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Orthopaedic Sports APP (Nurse Practitioner or Physician Assistant) - Clinic and OR Position in Redwood City

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) We are seeking an experienced and highly skilled APP Orthopedic Sports Specialist to join our team at Stanford Health Care. As a leading healthcare provider in the area, we are dedicated to providing the best possible care to our patients, and partnering with local professional sports teams. If you have a passion for orthopedic sports and are looking for a dynamic and rewarding career opportunity, we welcome you to apply for this position. Requirements: - NP or PA degree and minimum of 2 years post-Masters experience as an APP Orthopedic practitioner - Previous experience as an Athletic Trainer is a plus, but not required - In-depth knowledge and understanding of orthopedic sports injuries and treatments - Strong communication, critical thinking, and problem-solving skills - Ability to work collaboratively with a multidisciplinary team Responsibilities: - Provide expert consultation, diagnosis, and treatment for orthopedic sports injuries for patients of all ages - Work closely with professional sports teams in the area to provide high-quality care and promote injury prevention - Conduct clinic appointments to assess and treat patients, including administering injections, splints, and braces - Participate in OR procedures as needed, providing assistance to surgeons and performing sutures and other minor procedures - Maintain accurate and thorough medical records and collaborate with the healthcare team to develop individualized treatment plans Work Schedule and Benefits: This is a Monday to Friday position with no call requirement, allowing for a healthy work-life balance. We value our employees and offer a competitive salary, full benefits package, and opportunities for professional growth and development. Stanford Health Care is committed to diversity, equity, and inclusion in our workplace and encourages individuals of all backgrounds to apply for this position. If you are a motivated and experienced APP Orthopedics Sports APP, we invite you to join our team and make a positive impact on our patients and the local sports community. Apply now and take the next step in your career! This is a Stanford Health Care job. A Brief Overview The Physician Assistant (PA) functions under this Physician Assistant Job Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the PA and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee. Locations Stanford Health Care What you will do Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients’ 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. A. A PA may provide only those medical services which he/she is competent to perform, which are consistent with the PA’s education, training and experience. B. A PA shall consult with a physician regarding any task, procedure or diagnostic problem which the PA determines exceeds his/her level of competence or shall refer such cases to a supervising physician. C. Scope of Practice of the PA: 1. Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty. 2. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. 3. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Orders or furnishes medications under physician supervision, in accordance with the practice agreement, consistent with the PA’s educational preparation and training, and upon completion of a California Physician Assistant Board approved controlled substance course. a. All PA’s who are credentialed and privileged by April, 2021 who have not completed a controlled substance course must successfully complete the course by August 31, 2021 during which time patient specific approval of a medication order by a supervising physician is obtained, documented in the medical record, and is co-signed. [see Standardized Procedure: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] 4. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. 5. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. 6. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. 7. Obtains informed consent, as indicated. 8. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. 9. 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. [see Standardized Procedure : Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Medications that are not FDA-approved or are used for a non-FDA- approved indication (off-label use) require a patient-specific order in advance from the supervising physician. 10. After appropriate training, assists the supervising physician in the operating room (OR). a. Acts as first or second assistant under the supervision of an approved supervising physician. b. Performs surgical procedures in the personal presence of the supervising physician. 11. Recognizes and considers age-specific needs of patients. 12. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. 13. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. 14. Facilitates the coordination of inpatient and outpatient care and services as needed. 15. Facilitates collaboration between providers and coordination of community resources. 16. Ensures compliance with legal, regulatory and clinical policies and procedures. 17. Participates in quality improvement initiatives. 18. Provides and coordinates patient teaching and counseling. Education Qualifications BACHELOR'S DEGREE IN NURSING FROM AN ACCREDITED UNIVERSITY. Note: PAs hired prior to July 1, 2012 are not subject to this educational requirement • Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. B. Licenses and Certifications PA - Physician Assistant State Licensure BLS - Basic Life Support DEA - Drug Enforcement Administration These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) 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, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, 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. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Full-time

2 months ago

Float RN

Baldwin Health Foley, AL

Schedule : Full Time, Weekdays What We Offer Health Insurance Eligibility 1st of the month following 30 days of employment for full and part time employees Tuition Reimbursement & SoFi Student Loan Repayment Plans 3% 401k Employer Matching Company Provided Renewal of BLS, ACLS & PALS 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.

Assistant Wellness Director/Assistant Director of Nursing/Memory Care Coordinator (LPN or RN)

Longterm Healthcare Facility Columbus, OH

Position Summary: The Assistant Wellness Director is responsible for the overall direction of clinical resident care services by delivering a 1440 experience, optimizing performance and leading employee connections within our community. Required Experience for Assistant Wellness Director: Licensed Practical Nurse (LPN) or Registered Nurse (RN) registered within the State preferred. Assisted Living/Memory Care experience preferred. Prior supervisory experience required. Earned a degree from an educational institution in health care, mental health or social services profession or be a licensed Health Facility Administrator. Minimum of 1 year of experience with dementia or Alzheimer’s residents, or both, within the past 5 years. Minimum of 12 hours of dementia-specific training within the last 3 months. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to communicate effectively before groups of customers or employees of organization. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Proven organization and communication skills. Ability to work successfully through complex situations (ability to problem solve). Accountabilities for Assistant Wellness Director: Lead, manage, and overall accountability for your team and their performance. Revenue, Evaluations & Care Conferences for IL/AL: Responsible for ensuring right care, at the right price with the right staff. Employee Connection: Lead to Employee First by setting clear expectations, giving and receiving regular and honest feedback, and growing and recognizing your staff. Resident & Family Care: Oversee and provide care for our residents and communicate clearly and regularly with their families where appropriate. 1440 Care Standard Accountability: Understanding and leading to our 1440 care standards. Other Key Responsibilities for Assistant Wellness Director: Perform admission and ongoing evaluations of residents quarterly, upon return from Hospital or skilled environment, or change of condition (initiate care conference) and use this information to set measurable goals and outcomes for residents that meet the physical, mental, and psychosocial needs. Obtain written orders for any necessary changes to care plan. Completes 6 hours of dementia-specific training annually to meet the needs or preferences, of cognitively impaired residents and understands current standards of care. Verification of MARS/TARS and communicate with pharmacy to assure accuracy of medication & treatment administration. Reviews occurrence reports submitted by staff members to determine if an assessment/care conference needs to be performed on an existing resident & address any personnel issues which are identified. Schedule educational sessions relating to health for all residents. Communication of all emergency policies and provision of updated information to staff. Work toward continual improvement of the overall organization. Available to work a flexible schedule including on call, weekends, and holidays when necessary. Perform other duties as assigned. Memory Care Coordinator Responsibilities include but are not limited to: · Plan and coordinate a therapeutic program which meets spiritual, social, emotional, physical, and intellectual needs of the resident · Asses resident characteristics (i.e., stages, sex, ethnic background, prior lifestyles, cognitive and functional abilities) and, in conjunction with other departments, plans and organizes program content · Monitor daily functioning of the neighborhood to ensure continuity of, and appropriate changes in the program · Assist in developing, implementing, and conducting in service training and education of care to all staff regarding memory care programs/activities working alongside the Director of Nursing and Life Enrichment Director. · Establish and maintain a sense of teamwork through effective communications, interaction, and team meetings. Develop and maintain cooperative relationships; inform and consult with staff regarding program and integrate with other services · Participate in support groups at the direction of the Life Enrichment Director · Assess the educational needs of staff regarding program and dementia-specific knowledge and works with the Life Enrichment Director to ensure appropriate education is provided · Market the program through involvement in community organizations and participates in the local Alzheimer’s and like associations · Maintain accurate and timely documentation that complies with state regulations and community policy · Work with management to develop and maintain written program objectives and procedures for implementation; method of evaluation · Serve as a role model for staff regarding care of dementia resident · In coordination with the nursing department and Director of Life Enrichment, perform a pre-admission assessment for each potential resident · Assist with the resident’s admission to ensure a smooth transition · Assist with the adjustment of the resident and family to the community; contacts weekly for the first month post-admission · Keep abreast of current research, new programs, and community resources which may benefit residents and families and makes referrals as appropriate to facilitate the resident’s use of resources, and to promote the resident’s increase level of social functioning · Assist residents in the maintenance and adequate supply of personal clothing and other personal items · Refer the resident/resident’s sponsor internal and external services that are available to the Director of Life Enrichment · Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Executive Director Preferred Skills and Qualifications: · Must be an LPN · Experience with Alzheimer’s and other dementia individuals · Two years of previous experience in programming: including but not limited to: POC (plan of care programs, scheduling staff, coordinating meeting with POAs and families, planning activities and working with dementia residents in an assisted living environment · Background in nursing/ proving one on one care for seniors · Flexible schedule, including availability to work evenings, weekends and holidays as needed General Working Conditions: This position entails standing for long periods of time. While performing the duties of this job, the employee is required to communicate effectively with others, sit, stand, walk and use hands to handle keyboard, telephone, paper, files, and other equipment and objects. The employee is occasionally required to reach with hands and arms. This position requires the ability to review detailed documents and read computer screens. The employee will occasionally lift and/or move up to 25 pounds. The work environment requires appropriate interaction with others. The noise level in the work environment is moderate. Occasional travel to different locations may be required. We are fortunate to serve seniors, employers, employees, patients, and each other. Connecting Seniors, Families and Communities For over 37 years, our senior living communities have served seniors and their families across Michigan, Ohio, Indiana, Iowa, Kentucky, and Tennessee, with each location offering unique services including independent, enhanced, and assisted living, as well as memory care and rehabilitation and skilled nursing. Through forming authentic connections and committing to creating the absolute best experiences each day for our residents and their families, we’ve created a special culture within our communities that allows our employees to do their best work and our residents to shine every day. Not Just Making Every Day Great. Making Every Minute Great. There are 1,440 minutes in every single day. We aspire to make each one of them an exceptional moment. This philosophy is supported by our 6 powerful, yet simple pillars: Dream Big, Have Courage, Take Initiative, Be Accountable, Give Back & Enjoy it. We strive to fulfill the aspirational yet unattainable goal of creating the absolute best experience with every person, in every interaction, every minute of every day. It begins with empowering our employees. Every employee, at every level of the company, is expected to perform like a leader. Everyone is encouraged and expected to put the needs of each other above everything else. No one here just “does their job” The mission is to create the absolute best experiences. This emphasis on putting people first has helped us successfully grow for the right reasons. We have developed an environment that attracts dreamers, adventurers, creators, givers and believers to seek career opportunities with us. We find people who believe that true happiness is only found in the service of others. We want high-performers with diverse skill-sets and big hearts. We treat each other as family and find that close collaboration creates the biggest ideas. If you love serving others, and are looking for an opportunity to thrive, CommonSail Investment Group and our businesses is your destination. This classification description is intended to indicate the general kinds of tasks and levels of work difficulty that are required of positions given this title and should not be construed as declaring what the specific duties and responsibilities of any particular position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct and control the work of the employees under her/his supervision. The use of a particular expression or illustration describing duties shall not exclude other duties not mentioned that are of a similar kind or level of difficulty. Equal Opportunity Employer

RN - Outpatient BMT Infusion Clinic

SSM Health St. Louis, MO

It's more than a career, it's a calling MO-SSM Health Saint Louis University West Pavilion Worker Type: Regular Job Highlights: Schedule consists of four ten-hour shifts per week. Shift hours are 7:00 AM to 5:30 PM or until all patients are discharged for the day. Weekend rotation occurs every 4-6 weeks, typically with shorter shifts from 8:00 AM to 1:00 PM. On-call rotation for weekend shifts occurs approximately every 4-6 weeks. Job Summary: The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 2067000037 Bone Marrow Clinic Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.

Full-time

2 months ago

RN - Rapid Response - Days

SSM Health St. Louis, MO

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Preferred 2 years of critical care experience. Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and 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: Position Accountabilities 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op / post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and /or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A) Identifies short and long term goals based on patient care needs. B) Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation. 3) Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application. 2. Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) Pain Management 1. Assess patient for presence of pain on admission and during Assessments/reassessments. 2. Incorporates patient’s cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient’s response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient / family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care / treatment following the occurrence reporting policy and procedures. 5) Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application. 2. Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2/16/09 2. Incorporates patient’s cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent. 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role. 3. Reviews Hospital / Nursing publications. 4. Keeps up to date with policies and procedures. 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands. 1. Responds positively to change. 2. Provides assistance and support to peers, co-workers and other team members. 3. Adapts positively to changes in unplanned work load and job demands. 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Keeps personal conversations/background noise to a minimum. 3. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .Edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. Orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. Criteria A) Demonstrates care and courtesy. 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3. Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality. 1. Listens to staff/patient / family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration. 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 2/16/09 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services. 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the “Principles and Commitments” of the hospital AIDET and “One Mission, One Spirit”. 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested. 3. Contributes to data collection. 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews. H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and development necessary to provide services to the age of the patient served by the department. B) Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E) Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. 2/16/09 E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .Edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.

Full-time

2 months ago

RN - Neuro - Days

SSM Health St. Louis, MO

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! Schedule: 7 am - 7 pm , rotating weekends and holidays 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 is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1010000037 Prog - 5N Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.

RN - Med Surg 6S - Days

SSM Health St. Louis, MO

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! Schedule: 7 am - 7 pm , rotating weekends and holidays 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 is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1001000037 Prog - 6S Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.

PACU

Full-time

2 months ago

RN - PACU - Nights

SSM Health St. Louis, MO

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 is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 4402000037 PACU Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.

PCU

Full-time

2 months ago

RN - Stepdown - Days

SSM Health St. Louis, MO

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 is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1001000037 Prog - 6S Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.

Full-time

2 months ago

RN-Surgery - Full Time- Weekday Nights

SSM Health St. Louis, MO

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: Four 10-hour shifts, Monday thru Thursday, 2030-0700, no call required. 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 is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals. 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing a pain management plan. 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6) Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role 3. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7) Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. 1. Maintains clutter free environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe Patient Handling techniques and equipment. 4. Keeps personal conversations/background noise to a minimum. 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications 2. Maintain up to date BLS and HI 3. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Required Information Security course 7. Required Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if required) 9. Coursework as assigned for .edu 10. Annual competency 11. Age/Population specific competency (if applicable) 12. orientation competency (if new hire) 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service. 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs. 2. Explains procedures and all education in a manner that staff/patient/ family understand. 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports. 2. Provides quality care in accordance to standards. 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely. 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans. 2. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date_____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my supervisor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat , clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co- condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (Service) Expectations (So I will . . .) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures. Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family. Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 4403000037 Surgery Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.

PCU

Full-time

2 months ago

Registered Nurse- Cardiac Stepdown Unit | Nights

Flowers Hospital Dothan, AL

Join us as a Registered Nurse (RN) - Cardiac Stepdown Unit (PCU) Nights- FULL Time position at Flowers Hospital Unit : Cardiac Stepdown Unit (PCU) - 3 South Shift: 3x 12hr shifts per week | 7pm-7am Student Loan Contribution: Up to 20k Other incentives include: Medical, Vision, Dental, 401k match & more available for Full and Part-Time roles Unit Description: The Cardiac Step-Down Unit provides specialized care for patients with cardiac conditions who no longer require intensive care but still need a higher level of monitoring and support than provided on a general medical-surgical unit. This unit serves patients transitioning out of the CCU as well as those recovering from procedures such as cardiac catheterization, pacemaker insertion, and implantable cardioverter-defibrillator (ICD) placement. The unit also manages stable cardiac patients who require continuous telemetry monitoring and comprehensive cardiac care without the need for CCU-level interventions. 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. 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.

Registered Nurse RN Surgical ICU Step Down

Banner Health Sun City, AZ

Primary City/State: Sun City, Arizona Department Name: 4N-Surgical Step Down Work Shift: Night Job Category: Nursing $10,000 Sign on Bonus! Great careers start with great training. Nurses at Banner Health enjoy some of the best on-the-job-training in the industry. We care about you, your nursing career today and your future. Apply today and build your career. As a Surgical Stepdown RN you will be a part of the exceptional Banner Boswell team which has been rated as one of the top 50 cardiovascular hospitals in the country! Your primary focus will be to provide care for cardiovascular and cardiothoracic surgical patients. Patients include CABG, AVR, MVR, TAVR, Mitraclip, Esophagectomy, Thoracotomy, CEA, AAA, post cardiac cath and MI to name a few. General PCU patients may also be part of the patient population. Patient ratios on this unit are typically 4:1. In this video, nurses and clinical leaders share their experience working at Banner Boswell Medical Center. On our Cardio Thoracic Surgical Stepdown unit, you will work within a fun environment with a close knit, strong cohesive team who work closely together to impact their own environment. There is a teamwork mindset, and we have a beautiful state of the art unit! We have a team that feels like family, achieved through our shared leadership model, and our nurses choose this highly sought after unit because of the people and leadership. There is a strong ‘One Team’ culture that is held to a high expectation. This unit is ideal for those passionate about caring for higher acuity patients and is also a great way to transition to ICU. The Cardiothoracic Surgical Step-Down Unit at Banner Boswell Medical Center is currently seeking experienced nurses, but at this time will also consider those with Telemetry, ICU, or any other surgical acute care or critical care background. Candidates with in-patient/acute hospital experience and/or surgical patients are preferred. This is a Part-time position working 2, 12-hour shifts per week (7pm-7:30am), with rotating weekends/holidays. You will have the opportunity utilize our self-scheduling tool for shift and weekend coverage. Enjoy an 18%-night shift differential, and a flat rate $3/hour weekend shift differential when applicable. * The Sign on bonus for PT Nights is $10,000. Other details will be provided by the recruiter. Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. If you are a New Graduate Nurse with less than 12 months of experience, please visit the main job search page and under the Job Type filter, select New Nurse Experience. Banner Boswell Medical Center has provided exceptional health care to the communities in the northwest area of metro-Phoenix for over five decades. Today, our 410-bed acute-care hospital is nationally recognized by U.S. News and World Report as one of Arizona’s Best Hospitals. Banner Boswell offers a full range of acute care services, including cardiology, vascular, thoracic, oncology, orthopedics, neurology, general surgery, robotic surgery, rehabilitation, emergency, stroke, intensive care, pulmonary, urology, and inpatient wound management. We've earned the Society of Thoracic Surgeons highest quality award for CABG & aortic valve replacement and the Joint Commission’s Advanced Certification as a Primary Stroke Center. POSITION SUMMARY This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients. CORE FUNCTIONS 1. Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy. 2. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. 3. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. 4. Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching. 5. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner. 6. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate. 7. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations. 8. In some roles, this position may supervise staff and work flow of the department. 9.Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status. MINIMUM QUALIFICATIONS Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice. Relates throughout the interview process the experience, training and education needed to perform the job. Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, Banner Home Care/Hospice or Boswell Skilled Nursing Facility must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working at Banner MD Anderson on the Banner University Medical Center Phoenix campus must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. This is a requirement of the Whole Family Counseling Program held at this specific facility. Employees working in the Banner McKee Senior Behavioral Health Inpatient Unit must possess an Colorado Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. PREFERRED QUALIFICATIONS Bachelor's degree preferred. Professional certification preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Full-time

2 months ago

Float RN

Baldwin Health Foley, AL

Schedule : Full Time, Weekdays, 7am-7pm What We Offer Health Insurance Eligibility 1st of the month following 30 days of employment for full and part time employees Tuition Reimbursement & SoFi Student Loan Repayment Plans 3% 401k Employer Matching Company Provided Renewal of BLS, ACLS & PALS 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.

Full-time

2 months ago

Float RN Nights

Baldwin Health Foley, AL

Schedule : Full Time, Weeknights, 7pm-7am What We Offer Health Insurance Eligibility 1st of the month following 30 days of employment for full and part time employees Tuition Reimbursement & SoFi Student Loan Repayment Plans 3% 401k Employer Matching Company Provided Renewal of BLS, ACLS & PALS 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.

NICU

Full-time

1 month ago

Registered Nurse RN Neonatal ICU NICU

Banner Health Tucson, AZ

Primary City/State: Tucson, Arizona Department Name: Neonatal ICU(NICU) T2 D4N-Hosp Work Shift: Varied Job Category: Nursing Nurses play a critical role in patient care. They’re the smiling faces patients see when they’re sick; they’re advocates for the patients and their families. Truly, they are the heartbeat of a hospital. We care about you, your nursing career today and your future. Great options and great opportunities. NICU nurses at Banner University Medical Center – Tucson have the unique opportunity to be an integral part of Diamond Children’s Medical Center, collaborating closely with Women and Infant Services (WIS), Fetal Surgery, Pediatrics, and a comprehensive Neonatal Abstinence Syndrome (NAS) program. We are a licensed 36-bed Level IV NICU, providing highly specialized, developmentally sensitive care for critically ill and premature infants. Our unit is designed for both function and comfort, featuring three distinct “neighborhoods,” each with three pods of four bed spaces, as well as two nesting rooms for family rooming-in, particularly for NAS care. As a NICU nurse in our Level IV facility, you’ll care for infants with complex medical needs, including severe cardiac anomalies and surgical conditions, in close collaboration with our expert fetal surgery team. Our family-centered care model emphasizes an interdisciplinary approach, involving developmental therapists, dietitians, pharmacists, PT/OT specialists, neonatal nurse practitioners, and 24/7 neonatology support. If you're passionate about providing the highest level of care in a supportive, team-driven environment, we invite you to bring your expertise and compassion to our NICU team. *Eligible candidates MUST have prior RN NICU experience* This is a full time VARIED shift position (Days and Nights) . Enjoy a 18% night shift differential and flat rate $3/hour weekend shift differential. Your pay and benefits are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life. If you are a New Graduate Nurse with less than 12 months of experience, please visit the main job search page and under the Job Type filter, select New Nurse Experience. Banner - University Medical Center Tucson is nationally recognized for providing exceptional patient care, teaching future health-care professionals and conducting groundbreaking research. Also located on the campus is Diamond Children's - recognized for its specialized pediatric services including neonatal and intensive care, emergency medicine and cancer therapies. Banner - University Medical Center Tucson is a Level 1 Trauma Center, meaning we care for the most critically injured patients. The hospital is consistently listed among the nation's top hospitals in the prestigious Best Hospitals ranking by U.S. News & World Report. The academic medical center has earned Magnet Recognition becoming the only hospital in southern Arizona to meet the rigorous standards of the American Nurses Credentialing Center’s Magnet Recognition Program® for nursing excellence. The hospital's physicians are full-time faculty of the University of Arizona College of Medicine - Tucson. Our specialty services include comprehensive heart and cancer care, advanced neuroscience techniques and a multi-organ transplant program. POSITION SUMMARY This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients. CORE FUNCTIONS 1. Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy. 2. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. 3. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. 4. Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching. 5. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner. 6. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate. 7. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations. 8. In some roles, this position may supervise staff and work flow of the department. 9.Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status. MINIMUM QUALIFICATIONS Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice. Relates throughout the interview process the experience, training and education needed to perform the job. Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, Banner Home Care/Hospice or Boswell Skilled Nursing Facility must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working at Banner MD Anderson on the Banner University Medical Center Phoenix campus must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. This is a requirement of the Whole Family Counseling Program held at this specific facility. Employees working in the Banner McKee Senior Behavioral Health Inpatient Unit must possess an Colorado Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. PREFERRED QUALIFICATIONS Bachelor's degree preferred. Professional certification preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Outpatient

Full-time

2 months ago

Float Nurse Practitioner or Physician Assistant - East Los Angeles, CA (SGV Region)

Planned Parenthood of Los Angeles East Los Angeles, CA

$75 - $80 / hour

Planned Parenthood Los Angeles is seeking highly skilled full-time Nurse Practitioners, Physician Assistants, or Certified Nurse Midwives with great communication skills, clinical skills and a strong emphasis on excellent customer service to see our increasing, diverse patient population within our East LA Health Center and San Gabriel Valley Region floating to our El Monte, Whittier, and Pomona Health Centers (plus, additional sites within LA County as needed). The full-time Clinician will join the Patient Services team and provide quality patient care including examinations, diagnosis, treatment, education, counseling, and serve as a medical resource for other licensed and non-licensed staff. Perform physical exams for both males and females with special emphasis on the reproductive system, including breast examination, pelvic examination, male genital exam, cancer screening tests, diagnosis of sexually transmitted infections, Mid-Life Services counseling, examinations and other types of more specialized procedures as indicated by medical policy. Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission. \n Our Ideal Candidate will have the following qualifications: A valid and current California license as a Certified Nurse Midwife (CNM), Nurse Practitioner (NP), or Physician Associate (PA) required. Current furnishing license required (for NP). Current BLS & ACLS certification required from American Heart Association Master’s/Graduate degree required. National Board Certification required. Medi-Cal Provider application must be completed. NPI number required. DEA license preferred. Must be able to work flexible hours, including evenings and at least 2 Saturdays per month. If there are 5 Saturdays in a month, 3 Saturdays may be expected per month. Must be able to make every effort to work additional hours if needed to accommodate patient access in the event of a callout or health center disruption. Must be available to take rotating on-call duties. Minimum 1 weeklong shift per calendar year. Availability to work flexible hours including weekends (2 Saturdays per month) Must provide and have excellent customer service skills. Ability to work independently and as a team member. Ability to communicate and interact well with patients, staff, and volunteers. Demonstration of mature judgment, initiative, critical thinking, accuracy, and attention to detail is essential. Ability to read and implement written instructions. Ability to relate to diverse communities. Ability to maximize Health Center flow with appropriate utilization of Flow Facilitator. Professional appearance and attitude. Must be proficient in electronic health record (EHR) documentation. Ability and willingness to travel within Los Angeles County. Reliable means of transportation. If using a personal vehicle to drive for work purposes, a valid CA driver license and current auto insurance in compliance with the minimum requirements of CA vehicle code are required. About this position: Abortion patients are cared for at each of our health centers, and in part through the administrative, support, and other non-clinical services provided at all PPLA locations, and by all PPLA employees. Supporting these critical services is an essential job duty, and a fundamental responsibility of all employees and contractors. Comply with agency medical protocols (unless Physician consult sought) at all times. Perform family planning services with intent to train on medication abortion (MAB) and procedural abortion (PAB) services, physical exams for all genders with special emphasis on the reproductive system, including breast examination, pelvic examination, male genital exams, cancer screening tests, diagnosis and treatment of sexually transmitted infections, Mid-Life Services counseling, and other types of more specialized procedures as indicated by Planned Parenthood Los Angeles (PPLA) Medical Standards & Guidelines (MS&Gs). Perform, order, and interpret diagnostic studies as indicated and permitted by PPLA MS&Gs. Perform examination and assessment of post-abortion clients including pelvic exams and labs when needed. Ability to interpret colposcopy results and/or follow-up plans for patients. Maintain PPLA standards of productivity. Minimum of 3 visits per hour and 18 work units. Recognize and treat minor deviations from the norm using PPLA MS&Gs and consulting with the Program Director, Charge Clinician, Senior Director of Clinical Services, Physician, Medical Director and/or Chief Medical Officer as needed. Label, dispense, and prescribe all FDA approved birth control methods, including emergency contraception. Placement and removal of long-acting reversible contraception such as IUDs and implants. Perform venipuncture, injections, and IV insertions. Proficient in microscopy and interpretation of results. Complete and maintain Rh, Beta and medication abortion (MAB) follow-up logs. Train or precept licensed health care professionals as needed. Act as a medical resource to and provide oversight of non-licensed staff. The following are responsibilities of Planned Parenthood clinicians as outlined in the medical standards and guidelines: Secures a complete health history, including gynecologic, contraceptive, medical, surgical, sexual, family health, and psychosocial, performs a general screening physical examination, obtains and/or interprets appropriate diagnostic procedures and laboratory tests. Provide family planning, nutrition, sexual counseling, and principles of health promotion and maintenance to patients. Collaborate with other community agencies in providing comprehensive care when necessary. Provide appropriate management for individuals in need of reproductive related services, including contraception, infertility, and sexually transmitted infection treatment. Serves as a resource for medical and procedural abortion services. Conducts post-abortion follow-up examination with recognition of normal and abnormal findings and refers or collaborates with physician as appropriate. Recognizes ethical, legal, and professional issues inherent in providing care to individuals throughout the life cycle. Additional assignments based on training and competency. Generous salary and benefits package includes: Medical, dental, and vision coverage options for you and eligible dependents Free basic life/AD&D policy with additional voluntary coverage options Short Term Disability, Critical Illness and Accident policies 403(b) Retirement plan with up to 3% employer match Medical and Dependent Flexible Spending Account plans Public Transportation and Commuter Pre-Tax Reimbursements Generous vacation, sick, and holiday benefits Company-paid renewal of medical license, BLS, and ACLS $500 annually for CME conferences 3 paid days off annually to obtain CMEs Malpractice coverage Base hiring range: $75-80 per hour (Non-Exempt) Float Differential for eligible positions ($5 per hour) \n Compensation Philosophy and Position Hiring Range: At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles. Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.

PCU

Other

5 months ago

Nurse (Progressive Care Unit Nurse)

Defense Health Agency (DHA) LEWIS MCCHORD, WA

Overview Madigan Army Medical Center is seeking Progressive Care/Step Down RNs to join our growing team! About the Position: This position is located within the Department of Nursing, management of critical care patients. Tacoma, Washington. Relocation or Recruitment incentives May be authorized to highly qualify candidates. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation The facility is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. On a clear day, majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/. Responsibilities Duties: Provide specialized nursing care to assigned patients. Monitor patient condition and implement timely interventions to prevent complications and promote recovery. Initiate appropriate emergency interventions upon recognizing and assessing life-threatening conditions to deliver timely, life-saving care. Initiate advanced cardiovascular life support (ACLS) protocols by preparing and administering high-potency medications such as Nipride, dopamine, atropine, nitroglycerin, and dobutamine to manage life-threatening cardiac conditions. Support physicians during complex and potentially life-threatening procedures, including cardioversion and the placement of invasive lines such as arterial, central venous, and pulmonary artery catheters. Evaluate patient responses by monitoring cardiac output, vital signs, peripheral perfusion, and level of consciousness. Coordinate referrals to appropriate allied health professionals such as Chaplains, Community Health Nurses, and Social Workers based on patient and family needs Administer a combination of high-potency and potentially life-threatening medications through invasive lines as part of critical care interventions. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Nurse (Clinical/Critical Care): Degree: A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credential's evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant. Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education and Experience: A diploma, associate degree, or bachelor's degree in nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing care to moderately stable, less complex patients requiring moderate resources and intermittent nursing care, as well as stable patients with a high potential for becoming unstable who require increased monitoring and intensity of care and performing detailed assessments specific to acutely ill patients, administer medications via oral, intramuscular, subcutaneous, intradermal, and intravenous routes, and actively engage in patient advocacy to ensure the highest standards of care and ethical practice are upheld. (Note: You must attach a copy of your transcripts. ) OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field including but not limited to such as e.g., Doctor of Nursing Practice (DNP), Doctor of Public Health (DrPH), or Doctor of Medical Science (DMSc), or other specialties identified for the position. (Note: You must attach a copy of your transcripts.) EXEMPTION: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet one of the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Completion of all requirements for a doctoral degree (Ph.D. or equivalent) from a professional nursing program OR 3 full years of progressively higher-level graduate education from a professional nursing program Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Degree from Foreign Nursing School : Official certification from the Commission on Graduates of Foreign Nursing Schools (external link) is required for individuals who graduated from foreign nursing schools.

Pediatric

Full-time

4 days ago

Clinical Nurse - Observation Unit

Children’s Hospital of Philadelphia Philadelphia, PA

$48.30 - $58.15 / hour

SHIFT: Rotating (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview This is a Full-Time, 36 weekly hours with rotating shifts opportunity to support the Observation Unit at the Philadelphia campus. The fast-paced, 16-bed General Pediatrics observation unit primarily cares for patients from the Emergency Room who require a 24- to 72-hour admission for bronchiolitis/RSV, asthma, BRUE, common childhood infections, infant fevers, failure to thrive, constipation/dehydration, and hyperbilirubinemia. Specialty populations include post-operative patients recovering from arm/leg fractures, cholecystectomy, appendectomy, tonsillectomy/adenoidectomy, and urology procedures. This multidisciplinary team—including nurses, attendings, social workers, case managers, respiratory therapists, and Child Life specialists—partners on care management, nursing interventions, and discharge planning. The patient to RN ratio is typically 4:1. A Clinical Nurse in the Seasonal Staffing Program performs Nursing duties, as assigned, throughout certain times of the year in which CHOP's operational needs require additional Nursing staff due to high volumes and acuity ("Concentrated Period"), and flex down to no, or limited, scheduled shifts during other times of the year ("Quiet Period"). Although the Concentrated and Quiet Periods will depend upon operational need, the anticipated Concentrated Period will be from September through May, with a Quiet Period from June through August. The "Seasonal Staffing Benefited Program Guidelines" provides further details regarding scheduling and program policies. A Clinical Nurse in the Seasonal Staffing Program practices at the level of an advanced beginner, to expert practitioner, of professional Nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. A Clinical Nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care. The Clinical Nurse adheres to the organizational and Nursing department mission, vision, and values; practicing in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of Nursing practice. The Clinical Nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site. What you will do Clinical Practice Follows the Nursing process to deliver safe, compassionate and culturally effective care. Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated. Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate. Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care. Develops, implements and/or revises the patient’s plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team. Care is coordinated across the continuum – understands and utilizes case management resources. Consistently follows evidence based practice bundles and Nursing standards/procedures to provide Nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes. Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation. Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families. Evaluates and documents the care provided on each assigned shift. Accountable for the rapid adoption and implementation of clinical practice changes into own practice. Communication Documents the evaluation of Nursing interventions and outcomes of Nursing care utilizing hospital standards, policies and procedures. Consistently follows safe hand-off practices as defined in patient care standards and procedures. Utilizes and exemplifies safety behaviors for error prevention. Identifies potential safety concerns and communicates with unit leadership as appropriate. Enters safety nets when applicable, including good catch/near miss situations. Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate with patients/ families, and colleagues. Encourages patient/family self-advocacy. Collaboration Demonstrates effective teamwork as a member of the interdisciplinary care team, fostering and exemplifying a culture of respect. Recognizes/addresses situations where disrespectful collaboration may impact patient care and/or create non-collaborative relationships. Seeks resources as needed to resolve situations involving incivility and/or disrespect. Actively participates in interdisciplinary patient care rounds and/or meetings and makes recommendations to the plan of care that reflect Nursing goals, interventions, and expected outcomes. Revises the plan of care according to the patient care decisions made on rounds. Incorporates evidence based practice into direct clinical care in collaboration with other members of the multidisciplinary team. Develops and implements effective partnerships with members of the ancillary staff; delegates tasks effectively to assure comprehensive Nursing care is provided. Develops and sustains professional, well- boundary, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense. Professional Development Models appearance and behaviors that promote a positive image of professional Nursing. Expands clinical judgment and critical thinking skills with increased experience Demonstrates mastery of the principles of Family Centered Care, including dignity and respect, information sharing, participation, and collaboration. Demonstrates understanding of optimal patient/family experiences and incorporates into care delivery. Has a working knowledge of patient/family experience results (NRC Picker) at the unit and organizational level. Participates and/or leads in initiatives to improve satisfaction scores. Practices within a shared decision making environment. Familiar with and participates in Shared Governance council activities at the unit and/or department level. Progresses to leading council activities at the unit and/or department levels. Familiar with Magnet designation and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: Manages own time to accomplish direct/indirect care in a cost-effective manner Conserves unit and organizational resources; assures supplies are not wasted or misused. Does not incur incidental overtime. Understands the implications of the cost of staffing decisions. Identifies observed opportunities for cost savings. Well informed about the Professional Advancement Program (PEAK) and considers the opportunity to participate. Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology. Understands Nursing sensitive outcomes and knows how to navigate the Nursing scorecard. Participates and/or leads improvement initiatives to improve outcomes. Identifies own learning needs and actively assures learning needs are met. Seeks out opportunities to meet needs and attends all required programs. Maintains CEU’s for Nursing licensure. Maintains compliance with mandatory education and annual Nursing competencies. Recognizes individual preferences regarding an environment of constant change and understands change management. Develops effective methods to cope with and incorporate learning from a fast-paced, ever changing environment. Understands the principles and methodology of quality improvement; progresses to participating in and/or leading QI initiatives at the unit or organizational level. Understands and contributes to the science of Nursing: Develops a sense of inquiry. Reads articles pertinent to the patient population. Performs literature reviews. Develops clinical questions and advances understanding and application of evidence-based practice. Understands the Nursing research process and utilizes resources to participate in research projects. Participates in activities that contribute to improving the health of the community. Education Qualifications Technical Diploma Nursing Required Bachelor's Degree Nursing Preferred Experience Qualifications At least one (1) year RN experience. Required Prior experience in pediatrics or area of specialty Preferred Skills and Abilities Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). Web browsing, intranet search, document access. Use of shared network file space. Basic use of patient facing technology (e.g. IV pumps, point of care devices, CR monitors). Navigation and use of clinical communication systems. Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. Accesses needed information effectively and efficiently. Evaluates information and its sources critically and appropriately incorporates it into clinical practice. Evaluates outcomes of the use of information. Information Management Literacy Navigation of the electronic health record system. Ability to locate and review specific patient data in various clinical information systems. Effectively uses clinical decision support tools. Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Ability to collect clinical data using quality improvement tools. Licenses and Certifications Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Cardiopulmonary Resuscitation (CPR) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $48.30 - $58.15 Hourly Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.

Psych

Per Diem

1 month ago

Psychiatric RN PRN

Grand Strand Health Myrtle Beach, SC

Description Introduction Do you have the PRN career opportunities as a(an) Psychiatric RN PRN you want with your current employer? We have an exciting opportunity for you to join Grand Strand Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare. Benefits Grand Strand Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Fertility and family building benefits through Progyny Free counseling services and resources for emotional, physical and financial wellbeing Family support, including adoption assistance, child and elder care resources and consumer discounts 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan Retirement readiness and rollover services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Psychiatric RN PRN where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications The Registered Nurse coordinates and delivers high quality, patient-centered care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. In collaboration with medical providers and other members of the care team, the RN provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.” The RN serves as an advocate for patients/families/caregivers and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. Major Responsibilities: Assesses patient condition during admission and during each shift as scheduled and/or as needed , identifying and reporting any changes in patient status. Assesses patient environment for any safety risks and/or non-compliance with regulatory standards. Assesses patient pain regularly to promote effective pain management, including reassessments after appropriate intervention. Assesses patient condition for signs and symptoms of abuse or neglect. Reports any indications of abuse or neglect to medical provider(s), nurse leader, and/or appropriate agency. Performs procedures, monitoring, or other functions as ordered by the medical provider(s). Documents the administration of care in the patient medical record in a timely and thorough manner. Performs the administration of prescribed medications. Monitors patient for therapeutic response. Notifies provider and intervenes as appropriate in the event of an unintended response to medication. Performs exceptional care by responding promptly to patient requests. Strives to anticipate patient needs and resolve them proactively. Teaches patients/families/caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding. Teaches patients/families/caregivers about any non-medicinal follow-up measures, such as healthy diet and exercise, disease prevention, and/or other lifestyle changes. Prepares patients and families/caregivers for future self-management. Manages a care team, providing oversight and delegation to members as appropriate. Manages evidence-based practices and continuous process improvement initiatives to meet and exceed quality measures and enhance the exceptional care provided to patients. Manages the quality of care by collaborating with a multidisciplinary team to coordinate, evaluate, customize, and deliver a holistic patient treatment plan that promotes and supports recovery. Manages the continuation of care by serving as the interface between healthcare providers and community support systems who coordinate ongoing care needs for specialized patient groups. Specialty-Specific Responsibilities Demonstrates clinical knowledge and application of the nursing process to provide evidence-based patient care, consistent with ANA Scope and Standards of Practice for Psychiatric Mental Health Nursing. Utilizes knowledge of growth and development, psychopathology, and psychosocial systems to plan and implement aga-appropriate and culturally-sensitive care interventions. Employs strategies to promote health and a safe environment. Provides, structures, and maintains a safe, therapeutic, trauma-informed and recovery-oriented milieu in collaboration with patients, families, and other members of the interdisciplinary treatment team. Incorporates knowledge of pharmacological, biological , and complementary interventions with applied clinical skills to restore the patient’s health and prevent further disability. Establishes and maintains therapeutic relationships with patients, family members , and/ o r identified support system. Uses therapeutic relationship and counseling interventi ons to assist patients during individual recovery journeys by improving and regaining previous coping abilities and fostering mental health. Provides health teaching in individual and group settings related to patient needs, recovery goals, and situation, including mental health problems, psychiatric and substance use disorders, treatment regimens and self managem ent strategies , coping skills, relapse prevention, self-care activities, conflict and crisis management, problem solving skills, stress management, and relaxation techniques . Demonstrates competence in crisis management, including verbal de-escalation skills and appropriate application of seclusion or restraint, in accordance with federal, state, local and facility regulations. Service Serves as an example of professional nursing practice and promotes pride in nursing for the organization, the community, and the health care industry. Demonstrates caring and empathy in all interactions and advocates for patient- and family- centered approach in all decisions and actions . Engages in evidence-based best practices that enhance the patient experience, including SAFET Y rounding , communication fundamentals/AIDET, Teach-Back, Narrating Care, etc. Articulates a clear understanding of how to integrate patient experience behaviors into quality, safety, and nursing practice. Demonstrates excellent communication skills, including active listening. Ensures patients, physicians, and colleagues have a clear understanding of all communications , and escalates care concerns appropriately . P articipates as an engaged, active member of the health care team and positively promotes the rest of the team to patients/families/caregivers and other colleagues. Maintains a professional appearance and demonstrates behaviors consistent with established policies/procedures. People Pa rticipates in professional practice activities and advocates for shared governance functions. Growth Seeks opportunities to continue to grow professionally through learning through HCA programs, classes, and offerings, and through outside learning, research, and school. Shares new knowledge with peers and , when appropriate , utilizes new evidence-based knowledge to drive process improvement. Seeks opportunities to impact the growth of the organization by promoting excellence in patient experience and providing high quality care to the patients served. Encourages physician engagement by nurturing a positive, professional work environment. Finance Functions as a good steward of financial resources by effectively managing supplies, equi pment, length of stay, and throughput . Assumes personal accountability for work time. Other Performs other duties as assigned. Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.” Education & Experience: • Associate Degree in Nursing or RN Diploma Required • Bachelors Degree in Nursing Preferred • < 1 year applicable experience Required Grand Strand Medical Center has provided quality healthcare services since 1978, giving patients access to highly-trained physicians and advanced technology. With more than 40 years of pioneering healthcare, our 300+ bed hospital is one of the regions leading acute care facilities. We offer a range of services for our patients - including the only cardiac surgery program, neurosurgery program, pediatric intensive care unit, Level I trauma center with two free-standing emergency departments, advanced wound care center, breast cancer center and Carolina Forest Imaging Center. We are recognized, for the chest pain, knee and hip replacement, sepsis and stroke by the Joint Commission. At Grand Strand Health, youll find that caring extends to our patients, our people and our South Carolina community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Psychiatric RN PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

Psych

Per Diem

1 month ago

Psychiatric RN PRN Nights

Grand Strand Health Myrtle Beach, SC

Introduction NEW PRN RATES Do you have the PRN career opportunities as a(an) Psychiatric RN PRN you want with your current employer? We have an exciting opportunity for you to join Grand Strand Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare. Benefits Grand Strand Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Fertility and family building benefits through Progyny Free counseling services and resources for emotional, physical and financial wellbeing Family support, including adoption assistance, child and elder care resources and consumer discounts 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan Retirement readiness and rollover services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Psychiatric RN PRN where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications The Registered Nurse coordinates and delivers high quality, patient-centered care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. In collaboration with medical providers and other members of the care team, the RN provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.” The RN serves as an advocate for patients/families/caregivers and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. Major Responsibilities: Assesses patient condition during admission and during each shift as scheduled and/or as needed , identifying and reporting any changes in patient status. Assesses patient environment for any safety risks and/or non-compliance with regulatory standards. Assesses patient pain regularly to promote effective pain management, including reassessments after appropriate intervention. Assesses patient condition for signs and symptoms of abuse or neglect. Reports any indications of abuse or neglect to medical provider(s), nurse leader, and/or appropriate agency. Performs procedures, monitoring, or other functions as ordered by the medical provider(s). Documents the administration of care in the patient medical record in a timely and thorough manner. Performs the administration of prescribed medications. Monitors patient for therapeutic response. Notifies provider and intervenes as appropriate in the event of an unintended response to medication. Performs exceptional care by responding promptly to patient requests. Strives to anticipate patient needs and resolve them proactively. Teaches patients/families/caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding. Teaches patients/families/caregivers about any non-medicinal follow-up measures, such as healthy diet and exercise, disease prevention, and/or other lifestyle changes. Prepares patients and families/caregivers for future self-management. Manages a care team, providing oversight and delegation to members as appropriate. Manages evidence-based practices and continuous process improvement initiatives to meet and exceed quality measures and enhance the exceptional care provided to patients. Manages the quality of care by collaborating with a multidisciplinary team to coordinate, evaluate, customize, and deliver a holistic patient treatment plan that promotes and supports recovery. Manages the continuation of care by serving as the interface between healthcare providers and community support systems who coordinate ongoing care needs for specialized patient groups. Specialty-Specific Responsibilities Demonstrates clinical knowledge and application of the nursing process to provide evidence-based patient care, consistent with ANA Scope and Standards of Practice for Psychiatric Mental Health Nursing. Utilizes knowledge of growth and development, psychopathology, and psychosocial systems to plan and implement aga-appropriate and culturally-sensitive care interventions. Employs strategies to promote health and a safe environment. Provides, structures, and maintains a safe, therapeutic, trauma-informed and recovery-oriented milieu in collaboration with patients, families, and other members of the interdisciplinary treatment team. Incorporates knowledge of pharmacological, biological , and complementary interventions with applied clinical skills to restore the patient’s health and prevent further disability. Establishes and maintains therapeutic relationships with patients, family members , and/ o r identified support system. Uses therapeutic relationship and counseling interventi ons to assist patients during individual recovery journeys by improving and regaining previous coping abilities and fostering mental health. Provides health teaching in individual and group settings related to patient needs, recovery goals, and situation, including mental health problems, psychiatric and substance use disorders, treatment regimens and self managem ent strategies , coping skills, relapse prevention, self-care activities, conflict and crisis management, problem solving skills, stress management, and relaxation techniques . Demonstrates competence in crisis management, including verbal de-escalation skills and appropriate application of seclusion or restraint, in accordance with federal, state, local and facility regulations. Service Serves as an example of professional nursing practice and promotes pride in nursing for the organization, the community, and the health care industry. Demonstrates caring and empathy in all interactions and advocates for patient- and family- centered approach in all decisions and actions . Engages in evidence-based best practices that enhance the patient experience, including SAFET Y rounding , communication fundamentals/AIDET, Teach-Back, Narrating Care, etc. Articulates a clear understanding of how to integrate patient experience behaviors into quality, safety, and nursing practice. Demonstrates excellent communication skills, including active listening. Ensures patients, physicians, and colleagues have a clear understanding of all communications , and escalates care concerns appropriately . P articipates as an engaged, active member of the health care team and positively promotes the rest of the team to patients/families/caregivers and other colleagues. Maintains a professional appearance and demonstrates behaviors consistent with established policies/procedures. People Pa rticipates in professional practice activities and advocates for shared governance functions. Growth Seeks opportunities to continue to grow professionally through learning through HCA programs, classes, and offerings, and through outside learning, research, and school. Shares new knowledge with peers and , when appropriate , utilizes new evidence-based knowledge to drive process improvement. Seeks opportunities to impact the growth of the organization by promoting excellence in patient experience and providing high quality care to the patients served. Encourages physician engagement by nurturing a positive, professional work environment. Finance Functions as a good steward of financial resources by effectively managing supplies, equi pment, length of stay, and throughput . Assumes personal accountability for work time. Other Performs other duties as assigned. Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.” Education & Experience: • Associate Degree in Nursing or RN Diploma Required • Bachelors Degree in Nursing Preferred • < 1 year applicable experience Required Grand Strand Medical Center has provided quality healthcare services since 1978, giving patients access to highly-trained physicians and advanced technology. With more than 40 years of pioneering healthcare, our 300+ bed hospital is one of the regions leading acute care facilities. We offer a range of services for our patients - including the only cardiac surgery program, neurosurgery program, pediatric intensive care unit, Level I trauma center with two free-standing emergency departments, advanced wound care center, breast cancer center and Carolina Forest Imaging Center. We are recognized, for the chest pain, knee and hip replacement, sepsis and stroke by the Joint Commission. At Grand Strand Health, youll find that caring extends to our patients, our people and our South Carolina community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Psychiatric RN PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

Full-time

1 week ago

Nurse Practitioner / Physician Assistant, Dermatology

Lucile Packard Children's Hospital Stanford Palo Alto, CA

$93.75 - $114.84 / 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: P144415-2969 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Full-time

1 week ago

Nurse Practitioner / Physician Assistant, Cardiology

Lucile Packard Children's Hospital Stanford Palo Alto, CA

$93.75 - $114.84 / 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: P144394-2936 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

ICU

Full-time

1 week ago

Registered Nurse II ICU CCU

Alaska Native Tribal Health Consortium Anchorage, AK

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

Per Diem

3 months ago

Specialty Registered Nurse - Cath Lab/IR - PRN

Stormont-Vail HealthCare Topeka, KS

Position Status: Shift: 12 Hour Night Shift (United States of America) Hours per week: 0 Job Information Exemption Status: Non-Exempt A Brief Overview Specialty Registered Nurse (RN) assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients through the therapeutic use of self, the nursing process, the environment/instrumentation, and other health care team members. These nurses work in ambulatory/acute care setting administering hi-risk medications and/or sedations. These nurses provide care in the hospital setting. Cardiac and vascular nursing is a specialty within the nursing profession that encompasses the care of individuals across the life span who are undergoing a surgical procedure or procedure requiring sedation/anesthesia. Cardiac and vascular nursing incorporates the pre-procedure care, acute post-operative care, and care for a subset of inpatients. The Cardiac and vascular nurse will use a comprehensive, multidisciplinary approach to patient care. Nursing care can range from routine, elective procedures to highly complex procedures to direct admits and transfers. These nurses have adapted nursing process to include strict adherence to the procedural safety checklists, titratable infusions, post-operative airway, pain, nausea, and arterial and venous access site management. Cardiac and vascular nurses will educate patients about post-operative care management and provide same day discharge instructions for outpatients and continued care for inpatients. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization. Education Qualifications Bachelor's of Science in Nursing (BSN) Preferred Experience Qualifications Experience in a clinic setting. Preferred Skills and Abilities Demonstrates awareness and sensitivity to rights of patient/significant other, as identified within the institution. (Required proficiency) Demonstrates awareness and application of safety issues as identified within the institution. (Required proficiency) Demonstrates awareness of legal issues in all aspects of patient care and departmental functioning. Strives to manage situations in a manner, which minimizes risk to the patient and the institution. (Required proficiency) Demonstrates competency in selected psychomotor skills. (Required proficiency) Ability to communicate effectively using verbal, non-verbal and written methods. (Required proficiency) Ability to perform mathematical calculations related to medication administration and equipment calibration. Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. (Required proficiency) Licenses and Certifications Registered Nurse - KSBN Required Basic Life Support - BLS RQI or other certifications may be required in lieu of or in addition to BLS depending on department. Must have within 90 days of hire. Advanced Cardiovascular Life Support - ACLS Must have within 90 days of hire. Pediatric Advanced Life Support - PALS Must have within 90 days of hire. What you will do Provides direct patient care as defined within the scope of the state’s nurse practice act. Performs assessment/data collection in an ongoing and systematic manner, focusing on physiological and cognitive status. Administers prescribed medications, infusions, titrate cardiac and anticoagulant infusions, and/or treatments in accordance with nursing standards. Formulates a prioritized and goal directed plan of care for inpatients, which is based on patient’s presenting problems and projected outcomes. Implements care in a knowledgeable, skillful, consistent manner, while promoting the continuum of care. Functions to establish priorities of patient care based on essential patient needs and available unit resources of time, personnel, equipment and supplies. Prepares equipment and aids provider during treatment, examination and testing of patients. Evaluates the effectiveness of the health care process (self, systems, environment, and instrumentation) in meeting outcomes. Observes, records, and reports patient’s condition and reaction to drugs and treatments to provider. Provides medication as directed. Documents in patient and department records in a timely, accurate and concise manner according to department standards. Maintains and reviews patient records, charts, and other pertinent information. Compiles tests and examination results. Monitoring patients’ level of consciousness throughout and side effects of sedation/anesthesia recovery, complications from cardiac, interventional and diagnostic radiology procedures, including bleeding. Monitoring for Assists Cardiologist, Radiologists, and APP’s to conduct laboratory test results, cardiac stress tests, stress echocardiograms, CT coronary cardiograms, and cardiac rhythm interpretation. Treating pain, nausea, and other post-procedure symptoms of anesthesia. Evaluates the patient’s progress towards achieving outcomes. Performs efficiently in emergency patient situations following established standards of care. Practices effective problem identification and resolution as a method of sound decision making. Greets patients and prepares them for provider examination. Collects patient history information. Instruct patients in collection of samples and tests. Triages and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions. Participates in system wide/department patient care quality improvement activities as well as standards development. Participates actively in clinical education activities, including orientation of new employees and teaching student nurses. Participates in nursing research activities. Participates in development and attainment of system wide/department hospital goals. Delegates tasks and duties in the direction and coordination of health care team members, patient care and department activities in accordance with the Kansas State Nurse Practice Act. Seeks validation of knowledge base, skill level and decision making as necessary and assertively seeks guidance in areas of question. As requested this position will float to the hospital to perform Registered Nurse duties. Adheres to staffing and scheduling practices. Adheres to Universal Protocol and completes surgical safety checklists. Completes pre-operative care and tasks to pre procedure orders and safety protocols. Utilizes Aldrete score. Educates on post operative discharge instructions. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability On-Site; No Remote Scope No Supervisory Responsibility No Budget Responsibility Physical Demands Balancing: Occasionally 1-3 Hours Carrying: Occasionally 1-3 Hours Climbing (Ladders): Occasionally 1-3 Hours Climbing (Stairs): Occasionally 1-3 Hours Crawling: Occasionally 1-3 Hours Crouching: Occasionally 1-3 Hours Eye/Hand/Foot Coordination: Frequently 3-5 Hours Feeling: Frequently 3-5 Hours Grasping (Fine Motor): Frequently 3-5 Hours Grasping (Gross Hand): Frequently 3-5 Hours Handling: Frequently 3-5 Hours Hearing: Frequently 3-5 Hours Kneeling: Occasionally 1-3 Hours Lifting: Occasionally 1-3 Hours up to 50 lbs Operate Foot Controls: Occasionally 1-3 Hours Pulling: Occasionally 1-3 Hours up to 25 lbs Pushing: Occasionally 1-3 Hours up to 25 lbs Reaching (Forward): Occasionally 1-3 Hours up to 25 lbs Reaching (Overhead): Occasionally 1-3 Hours up to 25 lbs Repetitive Motions: Occasionally 1-3 Hours Sitting: Occasionally 1-3 Hours Standing: Occasionally 1-3 Hours Stooping: Occasionally 1-3 Hours Talking: Occasionally 1-3 Hours Walking: Occasionally 1-3 Hours Working Conditions Burn: Rarely less than 1 hour Chemical: Rarely less than 1 hour Combative Patients: Occasionally 1-3 Hours Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Explosive: Rarely less than 1 hour Extreme Temperatures: Rarely less than 1 hour Infectious Diseases: Occasionally 1-3 Hours Mechanical: Rarely less than 1 hour Needle Stick: Frequently 3-5 Hours Noise/Sounds: Frequently 3-5 Hours Other Atmospheric Conditions: Rarely less than 1 hour Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour Radiant Energy: Rarely less than 1 hour Risk of Exposure to Blood and Body Fluids: Occasionally 1-3 Hours Risk of Exposure to Hazardous Drugs: Occasionally 1-3 Hours Hazards (other): Rarely less than 1 hour Vibration: Rarely less than 1 hour Wet and/or Humid: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.

Nurse Practitioner / Physician Assistant, Pediatric Intensive Care

Lucile Packard Children's Hospital Stanford Palo Alto, CA

$93.75 - $114.84 / 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: P144393-2935 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.