Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant / Certified Nurse Midwife, Obstetrics

$87.55 - $109.44 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P143537-2799 Job Description DEPARTMENT DESCRIPTION The Obstetrics Clinic at LPCH Stanford is a fast-paced clinic that provides services for both low and high-risk expectant mothers through the continuum of their gestation. The OB APP will provide comprehensive care to both low- and high-risk obstetric patients across the continuum of inpatient and outpatient services. Clinical responsibilities may include postpartum rounding, obstetric triage evaluation and management, and care delivery within low- and high-risk obstetric clinics. The APP will support patient-centered care through both traditional one-on-one visits and Centering group prenatal care models, while collaborating closely with multidisciplinary teams to optimize patient outcomes, continuity of care, and clinical workflow efficiency. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. Certified Nurse Midwife (CNM): The Certified Nurse Midwife (CNM) provides routine prenatal and postpartum care to patients with normal prenatal histories and postpartum courses as well as the management of those patients with acute and chronic conditions related to (and during the course of) pregnancy, in collaboration with the physician(s) and through implementation of standardized procedures. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. Certified Nurse Midwife (CNM): Licensure as a Registered Nurse (RN) in the State of California CNM - Certified Nurse Midwife. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $87.55 to $109.44 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
City and County of San Francisco

Registered Nurse [Experienced Nurses] (2320) - Citywide - H00083

$82.86 - $110.91 / hour
Company Description The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. Application Opening – Monday, July 17, 2023 Application Deadline – Continuous Salary : $82.8625 $110.9125 Hourly; $172,354-$230,698 Annually Appointment Type : Permanent Civil Service Recruitment ID : CCT-2320-H00083 Employment Type : Full-Time, Part-Time Please note: Many positions at ZSFG start on night shift (e.g., 7:00pm-7:00am) San Francisco is a vibrant and dynamic city, on the forefront of economic growth & innovation, urban development, arts & entertainment, as well as social issues & change. This rich tapestry of culture and ideas is sustained by our City's commitment to heighten the quality of life for the diverse population of San Franciscans and residents of the greater Bay Area. Our employees play an important role not only in making our City what it is today, but also in shaping the future of San Francisco. The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. Job Description Under general supervision, performs professional nursing duties in hospitals, emergency hospitals, clinics, sanitariums and other institutions. EXAMPLES OF DUTIES: Provides nursing care to patients within an assigned hospital Unit, Clinic, or any SFDPH setting that requires Registered Nursing care; Observes and reports symptoms and conditions of patients; Takes and records vital signs or other diagnostics including temperatures, respiration and pulse; Reports unusual occurrences and unusual results of treatments; Sets up treatment trays, prepares instruments and other equipment; Implements medical and nursing care plans; Directs and supervises the patient care provided by nursing personnel; Maintains standard unit or clinic activities; Assists in administering highly specialized therapy; Maintains records reflecting patients' condition, medication, treatment and reactions; Follows regulations, policies, and procedures for nursing care; May direct the work of auxiliary sub-professional personnel in performing various tasks in assisting with the care and comfort of patients and the cleanliness and sanitation of ward, hospital beds, and appurtenant equipment; AND Performs other related duties as assigned/required. Please note that incumbents in this classification may be required to perform duties as listed in the class specification, which can be found on DHR’s website: https://careers.sf.gov/classifications/ ) Qualifications Minimum Qualifications License: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License ⚠️ IMPORTANT : License status must be " Current " according to search.dca.ca.gov . Be sure to include your license number in your application as failure to do so may result in application rejection. AND Experience: At least one (1) year of experience working as a Registered Nurse. One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week). Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. Verification of Education and Experience: Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ . Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco. Additional Information What else should I know? Please click here for additional details. Selection Procedures : You will be asked to complete a questionnaire regarding your experience and licensure as part of the application. This is a consolidated recruitment process. By applying to this position, applicants will be considered for all nursing specialties. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions. *As of July 1, 2024, in order to place you at the appropriate salary step, please include your complete and verifiable registered nursing employment history (up to 21 years) on our application. The information that you provide on the application will be used to determine your salary step. For additional information please see paragraph 446 of the collective bargaining agreement https://www.sf.gov/sites/default/files/2024-06/SEIU-1021-Staff-and-Per-Diem-Nurses-2024-2027.pdf . Certification The certification rule for the eligible list resulting from this examination will be the Rule of List. Eligible List/Score Report : A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission. Candidate names will remain on the list for a maximum period of six (6) months . Candidates that are not selected and expire off the list may re-apply. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments. Terms of Announcement and Appeal Rights: Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at https://careers.sf.gov/ .] The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at https://sf.gov/departments/civil-service-commission Additional information regarding Employment with the City and County of San Francisco: Information About the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service Worker ADA Accommodation Veterans Preference Right to Work Copies of Application Documents Diversity Statement Where to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account. Computers are available for the public (9:00 a.m. to 4:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor and at the City Career Center at City Hall , 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. Your application will be active for the duration of the eligible period listed above. You do not need to reapply during this period. If you have any questions regarding this recruitment or application process, please contact the analyst, Katrina Navarro at [email protected] or ( 628)271-6717 . We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.
City and County of San Francisco

Registered Nurse [Experienced Nurses] (2320) - Citywide - H00083

$82.86 - $110.91 / hour
Company Description The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. Application Opening – Monday, July 17, 2023 Application Deadline – Continuous Salary : $82.8625 $110.9125 Hourly; $172,354-$230,698 Annually Appointment Type : Permanent Civil Service Recruitment ID : CCT-2320-H00083 Employment Type : Full-Time, Part-Time Please note: Many positions at ZSFG start on night shift (e.g., 7:00pm-7:00am) San Francisco is a vibrant and dynamic city, on the forefront of economic growth & innovation, urban development, arts & entertainment, as well as social issues & change. This rich tapestry of culture and ideas is sustained by our City's commitment to heighten the quality of life for the diverse population of San Franciscans and residents of the greater Bay Area. Our employees play an important role not only in making our City what it is today, but also in shaping the future of San Francisco. The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. Job Description Under general supervision, performs professional nursing duties in hospitals, emergency hospitals, clinics, sanitariums and other institutions. EXAMPLES OF DUTIES: Provides nursing care to patients within an assigned hospital Unit, Clinic, or any SFDPH setting that requires Registered Nursing care; Observes and reports symptoms and conditions of patients; Takes and records vital signs or other diagnostics including temperatures, respiration and pulse; Reports unusual occurrences and unusual results of treatments; Sets up treatment trays, prepares instruments and other equipment; Implements medical and nursing care plans; Directs and supervises the patient care provided by nursing personnel; Maintains standard unit or clinic activities; Assists in administering highly specialized therapy; Maintains records reflecting patients' condition, medication, treatment and reactions; Follows regulations, policies, and procedures for nursing care; May direct the work of auxiliary sub-professional personnel in performing various tasks in assisting with the care and comfort of patients and the cleanliness and sanitation of ward, hospital beds, and appurtenant equipment; AND Performs other related duties as assigned/required. Please note that incumbents in this classification may be required to perform duties as listed in the class specification, which can be found on DHR’s website: https://careers.sf.gov/classifications/ ) Qualifications Minimum Qualifications License: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License ⚠️ IMPORTANT : License status must be " Current " according to search.dca.ca.gov . Be sure to include your license number in your application as failure to do so may result in application rejection. AND Experience: At least one (1) year of experience working as a Registered Nurse. One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week). Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. Verification of Education and Experience: Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ . Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco. Additional Information What else should I know? Please click here for additional details. Selection Procedures : You will be asked to complete a questionnaire regarding your experience and licensure as part of the application. This is a consolidated recruitment process. By applying to this position, applicants will be considered for all nursing specialties. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions. *As of July 1, 2024, in order to place you at the appropriate salary step, please include your complete and verifiable registered nursing employment history (up to 21 years) on our application. The information that you provide on the application will be used to determine your salary step. For additional information please see paragraph 423 of the collective bargaining agreement https://media.api.sf.gov/documents/SEIU-1021-Staff-and-Per-Diem-Nurses-2024-2027_zivaKaY.pdf . Certification The certification rule for the eligible list resulting from this examination will be the Rule of List. Eligible List/Score Report : A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission. Candidate names will remain on the list for a maximum period of six (6) months . Candidates that are not selected and expire off the list may re-apply. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments. Terms of Announcement and Appeal Rights: Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at https://careers.sf.gov/ .] The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at https://sf.gov/departments/civil-service-commission Additional information regarding Employment with the City and County of San Francisco: Information About the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service Worker ADA Accommodation Veterans Preference Right to Work Copies of Application Documents Diversity Statement Where to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account. Computers are available for the public (9:00 a.m. to 4:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor and at the City Career Center at City Hall , 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. Your application will be active for the duration of the eligible period listed above. You do not need to reapply during this period. If you have any questions regarding this recruitment or application process, please contact the analyst, Katrina Navarro at [email protected] or ( 628)271-6717 . We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.
UCSF Health

Nurse Practitioner - Pediatric ICU

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

OR RN Clinical Coordinator - Neurosurgery

$89,752 - $149,593.60 / year
The Clinical Coordinator is responsible for initiating and supporting work efforts that maximize quality, safety, and services in defined perioperative specialties. S/he is accountable for organizing patient care activities and serves as the primary clinical resource to the OR team in the designated specialty to provide quality nursing care. The Clinical Coordinator supports the overall coordination of the surgical specialty and actively collaborates with physicians and staff to facilitate the dynamic environment of perioperative services. Practices professional nursing and promotes patient advocacy in accordance with the ANA Code of Ethics for Nurses. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC and CSS Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. CNMC and CSS supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large. Responsible for facilitating the activities of the school health services personnel team. Minimum Education Bachelor's Degree BSN Preferred (Required) Minimum Work Experience 4 Years Experience As An OR RN (Required) 1 year Minimum of 1 year of demonstrated nursing leadership experience. (Preferred) Required Skills/Knowledge Adaptability - Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to change by exploring the benefits of trying new approaches, and collaborating with others to make the change successful Building Partnerships - Developing and leveraging relationships within and across work groups to achieve results Collaboration - Working cooperatively with others to help a team or work group achieve its goals Communication - conveying information and ideas clearly and concisely to individuals or groups in an engaging manner that helps them understand and retain the message; listening actively to others. Including of written and verbal skills. Able to read, write, and use English proficiently Diversity and Inclusion - Being sensitive to culture diversity, race, gender, and other individual differences in the workforce; recognize the value of diverse perspectives and experiences and fosters a work environment reflective of the community at large. Decision Making - Identifying and understanding problems and opportunities by gathering, analyzing, and interpreting quantitative and qualitative information; choosing the best course of cation by establishing clear decision criteria, generating and evaluating alternatives, and making timely decisions; taking the action that is consistent with available facts and constraints and optimizes probably consequences. Managing Relationships - Meeting the personal needs of individuals to build trust, encourage two-way communication and strengthen relationships Managing Work - Effectively managing one's time and resources to ensure that work is completed efficiently Participates in the quality improvement activities and uses quality measures to understand individual and unit performance Works within scope of practice and delegates according to Nurse Practice Act Required Licenses And Certifications Registered Nurse in District of Columbia (Required)Basic Life Support for Healthcare Provider (BLS) (Required) Functional Accountabilities Certified Nurse OR (CNOR) (Preferred) Functions In The Role Of a Clinical Coordinator In collaboration with the perioperative team and physicians, plans, organizes, and directs the specialty service under their charge to ensure case readiness Serve as the primary surgeon interface for the designated surgical specialty(s) Actively communicates with physicians to plan for resource needs and utilization Maintain awareness of upcoming surgical cases and arranges adequate resources/resolves conflicts in advance of the surgery Create and maintain surgical procedure / surgeon preference cards within the specialty to provide a comprehensive description of equipment instrument, room set up, medication and patient care needs necessary for the intraoperative care of the patient undergoing the identified surgery. Be available daily (when working) to provide clinical expertise and assistance to staff working within the specialty practice. Display a proactive, positive customer service attitude. Demonstrate the ability to respond to multiple demands at once and prioritize and delegate appropriate tasks to all OR team members to facilitate the efficient and safe movement of patients through the OR. Communicate with Perioperative leadership / AIC / charge nurse regarding OR room changes that affect the scheduled time of patients. Exhibit ethical and professional responsibility to contribute to patient care, customer service, teamwork, and professionalism always. Coordinate the ordering and securing of supplies, equipment, and instrumentation Coordinate the ordering and securing of supplies on behalf of providers in a cost-conscious manner Facilitate the ordering of specialty instrumentation to ensure broken or missing instruments are repaired or replaced, or to advance new technologies. Identify need for loaner equipment when necessary. Monitor proper care and handling of instruments including placement of instruments on case carts Keep staff aware of status of specialty equipment. Communicate closely with the SPD manager on the quality, quantity, and functionality of instruments. Coordinate new product evaluation for the defined specialty service(s): Establish effective relationships with manufacture reps Maintain current knowledge of product innovations Involve physician and nursing staff with product evaluations Purchase and or recommend for purchase supplies/instrumentation Provide input and recommendations for preparation and implementation of capital budget In collaboration with Education Team: Ensure staff are well prepared to optimally perform clinical accountabilities. Identify team and department education and training needs for the specialty service (s) Precept / supervise new employees to the specialty service(s) Educate staff on new or established techniques, technology, and equipment Teach and enforces department standards for performance, patient care, safety, and service Informs other team members of orientee’s progress and goals when assigning them to work with an orientee Continually reviews and evaluates the individual’s practical application of knowledge and skills, providing additional training as required Assures appropriate documentation of orientation program vias skills checklist Suggest daily patient care assignment for orientee in collaboration with Manager and Education team Quality and Safety Demonstrate knowledge and implements patient safety and quality improvements for the defined surgical specialty Foster a collaborative practice to promote safety, quality and problem solving Maintains an environment to assure surgical specialty readiness for all accreditation and regulatory surveys Exhibits an open mind to listen, challenge, and influence patient safety and clinical outcomes Supports leadership decisions and initiatives in a positive manner Actively participates in the development and revision of department policies Provides direct patient care as needed. Demonstrates the knowledge of risk and safety issues and uses measures to ensure optimal outcomes Actively participates in Universal Protocol and timeout, including fire risk assessment with the surgical team prior to the start of the surgical procedure according to hospital policy guidelines Validates implants with Surgeon Understands purpose of positioning devices and uses them correctly, following policy, to protect the patient from injury and to promote optimal exposure Follow established policy and procedures for instrument counts; initiate corrective actions when instrument counts are incorrect Verifies medications, concentrations, expiration dates of all medication received on the sterile field in concert with ST, surgeon and Anesthesia provider Communicates observations or concerns related to unsafe situations that pose a risk to patients, families or the healthcare team Stop in the face of uncertainty and take time to resolve the situation Continuously validate and verify information needed for decision making Demonstrate accurate, clear, and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers. Pay attention to detail, practice STAR - Stop, Think, Act, Review Assist the surgical team with emergency situations Demonstrates actions that show accountability and professional judgment Exercise judgement in decision making Arrives to the unit on time Handles difficult situations appropriately Utilizes downtime constructively Complies with departmental policies and procedures Able to identify own learning needs. Seeks out opportunities to meet needs and attends all required meetings/in-services/programs; Applies education and traning to daily work to enhance personal knowledge and skills Consistently participates in staff meting and in-service to improve skills Completes, documents, and reports all mandatory education and training Exemplary Professional Practice Role model excellent clinical skills with complex patients; care reflects analysis of patient status and appropriate interventions Direct prioritization of organization of care for complex patient with rapidly changing needs Documentation exemplifies adherence to the highest standards of practice Excel in organizational skills, adjust for changes and be able to complete assignment on time Role model caring in all encounters with patient/family as evidenced by feedback from parents and increase in patient satisfaction scores New Knowledge, Innovations and Improvements Initiate ways to improve operations through quality improvement and implement related solutions. Serve as a resource for current, new information or changes in specialty area Care incorporates best practices based on benchmarks and evidence within the literature Mentor and precept new nurses in clinical specialties. Demonstrate proficience in three or more preferred surgical specialties Transformational Leadership Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task forces and/or community outreach Role model critical thinking skills by problem-solving patient care and unit/system issues Communication reflects development of plan of care and ability to advocate to meet patients' needs; makes suggestions for resolution of system issues. Role model procedures for escalation of issues; utilize chain of command Demonstrate a collegial and respectful relationship with peers, physicians and other departments Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff Take the lead in implementing change and support management decision Role model behavior that reflects empathy, concern, and a desire to help others Structural Empowerment Independently maintain regulator requirements e.g. license, BLS Initiate professional activities to enhance nursing practice Engage in active review or peers giving constructive feedback through timely participation in evaluations Role model adherence to national safety standards and service excellence standards; champion advancement of education and certification Orchestrate involvement of the healthcare team and role model professional behavior and teamwork with co-workers Serve as a resource as needed and know when to escalate to the next level Organizational Accountabilities Organizational Accountabilities (Staff) Organizational Commitment/Identification Anticipate and responds to customer needs; follows up until needs are met Teamwork/Communication Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others’ ideas and opinions Performance Improvement/Problem-solving Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management/Financial Responsibility Use resources efficiently Search for less costly ways of doing things Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Primary Location District of Columbia-Washington Work Locations CN Hospital (Main Campus) Job Nursing Organization Surgery COE Position Status R (Regular) Shift Day Work Schedule Monday-Friday 7a-3:30p Job Posting Nov 20, 2025, 1:01:41 AM Full-Time Salary Range 89752
Cross Healthcare Services, LLC

Director of Nursing

Position Summary Under the direction of the Executive Director, the Director of Nursing is responsible for the administration and management of the nursing department to residents in accordance with orders of the physicians and total needs of the residents. Responsible for 24-hour supervision of the nursing department and direction to the nursing department to maintain quality standards of care in accordance with current Federal, State and Company standards, guidelines and regulations. In absence of the Administrator, assumes the responsibility for the facility. The position conducts the nursing process – assessment, planning, implementation and evaluation – under the scope of the State’s Nurse Practice Act of Registered Nurse licensure. Essential Duties and Responsibilities Assumes ultimate responsibility for coordinating plans for the total care of each resident which comply with physician’s orders, governmental regulations and facility resident care policies; · Develops, maintains and upgrades nursing department objectives, standards for nursing practice, nursing procedure manuals and written job descriptions for each level of nursing personnel. · Participates in the recruitment, selection, hiring, orientation, training and dismissal of nursing personnel. Participates as assigned in the orientation of new staff and demonstrates a positive, helpful and enthusiastic attitude. Ensures that a sufficient number of qualified supervisory and supportive nursing personnel are assigned for each unit/shift to meet the residents’ needs; Approves the staffing schedule according to budgeted levels and checks daily for the number of staff available for the week; Documents approved vacation/time off for Nursing Department; Approves time sheets for Nursing Department and checks hours to ensure accuracy for processing. · Assists in controlling nursing service hours and supply costs, including recommendation for the number and type of nursing personnel to be employed and nursing service equipment and supply needs. Ensures the residents receive skilled nursing and rehabilitation services, as needed; Maintains resident confidentiality. Interacts with residents, family members, co-workers, clinical and ancillary staff in a respectful, non-judgmental, supportive and calm manner. Provides excellent service. Addresses family satisfaction issues immediately in a professional manner and keeps the Charge Nurse informed. Assists in resolution of the issues. Participates in coordination of resident services through departmental and appropriate staff committee meetings; Participates in all screening processes prior to admission. Assesses items needed by the facility to meet resident needs. Conducts periodic review to ensure that the nursing requirements of each resident admitted to the facility are reviewed and that the physician is consulted in planning resident care. · Participates in admission and discharge planning for residents. · Promotes a safe environment within the facility, which includes fire and accident prevention, maintenance of sanitary conditions and assurance that all nursing personnel understand their roles in the event of a disaster or other disruption of services. Conducts periodic audits to ensure all documentation is informative and descriptive of nursing care and of the resident’s response to that care, as outlined in the MDS and Care Plan. Conducts periodic review to ensure the facility and personnel are in compliance with State Code Requirements. Completes/updates electronic documentation, as required. Oversees the weekly Medicare meeting process. Reviews all Accidents and Incidents (A/I) daily and develops an appropriate plan to prevent future accidents and incidents; Audits specific resident care issues on a daily basis such as skin, ambulation, etc.; Observes all pressure sores on a weekly basis, evaluating documentation and treatments. · Participates in admission and discharge planning for residents. Ensures medical supply sheets and requisitions are checked and faxed for processing on a timely basis. Ensures that standardized procedures are established and consistent throughout the facility. Ensures that nursing documentation meets the required standards. Adheres to the Resident’s Bill of Rights, Confidentiality of Resident Information and Resident Abuse Reporting Law. Complies with all company, state and OSHA safety standards. Recognizes, removes and/or reports potential hazards. Communicates and observes the Corporate Compliance Program effectively and complies with Code of Conduct when performing work functions. Follows all infection control requirements. Other duties as assigned Supervisory and Management Responsibilities · Oversees the development of the nursing department structure and roles of each position. · Establishes and manages goals and objects for the nursing department through analysis and strategic planning consistent with the company mission. · Understands and affects the role of the nurse leader with staff through effective team building, motivation, change management, efficient time management, delegation, stress management and effective and timely communication. · Develops and periodically updates statements of philosophy and objectives that define the type of nursing care the facility proposes to provide. Ensures that these are understood and implemented by nursing personnel · Facilitates collegial relationships among nurse managers and other healthcare professionals. · Hires, educates and counsels a nursing leadership team to participate in clinical oversight. · Maintains and evaluates an environment that empowers and supports nurse managers in problem solving and in decision-making to address identified issues. · Designs systems of share governance in clinical practice and accountability. · Ensures availability of nursing leadership team members to accommodate staff education; to address resident care issues; to meet with family members unavailable during routine shift hours. · Attends quality and operation reviews for the center with Administrator and Corporate Staff · Participates in meetings and conducts rounds with the Administrator and Corporate Staff. · Provides leadership to the facility in the absence of the Administrator. Staff Development · Ensures professional staff hold current licenses in the state of practice; that non-licensed nursing personnel providing care delivery hold current certifications after the fourth month of hire; and all nursing personnel including purchased services or contracted services providing care have criminal background checks and appropriate TB screening. · Plans staff development programs that will enhance staff knowledge of quality resident care. · Ensures effective departmental orientation and on-the-job training for new nursing employees. · Ensures personnel are adequately educated to care for acute events, chronic illnesses of the frail elderly, cognitive impairment, end of life, and hospice care. In some settings, post-acute services/programs may dictate additional specialized education and competencies. · Completes performance appraisals for all direct reports in accordance with the Company protocols; oversees completion and reviews performance appraisals of all nursing department personnel. · Ensures mandatory in-service are provided annually, including but not limited to abuse prevention, documentation guidelines, corporate compliance and safe business practices, blood borne pathogens, and exposure control plan. · Ensures staff is educated on the survey process and regulatory requirements. · Utilizes corporate, community and vendor resources to provide educational opportunities for nursing personnel. · Conducts staff meetings on all shifts at least monthly. · Demonstrates developmental action to encourage and prepare nursing staff for advanced practice responsibilities or nurse management roles. · Provides 24-hour “on call” service to the nursing center in case of emergency. Financial Management · Collaborates with the Administrator in preparing the annual nursing budget using corporate guidelines to ensure adequate resources for staffing, supplies and capital items needed for resident care. · Utilizes payroll reports in managing and monitoring the staffing of the nursing department. · Ensures adequacy of supplies and equipment for current need and projects future cost impact. · Oversees the operation of the nursing department in accordance with the approved budget through effective use of corporate and facility financial reports. · Using the monthly P&L and other available reports, monitors PPDs, trends outcomes, documents variances and communicates corrective action plans to Administrator. · Assists in planning, coordinating, and conducting continuing education programs and special in-service training sessions relevant to the needs of department personnel. · Staffs the department with capable people · Ensures that employees are adequately oriented and trained to perform their duties · Reviews employee performance annually and makes recommendations for pay increases, promotions or performance improvement plans as deemed appropriate · Establishes and maintains effective two-way communication to understand the needs and concerns of employees. · Recommends changes in policies and practices wherever employee needs are not being met. · Receives, investigates and responds to employee complaints Minimum Qualifications (Knowledge, Skills, and Abilities) · Bachelor’s Degree in Nursing preferred or the equivalent in related work experience · Must possess a current, valid Texas State Nursing License as a registered professional nurse, in good standing. · 3+ years of experience in nursing service administration · Additional education or experience in such areas as rehabilitative or geriatric nursing is preferred · Must possess strong knowledge of state, federal and local regulations as they pertain to long term care. · Must be available to be on call 24 hours a day · Must be able to adjust to changes in unit/shift assignments · Must meet health assessment requirements. · Must be able to communicate verbally and in writing in English Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. Must be able to lift up to 50 pounds without assistance and 51 - 100 pounds with assistance Must be able to sit, stand, walk, bend/stoop, squat/crouch/kneel, reach and pull/push Physical Demands – Office While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or finger, handle, or feel objects, tools or controls. The employee is required to stand; walk; sit; reach with hands and arms and pull/push; climb or balance; and stoop, kneel, crouch, or crawl. The employee must lift and/or move up to 50 pounds without assistance and 51-100 pounds with assistance. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus Work Environment – Office This job operates in a professional office environment with minimal exposure to dust, chemicals or noise. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Note This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.
Benchmark Senior Living

LPN - Care Nurse Supervisor Traditional

Job Title: Care Nurse Supervisor, LPN Department: Resident Care Date Revised: August 2024 Reports To: Resident Care Director FLSA Status: Non-Exempt Job Code:7105 Harbor 7006 Trad Job Summary: The Care Nurse Supervisor (CNS) manages the successful operation of the Resident Care Department, under the leadership of the Resident Care Director (RCD). The CNS is responsible for the oversight, coaching, and direct supervision of all resident care service providers in the community. The CNS management scope includes direct supervision of resident care positions, resident assessment, and management as defined by the Resident Care Director. Principal Duties/Responsibilities: Demonstrates expertise in clinical skills and nursing judgement within their scope of practice. Identifies and assesses the clinical status of potential residents Obtains the medical information release form from primary care physician as needed Develops a plan of care (in collaboration with the RCD) based on the identified physical and psychological problems of the resident including: the identified problems; resident specific goals and planned program interventions. Successfully implements the plan of care Develops a service plan (in collaboration with the RCD) according to the requirements outlined in the state regulations Coordinates care needs with community providers via an effective case management process Measures and accurately records vital signs (temperatures, pulse, respiration, blood pressure weight and height) where appropriate as per state regulations Oversees ancillary health services as needed Provides ongoing supervision of residents’ health related activities, complies with health care instructions explained by health care professionals; promptly and appropriately seeks and obtains medical attention when needed. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations Conducts SAMM / MAR and RCA documentation audits bi-monthly Conducts assessments / reassessments per Benchmark standards Assesses risk in a proactive manner Facilitates weekly resident tracking meeting in absence of the RCD Assures resident information is communicated to the staff through a report process and calendar i.e. appointments, outings, etc. Communicates and documents residents’ material needs (i.e. briefs, clothing, toothpaste, pads, etc.) Notifies RCD of incidents in a timely manner. Accurately completes incident reports prior to the end of the working day Observes and reports any significant changes in resident behavior and health to the RCD, physician, family, RCAs, and Executive Director per state regulations Responds to emergencies and personal emergency response system and knows when to call for backup Compliance and Safety Ensures compliance with all resident care related regulations (e.g. medication management) Demonstrates infection prevention and control Demonstrates personal and resident safety Reviews and demonstrates fire, safety, and elopement procedures Ensures that a visit occurs following an incident, accident, injury Ensures physician and family notification per state regulations Actively participates in the QA process per assignment Direct Supervision Directs and supervises the daily work assignments of the Resident Care Assistants (RCA). Serves as first point of contact for RCAs regarding assignment questions or concerns. Provides input into performance reviews and disciplinary actions as required. Participates in the hiring and termination processes as they relate to resident care associates. Sources and screens new candidates and facilitate/co-facilitates terminations. Conducts or supervises the scheduling of all RCA staff Closely mentors, guides and directs the Lead Resident Care Assistants in all aspects of their job Participates in training / in-services as required by Benchmark and state regulations Core Competencies (People, Culture and Values) People Inspiration: Openly demonstrates respect for associates, residents, and families; understands the company’s purpose, mission, and values; actively shares across communities. Emotional Intelligence and Empathy: Actively listens to people, has residents and associate interests as priority; able to influence others. Interpersonal: Establishes positive rapport and maintains an organized communication process; actively pursues resident and peer interactions. Influences and engages: Recognize the accomplishments of others; expresses gratitude. Culture Innovation: Expresses ideas to improve the business and processes. Encourages others to present ideas and feel comfortable improving the Benchmark experience. Accountability: Self-aware of his/her words and actions. Demonstrates a strong sense of responsibility. Transparency: Open and honest communication with peers, associates, residents, and their families. Core Benchmark Beliefs and Values Transforming lives through human connection Called to care Better together Be the Benchmark Education/Experience/Licensure/Certification: Graduate of an approved L.P.N. program (per state requirements). Has a valid, unrestricted nursing license. Minimum 1 to 2 years of experience working as a nurse. Previous experience working with the elderly in a paid or volunteer position highly desirable. Required Skills/Abilities Demonstrates good supervision and management skills & behaviors Understands and can develop Resident Care Service Plan Understands advanced directives and end-of-life care Possesses knowledge about the assisted living philosophy Understands nursing function in assisted living Understands quality of care/life objectives Possesses current CPR, First Aid, and Heimlich certification, if required Demonstrates working knowledge of state regulations Possess knowledge of policies in the resident handbook Excellent verbal communication skills and the ability to relate in a positive and professional way to a diverse resident and employee population. Ability to be flexible and work in an environment that promotes teamwork and collaboration. Ability to maintain highest level of confidentiality regarding residents, staff and the Community. Demonstrated ability to set priorities, complete assignments in a timely manner while managing multiple duties and responsibilities. Demonstrate proficiency in documenting in an resident electronic health record (EHR). Proficient using MS office Proficient in using state audit compliance tool PHYSICAL JOB ANALYSIS JOB TITLE: Nurse The principal duties and responsibilities are listed in the formal job description. This form is intended to provide a summary of the physical demands of the job. Frequency Frequency Unanticipated Seldom (1-5% of time) Occasional (6-33% of time ) Frequent (34-66% of time) Constant (67-100% of time) Unanticipated Seldom (1-5% of time) Occasional (6-33% of time ) Frequent (34-66% of time) Constant (67-100% of time) LIFT/CARRY (OBJECTS) EQUIPMENT Objects up to 10 lbs. X Transfer Devices/Gait Belts X Objects 11-20 lbs. X Kitchen Equipment X Objects 21-35 lbs. X Ladders X Objects 36-75 lbs.* X Maintenance Equipment X Objects 76-100lbs.* X Tablets/Computers/Office X *Weights in excess of 35 lbs. will be reviewed for 2-person or mechanical assist Vehicles/Driving X PUSH/ PULL FORCE ** ENVIRONMENTAL EXPOSURES Wheelchair with Resident 10-50lbs. X Indoors X Resident Lift Equipment 10-60 lbs. X Outdoors X 2 Wheel Dolly/ 4 Wheel Cart 5-35lbs. X Extreme Heat X Floor Cleaning Equipment 5-25 lbs. X Extreme Cold X **Push/pull force is measured as the peak force required to start object moving Dusty X POSTURES Excessive Noise X Sitting X RESIDENT MOBILITY ASSISTANCE Standing X One/two person manual transfer (up to 35 lbs. lifting force per person) X Walking on even surface X Bed positioning (lateral movement of resident in bed) X Walking on uneven surface X Chair boosting (assisting resident to sit up in a chair) X Climbing/Stairs X Assist Walking with Gait Belt X Bend/Stoop/Twist X ADDITIONAL CONSIDERATIONS Crouching/Squatting X Physical Exams or Health Screenings (as required by state) Kneel/Crawling X TB Test Reach Above Shoulders X Annual Flu Shot Reach Waist to Shoulders X COVID Vaccinations and Boosters Reach Below Waist X Personal Protective Equipment (nitrile gloves, gown, mask, etc.) Repetitive Arm Use X N95 Respirator (must be clean shaven such that any facial hair does not impact the respirator seal) Repetitive Wrist/Hand Use X Exposure to House Pets Hand grasping (power grip) X Exposure to Needles and Sharps Fine manipulation hands/fingers X When working with our resident population, you may on occasion be exposed to certain risks related to medical conditions or progressive diseases such as Alzheimer's disease. These risks include communicable diseases as well as agitation and/or aggressive behaviors which may be verbal or physical. Because you are working so closely with the resident, you may be the target of this aggression. Understanding that these behaviors are related to a medical condition and/or disease process and are not in any way personal, is key to maintaining dignity and respect for our residents in all avenues of care. Benchmark is committed to workplace safety, and to the extent there is any concern relating to safety hazards in the performance of the job, you should immediately report your concerns as directed in the Employee Handbook. Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. I ______________________________ have read this job description and understand the duties and responsibilities of the position of Care Nurse Supervisor, LPN_. I further understand that it is my responsibility to perform my duties consistent with the highest standards of Benchmark Senior Living. ________________________________ _______________ Employee Signature Date ________________________________ _______________ Supervisor’s Signature Date
Advocate Aurora Health

Medical Assistant II - Atrium Health Archdale FM FT

$22.90 - $34.35 / hour
Department: 38812 Carolinas Medical Center - Clinic: Family Medicine: Archdale Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: M-F 0800-1700 Pay Range $22.90 - $34.35 Major Responsibilities: Adheres to Medical Assistant scope of practice, follows all policies and procedures, and maintains training and competency based on area of specialty when providing patient care. Performs rooming/visit tasks such as vital signs, medication reconciliation, medical history, health maintenance, allergy review, and screenings (depression, suicide, falls, social drivers of health, etc.). Assists provider with or performs procedures as ordered. Performs lab related duties such as venipuncture, specimen collection/labeling/packing, preparation of lab orders/requisitions, and results tracking. Point of Care testing (POCT) per standing order/provider order. Completes Clinical Laboratory Improvement Amendments (CLIA) approved waived laboratory tests and practice-specific diagnostic testing in adherence to CLIA standards. Administers medications and vaccines safely following the rights of medication administration. Performs other duties as assigned such as medication refills, insurance authorizations, safety/regulatory log completion, patient messaging, medication/supply ordering, appointment scheduling, and referrals. Demonstrates effective and timely communication, teamwork, and appropriate escalation. Maintains a clean work environment ensuring instruments and equipment are cleaned appropriately. Ensures equipment and supplies are in working order, and areas are appropriately stocked. May assist with training and onboarding of other teammates. May serve as a role champion or on a committee. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Minimum Job Requirements Education Greater Charlotte: High School Diploma or GED required. Completion of an accredited Medical Assistant program or may have completed structured military training which is clinical in nature per DD214 in lieu of a formal medical assistant program or EMT. IL/WI Divisions: High School Diploma or GED required. Completion of an accredited or approved program in Medical Assistant, or 2 years of verifiable full-time experience as a Medical Assistant within the last 5 years. Wake Forest: High School Diploma or GED required. Completion of an accredited Medical Assistant program or may have completed structured military training which is clinical in nature per DD214 in lieu of a formal medical assistant program or EMT. Floyd & Navicent: High School Diploma or GED required. Completion of an accredited or approved program in Medical Assistant, or 2 years of verifiable full-time experience as a Medical Assistant within the last 5 years. Certification / License Greater Charlotte: Current American Heart Association (AHA) BLS certification required. Successful completion of Atrium Health’s competency assessment. Recognized or certified as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), National Health Career Association (NHA), National Healthcare Worker's Association (NHCWA), National Center for Competency Testing (NCCT), American Registry of Medical Assistants (ARMA) American Medical Technologists (AMT), National Association for Health Professionals (NAHP), National Registry of Medical Assistants (NRMA). Successful completion of system approved program to become a primary trainer for new teammates. IL/WI Divisions: Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 45 days unless department leader has determined it is not required. Certified or registered as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), Certified Clinical Medical Assistant (CCMA) certification issued by the National Health Career Association (NHA), RMA certification issued by the American Medical Technologists (AMT), Medical Assistant (NCMA) certification issued by the National Center for Competency Testing (NCCT), Clinical Medical Assistant Certification (CMAC), or American Medical Certification Association (AMCA). Wake Forest: Current American Heart Association (AHA) BLS certification required American Association of Medical Assistants (AAMA), American Medical Technologists (AMT), American Allied Health (AAH), National Healthcare Worker's Association (NHCWA), National Health Career Association (NHA), (MCMA), National Association for Health Professionals (NAHP), National Registry of Medical Assistants (NRMA), Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) may be required within 1 year in select areas. Successful completion of Atrium Health’s competency assessment. Demonstrates professional practice advancement through professional governance, safety coach, super-user, vaccine coordinator, SPICE or OSHA/IP certificate holder for unit Achieves 6 points from the list of additional market responsibilities Floyd & Navicent: Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 45 days unless department leader has determined it is not required. Certified or registered as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), Certified Clinical Medical Assistant (CCMA) certification issued by the National Health Career Association (NHA), RMA certification issued by the American Medical Technologists (AMT), Medical Assistant (NCMA) certification issued by the National Center for Competency Testing (NCCT), Clinical Medical Assistant Certification (CMAC), or American Medical Certification Association (AMCA). Experience Two years of experience in a clinical practice setting as a Medical Assistant. Knowledge / Skills / Abilities Ability to perform routine and complex technical skills, within the Medical Assistant scope of practice after demonstrated competency. Excellent communication and interpersonal skills; ability to develop rapport and maintain positive, professional relationships with a variety of patients, team members and physicians. Proficient computer skills including keyboarding, navigation within a windows operating system, and use of electronic mail with exposure to electronic medical records systems. Demonstrates customer service skills that support a positive patient experience. Physical Requirements and Working Conditions Must sit, stand, walk, lift, squat, bend, twist, crawl, kneel, climb, and reach above shoulders throughout the workday. Ability to lift 35 pounds without assistance. For patient lifts over 35 pounds, or when patient is unable to assist with lift, patient handling equipment is expected to be used, with at least one other team member, when available. Unique patient lifting/movement situations will be assessed on a case- by -case basis. Must have functional speech, vision, hearing, and touch with ability to use fine-hand manipulation skills. Will be exposed to the following hazards on a frequent basis: mechanical, electrical, chemical, blood and body fluids. Will be required to wear protective clothing and equipment as needed. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Tufts Medicine

Registered Nurse, RN - Mother Infant Unit (MIU)

$43.01 - $70.95 / hour
Registered Nurse, RN - Mother Infant Unit Tufts Medical Center is a world-renowned academic medical center that has been caring for patients across New England for more than 200 years. As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Nurses are at the heart of that mission. As a Magnet® designated organization, Tufts Medical Center offers nurses the opportunity to practice at the highest level grounded in teamwork, clinical inquiry, and a culture of continuous improvement. We are committed to advancing nursing through evidence-based care, shared decision-making, and strong interdisciplinary collaboration. Nurses at Tufts MC are deeply integrated into all aspects of clinical care and operations. Whether providing high-acuity specialty care or leading quality and safety initiatives, our nurses are respected as full partners in care delivery and innovation. Their insight drives progress. Their expertise shapes outcomes. Nurses are supported through strong peer networks, diverse clinical experiences, and opportunities for professional development. Professional growth is expected, encouraged, and championed. At Tufts Medical Center, nursing isn’t just supported but integral to who we are. Join us and be part of a team that’s leading with purpose and redefining what’s possible in healthcare. Hours: Full-Time, 36 hours per week, Day/Night Rotating Shifts Job Profile Summary ​This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. Job Description Minimum Qualifications: 1. Registered Nurse (RN) license. 2. Basic Life Support (BLS) certification. 3. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN) 2. Specialty Nursing certifications. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. 2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. 3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. 5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. 6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families. 7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. 8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. 9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. 10. Performs as an advocate and as an educator for patients and families. 11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. 12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives. 13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction. 15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources. 18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model. 19. May assume charge nurse functions in collaboration with unit leadership; 20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Contact with patients under wide variety of circumstances. 7. Subject to varying and unpredictable situations. 8. Handle emergency and crisis situations. 9. Subjected to irregular hours. 10. May have contact with hazardous materials. Skills & Abilities: 1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $43.01 - $70.95
Lucile Packard Children's Hospital Stanford

Certified Nurse Midwife / Nurse Practitioner / Physician Assistant, Obstetrics

$87.55 - $109.44 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P143254-368 Job Description DEPARTMENT DESCRIPTION The Obstetrics Clinic at LPCH Stanford is a fast-paced clinic that provides services for both low and high-risk expectant mothers through the continuum of their gestation. We are looking for a detail-oriented and compassionate Advanced Practice Provider with women’s health experience who can work with a collaborative, high-functioning team to serve the needs of both antepartum and postpartum mothers in both individual clinic visits as well as in the group setting. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. Certified Nurse Midwife (CNM): The Certified Nurse Midwife (CNM) provides routine prenatal and postpartum care to patients with normal prenatal histories and postpartum courses as well as the management of those patients with acute and chronic conditions related to (and during the course of) pregnancy, in collaboration with the physician(s) and through implementation of standardized procedures. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. Certified Nurse Midwife (CNM): Licensure as a Registered Nurse (RN) in the State of California CNM - Certified Nurse Midwife. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $87.55 to $109.44 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Mount Sinai Health System

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 - 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)
Alaska Native Tribal Health Consortium

Registered Nurse - NICU

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

Clinical Nurse Case Manager I - General Surgery

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction. ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state. Our vision: Alaska Native people are the healthiest people in the world. ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes: Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers. Cost-Share Dental and Vision Insurances Discounted Pet Insurance Retirement Contributions with Pre-Tax or Roth options into a 403(b). 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer. Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service. Eleven Paid Holidays Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members. Flexible Spending Accounts for Healthcare and Dependent Care. Ancillary Cash Benefits for accident, hospital indemnity, and critical illness. On-Site Child Care Facility with expert-designed classrooms for early child development and preschool. Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice. Tuition Discounts for you and your eligible dependents at Alaska Pacific University. On-Site Training Courses and Professional Development Opportunities. License and certification reimbursements and occupational insurance for medical staff. Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals. Emergency Travel Assistance Education Assistance or Education leave eligibility Discount program for travel, gym memberships, amusement parks, and more. Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org. Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act. Summary Under general direction collects, analyzes data, identifying expected outcomes of each patient, developing a plan of care with interventions and constantly evaluating the patient's progress toward attainment of the outcomes, working collaboratively with the specialty healthcare team and other disciplines. Responsibilities Using critical thinking and problem solving skills in a dynamic and systematic collaborative approach to providing and coordinating health care service to a defined population. Uses advanced nursing specialty knowledge to assess, plan, implement, evaluate and interact with the patient. Evaluates options and services to meet the individual’s health needs through communication and available resources to promote quality, cost-effective outcomes. This may include the development and maintenance of patient tracking and reporting programs for the purposes of identifying gaps in the health care delivery system. Contributes to the mission and vision of ANTHC by providing necessary coordination of care for a specified population. This means being involved in organizational activities such as unit based councils and process improvement committees to continually evaluate and improve services for the specific population. Independently and consistently use nursing knowledge, collect patient health data, analyze the data to determine diagnoses, identify expected outcomes individualized to the patient, develop a plan of care that prescribes interventions to attain the expected outcomes, implement the interventions identified in the plan of care, and evaluate the patient’s progress toward attainment of the outcomes, working collaboratively with the healthcare team. Is active in the systematic evaluation of the quality and effectiveness of nursing practice, researching and spearheading quality of care activities to initiate positive changes in nursing practice. Evaluates one's own nursing practice in relation to professional practice standards and relevant statutes and regulations, identifying short and long-term professional goals. Adheres to the Standards of Practice for Case Management, and the ANA Nurses Code of Ethics, and is familiar with specific specialty standards of practice if applicable. Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice. Acts as a consultant regarding specialty issues to all involved disciplines. Decides and acts on behalf of patients are determined in an ethical manner, and care is delivered in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity preserving patient autonomy, dignity, and rights. Collaborates with the patient, family, and other health care providers in the formation of overall goals and the plan of care, as well as in decisions related to care and the delivery of services. Considers factors related to safety, effectiveness, evidence based-practice, and cost in planning & delivering patient care, and assists the patient and family in identifying and securing appropriate and available services to address health-related needs. This includes communications and coordination with various insurance payers including ANMC’s Purchased Referred Care, Alaska Medicaid, and independent insurance companies. Plans, collaborates, and coordinates with external facilities to arrange care for complex subspecialty needs not provided at ANMC. Utilizes extensive problem solving and critical thinking skills in triaging patients via the telephone, email and walk-in situations. Delivers extensive patient education on complex specialty issues as well as multiple disease processes. Delivers timely and effective nursing care according to established standards including physical, social and emotional care. Has the flexibility to adapt to new and changing situations. Performs program specific complex nursing assessments, interventions, and evaluations, including specialized infusions, procedures and protocols as applicable. Proactively shared specialty information with colleagues in the form of formal presentations and publications to enhance the overall nursing quality of care at ANMC for the specified population. Performs other duties as assigned. Other Information KNOWLEDGE and SKILLS Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology and concepts of disease. Knowledge and ability to utilize evidence based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of Alaskan culture. Knowledge of nursing theorists and ability to provide theory based care for patients. Knowledge of shared governance environment with shared-decision making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in providing effective nursing services, assessing patient situations and taking effective courses of action. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Skill in evaluating health problems, and making recommendations based on observations. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION Associates degree in Nursing. Minimum Experience Qualification Non-supervisory - Five (5) years professional work experience in health education, health related research, and/or health related program development, implementation and evaluation. An equivalent combination of relevant education and/or training may be substituted for experience. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support card required. Preferred Education Qualification Bachelor’s Degree in Nursing. Preferred Experience Qualification Experience in the Alaska Tribal Health System. Preferred Certification Qualification National certification in Case Management through the ANCC and/or other specialty specific certification.
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 Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time available Schedule Time Options: 7am - 530pm 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)
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)
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Interventional Radiology

$87.55 - $109.44 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P143688-2805 Job Description This is a Fixed Term position Description Of Daily Duties The Interventional Radiology (IR) NP/PA position is part of a collaborative team model of care consisting of IR physicians, advanced practice providers (APPs), registered nurses, and residents/fellow who provide care for patients with a wide range of pediatric diagnoses. We are looking for a highly motivated and self-directed practitioner with excellent communication skills, clear judgment, and attention to detail. This is a highly demanding role requiring the utmost in clinical and professional preparation. Applicants must be a very effective communicator with strong work ethic and high regard for professionalism. Previous APP experience in critical care, procedure-based roles, or interventional radiology is preferred. Pediatric IR patients range from premature infants to young adults. APPs are primarily responsible for inpatient management and consultations and performing procedures according to standardized guidelines. The APP team also assists primary inpatient teams with line and drain management post procedures. The APP team works with interventionalists in a weekly outpatient clinic to provide post- procedure follow-up and evaluate new cases. Learning opportunities include weekly education conferences, monthly APP Grand Rounds, and radiology and case conferences. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $87.55 to $109.44 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Woodland Heights Medical Center

RN Charge Med/Surg Days

Woodland Heights has an opening for a RN Charge Days in our Med/Surg department! We provide exceptional care for our patients and are looking for caring and knowledgeable team members to join us. As a Nurse at WoodlandHeights, you’ll play a vital role in doing what you do best - providing quality care to our patients. We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Woodland Heights is an employer that will motivate you, inspire you, and allow you to grow. We are looking for the best. If you are too, we invite you to learn more and apply today! Our nurses enjoy a robust benefits package including: Benefits Matching 401(k) Medical, Dental, Vision & Life Insurance Rx Savings Program Tuition Reimbursement Loan Repayment Competitive Pay + Shift Differentials Generous Paid Time-Off (PTO) Extended Illness Bank (EIB) Employee Referral Bonus Program Opportunities for career advancement Rewards and recognition programs Additional perks and discounts Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-appropriate care and education. Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. Assists physicians during procedures within the scope of documented competency and skill level. Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. Documents patient care and education thoroughly and promptly in the medical record. Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. Critical Care RN: Administers medications and other treatments as prescribed, including intravenous medications and therapies. Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems. Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support. Emergency Services RN: Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly. Conducts emergency procedures such as intubation, wound care, and suturing. Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support. OR Services RN: Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care. Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment. Monitors patient vital signs, administers medications, and observes for changes in patient condition. Cardiac Surgery RN: Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings. Administers medications and IV drips, adjusting dosages based on the patient's condition. Proficient in operating and maintaining advanced life support equipment like ventilators, intra-aortic balloon pumps, and ECMO. After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care. Endoscopy RN: Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure. Monitors patient vitals, administers medications, and assists the physician during procedure. Provides post-procedure care, monitors recovery, and educates patients about aftercare instructions. Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly. Obstetrics/Labor and Delivery/Post Partum/Nursery RN: Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery. Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression. Assists with epidurals and other pain management techniques during labor. Administers pain medication, induces labor, and manages other medication needs during labor and delivery. Assists during labor and delivery, monitors fetal well-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well-being, and providing education on postpartum care and breastfeeding. Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care. Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care. Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care. Interprets fetal heart rate patterns and assesses fetal well-being using electronic fetal monitoring. Oncology RN: Administers chemotherapy, manages side effects, monitors vitals, and manages pain. Explains treatments, answers questions, and provides information on resources. Provides emotional and psychological support to patients and their families. Orthopedics RN: Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases. Provides care for Orthopedic patients encompassing pre-operative and post-operative care. Conducts peripheral/vascular assessments. Treats patients with immobilization devices. Provides pain management. Provides patient education. PACU RN: Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia. Evaluates pain levels and administers pain medications as prescribed. Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches. Monitors for and respond to any post-operative complications. Administers medications, including pain relievers and other post-operative medications, as prescribed. Regulates intravenous (IV) fluids and monitor fluid balance. Checks and changes dressings on surgical wounds. Ensures a clear airway and provide oxygen support as needed. Educates patients and families about post-surgery care, potential complications, and discharge instructions. NICU RN: Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress. Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy. Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition. Provides basic care tasks like diaper changes, bathing, and positioning. Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU. Telemetry RN: Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs. Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians. Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health. Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions. Dialysis RN: Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed. Takes vital signs, monitors signs of complications, and responds to changes in patient condition. Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication. Inspects and maintains dialysis machines and equipment. Cath Lab RN: Pre-Procedure: Reviews medical history, assesses patient's overall health, and prepares them for the procedure. Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration. Administers medications as prescribed by the physician. Educates patients and families about the procedure and what to expect. Verifies that surgical consents have been signed. During the Procedure: Assists the Cardiologist during the catheterization process. Closely monitors the patient's vital signs, hemodynamic data, and sedation levels. Ensures proper functioning of equipment and supplies. Manages potential complications and responding to emergencies. Post-Procedure: Continues to monitor the patient's vital signs and overall condition after the procedure. Administers post-procedure medications as needed. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities Strong knowledge of the nursing process and clinical nursing practices. Ability to perform thorough patient assessments and communicate findings effectively. Proficient in administering medications and monitoring for side effects. Effective communication and interpersonal skills to collaborate with interdisciplinary teams. Strong organizational skills and attention to detail in documenting patient care. Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred PALS - Pediatric Advanced Life Support preferred NRP - Neonatal Resuscitation preferred Refer to facility or unit-specific guidelines for additional requirements. Woodland Heights Medical Center is your community healthcare provider, a 149-bed facility offering inpatient and outpatient services. We believe in the power of people to create great care. We're more than 200 healthcare professionals strong. We are a Joint Commission accredited facility and have received awards for cardiology , pulmonology, neurology and orthopedic surgery . We work hard every day to be a place of healing, caring and connection for patients and families in the community we call home. Our Values Compassion Accountability Respect Excellence Service Our Vision To be recognized as the preferred healthcare provider and employer of choice in East Texas. Our Mission To be the leader in service excellence and quality.
Aperion Care

Assistant Director of Nursing (ADON) *$10,000 Sign On Bonus!* Chicagoland (Various Locations)

ADON SUMMARY: The ADON will assist the Director of Nursing in planning, organizing, developing, and directing the day-to-day functions of the Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator, the Medical Director, and/or the Director of Nursing, to ensure that the highest degree of quality care is maintained at all times. Additional responsibility will focus on providing skin care to residents under the medical direction and supervisor of the residents’ attending physician, the Director of Nursing, or the Medical Director of the facility, with an emphasis on treatment and therapy of skin disorders. ESSENTIAL DUTIES AND RESPONSIBILITIES: Confer with the Director of Nursing and/or other licensed nursing personnel regarding the dermatologic disorders of residents in the facility Examine the resident and his/her records and charts, and discriminate between normal and abnormal findings, in order to recognize when to refer the resident to a physician for evaluation, supervision, or directions Provide assessment and diagnostic services to residents. Perform an assessment evaluation using techniques including observation, inspection, and palpation Initiate requests for consultation or referral. Respond to requests from the resident, physician, or nursing staff Identify, manage, and treat specific skin disorders and primary and secondary lesions, such as skin abrasions, foot problems such as corns and callouses, decubitus ulcers, bacterial, parasitic and viral skin infections, scaling popular diseases, and benign tumors Assist in resident rehabilitation activities. Where require, perform range of motion, assist in ambulation, provide emotional support. Monitor the results of physical therapy activities. Provide preventative health care services. Make recommendations to the resident concerning nutrition, prevention of common skin disorders, etc., Make written and oral reports/recommendations to the attending physician, Medical Director, or the DON concerning the status and care of the residents Implement and maintain established policies and procedures relative to RN care treatments. Interpret these to the physician, resident family members, and public as appropriate Assist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of nursing department. Ensure that reference material maintained at the nurse’s station is current. Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents. Develop and periodically update nursing service objectives and statements of philosophy. Assist in developing and implementing a nursing organization structure. Make written and oral recommendations to the Director as necessary/required, concerning the operation of the nursing department. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care. Ensure that all nursing personnel are following their respective job descriptions. Participate in the development, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with pertinent laws and regulations. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing. Assist the resident and Discharge Planning Coordinator in planning the nursing portion of the resident’s discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. Monitor the facility’s QI, QM and survey reports and provide the Director with recommendations that will be helpful in eliminating problem areas. Assist the Director in obtaining staffing information that must be posted on a daily basis. Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to Administrator. Service on the Quality Assurance and Assessment Committee as directed. Schedule, attend, and participate in developing the agenda for the Care Plan Team Meetings as required. Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing personnel to be employed. Assist the Director in the recruitment and selection of nursing personnel. Ensure that a sufficient number of Licensed Practical and/or Registered Nurses & CNA’s are available for each shift to ensure that quality care is maintained. Also ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistants program. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Delegate to the Charge Nurse and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing performance evaluations as directed. Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to Director. Review complaints and grievances made or filed by department personnel. Make appropriate reports to Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department’s policies and procedures to personnel, residents, visitors and government agencies as necessary. Ensure that all nursing personnel participate in the facility’s TB testing program. Participate in the interviewing and selection of residents for admission to the facility. Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Review nurse’s notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to Director. Assist in developing and implementing corrective action. Participate in developing, planning, conducting, and scheduling in-service training that provide instructions on “how to do the job” and ensure a well-educated nursing department. Participate in the mandatory new hire orientation. Assist Director in scheduling annual mandatory in-service training for staff. (OSHA, HIPAA, Abuse Prevention, Infection Control, etc.) Assist the Safety Officer in developing safety standards for the nursing department. Assist the Director of Nursing in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that nursing personnel work areas (nurse’s station, medication rooms, etc.) are maintained in a clean and sanitary manner. Ensure all resident care rooms, treatment areas, etc., are maintained in a clean, safe and sanitary manner. Ensure that all nursing personnel participate in and conduct all fire safety and disaster preparedness drill in a safe and professional manner. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the residents. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department’s equipment and supplies in a safe and operable manner. Ensure that only trained and authorized personnel operate the department’s equipment in a safe manner. Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. Assist the MDS/CPC in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Encourage the resident and his/her family to participate in the development and review of the resident’s plan of care. Be sure that staff members are providing care that reflects the wishes of the resident. Maintain confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. Ensure all nursing personnel are knowledgeable of the residents’ responsibilities and rights include the right to refuse treatment. Performs other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Wound Certification from accredited institution preferred. Must have, as a minimum, two (2) years of experience as an RN Must possess, as a minimum, a Nursing Degree from an accredited college or university. Registered Nurse with current unencumbered state license Must have, as a minimum, 2 years of experience as a supervisor in a hospital, nursing care facility, or other related health care facility. Must have, as a minimum of 6 months experience in rehabilitative and restorative nursing practices. Current CPR Certification is required. Must be able to read, write, speak and understand the English language. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must have patience, tact, a cheerful disposition and enthusiasm, as well as at the willingness to handle difficult residents. Must be able to relate information concerning a resident’s condition. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to move intermittently throughout the workday. Must function independently and have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. · Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility. Must be able to push, pull move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. SIGN ON BONUS SUBJECT TO TERMS AND CONDITIONS, AND MINIMUM HOURS WORKED. BONUS MAY VARY BY FACILITY. APERCHI1
Cayuga Medical Center

Nurse Manager- Men's Residence Cayuga Addiction Recovery Services- Full Time- Days

$94,993.60 - $129,459.20 / year
Nurse Manager- Men's Residence Cayuga Addiction Recovery Services- Full Time- Days When two established local health systems unite as one collaborative network, healthcare becomes so much more. Centralus Health, an affiliation of Arnot Health and Cayuga Health, is focused on our region's changing needs and your wellbeing. More than a group of experienced caregivers, Centralus Health is a partnership of advocates who strive to eliminate barriers to better health, innovating and evolving services in our communities for enhanced holistic care close to home. Beyond clinical outcomes, it's strengthening community connections and setting a higher standard for quality that's exceptionally personal. Centralus Health is central to wellness-for all of us. The Nurse Manager oversees nursing services across two substance use treatment programs, providing clinical leadership and ensuring high-quality patient care. This role is responsible for supervising a multidisciplinary nursing team, including Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Medical Technician's (MT's) or Medical Assistants (MAs), in an ambulatory substance use treatment programs setting. The Nurse Manager will ensure regulatory compliance with multiple regulatory bodies including but not limited to OASIS, SAHMA, and DEA. Fostering interdisciplinary collaboration, and driving continuous quality improvement initiatives will be central to the success of this role. Through strong leadership and organizational skills, the Nurse Manager ensures that both clinics operate efficiently and deliver safe, evidence-based care to individuals in recovery from substance use disorders. Key Responsibilities Clinical Leadership: Lead and coordinate the nursing staff across two clinics, setting standards for evidence-based care in substance use treatment. Monitor clinical practices to ensure compassionate, patient-centered care for individuals receiving recovery services. Staff Supervision and Development: Oversee RNs, LPNs, and MAs, including hiring, scheduling, and performance evaluation. Provide mentorship, orientation for new staff, and ongoing training to ensure all team members maintain competency and adhere to best practices in addiction medicine. Regulatory Compliance: Ensure full compliance with all federal and state regulatory bodies and accreditation standards for ambulatory clinics. Maintain policies and procedures that meet state and federal requirements, and prepare the clinics for any inspections or audits by regulatory bodies (e.g. health department or accrediting organizations). Interdisciplinary Collaboration: Work closely with an interdisciplinary team of physicians, nurse practitioners, counselors, social workers, and other professionals. Facilitate regular team meetings and case conferences to coordinate comprehensive treatment plans addressing both the medical and psychosocial needs of patients. Quality Improvement: Implement and monitor quality improvement initiatives aimed at enhancing patient outcomes and safety. Track key performance indicators (e.g. patient retention, treatment success rates, and incident reports) and use data to drive improvements in clinical protocols and service delivery. Clinic Operations Management: Oversee day-to-day clinic operations at both sites to ensure efficiency and consistency. Manage patient flow, triage processes, and resource allocation so that clinics run smoothly and wait times are minimized. Coordinate staffing coverage between the two locations to meet patient demand. Policy and Procedure Administration: Develop, update, and enforce clinical policies, protocols, and standard operating procedures. Ensure that all nursing practices (from intake assessments to medication administration and discharge planning) are performed according to established guidelines and evidence-based protocols. Patient Care Oversight: Supervise the delivery of direct patient care, especially in high-risk or complex cases. Ensure proper administration of treatments and medications as ordered by providers (e.g. withdrawal management medications or other prescribed therapies), and that emergency protocols are in place for any adverse events. Documentation and Record-Keeping: Ensure accurate and timely documentation of all patient care in the electronic health record system. Uphold strict confidentiality (HIPAA compliance) and proper record-keeping practices, including treatment plans, progress notes, and medication records for each patient. Professional Development and Support: Foster a positive work environment that encourages teamwork and professional growth. Serve as a clinical resource for nursing staff, providing guidance in challenging situations and promoting continuous learning (such as updates in addiction nursing practices or new treatment modalities). Lead regular staff meetings and communicate organizational updates or changes in policy. Safety and Infection Control: Uphold a safe, therapeutic environment for both patients and staff. Oversee infection control measures, medication storage procedures, and workplace safety protocols in the clinics. Investigate and address, and enter reports for any safety incidents or patient care concerns, implementing corrective actions as needed. Qualifications and Requirements Education & Licensure: Current Registered Nurse (RN) license in good standing. Bachelor of Science in Nursing (BSN) required; Master's degree or relevant certification in nursing or healthcare management is a plus. Experience: Minimum of 3-5 years of clinical nursing experience, preferably including work in substance use treatment, behavioral health, or other ambulatory care settings. At least 1-2 years of experience in a supervisory or nurse manager role is strongly preferred. Clinical Knowledge: Strong understanding of substance use disorders and treatment modalities in an residential setting. Familiarity with medication management for addiction (e.g. understanding of withdrawal medications and overdose reversal) and behavioral health interventions. Regulatory Familiarity: Knowledge of healthcare regulations and standards applicable to residential clinics (such as state substance use treatment guidelines, OSHA, and Joint Commission standards). Ability to ensure compliance and prepare teams for regulatory surveys or audits. Leadership Skills: Demonstrated ability to lead and motivate nursing staff across multiple sites. Excellent communication and interpersonal skills to effectively collaborate with interdisciplinary team members and to handle sensitive patient situations with empathy and professionalism. Organizational Skills: Strong organizational and time-management abilities. Capable of managing schedules, multiple priorities, and the operational needs of two busy clinics. Proficiency in using electronic health record systems and basic office software for reporting and communication. Quality and Improvement Mindset: Experience with quality improvement initiatives or performance improvement projects in a healthcare setting. Able to collect and analyze data, then implement changes to improve service delivery and patient outcomes. Certifications: Basic Life Support (BLS) certification required; Advanced Cardiovascular Life Support (ACLS) may be required or preferred. Certification in Addictions Nursing (CARN or CARN-AP) or related specialty is an advantage but not mandatory. Other Requirements: High level of integrity and commitment to patient confidentiality. Flexible and adaptable, with the ability to respond to emergencies or unexpected situations in a calm and effective manner. Willingness to travel between the two clinic sites as needed. Physical Requirements: Frequent hand and finger use (e.g., to operate a computer keyboard). Lifting and carrying items up to 40 lbs. (e.g., boxes, equipment, IV solutions), with or without reasonable accommodation. Ability to stoop, kneel, or crouch for tasks such as retrieving items from lower shelves or filing in low drawers. Ability to sit, stand, or walk for extended periods, as the position may require. Capacity to operate job-related equipment, with or without reasonable accommodation. Location and Shift Information: Onsite at CARS Residential Campus- 6621 NYS Route 227, Trumansburg, NY 14886 Shift: Days; rotating Administrator-On-Call 0% Travel can be expected in this role Pay Range Disclosure: Standard Rate of $94,993.60 - $129,459.20 annual salary Centralus Health System and its affiliates are committed to treating all patients, providers, staff, and volunteers equitably and with dignity, ensuring the highest levels of safety, care, and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all. We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs, and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics. If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Centralus Health Talent Acquisition team at talentacquisition@cayugahealth.org . I certify that the information contained in this application is correct and complete to the best of my knowledge. I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me. I understand that any hiring decision is contingent upon my successful completion of all of the Company's lawful pre-employment/post-offer checks, which may include a background check, drug screen, employment references, and licensing review. If I am made a conditional offer of employment, I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment/post-offer checks. Such checks will not be conducted until allowed under applicable federal, state, and local law. I understand if I have a criminal background, it will not automatically disqualify me from employment unless otherwise required by law. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks. I also understand that the Company is a drug and alcohol-free workplace and has a drug and alcohol testing program consistent with applicable federal, state, and local law. I understand that after a conditional offer of employment, I must submit to and pass a pre-employment drug test as a condition of employment.
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)
UCSF Health

Registered Nurse - Pediatric Electrophysiology (BCH-Cross Bay)

Job Description Under general supervision, guided by the policies and procedures of the Medical Center and Ambulatory Services, and in collaboration with providers and administrative management, the Nurse Care Coordinator for Pediatric Electrophysiology works autonomously, utilizing the nursing process, to assess, plan, coordinate, implement and evaluate patient care within the ambulatory, procedural, and inpatient settings. This clinician is experienced and highly skilled with an in-depth knowledge and expertise in electrophysiology studies, CIED implantation, CIED interrogation, CIED remote monitoring, and inpatient bedside EP procedures. In the ambulatory setting, the Nurse Care Coordinator for Pediatric Electrophysiology is responsible for coordinating outpatient services and needs for a panel of pediatric, adolescent, and young adult patients and providers. His/her responsibilities include independent CIED (cardiac implantable electronic device) interrogation in clinic. Reviewing, interpreting and triaging CIED remote monitoring. Educating patients and families on CIED care and remote monitoring results. Supports cardiology fellows and nursing colleagues with CIED education and lectures on interpretation of CIED interrogation results. Provides rhythm teaching to patients and families. Participates in QI projects to improve safety and quality of patient outcomes. In the inpatient setting, the Nurse Care Coordinator for Pediatric Electrophysiology will act as a liaison to ensure continuity of care for patients and their families who have undergone EP procedures including EP studies and CIED implants. Responsibilities include running the GE systems during EP procedures, including supporting physicians with pacing and waveform interpretation. Assisting physicians for CIED implantation, and inpatient EP bedside procedures. The Nurse Care Coordinator will collaborate with the inpatient nursing and provider teams to assist with patient and family education as well as complex care coordination and management, including comprehensive CIED care and management. The Nurse Care Coordinator for Pediatric Electrophysiology must have the ability to perform and prioritize multiple tasks and work well with staff, patients, families, and providers. A high degree of independence, initiative, assertiveness, and diplomacy are necessary in dealing with faculty, staff, and patients in a complex environment. Responsibilities Identify the functions or tasks that employees in the job perform. The essential functions should state the purpose of the work and the results to be accomplished, rather than how the function is performed. Of the tasks listed, what percentage of time is devoted to each? The more time employees spend on a function, the more likely it is that the function is essential. Generally, include those functions that account for 10% or more of the work, i.e., key items that contribute significantly to the achievement of the job. The functions should add up to 100%. % of time Essential Function (Yes/No ) Key Responsibilities (To be completed by Supervisor) 50 Y Clinical Knowledge/Skills Management Clinical Knowledge Assesses, plans, implements, and evaluates appropriate interventions for patients referred to Pediatric Electrophysiology. Integrates nursing theory, research, and knowledge of Pediatric Electrophysiology. Maintains knowledge base consistent with the advances in treatment related to Pediatric Electrophysiology Clinical Skill Performs required technical procedures and does so safely, legally, effectively, and efficiently. Utilizes computer technology for, and maintains confidentiality of data collection, documentation, communication and research. Proficient in Apex. Is competent, and participates, in research protocols as dictated by specific departments. Demonstrated ability to provide appropriate care based on the needs of a specific individual, including the patient’s age. Clinical Organization Manages clinical situations with advanced skills, insuring the incorporation of patient and family physical, psychosocial, and cultural needs. Utilizes the nursing process in providing care for a group of patients in accordance with all Medical Center and Ambulatory Services Policies and Procedures. Establishes and/or revises priorities for job/patient care activities based on acuity, patient volume, resource availability, patient/family preference, and scheduled procedures. Seeks consultation, supervision, and/or assistance when unable to perform procedures effectively, safely, or independently. Manages telephone triage of patient symptoms, coordinates patient evaluations, assists with patient teaching and assisting in the overall coordination of timely patient care. Patient Care Management Functions as patient advocate and facilitates patient/family participation in decisions regarding their care. Is a resource to patients and families. Supervises patient care and delegates appropriate components in a manner that promotes efficiency, teamwork and optimal patient care outcomes. Evaluates and provides consistent and timely feedback to members of the health care team and Manager regarding the quality of patient care. care agencies Functions as contact person to triage patient care requests and referrals. For hospitalized patients, follow the patient while hospitalized, and actively engage in potential disposition changes to assure an appropriate discharge. Provide timely ongoing contact and follow-up with patient to ensure understanding of condition/clinical status, procedure, plan of care, and need for follow-up care. Conduct ongoing contact and follow-up with post-acute care providers, pharmacies, other providers, and insurance companies on a timely basis and notify providers or readmissions and significant clinical status changes as appropriate. 20 Y NURSING PROCESS/DOCUMENTATION Meets Medical Center documentation standards as evidence by documentation of the following: Assessment Contributes to data collection associated with Pediatric Electrophysiology Screens and assesses patients for pain. Screens and assesses patients for complications. Planning Prioritizes patient needs and helps patient formulate plan of care. Assists members of health care team in the formulation and implementation of the patient’s plan of care. Implementing Prepares patients for and instructs them about specific diagnostic and therapeutic procedures and treatments. Responds and participates in the management of emergency clinical issues. Evaluating Documents patient outcomes and responses to nursing interventions. Utilizes theoretical knowledge and clinical skill to develop alternate approaches to patient and family care. Teaching Identifies patient, family and/or patient’s caregiver learning needs and potential barriers to learning Identifies patient, family and/or patient’s caregiver teaching interventions specific to patient’s diagnosis and ability to learn, collaborating with other disciplines as appropriate. Involves patient, family, and/or the patient’s caregiver in teaching. Participates in the evaluation and revision of patient education materials. Evaluates the patient, family and/or patient caregiver’s response to teaching. 10 Y COMMUNICATION Responds to the emotional needs of patients, families and/or caregivers by demonstrating sensitivity to their sociocultural dynamics. Interacts with patients, families, caregivers and staff in a supportive, calm, and therapeutic manner. Demonstrates courtesy, common sense and follow through in all telephone communications, maintaining the telephone standards established be the Medical Center. Listens respectfully to the ideas, opinions and feelings of others. Demonstrates sensitivity, respect, tact and diplomacy in all interactions. Communicates and accepts constructive feedback in a manner that promotes a positive outcome and supportive work environment. Utilizes advanced interpersonal skills to facilitate problem resolution with members of the health care team, patients and their families. Utilizes appropriate chain of command in problem resolution, as identified in the organizational chart and Administrative manual. Responds to patients, providers and care team phone calls, emails, In-Baskets, in a prompt manner. Documentation is thorough. 10 Y PROFESSIONALISM Professional Development Identifies and meets own educational needs to enhance area of practice. Work Related Policies Maintains current California RN license, CPR and specialty certification of CCDS (certificated cardiac device specialist), RCES (registered electrophysiology specialist) and present proof prior to expiration, per policy. Meets annual review requirements. Meets annual PPD or chest exam requirements. Meets work schedule commitment. Follows department guidelines regarding attendance. Maintains flexibility in relation to patient assignments, shift assignment and work assignment. Adheres to dress code, including appropriate identification. Complies with practice related policies. Knowledgeable about and complies with all applicable infection control, health and safety policies and procedures as implemented by the Ambulatory Services and the Medical Center. Professional Reliability Articulates practice/departmental goals and philosophy. Participates in practice/department committees, including Performance Improvement. Complies with activities mandated by JCAHO/Title 22. Maintains knowledge of and adheres to established clinical and administrative policies and procedures. Ensures protection of patient rights and confidentiality. Supports Medical Center cost containment efforts. Reads meeting materials and other departmental communications and integrates practice. Promotes and participates in research activities to enhance patient care. 10 Y LEADERSHIP Uses an Effective Approach with Patient and Unit-related Problems Identifies actual and potential problems and participates in formulation/implementation of a plan for resolution of problems using appropriate resources. Reports unresolved patient and practice related problems to appropriate individual(s) and/or department. Acts as a resource to other staff members in problem identification/resolution and current issues in own clinical area. Delegates duties and guides personnel in patient care delivery to ensure safe and individualized patient care. Fosters a Collaborative Approach to patient and Staff-related Issues Acts as a reliable and approachable role model/mentor for staff and students at a level appropriate to own stage of professional development. Incorporates new procedures/policies, knowledge of equipment and medical products into one’s own and other’s clinical practice. Recognizes and utilizes talents and strengths of staff members to improve care to patients. 100% (To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.) Qualifications Required Qualifications: Three (3) or more years of clinical RN experience in a pediatric electrophysiology lab within the last 3 years Completed CIED training course Able to demonstrate recent and consistent participation in clinical quality projects and staff education This position requires flexibility to orient and work at all UCSF Medical Center locations Preferred Qualifications Database skills Research experience Able to demonstrate recent and consistent leadership of clinical quality projects and staff education Clinical RN experience in an ambulatory setting Nationally recognized specialty certification BSN Licenses/Certifications CCDS (Certified Cardiac Device Specialist) RCES (Registered Cardiac Electrophysiology specialist) Current licensure as a Registered Nurse in the State of California Current American Heart Association CPR Certification Current American Heart Association PALS Certification About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Summit Healthcare

RN, Home Health, Full Time, Day Shift

Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at Summit Healthcare. The nursing process, critical thinking and problem-solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span. Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position. Essential Functions Nursing standards of practice* as outlined below: Standard 1: Assessment - Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. - Integrates knowledge from environmental factors into the assessment process. - Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. - Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. - Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. - Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. - Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. - Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis - Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. - Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. - Corroborates the diagnoses with the patient, family, group or community. - Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. - Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification - Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, - Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. - Documents expected outcomes as measurable goals. - Evaluates the actual outcomes against the expected outcomes. Standard 4: Planning - Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. - Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. - Prioritizes nursing interventions to achieve patient outcomes and goals. - Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. - Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation - Establishes and maintains a therapeutic relationship with patient or families. - Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. - Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). - Ensures the implementation, coordination and ongoing evaluation of the patient care plan. - Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. - Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. - Provides information and instruction to assist patients and family members to understand health care practices and processes. - Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. - Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. - Maintains patient confidence and protects operations by keeping information confidential. - Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association. Standard 6: Evaluation - Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. - Supervises and evaluates care provided by direct care assistive and support staff. - Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. - Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition to the six standards above, Summit Healthcare also integrates the following standards: Advocacy: - Provides a supportive environment for communications and decision making by patients and their families. - Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. - Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. - Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. - Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. - Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. - Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: - Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. - Demonstrates professionalism in attitude, dress and behavior. - Contributes to positive team functioning and supporting one another. - Develops cultural competence in order to provide culturally competent care. - Actively participates in developing and evaluating professional goals and performance at regular intervals. - Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. - Accountable for reporting professional practice issues to the appropriate person, agency or professional body. - Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. - Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. - Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: - Supports Summit’s philosophy, vision and mission. - Participates in the development and revision of standards of care, policies and procedures. - Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. - Promotes a safe work environment by identifying and resolving potential risk issues. - Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. - Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. - Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. - Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. - Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. *Nursing Scope and Standards of Practice, 3 Edition, American Nurses Association. Published by Nursesbooks.org, 2015. Secondary Functions: - Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars. - Reads department and association wide policies and procedures pertinent to the department. Other Duties Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities - General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). - Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. - Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. - Self-direction and self-motivation. Must be able to read, write, speak, and understand English Supervisory Responsibilities None. Physical Demands Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience All Departments: - Current AZ RN license - CPR Certification % Department Specific Education and Experience Emergency Department: ACLS * / & PALS * / & NIHSS & SECURE TNCC, ATLS or ITLS or other trauma course (with approval) ** / & ENPC ** (preferred) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Dialysis: ACLS * / & NIHSS & Home Health: Arizona Dept. of Public Safety class 1 fingerprint clearance card Current driver’s license Current auto insurance Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ICU: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 2 ACLS * / & PALS + / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 3 and Med/Surg Telemetry ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OB: PALS * / & (L&D only) Department specific stroke education STABLE ** / & + AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only) NRP * / & Newborn Hearing Screening Certification Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OR: ACLS * / & + PALS * / & + Department specific stroke education Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ASC/Preop/PACU: ACLS * / & + PALS * / & + Department specific stroke education SECURE (Floats only) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience IV Therapy: ACLS * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Imaging: NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Diagnostic Imaging: ACLS * / & + PALS * / & + Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Oncology: Chemotherapy/Biotherapy certification ** / & Cath Lab: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Occupational Health: Breath Alcohol Testing (BAT) certification + DOT drug screening certification + Certified Occupational Hearing Conservationist (CAOHC) + Professional Organization specialty certification + Baccalaureate in nursing + Cardiac Rehab: ACLS * / & Senior Behavioral Health: NIHSS & SECURE Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience * - Renewal may take up to 30 days after expiration of original certification. ** - Renewal make take up to 75 days after expiration of original certification. & - Required within 6 months of employment, or at completion of orientation. % - Certification required with 30 days of employment. X – Required. + - Preferred. OSHA Exposure Category: Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Liver Transplant

$87.55 - $109.44 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00018588-2656845 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Liver Transplant APP Responsible for management of inpatient liver and intestinal transplant patients. Provides direct patient care, evaluation and medical management of patients on acute care and intensive care units. Provides ongoing continuity of care for transplant patients and assists with transition of care from inpatient to outpatient provider teams. Responsible for daily pre rounding, rounding, lab review, immunosuppression management, completing orders, consultations, and documentation for all inpatient liver and intestinal transplant patients. Leads the multidisciplinary team on rounds. Responsible for inpatient consultations for transplant on other service lines. Primary point of contact for patients and families admitted to the hospital under the transplant service. Primary point of contact for nursing staff. Responsible for admissions, transfers, and discharging patients from the inpatient liver and intestinal transplant service. Responsible for holding the pager for the transplant service during daytime hours when on service. Responsible for responding to communications in a respectful and timely manner and escalating acute care concerns for patients. Participates in patient care conferences, pathology conferences, radiology conferences, and departmental education. Works collaboratively with other APPs on the liver and intestinal transplant service to provide patient care coverage. Actively communicates with other APPs on the liver and intestinal transplant service, attending staff, support staff and resident/fellow staff. Provides education regarding liver and intestinal transplantation to nursing staff, students, residents. Able to see patients in outpatient transplant clinics in independent and shared visits with Hepatology and Surgery attendings. Responsible for documentation and care management for outpatient transplant patients. This position includes the ability to work in both inpatient and outpatient clinical settings. This position requires weekend and holiday coverage. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor’s degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master’s or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients. Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $87.55 to $109.44 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
UCSF Health

Registered Nurse - Radiation Oncology

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