a patient’s plan of care. Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to Patient-Centered Medical Home and ambulatory care initiatives. Assists in the prior authorization process for clinical and pharmacy related orders. Demonstrates the ability to function as part of an interdisciplinary health care team. Responsibilities Assesses the immediate and continuing care needs of the patient/families/significant other. Develops comprehensive and current plans of care which include physical needs, patient teaching, discharge planning and psychosocial/spiritual needs. Provides direct patient care based on assessed needs and the medical regimen. Oversees and ensures the provision of all aspects of care for the patient. Supervises the care provided by other nursing personnel including Licensed Practical Nurses (LPN), Medical Office Assistants (MOAs) and Nursing Attendants (NAs), as defined in the scope of practice. Participates in Quality Improvement activities related to patient care delivery and the development of nursing/hospital/ambulatory care standards. Recalls patients for abnormal results and/or follow-ups as requested by Provider. Documents all attempts via telephone and correspondence. Establishes priorities for care in collaboration with the multidisciplinary team and initiates follow-up, as indicated, to ensure timely provision of patient care and therapeutic modalities. Observes, evaluates, documents, and communicates to relevant team members the patient's response to illness and/or therapeutic modalities as related to diagnosis. Ensures timely reassessment of patient responses to treatment and when significant changes occur in patient condition and/or diagnosis. Participates in Patient Centered Medical Home Model including conducting daily briefings and huddles, as required. Provides Patient and Family education, as needed. Daily, weekly and monthly checks of all logs including refrigerators, medications, testing equipment as per established protocols. Coordinates the overall plan of care to ensure implementation of nursing interventions and consistency with medical regimen. Assures the plan of care integrates age-specific care needs (e.g. pediatrics, geriatrics) as defined in the unit scope of care. Accepts responsibility and accountability for nursing interventions and outcomes based on professional clinical judgments. Demonstrated ability to communicate effectively, manage stressful situations appropriately and facilitate interpersonal relationships with other disciplines. Ensures that patients receive timely and appropriate care within the delivery system and assists with facilitating internal and external referrals. Communicates with pharmacies as well as insurance companies related to patient treatment plans and approvals of medications and/or procedures/Diagnostic Imaging. Collaborates with medical providers in identifying patient’s educational needs and provides resources to meet these needs. Performs vital signs: T-P-R, O2 Sat, as required and weight, height and blood pressure, as needed. Performs diagnostic testing: EKG, point of care testing, as needed. Administration of medications and immunizations at the direction of the physician. Orders all vaccines, including Vaccines for Children Program and documenting pediatric immunizations in City wide Immunization Registry. Collects various screening information including: Falls, Nutritional, Psychosocial and Pain Assessments, as required and documents findings. Assumes role of patient advocate and conforms to policies and regulations governing patient rights, confidentiality and the HIPAA Privacy & Security Rules. Participates in Performance Improvement/Quality Assurance activities and demonstrates initiative in identifying and communicating performance improvement/quality assurance problems and issues. Participates in appropriate professional and community organization activities. Obtaining prior authorizations for (this list is not all inclusive): MRI, CAT Scans, EMG, Video Ambulatory and Ambulatory EEGs, medications, diagnostic testing and procedures, as applicable to insurance carriers. Includes review of Provider documentation to ensure tests/procedures are included for insurance purposes. Ensure lab testing has been ordered as per specialty clinic guidelines, i.e., every visit or every quarter including Genetic testing, Specialized Hematology, Renal and Gastroenterology services Schedule external appointments for (this list is not all inclusive): Early Intervention; PT/OT; Neurosurgery; Pediatric services: Orthopedics, Eye, Genetics and Psychiatry, as applicable. Establish routine communication with foster care agencies/Nursing staff; ACS; School Nursing, Psychiatry and Social Work staff, internal and external resources. Completion of school, foster care agency and early intervention forms are completed in a timely manner. All other duties as assigned. Qualifications Education / Experience: Internal & 1199 SEIU: Graduate of accredited nursing program(s). Bachelor's Degree in Nursing preferred. Minimum three (3) years’ experience in outpatient clinics with adult population and one (1) year with pediatric populations. Phlebotomy experience preferred. Non 1199 SEIU Candidates: Bachelor’s Degree in Nursing (BSN) required. Master's Degree in Nursing, preferred. Minimum three (3) years’ experience in outpatient clinics with adult population and one (1) year with pediatric populations. Will Accept Associate’s Degree with minimum five (5) years of clinical experience in outpatient clinics. Phlebotomy experience preferred. New Graduates: Bachelor’s Degree in Nursing (BSN) required. All required certifications within six (6) months of hire. Phlebotomy experience preferred. Knowledge and Skills: Demonstrates a commitment to continuing professional growth and development. Critical thinking, math, and computer skills – Excel & Word. Works as a team player. Demonstrates respect and professionalism in all interactions. Excellent oral and communication skills. Decision making and problem solving. Able to see, hear, read and write English. Ability to fully utilize BHMC’s electronic record systems, equipment and healthcare and billing systems relevant to this position. Licenses, Certifications: Current NY State RN License required. Basic Life Support (BLS) from the American Heart Association, required. Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required. Pediatric Advanced Life Support (PALS) from the American Heart Association, required. Certified Pediatric Nurse (CPN) preferred. Medical Surgical Certification required. Physical Requirements: Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. Position will be required to stoop, bend, lift, and carry items weighing up to 35 pounds for routine performance of essential functions. An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions. Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients. Manual and finger dexterity, as well as hand and eye coordination. Corrected vision and hearing to within normal range. Frequently sitting at desk working on computer. Ability to work flex hours. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Mount Sinai Health System

Midwife - Nurse Midwifery - Mount Sinai OB/GYN Ambulatory Practice - Per Diem Days

$96.42 / year
Description The per diem Midwife is responsible for the primary care and management of patient's health, including obstetric and gynecological care. Both low risk and high-risk pregnancies are managed as outlined within practice guidelines. Develops and supports excellence in the clinical practice and patient care. Maintains the Maternal Child Health Services mission, philosophy, and policies as well as the standards and practices of the Medical Center. Responsibilities 1. The midwife performs functions as an integrated member of the Department of OB/GYN and Nursing. The midwife will: Coordinate prenatal care to the caseload of patients in the ambulatory care setting. 2. Take pertinent history. Perform physical & pelvic examination. Obtain laboratory and diagnostic tests. Provide counseling & teaching as needed. 3. Identify risk factors and develop appropriate plan of management. Manage the care of selected patients admitted to the inpatient unit-based on unit protocols and with the collaboration of the attending physician. 4. Obtain physician consultation for plan of management for any medical or obstetrical complications not addressed in departmental protocols. Performs functions as identified in the Midwife Scope of Practice. 5. Provide Intra-partum Care as follows: Evaluate the status of labor and admits patient to the labor floor. Perform admission physical examination. 6. Perform venipuncture and starts intravenous infusions if nursing staff is unavailable. Obtain laboratory and diagnostic tests & evaluates results. Evaluate the progress of labor by vaginal examination. Make decisions regarding ambulation of the patient during labor. Request conduction anesthesia. 7. Perform amniotomy as indicated. Apply external fetal monitor & tocodynamometer. Apply internal fetal scalp electrode & pressure catheter. Evaluate fetal monitor tracing & consults with physician if abnormalities are present. Make decisions regarding the position(s) of the patient during second stage of labor. Make decisions regarding performance of delivery in the birthing room or transfer to the delivery room. 8. Utilize local infiltration or pudendal block. Perform & repairs episiotomies. Conduct spontaneous deliveries of cephalic presentations. Obtain specimen of cord blood for cord gases when appropriate. Manage the third stage of labor. Perform cervical & vaginal inspection. Repair minor vaginal & perineal lacerations. Take responsibility for the management of the uncomplicated patient in recovery room. 9. Decide when the normal infant should be transferred to the nursery. Request attendance of pediatrician at delivery when neonatal problems are anticipated. Order intermittent fetal monitoring based on patients risk status. Perform immediate appraisal of the newborn. Perform newborn physical examination. Sign birth certificate of delivery (operative delivery requires physician signature). Coordinate patient care in triage room on L&D. Attend and participate in L&D board rounds. 10. Participate in the care of patients during labor & delivery in consultation with attending physician: Perform prostaglandin insertions for cervical ripening. Manage Oct(s) after evaluation of the patient by the physician. Insert intrauterine pressure catheters. Perform & monitor amnio infusion. Monitor patient on IV oxytocin & regulates oxytocin infusion for induction or stimulation of labor following the initial stabilization & monitoring of the patient by the physician. Conduct spontaneous deliveries of these patients under supervision of the attending. 11. Manage the labor & conduct the deliveries of patients who have been approved by the physician for vaginal birth after cesarean section (VBAC). Repair cervical or extended vaginal lacerations under the supervision of the attending. Repair third & fourth degree extensions under the direct supervision of the attending. Participate as first assist on C-sections and/or BTL. Insert Foley catheter bulb for induction of labor. Perform misoprostol (Cytotec) insertions for labor induction. Order appropriate drugs to treat hemorrhage during third stage of labor per department policy for Post-Partum Hemorrhage. Manually remove placenta. Perform exploration of uterus. Perform selected patient high risk delivery at discretion and under the supervision of the physician. 12. Provide postpartum care as follows: Make daily rounds, examine patients, orders & interpret laboratory results, diagnostic tests & monitor the postpartum course. Provide postpartum teaching & counseling. Prepare patients for postpartum bilateral tubal ligations. Manage patients who have had cesarean sections or postpartum bilateral tubal ligations based on unit protocols & under the supervision of the attending physician. 1) Write medication & non-medication orders 2) Remove surgical sutures & staples Perform fever work-ups for patients with postpartum febrile morbidity, as per unit protocols & consults the physician for management assistance. Make appropriate discharge plans. Obtain physician consultation for plan of management for any medical or obstetrical complication. Obtain informed consent for circumcision of male infant. Education Requirements See Attached for Additional Detail Masters degree in nursing preferred. Qualifications Education Requirements See Attached for Additional Detail _____ Masters degree in nursing preferred. Experience Requirements Evidence of completion of a Pharmacology course, passing the examination & receiving authorization to issue prescriptions pursuant to Section 6951 (2) of the NYS Education Law. Demonstrate clinical experience related to obstetrics and the care of women & children. Licensing and Certification Requirements (if applicable) License: CNM Issuing Agency: DOH/Office of Professions Name: Basic Life Saver (BCLS) Issuing Agency: AHA Certification: NRP (Labor and Delivery, NICU dept) Certification: ACLS (in ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D; Endoscopy, and APN Adult Oncology Collective bargaining unit: NYSNA-MSH Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $96.4176 - $96.4176 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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 8 Mids ( e/o weekend)

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 8 Mids ( e/o weekend) 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 LakeView Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson LakeView 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. 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 Second 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!
UCSF Health

Nurse Practitioner 2

Job Description Under the supervision of the UCSF Department of Surgery & Department of Medicine and guided by the policies and procedures, rules and regulations, and bylaws of the UCSF Medical Center, some Nursing Policies, and, Medical Staff Policies, and any unique to inpatient or ambulatory patient services (for those APPs providing services both in the inpatient and ambulatory environments) this Nurse Practitioner (NP) position is assigned to the Berkeley Cancer Outpatient Practice and Infusion Center. This APP position may perform delegated functions as appropriate to their “scope of practice”. In general, the “scope of practice” includes the management of chronic stable medical conditions, specialty protocols (e.g. chemotherapy), routine care, acute or critical care, and medical and surgical procedures. This position will provide outpatient care in approved age groups at UCSF Health settings. The APP has responsibility for the quality of standards of care for a specified patient population and evidences self-direction and accountability in the development of this role within the all UCSF medical center locations. UCSF Health requires all Advanced Practice Providers (APP) to be credentialed through its Medical Staff Services Office (MSSO) in order to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings at all UCSF Health sites (Parnassus, Mt. Zion, Satellite Clinics, et al). Credentialing and approval of the Standardized Procedures takes between 30-60 days and must be completed prior to the first working day. Responsibilities Function % of time Duties Inpatient - Direct Patient Care (may include some or all of the responsibilities listed) ## Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients. Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days. 1.2. Performs procedures granted to them via privileges/standardized procedures. 1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician. 1.4. Initiates consultations as indicated. 1.5. Documents independent assessment findings and recommends appropriate treatments. 1.6. Participates in service rounds and patient evaluation and treatment planning. 1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans. 1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care. 1.9. Interprets and acts upon completed tests, procedures, and radiographic studies. 1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations . 1.11. Effectively communicates findings, treatment options, and care plans with patients and their families 1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring. 1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen. 1.14. Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries. Inpatient – Care Coordination (may include some or all of the responsibilities listed) ## 1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. 1.2. Coordinates episodic care and determines timing of routine clinic follow up. 1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention. 1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. 1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty. Outpatient – Independent Encounters (may include some or all of the responsibilities listed) 65% Evaluates and manages patients in independent APP encounters, including telehealth. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, formulating evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Reviews or collaborates with attending physician as needed. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . 1.2. Performs procedures individually granted to them via standardized procedures/privileges. 1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate. 1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations. 1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion. 1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters. Outpatient – Shared Encounters with Physician(s) (may include some or all of the responsibilities listed) ## Evaluates and manages patients in shared encounters with attending physician, including telehealth. This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, collaborating on evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . May first-assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring. 1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate. 1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations. 1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion. 1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters. Outpatient – Care Coordination (may include some or all of the responsibilities listed) 35% 1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. DOES not include management of inpatients. 1.2. Coordinates episodic care and determines timing of routine clinic follow up. 1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention. 1.4. Attends department quality improvement meetings and participates in patient evaluation and planning. 1.5. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.6. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. Total 100 Qualifications Required Qualifications: Two (2) to Three (3) years of recent inpatient oncology or infusion center experience as a Nurse Practitioner Demonstrated minimum 1 year of clinical experience in managing patients receiving immunotherapy and biotherapy in an outpatient infusion center. Preferred Qualifications One (1) year experience in Cancer urgent care or adult critical care medicine as (Nurse or NP) Specialty Certifications; OCN or AOCNP ECG and imagining; (X-ray, CT and MRI) interpretation License/Certifications California Registered Nurse (RN) License without restriction California Nurse Practitioner (NP) License without restriction California Nurse Practitioner Furnishing Number NP national board certification from an accepted certifying agency aligned with the patient population and clinical role Adult Outpatient (A-GNP-C, ANP-C, FNP-C, GNP-C, AGPCNP-BC, ANP-BC, FNP-BC, GNP-BC, ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC). See Addendum A below for more detail. California Driver License (if required for position) Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address American Heart Association (AHA) Basic Life Support (BLS) certification Additional required AHA certifications: ACLS Additional required certifications (such as ENLS): None About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Vanderbilt University Medical Center

Emergency Medicine Advanced Practice Provider-Vanderbilt Clarksville Hospital

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: Emergency Medicine Community Job Summary: The Advanced Practice Provider (APP) is a key member of the multidisciplinary healthcare team, collaborating closely with physicians and other care providers to manage a distinct patient population in the inpatient acute care setting. Working with hospitalized patients, the APP provides specialized care and supports the delivery of high-quality, evidence-based medical services. This role requires a strong foundation in evidence-based practice and clinical education, with the APP responsible for adhering to established clinical pathways and protocols to ensure safe and effective patient care. The APP will demonstrate advanced medical knowledge, clinical and technical competence, sound clinical judgment, and professional communication skills. In addition, the APP is accountable for timely and compliant documentation and actively participates in professional development and competency validation to maintain high standards of care. . Preferred Qualifications: Nurse Practitioner - FNP (ENP preferred) + emergency medicine provider experience Physician Assistant - at least 1 year of emergency medicine provider experience Will consider provider experience outside of emergency medicine - ICU, CV Department Summary: For more than 70 years, Vanderbilt Clarksville Hospital has been taking care of patients and families in Clarksville and the surrounding area. A part of the Vanderbilt Health community of hospitals and clinics, Vanderbilt Clarksville Hospital has been the hometown hospital, helping the community access a broad range of medical care and services. High-quality emergency care When you need us most, we're ready. Count on Vanderbilt Clarksville Hospital to deliver high-quality emergency care when and where you need it most. Our experienced emergency physicians and nurses are ready around the clock to provide immediate treatment for a wide range of acute illnesses, injuries and conditions. Commitment to community We are pleased to have made a significant impact on Montgomery County, through patients served, trainings offered, charity, salaries, investments and uncompensated care. With more than 1,000 employees, we are one of the community’s largest employers. Through its eight hospitals and more than 180 clinics, Vanderbilt Health contributes nearly $1 billion in total community benefit and investment KEY RESPONSIBILITIES Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care. In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ 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. Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Utilizes evidence-based, approved practice protocols in planning and implementing care. Initiates appropriate referrals and consultations Provides specialty specific consultation services upon request and within a specialty 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 Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. 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. Employes 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. 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 evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science. 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. 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. 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 - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee Work Experience: Relevant Work Experience Experience Level: Less than 1 year Education: Master's This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
Michigan Medicine

REGISTERED NURSE - CRNA Internship - $30,000 Sign-on bonus

$41.78 - $64.81 / hour
How to Apply Exceptional CRNA Opportunity With Newly Enhanced Compensation And Incentives Michigan Medicine is seeking Certified Registered Nurse Anesthetists to join our nationally recognized anesthesia care team. This is an outstanding opportunity to practice at one of the country?s leading academic medical centers while working alongside world-class physicians, advanced practice providers, nurses, and interdisciplinary teams. New Compensation And Incentive Highlights Market Wage Adjustment CRNA annual salaries have been adjusted to remain highly competitive in today?s market: Hourly range for Registered Nurses $41.78-$64.81 / hour (based on RN experience) Once the Intern transitions to a new graduate staff CRNA by meeting criteria detailed in Required Qualifications section, pay will be adjusted based on collective bargaining agreement (CBA). CRNA Salary: ( Less than 1 year of CRNA experience) Full Time Rate: $298,777.45 annually Final compensation is based on applicable appointment details, FTE, institutional guidelines, and any governing policies or agreements. $30,000 CRNA Sign-On Bonus Newly hired CRNAs are eligible for a $30,000 sign-on bonus, prorated by FTE, in exchange for a two-year commitment. Relocation Assistance Available Newly hired CRNAs may be eligible to receive up to $10,000 in relocation assistance to support their move to Michigan Medicine. Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Responsibilities* During Internship All duties and responsibilities are performed under the direct supervision of a Certified Registered Nurse Anesthetist (CRNA) provider within the scope of practice as a Registered Nurse (RN) until certification and credentialing are successfully completed. Work collaboratively in a team environment. Collaborate with CRNA to prepare preoperative assessments including health histories and physical examinations. Develop the Anesthesia Care Plan with the CRNA and Anesthesiologist. Contribute to appropriate perioperative anesthesia care. Contribute to and monitor appropriate patient records including quality assurance documentation. Contribute to postoperative evaluations in accordance with department policies. Participate in ongoing projects. Support perioperative providers as appropriate. Other duties or projects as assigned. Function in accordance with all institutional policies and guidelines. This position involves radiation exposure and the requirement to wear appropriate personal protective equipment (PPE). Must be able to fulfill required weekday, weekend and holiday obligations. Must be self-directed, reliable, demonstrate initiative and motivation to work independently, and exhibit excellent communication and problem-solving skills. Once Credentialing And Privileging Have Been Achieved Provide anesthesia and anesthesia related care to facilitate diagnostic, therapeutic and/or surgical procedures to all patients regardless of age under the medical direction of an anesthesiologist, working collaboratively in a team environment. Prepare preoperative assessments including health histories and physical examinations. Develop the Anesthesia Care Plan with the anesthesiologist. Initiate and maintain appropriate perioperative anesthesia care. Maintain appropriate patient records including quality assurance documentation. Complete postoperative evaluations in accordance with department policies. Participate in ongoing projects. Support perioperative providers. Other duties or projects as assigned. Function in accordance with all institutional policies and guidelines. Maintain licensure, certification, credentialing, and current BLS and ACLS or PALS status at all times. This position requires radiation exposure and the requirement to wear the appropriate (PPE) personal protective equipment. Must be able to fulfill required weekday, weekend and holiday obligations. Must be self-directed, reliable, demonstrate initiative and motivation to work independently, and demonstrate excellent communication and problem-solving skills. Required Qualifications* Intern Required Qualifications* Current and accurate resume and application must be completed. Minimum of a Master degree with graduation from an accredited nurse anesthesia educational program on or before 06/01/2027. Current licensure to practice as a Registered Nurse in the State of Michigan. Current ACLS and BLS certification. Ability to wear appropriate (PPE) personal protective equipment including but not limited to lead vests and aprons, powered air purifying respirators (PAPR) and N-95 masks. Required Qualifications to progress to New Graduate CRNA* This Is a Preparatory Position For a Michigan Medicine Staff CRNA. An Intern Will Be Transitioned To a Credentialed And Privileged New Graduate Staff CRNA Position If All The Following Criteria Have Been Met By The Intern Successful completion of the National Certification Exam (NCE) - within 45 days of graduating from an accredited CRNA program. Failure to successfully complete and pass NCE exam within 45 days of graduating from an accredited CRNA program, will result in termination of Intern position and will not progress to staff CRNA position. The candidate is eligible to apply for other positions for which they are qualified (e.g. RN). Michigan Nurse Anesthetist Specialty certification documentation initiated and provided as soon as possible following successful completion of the NCE Successful completion of credentialing and privileging process through Michigan Medicine Satisfactory performance in the Intern role RN Intern title will be changed to new graduate staff CRNA and pay adjusted based on collective bargaining agreement (CBA) following confirmation of meeting all criteria above. Once the Intern transitions to a new graduate staff CRNA, they will begin a 6-month probationary period. Upon successful completion of probation, the seniority accrued will begin with the original date of hire as an Intern. Internal hires are exempt from the probationary period. An Intern can only remain in this position for up to 6 months. Failure to secure other Michigan Medicine employment by 6 months in the position will result in termination of employment. Must maintain Michigan Registered Nurse licensure, specialty certification, credentialing, privileging, and current ACLS and BLS certifications. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities, please contact Nurse Recruitment at (734) 936-5183. Desired Qualifications* Scheduled date for National Certification Exam secured. Five years of adult ICU nursing experience. Demonstration of appropriate interpersonal and communication skills. Doctoral degree from an accredited nurse anesthesia educational program in the next 4 months. Why Join Michigan Medicine? Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Michigan Medicine offers a competitive salary with excellent benefits! Hourly range for Registered Nurses $41.78-$64.81 / hour (based on RN experience) Once the Intern transitions to a new graduate staff CRNA by meeting criteria detailed in Required Qualifications section, pay will be adjusted based on collective bargaining agreement (CBA). CRNA Salary: ( Less than 1 year of CRNA experience) Full Time Rate: $298,777.45 annually What benefits can you look forward to? Flexible Health, Dental, and Vision Plans Retirement Savings Plans with 2:1 Matching Group Term Life Insurance Long Term Disability Plan Generous Time Off Allowances Paid Maternity and Parental Leave $2,500 Annual Professional Development Funds Tuition Support Program(at supervisor discretion/budget) Wellness Plans Work/Life Resources Nursing Specific Info Intern required qualifications must be met by the candidate in order to be fully considered and interviewed for the position. Progression to a New Graduate CRNA status is contingent upon satisfaction of all required qualifications. This posting has nine (9) open positions and is eligible for Employee Referral Program bonus. If you are being referred by a Michigan Medicine employee to apply to this posting, please ensure the employee has completed the referral form BEFORE you submit your application. If you have questions regarding this posting or would like assistance with nursing opportunities, please contact Nurse Recruitment at (734) 936-5183. Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Work Schedule Hours: 40 hours per week Shift Requirements Day/Evening/Night rotation; with other requirements as follows: Weekday, Weekends, and holidays. Variable shift start times and shift lengths. Weekday call obligations. Weekend and holiday call obligations. Union Affiliation This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment. Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses. Contact Information If you have questions regarding this posting or would like assistance with Advanced Practice Nursing opportunities please contact Nurse and Physician Assistant Recruitment at (734) 936-5183 or e-mail [email protected]. For a current listing of all open APRN job opportunities at Michigan Medicine, University of Michigan please visit www.UMnursing.org. U-M EEO Statement The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.
SSM Health

Registered Nurse - Specialty Procedure - Catheterization Laboratory

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time available Schedule Time Options: 7a-7p with on-call requirements. Benefits : Competitive, affordable health insurance including but not limited to: Getting paid every day! Access up to $5,250 in tuition coverage per year Paid maternity & paternity coverage Adoption assistance Various competitive health insurance options & wellness plans Retirement benefits including employer matching plans Long & short-term disability Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire 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)
Bronson Healthcare

Registered Nurse Bronson Battle Creek Hospital

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 Inpatient Registered Nurse (RN) Bronson Battle Creek Hospital – Battle Creek, MI Bronson Battle Creek Hospital is hiring compassionate, skilled Registered Nurses to join our inpatient teams . We offer full-time, part-time, and PRN opportunities with 12-hour shifts and weekend rotations , supporting nurses across a variety of care settings. 🏥 Inpatient Units with Opportunities Emergency Department (ED) 39-bed, high-volume department serving Calhoun and surrounding counties with approximately 160 patients per day. Team-based care model with provider, RN, and tech support, plus on-site pharmacy and case management. Strong focus on quality, throughput, and patient experience. Float Pool Experienced RNs who provide staffing support across multiple inpatient units, maintaining a broad range of clinical skills and adaptability. General Medical Unit / CDU 37-bed cardiac and pulmonary unit plus a 10-bed Clinical Decision Unit (CDU) specializing in chest pain evaluation and short-term observation. Neurovascular / Orthopedic Unit 30-bed unit caring for neurological and orthopedic patients, including total joint replacement through the Orthopedic Renewal Center. Oncology / Medical / Surgical Unit 37-bed unit providing care for a diverse patient population, including medical, oncology, and surgical patients. Observation Unit New 14-bed short-stay unit requiring independent practice, strong self-accountability, critical thinking, and excellent communication and customer service skills. Obstetrics (OB) – Labor & Delivery / Antepartum / Mother-Baby Combined obstetric unit supporting mothers and babies across the full continuum of care, including high-risk antepartum monitoring, labor and delivery, postpartum recovery, and newborn care in a family-centered environment. 💰 Benefits & Incentives Day 1 health benefits Competitive pay Generous PTO accrual 403(b) retirement plan with employer matching Tuition reimbursement Wellness benefits Up to $20,000 sign-on bonus (Available for full-time and part-time positions; amount based on shift and hours) 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 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) Shift Variable Time Type Full time Scheduled Weekly Hours 0 Cost Center 1500 Nursing Administration (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!
Vanderbilt University Medical Center

Nurse Practitioner or Physician Assistant - Pediatric Hematology/Oncology

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: PEDS Heme/Onc Job Summary: The Advanced Practice Provider (APP) is a key member of the multidisciplinary healthcare team, collaborating closely with physicians and other care providers to manage a distinct patient population in the inpatient acute care setting. Working with hospitalized patients, the APP provides specialized care and supports the delivery of high-quality, evidence-based medical services. This role requires a strong foundation in evidence-based practice and clinical education, with the APP responsible for adhering to established clinical pathways and protocols to ensure safe and effective patient care. The APP will demonstrate advanced medical knowledge, clinical and technical competence, sound clinical judgment, and professional communication skills. In addition, the APP is accountable for timely and compliant documentation and actively participates in professional development and competency validation to maintain high standards of care. . Inpatient Position Position Hours: Day Shift (6am - 6pm) 13 12 Hour Shifts Per 4 Week Block Schedule Rotating Weekends and Holidays No Call Department Summary: Since its inception as a clinic in 1969 and a division in 1975, we have been dedicated to excellence in patient care, research, and education in pediatric hematology and oncology. Our mission is to improve the lives of children with blood disorders and cancer, advance discovery through research, and train the leaders of the future. Pediatric hematology/oncology is a diverse field which includes many areas, including but not limited to: Cancer predisposition Leukemia and lymphoma Solid organ cancers Brain and spinal tumors Bone and soft tissue sarcomas Retinoblastoma Cancer survivorship Precision medicine Immunodeficiency Non-malignant hematology Hemostasis and thrombosis Sickle cell disease and thalassemia Bone marrow failure Vascular malformations Across the many diseases within hematology and oncology, we provide state-of-the art clinical care and access to cutting edge therapies and clinical trials. Our faculty include nationally and internationally recognized leaders in the field. We are the only pediatric hematology/oncology program in the state of Tennessee with a unique combination of clinical programs in both hematology and oncology and access to all pediatric subspecialties all within our medical center. Our clinical care is supported by a multi-specialty, multidisciplinary specialty team of physicians, nurses, psychologists, pharmacists, social workers, nutritionists, child life specialists, and others who all work together to provide evidence-based family-centered care. Position Requirements: Certified Pediatric Nurse Practitioner - Acute Care CPNP-AC or Physician Assistant PA Prior APP Experience Strongly Preferred New Graduate CPNP-AC with Pediatric RN Experience or New Graduate PA with EMT Experience or Pediatric Clinical Rotation Experience KEY RESPONSIBILITIES Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care. In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ 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. Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Utilizes evidence-based, approved practice protocols in planning and implementing care. Initiates appropriate referrals and consultations Provides specialty specific consultation services upon request and within a specialty 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 Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. 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. Employes 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. 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 evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science. 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. 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. 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 - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee Work Experience: Relevant Work Experience Experience Level: Less than 1 year Education: Master's This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
SSM Health

Registered Nurse - Interventional Radiology

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Bonuses up to $30,000! Benefits : Competitive, affordable health insurance including but not limited to: Benefits are effective 31 days from date of hire . Wellness Programs Retirement savings program Professional development and continuing education opportunities PTO accrual begins day one Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire 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)
SSM Health

Registered Nurse - Specialty Procedure II - Interventional Radiology

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Summary: The Registered Nurse (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 ) - 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!
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 #44124 $19.24 - $34.32 hourly Direct Care up to $10.00/week Hiring Manager: Franciene Clement 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 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. 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 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 Criteria: None 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
State of New Hampshire

LICENSED NURSING ASSISTANT I-III / LMNA (4-DAY SCHEDULE)

$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 Hiring Manager: Franciene Clement 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. 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 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
AVALA

RN - PACU - Full-Time - AVALA Hospital - RH208, RH213, RH235, RH288

$2500 sign-on bonus with commitment. Summary Provides direct patient care to all patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Assists with the maintenance of PACU equipment and inventory. Participates in performance improvement activities. Responsible for monitoring patient’s physiological status in the immediate postoperative environment. Communicates with surgeon and anesthesiologist continuously, and as needed, about patient conditions; receives direction for patient management. Intercedes to maintain optimum homeostasis. Is able to respond quickly and accurately to changes in condition or response to treatment. May be required to perform in the charge nurse role. Essential Duties and Responsibilities Able to perform a head-to-toe assessment on all patient populations and reassessments per facility policy. Provides care appropriate to disease condition and age of the patient. Demonstrates knowledge of perioperative factors that alter immediate postoperative phase. Identifies physical symptoms and changes and takes appropriate action in a timely manner. Demonstrates knowledge of airway management and procedures and the ability to use the equipment. Demonstrates ability to assess cardio-respiratory systems for changes and provides appropriate treatment. Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Demonstrates an ability to assist physicians with procedures. Carries out medical/surgical asepsis during treatments and special procedures. Knowledge of medications and their correct administration based on age of patient and clinical condition. Follows the five medication rights and reduces the potential for medication errors. Carries out safety measures to prevent patient from harming him/herself or others. Assesses level of consciousness and promotes activity. Encourages turn, cough, and deep breathe by exercises and position changes. Demonstrates knowledge of anesthetic drugs, actions and side effects. Demonstrates knowledge of arterial lines, spinal and epidural catheters and documents pertinent clinical information per policy. Has knowledge of emergency medications. Demonstrates knowledge of peripheral nerve block procedures and catheters; able to document pertinent clinical information per policy. Ability to formulate an individualized plan of care. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan for effectiveness. Formulates a teaching plan with patient and family based upon identified learning needs and evaluates effectiveness of learning. Interacts professionally with patient/family. Responds appropriately to patient in an emergency or per ACLS or PALS protocol. Communicates effectively and thoroughly the patient’s condition upon transfer from PACU to the receiving unit Registered Nurse. Establishes and maintains effective communication and good working relationships with co-workers and health care team members for the patient’s benefit. Consults other departments as appropriate to provide an interdisciplinary approach to the patient’s needs. Orients new staff as needed. Maintains regulatory agency requirements, hospital and nursing policies, procedures and standards. Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias, and treats appropriately based upon facility protocol. Able to perform 12 lead EKG as indicated. Able to perform waived testing (point-of-care testing) or moderate complexity testing per clinical laboratory guidelines and unit policy and procedure. Able to interpret results of laboratory tests and take appropriate action on test results. Notifies physician of any abnormal lab/test results. Completes specially assigned duties consistently and as schedule allows. Documentation meets current standards and policies. Manages and operates equipment safely and correctly. Treats patients and their families with respect and dignity. Identifies and addresses psychological, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as a liaison between patients, their families and other departments and other healthcare providers. Utilizes initiative; strives to maintain steady level of productivity; self-motivated. Organizes and manages activities reflecting due consideration for the needs of the department and staff. Charge Nurse Responsibilities: Makes daily patient assignments, monitors the daily surgery schedule and daily unit progress, reports changes to involved departments. Supports/oversees unit staff and monitors staffing efficiency. Monitors late and on call schedule. Staff's unit according to nursing standards. Supervises staff to ensure quality of nursing care, delegates’ specific duties and tasks. Monitors daily time sheets. Provides and controls supplies, and equipment needed for successful operation of the department. Directs and delegates control of inventories to ensure proper amounts available. Supervises care and cleanliness of equipment and supplies to ensure good working conditions. Effectively communicates pertinent issues to OR Director. Provides orientation to new staff members. Assists in the evaluation process. Promotes the hospital’s mission, values, and goals. Utilizes initiative, strives to maintain a steady level of productivity, completes assigned projects by due date. Knowledgeable of lab procedures and lab equipment. Participates in QA/PI activities, communicates results to staff. Completes other duties as assigned by Director. Communicates with OR Director regarding issues, conflicts, or operational occurrences in the department and participates with problem solving. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards; adheres to policy dress code policy. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Attends annual review and department in-services, as scheduled. Attends monthly staff meetings or reads staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Assists other staff members in performing any duty that enhances the delivery of patient care. Advanced Orthopedic and Spine Certification Requirements (CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter. (CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to: Orientation of Advanced Orthopedic and Spine Certification In compliance with the Program education requirements Completed department specific competencies Regulatory Requirements Graduate of an accredited school of nursing Current state Registered Nurse licensure in the state of Louisiana Current BLS, ACLS, and PALS certification Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing over 100 pounds.
State of New Hampshire

LICENSED NURSING ASSISTANT I-III / LMNA (4-DAY SCHEDULE)

$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 #42664 $19.24 - $34.32 hourly Direct Care up to $10.00/week Hiring Manager: Justin Souther 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. 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. Disclaimer Statement : 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 classification. For further information please contact Justin Souther, Nursing 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

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 The 18-bed Observation Unit serves a variety of adult med/surg patients with an emphasis on completing the admission process and facilitating discharge or transfer to an inpatient unit. The unit also serves a specialized population of Emergency Department chest pain patients. 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. Virtual Registered Nurse (VRN) Role: The virtual registered nurse leverages technology to deliver patient care remotely, collaborating with bedside staff and the broader care team to ensure quality outcomes and timely discharge. Core responsibilities include, but not limited to: Conducting admission screening, patient/family education, discharge planning, and medication dual acknowledgments via secure digital platforms. Completing diagnostic testing questionnaires and supporting patient safety initiatives. Mentoring and supporting nursing staff and facilitating patient progression toward discharge using electronic health record (EHR) tools such as checklists and clinical pathways. Analyzing assessment data to identify patient problems, confirming issues with patients/families as appropriate, and documenting individualized care plans in collaboration with bedside RNs. Systematically evaluating the quality and effectiveness of virtual nursing services, ensuring compliance with professional standards and organizational policies. Ability to project voice at volume that can easily be heard by individuals with little to no hearing impairment via audio-visual technology; speech in English is easy to understand Ability to grip and use computer keyboard and mouse Shift Time Type Full time Scheduled Weekly Hours 0 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!
Bronson Healthcare

Registered Nurse ( RN ) - Bronson Battle Creek Birthplace - OB / Labor Delivery / Mother Baby

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 ( RN ) - Bronson Battle Creek Birthplace - OB / Labor Delivery / Mother Baby The Bronson Birthplace in Battle Creek has 15 beds – 11 for labor/delivery/recovery/postpartum (LDRP) care, 4 for antepartum/post-op care, 2 operating rooms and 3 triage bays. Additionally, the unit includes a newborn nursery. Here, pregnant, laboring and postpartum patients, as well as healthy newborns, receive comprehensive care. RNs on this unit are able to undergo cross-training in labor and delivery, including operating room procedures, postpartum care and nursery care. 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. Virtual Registered Nurse (VRN) Role: The virtual registered nurse leverages technology to deliver patient care remotely, collaborating with bedside staff and the broader care team to ensure quality outcomes and timely discharge. Core responsibilities include, but not limited to: Conducting admission screening, patient/family education, discharge planning, and medication dual acknowledgments via secure digital platforms. Completing diagnostic testing questionnaires and supporting patient safety initiatives. Mentoring and supporting nursing staff and facilitating patient progression toward discharge using electronic health record (EHR) tools such as checklists and clinical pathways. Analyzing assessment data to identify patient problems, confirming issues with patients/families as appropriate, and documenting individualized care plans in collaboration with bedside RNs. Systematically evaluating the quality and effectiveness of virtual nursing services, ensuring compliance with professional standards and organizational policies. Ability to project voice at volume that can easily be heard by individuals with little to no hearing impairment via audio-visual technology; speech in English is easy to understand Ability to grip and use computer keyboard and mouse Shift Time Type Full time Scheduled Weekly Hours 0 Cost Center 6830 OB Mother/Baby 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!
MountainStar Healthcare

Registered Nurse ( RN ) - Emergency Department ( ED / ER ) - Bronson Lakeview Hospital ( Paw Paw, MI )

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 / ER ) - Bronson Lakeview Hospital ( Paw Paw, MI ) Registered Nurse (RN) – Emergency Department (ED) Bronson LakeView Hospital - Paw Paw, MI Up to $20,000 Sign-On Bonus Up to $10/hour Night Shift Differential Position Overview Join Bronson LakeView Hospital's Emergency Department and provide exceptional care to patients experiencing urgent and emergent medical conditions. As an ED RN, you'll work in a fast-paced, collaborative environment where strong assessment skills, critical thinking, and compassionate care make a difference every day. What You'll Do Assess, plan, implement, and evaluate patient care using the nursing process Perform rapid assessments and prioritize care based on patient acuity Administer medications and treatments in accordance with clinical standards Monitor patient condition and respond quickly to changes Collaborate with physicians and interdisciplinary team members to coordinate care Educate patients and families regarding treatment plans and discharge instructions Delegate appropriate tasks within scope of practice Accurately document patient care, interventions, and outcomes Minimum Qualifications Education Associate Degree in Nursing required Bachelor of Science in Nursing (BSN) preferred BSN required within eight (8) years of hire Licensure Current Michigan Registered Nurse (RN) license in good standing Certifications BLS required upon completion of orientation Additional certifications, including critical care and advanced life support certifications, may be required based on department needs Additional Qualifications Strong critical thinking and clinical decision-making skills Ability to interpret clinical data and develop appropriate plans of care Effective verbal, written, and electronic communication skills Ability to thrive in a fast-paced emergency care environment Commitment to patient safety, quality outcomes, and compassionate care Physical Requirements Frequent standing, walking, lifting, and patient handling Ability to lift up to 50 pounds Ability to work in an environment requiring sustained concentration and attention to detail Join Bronson LakeView Hospital and help provide high-quality emergency care to the communities we serve. 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 Time Type Full time Scheduled Weekly Hours 0 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!