RN New Grad Full-time
SSM Health

Graduate Nurse Vascular ENT

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: Vascular ENT - SSM Health St. Louis University Hospital – St. Louis, MO Schedule: Full time, 7a-7p varying nights with every 3rd weekend, holiday requirement, no on call requirement Eligibility: • Graduate of an accredited nursing program • Eligible to practice as determined by State Board of Nursing • Less than one year of experience working as an RN Being a nurse is more than a job, it’s a calling. That is why SSM Health wants to invest in your future. As a new graduate nurse hired with SSM Health, you will participate in the SSM Health Nurse Residency Program. This will allow you to connect and learn from other graduate nurses across the system as you work to enhance your confidence, knowledge, and practical skill. The residency program is designed to complement your education and support your continued professional growth. Join our team and make a difference every day while enjoying competitive pay, great benefits, and a supportive work environment. We offer competitive, affordable health insurance and benefits designed to support you and your family. Fulfill your calling with SSM Health — apply today! Job Summary: Pre-licensure graduate of an accredited nursing program who actively participates in SSM Health Saint Louis University Hospital New Graduate Nurse Residency Program. Under the direction of RN, provides care to patients within scope of role and professional standards. Responsible for the delivery of age appropriate care for assigned patients with a wide variety of medical conditions. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: Under the direction of the RN Preceptor: 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. F) Work in a constant state of alertness and safe manner. 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: RN licensure in the State of Missouri, or new graduate of accredited school of nursing and must obtain licensure within 6 months of graduation. 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. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Registered Professional Nurse (RN) within 3 months of Official NCLEX Pass Date - Illinois Department of Financial and Professional Regulation (IDFPR) • And • Official NCLEX Pass Letter - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri and Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Status of Fail on The National Council Licensure Examination for Registered Nurses within 3 months of graduation date - Pearson VUE • And • FUTURE - NCLEX test date within 30 days - Pearson VUE State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Status of Fail on The National Council Licensure Examination for Registered Nurses within 3 months of graduation date - Pearson VUE • And • FUTURE - NCLEX test date within 30 days - Pearson VUE • And WI Nursing Temporary Permit - State of Wisconsin 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. ​ 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) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Registered Professional Nurse (RN) within 3 months of Official NCLEX Pass Date - Illinois Department of Financial and Professional Regulation (IDFPR) • And • Official NCLEX Pass Letter - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri and Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Status of Fail on The National Council Licensure Examination for Registered Nurses within 3 months of graduation date - Pearson VUE • And • FUTURE - NCLEX test date within 30 days - Pearson VUE State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) • Or • FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA) • And • FUTURE - Status of Fail on The National Council Licensure Examination for Registered Nurses within 3 months of graduation date - Pearson VUE • And • FUTURE - NCLEX test date within 30 days - Pearson VUE • And WI Nursing Temporary Permit - State of Wisconsin Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1030000023 Med Surg - 3S 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 Full-time
SSM Health

Registered Nurse - Specialty Procedure - Catheterization Laboratory

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: 7a-7p with on-call requirements. Benefits : Competitive, affordable health insurance including but not limited to: Getting paid every day! Access up to $5,250 in tuition coverage per year Paid maternity & paternity coverage Adoption assistance Various competitive health insurance options & wellness plans Retirement benefits including employer matching plans Long & short-term disability Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire Job Summary: The Registered Nurse (RN) is a professional practitioner who manages and directs nursing care activities in the areas of cath lab and interventional radiology. Must be energetic and highly motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (%of time) Essential Functions: The following are essential job accountabilities and performance criteria. 1) Assessment: Performs comprehensive nursing assessment as the database. (1, 2, 3, 4, 5) 20% Criteria A) Completes assessment of new admission or transfer upon arrival to PACU. B) Accurately performs and documents patient assessments. C) Provides timely ongoing patient reassessment documenting pertinent observations. 2) Planning: Establishes and coordinates a plan of care based on analysis of the initial assessment data, patient diagnosis, and physician orders. (1, 2, 3, 4, 5) 10% Criteria A) Identifies patient care needs. B) Formulates nursing interventions to achieve desired patient outcomes. C) Identifies and initiates individualized care plans. D) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. 3) Implementation: Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient condition. (1, 2, 3, 4, 5, 6, 7, 8) 30% Criteria A) Coordinates, communicates and documents patient care with other disciplines. B) Provides and documents patient education and discharge planning correctly on PACU flow sheet. C) Reviews and initiates physician orders in an accurate and timely manner. D) Recognizes changes in patient's condition, takes appropriate nursing actions. E) Adheres to medication/parenteral therapy administration and documentation per policy guidelines. F) Performs blood-drawing technique to obtain lab specimens including blood cultures. G) Anesthesia and surgical physicians notified of significant changes in patient condition. H) Assist physicians with procedures, examinations, and other processes related to patient care. 4) Evaluation: Documents effectiveness of nursing care and modifies plan of care as patient progresses toward expected outcomes. (1, 2, 3, 4, 5) 10% Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient education including level of understanding. C) Evaluates plan of care and modifies as indicated. D) Evaluates effectiveness of pain medication and then takes appropriate nursing action. 5) Professional/Leadership: Demonstrates accountability for own professional practice. (3, 5) 10% Criteria A) Participates in additional learning experience to increase professional competence including 1. Committee membership 2. Staff meetings 3. Mandatory in-services and other educational programs 4. Evaluation of self and peer performance by identifying strengths and areas for improvement. B) Is at work as scheduled and begins duties promptly at start of shift. C) Functions as a resource person to co-workers, patients/families, medical staff and ancillary personnel. D) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. E) Directs care delivered by Care Partners. F) Adheres to and incorporates all customer service standards in patient care and work practices. 6) Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5, 6, 7, 8) 5% Criteria A) Practices universal precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards. 1. Maintains clutter free environment. 2. Keeps conversations and background noise to a minimum 3. Adheres to dress code. C) Reports risk management concerns. D) Assumes responsibility for completing all annual mandatory requirements: 1. Safety/Fire 2. Blood Borne Pathogen 3. Hazardous Communication 4. TB 5. Department Specific 6. Age Appropriate Care (for clinical staff only) 7. EMTALA C) Works in a constant state of alertness and safe manner. D) Works in a constant state of alertness and safe manner. 7) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. (1, 3, 5, 6) 10% Criteria A) Demonstrates Care and Courtesy 1) Provides prompt, respectful, courteous service. 2) Meets physical, spiritual, psychological and emotional needs of patients and families. 3) Responds to patient needs promptly. 4) Apologizes for mix-ups and delays. B) Communicates Effectively and Maintains Confidentiality 1) Listens to patient/family concerns and addresses needs. 2) Explains procedures and all education in a manner that patient/family understands. 3) Allows time for questions. C) Demonstrates Competence and Collaboration 1) Provides accurate report. 2) Provides quality care in accordance to standards. 3) Shares knowledge with other departments to facilitate work flow and continuity. D) Provides Cost Effective Services 1) Uses resources wisely. 2) Recommends changes in practice that increases efficiency and minimizes waste. 3) Minimizes overtime and utilizes time well. Criteria 8) Quality Improvement (QI): Incorporates Quality Assessment into one’s daily work. (1, 2, 3, 4, 5, 6) 5% Criteria A) Assists in developing unit based PI plan. B) Collects PI data as assigned. C) Participates in discussion of PI outcomes. D) Collaborates in developing and implementing action plans. E) Participates in research activities on the nursing unit. Criteria 9) Age Appropriate Care: Provides age-appropriate care to: ____Infant ____Child __x__ Adolescent __x___ Adult __x___ Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B) Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E) Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 10) Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5)
NP Pediatric Psych Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Child Psych

Lucile Packard Children's Hospital Stanford Mountain View, CA
$87.55 - $109.44 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00025200-2656339 Job Description Department Description The Advanced Practice Provider (APP) position is part of a collaborative multidisciplinary team consisting of Psychiatrists, Psychologists, Fellows, Mental Health Clinicians, Social Workers, and Mental Health Resource Coordinators. In this role, the APP will provide comprehensive, evidence-based psychiatric services to children, adolescents, and young adults experiencing acute and chronic mental health conditions. You will work closely with families, schools, and our interdisciplinary medical team to deliver individualized, family-centered care. The APP will conduct comprehensive psychiatric evaluations, developmental histories, mental status examinations, and risk assessments for pediatric patients. The APP will formulate clinical diagnoses and prescribe, monitor, and adjust psychotropic medications in accordance with state regulations and institutional protocols. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. 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. 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. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $87.55 to $109.44 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Full-time
The Christ Hospital Health Network

Professional Development Specialist-RN - Liberty Women's Health - Full Time - Varies

The Christ Hospital Health Network Cincinnati, OH
Job Description The Professional Development Specialist (PDS) is a self-directed, professional registered nurse with advanced knowledge and expertise specific to his/her clinical area. The PDS serves as an educator, change agent, researcher, servant leader role model and mentor. The PDS role is developed in relationship to responsibilities and specialty population of practice. The PDS will be centrally based/department based and may have additional responsibilities within the department as the need arises. Responsibilities Follows Standards of Practice Standard 1: Assessment of Practice Gaps The nursing professional development specialist analyzes issues, trends and supporting data to determine the needs of individuals, organizations, and communities in relation to health care. Standard 2: Identification of Learning Needs The nursing professional development specialist collects data and information to validate an identified gap in professional practice and to determine the specific knowledge, skill, or practice deficit or opportunity. Standard 3: Outcomes Identification The nursing professional development specialist identifies desired outcomes of the educational plan. Standard 4: Planning The nursing professional development specialist establishes a plan that prescribes strategies, alternatives, and resources to achieve expected outcomes. Standard 5: Implementation The nursing professional development specialist implements the identified plan. Standard 5a: Coordination The nursing professional development specialist coordinates educational initiatives and activities. Standard 5b: Facilitation of Positive Learning and Practice Environments The nursing professional development specialist employs strategies to facilitate positive learning and practice environments. Standard 6: Evaluation The nursing professional development specialist evaluates progress toward attainment of outcomes. Standard 7: Ethics The nursing professional development specialist integrates ethics in all areas of practice. Standard 8: Education The nursing professional development specialist maintains current knowledge and competency in nursing and professional development practice. Standard 9: Evidence-based Practice and Research The nursing professional development specialist acts as a champion of scientific inquiry, generating new knowledge and integrating best available evidence into practice. Standard 10: Quality of Nursing Professional Development Practice The nursing professional development specialist systematically enhances the quality and effectiveness of nursing professional development practice. Standard 11: Change Management The nursing professional development specialist acts as a change agent within all settings. Standard 12: Leadership The nursing professional development specialist provides leadership in the professional practice setting and the profession. Standard 13: Collaboration The nursing professional development specialist collaborates with interprofessional teams, leaders, stakeholders and others to facilitate nursing practice and positive outcomes for consumers. Standard 14: Professional Practice Evaluation The nursing professional development specialist evaluates personal practice in relation to professional practice standards and guidelines, and relevant statutes, rules, and regulations. Standard 15: Resource Utilization The nursing professional development specialist considers factors related to quality, safety, effectiveness and cost regarding professional development activities and expected outcomes. Standard 16: Mentorship/Advancing the Profession The nursing professional development specialist advances the profession and the specialty through mentoring and contributions to the professional development of others. Duties and Responsibilities: Onboarding: Assessment Communicates with new employee before start date to make introductions, identify learning style, provides an overview of the orientation process and attempt to alleviate fears and apprehensions. Diagnosis Collaborates with the Clinical Manager when a new hire is finalized and hire date is established. There will be discussion regarding new employee’s previous work history, clinical background and possible learning needs. Identification of Educational Outcomes Prepares a competency-based unit orientation for new hires based on objectives and needs of orientee. Planning Prepares a clinical orientation schedule for each new employee based on the employee’s previous work experience and clinical background. Collaborates with manager to identify a compatible preceptor and determine the anticipated length of orientation. Implementation Works closely with Orientation Team to ensure new employees have attended all classroom orientation before being oriented to the clinical department. Schedules and facilitates “class day” for a new employee that is scheduled on the unit to acclimate the new staff member to the physical environment, department standards, performance expectations, and requirements and competencies identified in the new employee’s job description. Provides instruction to new employee on infection control, emergency equipment and typical equipment/products used in the department. Review importance of customer service. Provides new employee with a Clinical Performance Record. Evaluation Has daily conversations with preceptor regarding orientee’s competency-based orientation plan. Follows up to ensure preceptor documents daily progress. Meets with orientee, preceptor and manager (if necessary) during the clinical orientation to discuss progress, set new goals, facilitate conflict resolution strategies and provide feedback. Evaluates and documents orientee’s progress weekly. Provides input into the 90 day evaluation of all new employees. Encourages new hires to evaluate the orientation process and makes revision to orientation content based on this input. Duties and Responsibilities: On-Going Staff Education: Assessment Evaluates the learning needs of the staff at least annually. Diagnosis Maintains current knowledge of nursing practice in the clinical setting. Keeps abreast of educational requirements for all job categories which pertain to clinical care. Identification of Educational Outcomes Prepares and/or coordinates staff education for new products, medications, equipment, services provided, performance improvement initiatives and/or regulatory requirements Planning Refers to professional literature and evidence-based practice when preparing educational materials. Maintains Basic Life Support Instructor certification and teaches BLS classes minimally four times in a two year period as deemed necessary. Collaborates with vendors, physicians, other nurses or professional staff to provide staff education. Updates content of Education Day annually in collaboration with other educators or unit council members as deemed appropriate per department. Implementation Ensures that all staff is scheduled for and attend Education Day annually as deemed appropriate per department. Ensures that staff completes all required, mandatory education. Maintain educational files on all employees. Evaluation Evaluates staff satisfaction with educational programs Evaluates for improved clinical outcomes as appropriate Duties and Responsibilities: Leadership Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Acts as a resource and educator for multidisciplinary team members and students, continuously evaluating and documenting competency. Duties and Responsibilities: Professional Development: Assumes responsibility and accountability for personal professional growth and development. Contributes to the professional development of peers, colleagues and others. Supports self and peer professional growth and development based on information received in periodic (at least annual) needs assessment. Provides on-going education for individuals in leadership positions such as charge nurse, council chairs or preceptors. Completes all educational requirements to maintain necessary population specific competencies. Submits required test and paperwork in a timely manner. Participates in self and peer review. Uses performance improvement data as a mechanism to positively recognize staff performance. Prepares for certification examination for self and peers in the clinical area through review courses or study groups. Participates in appropriate professional organizations. Evaluates reports of nurse-sensitive outcomes and prepares staff education based on this data. Participates in community services activities. Duties and Responsibilities: Other : Is available to provide education to employees on all shifts. Participates in councils, task forces, and committee meetings (house wide and unit-based) to improve competencies of the staff members per management’s discretion. Duties and Responsibilities: UNIT POPULATION SERVED COMPETENCY: Evidence exists that The Christ Hospital staff considers the special needs and behaviors of the specific patient populations served. Evidence also exists that shows the staff demonstrates those competencies that address the unique characteristics related to developmental, physical, psychosocial, mental, emotional, and social needs of patients across the life span. Associates should also be able to demonstrate those competencies that address the needs of patients with unique cultural norms, religious preferences, language/communication barriers and/or literacy limitations. Qualifications RELATIONSHIPS, RESPONSIBILITIES, AND REQUIREMENTS Coordinates preceptor development activities. Coordinates specialized educational events for staff and patients involving high risk/low volume procedures. Sets standards for development of educational materials. Coordinates student experiences for role transition. Develops strong relationships with clinical instructors to ensure enhanced student experiences. Serves as a mentor for RN’s and other care providers. Assists staff in professional advancement application process. KNOWLEDGE AND SKILLS: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position. EDUCATION: Graduate of accredited school of nursing. BSN required/ MSN with education focus, or MEd preferred. YEARS OF EXPERIENCE: Minimum of five years of applicable clinical nursing experience or three years applicable clinical nursing experience and two years of formal educator experience preferred. REQUIRED SKILLS AND KNOWLEDGE: Excellent communication and teaching skills are required. Actively seeks opportunities in area of expertise and /or in education to improve own knowledge by regularly attending continuing education programs. LICENSES & CERTIFICATIONS: Graduate of an approved School of Nursing, Current RN licensure in the state of employment. The RN holds a current licensure to practice nursing in her/his state of employment. Membership in professional organizations is desirable. Certification in area of specialty is required; certification in Nursing Professional Development (through American Nurses Credential Center [ANCC] or Association for Nursing Professional Development [ANPD] required within two years.. BLS certification is required. ACLS certification required for all critical care areas. NRP certification is required for all perinatal areas.
RN OB/GYN Full-time
Tuba City Regional Healthcare

Clinical Nurse, OB/GYN - Rotational Shift - $10K Sign on

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Obstetric Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration of specific patient conditions and treatments, and ability to work independently in completing assignments. Assists physicians and midwives during examinations and procedures. Provides comprehensive, family centered nursing care to mothers and babies during antepartum, intrapartum and postpartum periods. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate or Bachelor Degree in Nursing License/Certification: Must have a valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Neonatal Resuscitation Program (NRP) from the American Heart Association AWHONN Intermediate EFM Certification required within six (6) months of hire AWHONN Advanced EFM Certification required within six (6) months of hire. National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale required within six (6) months of hire STABLE Certification within 1 year of hire Advanced Life Support in Obstetrics (ALSO) within 1 year of hire Experience: A minimum of at least one (1) year of OB nursing experience in antepartum, intrapartum, postpartum, nursery and Labor and Delivery. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided Knowledge of disease entities in order to recognize complications and therapeutic interventions required Knowledge of assessment practices related to pain management and various treatment modalities of pain relief Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications Knowledge of infection control procedures and safety precautions Complete Patient Sitter Competency Training (upon hire) Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Will be working occasionally around fumes or airborne particles; toxic or caustic chemicals; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS Develop individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members and consults with attending physicians, CNM, other staff members to determine and evaluate the kind of health and physical care needed. Carry out treatments and procedures per scope of practice. When assigned as team leader, provides guidance, direction and training to ancillary nursing and other personnel. Maintain health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient and timely manner. Maintain professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Provide counseling and teaching to patients and families or surrogates on preventative, curative and rehabilitative measures involved in health care. Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals to organize the desired effects, side effects and complications on their use. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (Refer to the CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction. Perform other duties as assigned.
RN New Grad PCU Full-time
Banner Health

Registered Nurse RN New Graduate Neurology PCU

Banner Health Casper, WY
Primary City/State: Casper, Wyoming Department Name: PCU Neuro Work Shift: Night Job Category: Nursing Great nursing 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. Since 2018, the New Graduate RN Residency Program at Banner Health has been accredited by the American Nurses Credentialing Center (ANCC) as a Practice Transition Accreditation Program® (PTAP). Banner Health’s New Nurse Experience (NNE) provides a collaborative learning environment where you can refine your nursing skills, enhance your knowledge, and transition from a new graduate to a fully competent, professional nurse at Banner Health. About our program: The Banner Health New Nurse Experience is a full-time Registered Nurse position that assists you in transitioning from a new graduate to a fully competent, professional nurse at Banner Health. This program provides a collaborative learning environment in which you can refine your nursing skills, enhance your knowledge, and develop new personal and professional relationships. Successful candidates will be placed in specific units at Banner Health facilities to be clinically mentored by unit staff and educators. We offer all of our New Grads multiple Career Pathways and development opportunities to achieve your long-term career goals. Whether you are wanting to go into a specialty unit, leadership roles, non-bedside nursing opportunities, or any other sector of nursing - we will help you get there! The expectation is that you will stay on your NNE unit for at least 12 months to get a full and comprehensive training experience! New Grads will also need to live within a reasonable commute distance of the facility they are hired into. Most new nurses will work three 12 hour shifts, which will include weekend and holiday rotations with other staff members. Program Activities Include: • Clinical experiences with a preceptor • Training in our state-of-the-art Banner Simulation Center • Competency and skills assessment and verification • Orientation to the Cerner electronic medical health record system • Patient care skills lab that provides hands-on experience with equipment • e-Learning modules • Resources for professional and personal development Requirements to Apply Online: • Recent or Upcoming graduation from an accredited nursing program • BSN is preferred - open to ADN at select locations •Current BLS card (through either American Heart Association, Red Cross, or ASHI) or ability to obtain certification before a start date •No More than 12 months of RN experience •Previous healthcare experience is preferred * Please note the email you apply with is where all updates and information will be sent to, even after you graduate. We recommend applying with a personal email rather than a school email address. Application Deadlines/Process: It is recommended that you apply no earlier than 50 days prior to your graduation date. Benefits/Compensation: This is a full time, benefitted, and paid position. Enjoy a flat rate $1.50/hour weekend shift differential and a 15% night shift differential when applicable. All New Grad RN positions are eligible for Banner Health’s “Total Rewards Compensation Package”, which includes Health/Dental/Vision insurance (if employee desires), PTO/Sick time accrual, 401K, and a long list of other benefits. Benefits begin the 1st of the month following your start date. Wyoming Medical Center Neurosciences combines specialists in neurology, interventional radiology and neurosurgery to offer the region’s most comprehensive care of the brain, spine and central nervous system. This team approach means you always have the right specialist involved in your care. Wyoming Medical Center earned the American Stroke Association’s highest level of recognition for quick treatment of stroke patients. Our stroke team – including neurologists, interventional radiologists, emergency room physicians, paramedics, nurses, lab technicians, rehabilitation therapists and more – treats more than 200 strokes per year. Joining the Neurology team as a RN New Grad you can expect to join a team oriented environment that is fast paced, learning something new every day. In this role you can expect to work 3 -12 hour shifts. There are night shift opportunities! If you have any questions please reach out to Lindee Zespy @ lindee.zespy@bannerhealth.com POSITION SUMMARY This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients. CORE FUNCTIONS 1. Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy. 2. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. 3. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. 4. Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching. 5. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner. 6. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate. 7. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations. 8. In some roles, this position may supervise staff and work flow of the department. 9.Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status. MINIMUM QUALIFICATIONS Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice. Relates throughout the interview process the experience, training and education needed to perform the job. Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting. In a Home Health setting, team members must be able to operate personal vehicle and possess a valid driver's license. Auto insurance coverage is also required to be active and maintained. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working in 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. Employees working in any Banner Staffing (BSS) Behavioral Health role in Arizona must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. PREFERRED QUALIFICATIONS Bachelor's degree preferred. Professional certification preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
NP OB/GYN Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant / Certified Nurse Midwife, Obstetrics

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

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

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

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

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

Nurse Practitioner / Physician Assistant, Liver Transplant

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

Reliable Weekend Caregiver – Lafayette, TN – Saturday & Sunday Required

Helping Hearts USA LLC Lafayette, TN
Join the Helping Hearts Team and Make a Difference Today! Night-Shift Caregivers Needed Schedule: Night and overnight shifts ranging from 4 to 12 hours Employment Opportunities: Full-time and part-time Weekend Availability: May be required depending on client needs Helping Hearts USA LLC is growing, and we are seeking compassionate, dependable and experienced night-shift caregivers to join our team. Available night and overnight shifts range from 4 to 12 hours. Shift lengths, start times, end times and available days vary according to each client’s care plan, personal preferences and scheduling needs. Some overnight assignments may continue into the early morning. Applicants must provide their complete nighttime availability. Once a caregiver accepts a permanent or temporary assignment, they must be able to work the complete scheduled shift consistently. Zero-Tolerance Sleeping Policy All night-shift caregivers must remain fully awake, alert, attentive and prepared to assist the client throughout the entire shift. Sleeping, dozing, lying down to rest or closing your eyes for extended periods is strictly prohibited, even when the client is sleeping. Night-shift caregivers are expected to: Complete all required safety checks. Monitor the client according to the care plan. Respond immediately when the client needs assistance. Complete assigned housekeeping and overnight tasks. Document care activities and observations in real time. Remain aware of the client’s location, condition and safety. Immediately report concerns or changes in condition. Failure to remain awake and attentive may result in immediate removal from the assignment and additional corrective action, up to and including termination. Important Pre-Interview Document Requirement Applicants must possess and present physical copies of all required employment documents during the pre-interview document-verification process. Applicants who do not have the required physical documents available will not be able to move forward in the interview and hiring process. Digital screenshots, photographs or informal copies will not be accepted in place of required physical documents during formal verification. For privacy and identity protection, applicants should not text or email photographs of their Social Security card, birth certificate or other sensitive identity documents. These documents must be presented through the secure verification process directed by Helping Hearts. Night-Shift Responsibilities Night-shift responsibilities may include: Assisting with bedtime and morning routines Providing toileting and incontinence care Changing protective undergarments and soiled linens Repositioning clients according to the care plan Performing required safety and wellness checks Monitoring clients who are at risk for falls or wandering Keeping pathways, floors and client areas free from hazards Providing medication reminders according to the care plan Preparing light meals, snacks or beverages Encouraging appropriate hydration Completing assigned laundry and light housekeeping Cleaning and organizing the client’s immediate living area Preparing clothing, supplies or meals for the following day Monitoring for changes in physical, emotional or behavioral condition Completing accurate electronic documentation throughout the shift Providing a clear handoff to the incoming caregiver or approved representative Client-Care Levels Helping Hearts supports clients with different levels of need. Assignments are matched according to the caregiver’s experience, skills, availability, location and ability to safely complete the care plan. Companionship and Overnight Supervision Some clients may primarily need: Overnight safety supervision Meaningful conversation and reassurance Assistance maintaining a calm bedtime routine Monitoring during periods of wakefulness Assistance with nighttime snacks or beverages Light housekeeping Laundry and linen changes Medication reminders Safety observation and general supervision Morning preparation and organization Personal Care and Activities of Daily Living Other clients may require hands-on assistance with: Bedtime or morning hygiene Dressing and undressing Grooming and oral care Toileting and incontinence care Changing protective undergarments Meal assistance and hydration reminders Walking and mobility assistance Wheelchair support Repositioning and comfort measures Maintaining dignity, privacy and independence during personal care Dementia and Memory-Care Support Some assignments may involve clients living with dementia, Alzheimer’s disease or other cognitive conditions. Responsibilities may include: Providing calm and consistent overnight supervision Offering redirection and reassurance Supporting established bedtime and morning routines Monitoring for confusion, agitation, wandering or changes in behavior Helping the client safely return to bed when appropriate Maintaining a quiet and supportive environment Following client-specific communication and safety strategies Immediately reporting significant behavioral or cognitive changes Caregivers assigned to dementia or memory-care clients must remain awake, patient, attentive and aware of the client’s location throughout the entire shift. Mobility, Transfer and Higher-Assistance Support Some clients may have limited mobility, be at high risk for falls or require significant physical assistance. Depending on the care plan and caregiver training, responsibilities may include: Assisting with walking and balance Supporting wheelchair mobility Assisting with bed mobility and repositioning Helping clients move between the bed, wheelchair, chair, commode or toilet Using an approved gait belt when directed Assisting with sit-to-stand or stand-to-sit transfers Using a mechanical or Hoyer lift only after required training and authorization Following all one-person or two-person transfer requirements Requesting assistance when a transfer cannot be completed safely Caregivers must never attempt an unsafe transfer or use equipment they have not been trained and authorized to operate. Non-Medical Health Support Depending on the assignment, caregivers may also be responsible for: Providing medication reminders according to the approved care plan Assisting clients with approved blood-glucose monitoring Documenting readings when required Observing food and fluid intake Monitoring for changes in physical, emotional or behavioral condition Reporting falls, injuries, pain, swelling, bruising, redness, skin concerns, confusion or unusual behavior Following established emergency and office-notification procedures Accurately documenting all completed tasks, observations and concerns Helping Hearts provides non-medical personal support. Caregivers must remain within their authorized role and follow the client’s approved care plan. Physical Requirements Applicants must be able to safely perform the essential responsibilities of their accepted assignment, with or without a reasonable accommodation. Physical responsibilities may include: Remaining awake and active throughout the entire shift Standing, walking or sitting for extended periods Frequently bending, reaching, turning and twisting Kneeling or squatting when necessary for safe care Using stairs in certain client homes Assisting clients with walking, balance and mobility Pushing or maneuvering a wheelchair Assisting with repositioning in a bed or chair Supporting safe transfers according to the care plan Handling laundry, household supplies and care equipment Completing light housekeeping throughout the shift Wearing required personal protective equipment Responding promptly during falls, emergencies or changes in condition The physical demands of each assignment may vary. Caregivers must review the requirements before accepting an assignment and disclose any limitation that could prevent them from safely performing the required care. Client Environments Night-shift care may be provided in: Private homes Independent-living communities Assisted-living communities Memory-care communities Senior-living facilities Other company-approved settings Applicants should understand that: Some homes may have dogs, cats or other household pets. Some clients require caregivers who are non-smokers. Some client environments may not be completely smoke-free. Applicants must disclose allergies, pet restrictions, smoke sensitivities or other environmental limitations before accepting an assignment. Family members, facility employees or other approved individuals may be present. Approved safety cameras or monitoring equipment may be present. Caregivers must follow all facility, household, confidentiality and safety requirements. Transportation, parking and travel conditions will vary by location. Caregivers must respect the client’s home, property, privacy and personal preferences. Hours and Assignment Disclaimer Helping Hearts offers night and overnight shifts ranging from 4 to 12 hours. Specific hours and assignments depend on: Current client needs The client’s requested schedule The client’s care level The client’s location Caregiver experience and qualifications Caregiver availability Transportation and travel distance Client and family preferences Assignment compatibility Changes in the client’s condition or service needs Full-time or part-time status does not guarantee a specific client, assignment, schedule or number of weekly hours. Client schedules may increase, decrease, change or end based on the client’s needs and preferences. Clients and families may request a different caregiver when they believe another caregiver would be a better fit. Caregivers may be considered for additional assignments when their availability, experience and location match current needs. Once a caregiver accepts an assignment, dependable attendance and completion of the entire scheduled shift are required. Employment Qualifications Applicants must: Be at least 18 years old. Possess a high school diploma, GED or equivalent. Have professional caregiving, personal-care, home-care or related experience. Be capable of working overnight while remaining fully awake and attentive. Demonstrate compassion, patience, professionalism and dependability. Follow written care plans and office instructions. Communicate professionally with clients, office staff and approved facility personnel. Complete accurate electronic documentation during every shift. Have reliable access to a smartphone. Maintain client confidentiality. Follow all attendance, call-off, clock-in, clock-out and documentation requirements. Safely perform the physical responsibilities of the accepted assignment. Complete required orientation, training and assignment-specific instruction. CPR and First Aid certification are not listed as pre-interview document requirements for this position. Required Physical Documents Applicants must have physical copies of the following documents available before moving forward in the interview process: Valid current driver’s license Social Security card Birth certificate Proof of high school completion, GED or equivalent Current automobile-insurance documentation Government-issued photo identification, if different from the driver’s license Any additional identity or employment-authorization documentation required for Form I-9 verification Any state-specific or assignment-specific documents requested by Helping Hearts Applicants must bring the original physical documents or acceptable certified copies when instructed. Screenshots or photographs stored on a telephone will not satisfy the physical-document requirement. Form I-9 employment verification will be completed in accordance with federal requirements. Applicants may present any acceptable document or legally permitted combination of documents for Form I-9 purposes. Required Employment Information Applicants must also provide: A current resume A complete five-year employment history Five professional references Current contact information for each professional reference Complete nighttime and overnight availability Disclosure of any transportation, pet, smoking or physical limitations that could affect assignment eligibility Friends and family members may not be used as professional references. Transportation Requirements Applicants must have: A valid current driver’s license Active automobile insurance Reliable personal transportation An acceptable driving record Dependable transportation during nighttime and early-morning hours The ability to travel to assigned client locations The ability to transport clients when required and authorized Caregivers must immediately report any change affecting their driver’s license, automobile insurance, vehicle availability or ability to transport clients safely. Background and Screening Requirements Applicants must: Complete a comprehensive background check covering up to 15 years, where legally permitted. Complete required abuse, neglect and sex-offender registry checks. Complete a pre-employment drug screening when applicable. Participate in random drug screening when required by company policy. Provide favorable and verifiable professional references. Report any criminal charge or legal change that may affect their ability to provide safe care. Have no disqualifying history related to abuse, neglect, exploitation, theft, fraud, violence, weapons or other offenses that would prevent safe employment, subject to applicable laws and individual review. Contingencies and Compliance Employment offers are contingent upon: Completion of the pre-interview document-verification process Presentation and verification of all required physical documents Satisfactory completion of the comprehensive background check Satisfactory completion of applicable registry checks Completion of drug screening when required Verification of the applicant’s driving credentials and automobile insurance Receipt of favorable professional references Verification of employment history Completion of all required orientation and training Compliance with applicable state and federal requirements Applicants who cannot provide the required physical documents or successfully complete the required screenings will not be eligible to move forward in the hiring process. Professional Appearance and Uniform Caregivers must arrive clean, prepared and professionally dressed. The required uniform includes: Solid navy-blue scrubs Closed-toe and closed-heel shoes Clean and professional appearance Hair secured when necessary for safety No strong fragrances Appropriate personal hygiene Why Join Helping Hearts? Full-time and part-time opportunities Night and overnight shifts ranging from 4 to 12 hours A variety of client assignments Assignment matching based on experience and availability A supportive and team-focused work environment Orientation and ongoing training Opportunities for professional development The chance to build meaningful client relationships The opportunity to make a genuine difference in the lives of individuals and families How to Apply Submit your resume along with a complete description of your caregiving experience, qualifications and nighttime availability. Before applying, please confirm that you possess physical copies of all required documents and can present them during the pre-interview verification process. To apply or learn more, call or text our main hiring number at 615-645-3999 . Helping Hearts USA LLC is an equal opportunity employer. We celebrate diversity and are committed to maintaining an inclusive workplace for all employees. Ready to make a difference? Apply today and become part of the Helping Hearts team!
CNM OB/GYN Outpatient Part-time
Mount Sinai Health System

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

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

PRN Charge Nurse

HLTC, Inc. Dalton, GA
About Us At Vitruvian Health, we serve with compassion. As northwest Georgia and southeast Tennessee’s leading healthcare system, we are committed not only to the health of our communities, but also to the growth, support, and success of our team members. Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day. Our core values, Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE), guide everything we do. We believe in empowering our people, celebrating differences, and delivering care that reflects the heart of our mission. Join us and build a meaningful career where you’re valued, inspired, and supported to make a real impact. Excellence. Every person. Every time. SUMMARY Directs nursing care for the patients, and supervises the day-to-day nursing activities performed by nursing assistants. Such supervision should be in accordance with current federal, state, and local and regulations governing our nursing center, and as may be directed by the Administrator, the Medical Director, and/or the Director of Nursing Services to provide the appropriate care for our patients. ATTENDANCE REQUIREMENTS Non-exempt Status: May be required to work beyond normal working hours and on weekends and holidays when necessary. Subject to callback during any emergency. ACCOUNTABILITY Reports to Director of Nursing Services PRIDE VALUES P- PROFESSIONALISM “ The expertise, qualities and conduct that characterize a member of a profession" R- RESPECT “ A positive feeling of esteem for a person or other entity” I- INTEGRITY “ Honesty and consistency to a set of values” D- DILIGENCE “ Constant and earnest effort applied to perform a task or accomplish a goal” E- EXCELLENCE “The quality or state of being outstanding or superior ” EDUCATION REQUIREMENTS Nursing Degree from an accredited college or university or is a graduate of an approved LPN program required as evidenced by primary source of verification. LICENSURE REQUIREMENTS Current LPN License in the State of Georgia. American Heart Association BLS CPR required. OTHER TRAINING, SKILLS AND EXPERIENCE REQUIREMENTS Preferred experience in nursing administration. ESSENTIAL SKILL/KNOWLEDGE FUNCTIONS Operation of oxygen equipment including turning off and on, changing cylinder heads, cleaning/replacing humidifier and other as necessary. Operations of suction machine (oral) including cleaning, selection of appropriate suction catheter and storage. Operations and use of manual respirator. Location and use of emergency equipment supplies (box and/or crash cart etc.). Operation of whirlpool. Operation of scales. Operation of glucose monitoring devices, calibration and cleaning etc. Use of electronic thermometers (oral/rectal and ear). Delivery of medications (setting up, rotating, charting, ordering, giving to patients, etc.). Ordering and use of stock drugs. Administration and documentation of insulin. Use and delivery of PRN medications. Use and delivery of topical treatment application (eye, ear, nose, etc.). Use, delivery and documentation of narcotic medication. Receiving drugs from pharmacy in accordance with established procedures. Application of sterile dressings. Operation and proper use of pressure reduction surfaces. Use of oral airway. Knowledge of isolation procedures (where to implement etc.). Knowledge of location and proper use of personal protective equipment (gloves, masks, gowns and aprons etc.). Delivery of enemas (S&S and fleets). Insertion, irrigation and routine care of male/female catheters. Delivery of tube feedings (insertion, flushing, proper amounts etc.). Knowledge of procedures and ability to determine Advance Directive status for patients. Collection of lab specimens and interpreting results. IV implementation and administration. Seizure precautions and administration of IV medication during a seizure. Admits, discharges and transfers patients as requested. Documentation and billing of supplies used. Sends patients to the hospital as necessary. Knowledge of procedures to follow if unable to reach physician. Makes nursing assistant work assignments. Makes compliance rounds and reporting any pertinent issues. Maintains effective lines of communication with attending physicians. Assists the Director of Nursing Services to coordinate the care planning/MDS process and committee meetings as necessary. Participates in patient screening and selection process as requested. Assists the Director of Nursing Services in follow-up on consultant recommendations, i.e., pharmacy, dietary, etc. Provides demonstration/education as necessary for nursing assistants to perform job. Completes documentation procedures on patients (appropriate use of forms, timelines, and Medicare documentation etc.). ESSENTIAL DEPARTMENT MANAGERIAL FUNCTIONS Takes and records temperature, blood pressure, pulse, and respiration rate. Charts information regarding patient progress, aliments, medication, symptoms, and observations. Administers medications. Discusses with supervising nursing staff the progress of patients and how to proceed with care. May be required to assist physician in patient rounds. Stocks and prepares medication carts for rounds. May be required to provide various treatments as recommended by the physician. May be required to transfer or assist in transferring patients from bed to wheelchair. May be required to perform physical assessments of patients under RN’s direction. Uses the telephone to communicate with physicians, arranges for transportation for doctor appointments and contacts families. May be required to draw blood and obtain fluids to submit for lab work. May be required to assist in passing out trays to patients and assist in feeding. Assists the Director of Nursing Services to plan, develop, organize and direct the day to day functions of the nursing assistants (personnel and administrative, etc.). Demonstrates appropriate/effective supervisory skills that include fair and uniformly applied corrective actions administered without regard to race, color, creed, national origin, age, sex, religion, handicap or marital status. Provides to the Director of Nursing Services appropriate reports/documentation to support departmental updates, corrective actions and other as necessary. Assists the Director of Nursing Services to maintain appropriate supply and equipment levels in accordance with established departmental budget. Participates in nursing center inspections and any subsequently required reports. Assists as requested, in the interviewing, screening and selection of associates in accordance with established staffing budgets. Assists the Director of Nursing Services to maintain appropriate personnel file documentation including reference checks, screenings, corrective actions, evaluations, skills verifications and others as requested. Reviews and responds to complaints/grievances (associates and/or patient or family) that concern your department as requested by the Director of Nursing Services. Maintains efforts to establish effective inter-departmental communication to provide positive working relationships. Assists the Director of Nursing Services to monitor Nursing Assistants for compliance with established procedural guidelines and protocols. Maintains a working knowledge of current licensure standards and the survey process. Provides hands on assistance in department functions as necessary. ESSENTIAL ADMINISTRATIVE FUNCTIONS Participates in Nursing Center surveys (Licensure / JCAHO) and any subsequently required reports. Conducts performance improvement/quality assurance activities as required/requested. Attends and participates in continuing educational programs to keep abreast on changes in your field as well as to maintain current license/certification, as required. Attends and participates in mandatory in-services. Honor patients’ rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints. Complies with Corporate Compliance Program. Reports job-related functions/tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary. Follows established safety regulations, to include fire protection/prevention, smoking regulations, infection control, etc. Performs other related duties as necessary and as directed by supervisor. Complies with all Privacy and Security programs. ESSENTIAL GENERAL FUNCTIONS Attendance Punctuality Professional Appearance Communicates well with patients and family members providing warm and friendly greeting and an approachable attitude to family/visitors/patients and responds to expressed concerns while displaying a helpful, caring demeanor and answers questions when appropriate in a professional manner. PRIMARY ACTIVITY REQUIREMENTS Primary Physical Requirements: Lift up to 10 lbs.: Rarely required when lifting patient medical files weighing approximately 5 to 10 pounds. Lift 11 to 25 lbs.: Rarely may occur during course of work when stocking medical supplies or stocking medical cart. Lift 26 to 40 lbs.: Not required. Lift over 40 lbs.: Frequently lifting 40 pounds when assisting in patient transfer. (Occasionally may utilize the Hoyer lift when dealing with large or awkward-sized patients). Carry up to 10 lbs.: Rarely required when carrying patient medical files weighing approximately 5 to 10 pounds. Carry 11 to 25 lbs.: Rarely may occur during course of work when stocking medical supplies or stocking medical cart. Carry 26 to 40 lbs.: Not required. Carry over 40 lbs.: Not required. Reach above shoulder height: 4 feet Reach at shoulder height: Constantly required when administering medication, taking vital signs and providing care for the elderly. Reach below shoulder height: Occasionally may occur when administering medication to patients who are bedridden. Push/Pull: 20 feet. Hand Manipulation: Grasping: Frequently grasping pen/pencil when documenting information into medical charts. Handling: Constantly handling pen/pencil when documenting information into medical charts. Torquing: Not required. Fingering: If center implements the use of a computer, may occasionally be required to use computer. Occasionally required to use a telephone. Controls & Equipment: Blood pressure gauge, thermometer, stethoscope hydroxulator, Hoyer lift (hydraulic system), splints, trap, wheelchair, exercise wheel, parallel bars, transfer belt, walkers, canes, free weights, Restor bikes, suction machine, IV pumps, tube feeding equipment, TENS unit, specialty beds. May need to move Clinitron bed (300 pounds). Other Physical Considerations: Twisting: Occasionally may occur when providing medical care to bedridden patients, or assisting in transfer. Bending: Frequently required when providing medical care to bedridden patients, or assisting in transfer. Crawling: Not required. Squatting: Occasionally required. Kneeling: Not required. Crouching: Not required. Balancing: Not required. During an 8-hour day, Associate is required to: Consecutive Hours Total Hours Sit 2 4 Stand 2 2 Walk 2 2 Work Surface: Varies from carpeting, linoleum and tile. Cognitive and Sensory Requirements: Talking: Necessary for communicating with patients and other aides. Hearing: Necessary for taking instructions from others and while performing physical assessments. Sight: Necessary for doing job correctly and effectively. Tasting & Smelling: Smelling is required for accurate maintenance and detection of wounds, urinary tract problems, etc. SUMMARY OF OCCUPATIONAL EXPOSURES Tasks assigned to position may involve potential and/or direct exposure to blood, body fluids, infectious disease, air contaminants and hazardous chemicals. May be subject to hostile and emotionally upset patients, family members, associates and visitors. OTHER CONSIDERATIONS AND REQUIREMENTS In this position, the associate must be able to tolerate a high pace that is typical for a nursing center. Must be able to take and give instructions well and enjoy working with the elderly. Although associate is able to sit when charting medical information, must be able to tolerate prolonged standing and walking. Drug-Free Workplace
Caregiver Home Health Full-time
Helping Hearts USA LLC

Caregiver Overnights

Helping Hearts USA LLC Lafayette, TN
$16 - $19 / hour
Join the Helping Hearts Team and Make a Difference Today! Night-Shift Caregivers Needed Schedule: Night and overnight shifts ranging from 4 to 12 hours Employment Opportunities: Full-time and part-time Weekend Availability: May be required depending on client needs Helping Hearts USA LLC is growing, and we are seeking compassionate, dependable and experienced night-shift caregivers to join our team. Available night and overnight shifts range from 4 to 12 hours. Shift lengths, start times, end times and available days vary according to each client’s care plan, personal preferences and scheduling needs. Some overnight assignments may continue into the early morning. Applicants must provide their complete nighttime availability. Once a caregiver accepts a permanent or temporary assignment, they must be able to work the complete scheduled shift consistently. Zero-Tolerance Sleeping Policy All night-shift caregivers must remain fully awake, alert, attentive and prepared to assist the client throughout the entire shift. Sleeping, dozing, lying down to rest or closing your eyes for extended periods is strictly prohibited, even when the client is sleeping. Night-shift caregivers are expected to: Complete all required safety checks. Monitor the client according to the care plan. Respond immediately when the client needs assistance. Complete assigned housekeeping and overnight tasks. Document care activities and observations in real time. Remain aware of the client’s location, condition and safety. Immediately report concerns or changes in condition. Failure to remain awake and attentive may result in immediate removal from the assignment and additional corrective action, up to and including termination. Important Pre-Interview Document Requirement Applicants must possess and present physical copies of all required employment documents during the pre-interview document-verification process. Applicants who do not have the required physical documents available will not be able to move forward in the interview and hiring process. Digital screenshots, photographs or informal copies will not be accepted in place of required physical documents during formal verification. For privacy and identity protection, applicants should not text or email photographs of their Social Security card, birth certificate or other sensitive identity documents. These documents must be presented through the secure verification process directed by Helping Hearts. Night-Shift Responsibilities Night-shift responsibilities may include: Assisting with bedtime and morning routines Providing toileting and incontinence care Changing protective undergarments and soiled linens Repositioning clients according to the care plan Performing required safety and wellness checks Monitoring clients who are at risk for falls or wandering Keeping pathways, floors and client areas free from hazards Providing medication reminders according to the care plan Preparing light meals, snacks or beverages Encouraging appropriate hydration Completing assigned laundry and light housekeeping Cleaning and organizing the client’s immediate living area Preparing clothing, supplies or meals for the following day Monitoring for changes in physical, emotional or behavioral condition Completing accurate electronic documentation throughout the shift Providing a clear handoff to the incoming caregiver or approved representative Client-Care Levels Helping Hearts supports clients with different levels of need. Assignments are matched according to the caregiver’s experience, skills, availability, location and ability to safely complete the care plan. Companionship and Overnight Supervision Some clients may primarily need: Overnight safety supervision Meaningful conversation and reassurance Assistance maintaining a calm bedtime routine Monitoring during periods of wakefulness Assistance with nighttime snacks or beverages Light housekeeping Laundry and linen changes Medication reminders Safety observation and general supervision Morning preparation and organization Personal Care and Activities of Daily Living Other clients may require hands-on assistance with: Bedtime or morning hygiene Dressing and undressing Grooming and oral care Toileting and incontinence care Changing protective undergarments Meal assistance and hydration reminders Walking and mobility assistance Wheelchair support Repositioning and comfort measures Maintaining dignity, privacy and independence during personal care Dementia and Memory-Care Support Some assignments may involve clients living with dementia, Alzheimer’s disease or other cognitive conditions. Responsibilities may include: Providing calm and consistent overnight supervision Offering redirection and reassurance Supporting established bedtime and morning routines Monitoring for confusion, agitation, wandering or changes in behavior Helping the client safely return to bed when appropriate Maintaining a quiet and supportive environment Following client-specific communication and safety strategies Immediately reporting significant behavioral or cognitive changes Caregivers assigned to dementia or memory-care clients must remain awake, patient, attentive and aware of the client’s location throughout the entire shift. Mobility, Transfer and Higher-Assistance Support Some clients may have limited mobility, be at high risk for falls or require significant physical assistance. Depending on the care plan and caregiver training, responsibilities may include: Assisting with walking and balance Supporting wheelchair mobility Assisting with bed mobility and repositioning Helping clients move between the bed, wheelchair, chair, commode or toilet Using an approved gait belt when directed Assisting with sit-to-stand or stand-to-sit transfers Using a mechanical or Hoyer lift only after required training and authorization Following all one-person or two-person transfer requirements Requesting assistance when a transfer cannot be completed safely Caregivers must never attempt an unsafe transfer or use equipment they have not been trained and authorized to operate. Non-Medical Health Support Depending on the assignment, caregivers may also be responsible for: Providing medication reminders according to the approved care plan Assisting clients with approved blood-glucose monitoring Documenting readings when required Observing food and fluid intake Monitoring for changes in physical, emotional or behavioral condition Reporting falls, injuries, pain, swelling, bruising, redness, skin concerns, confusion or unusual behavior Following established emergency and office-notification procedures Accurately documenting all completed tasks, observations and concerns Helping Hearts provides non-medical personal support. Caregivers must remain within their authorized role and follow the client’s approved care plan. Physical Requirements Applicants must be able to safely perform the essential responsibilities of their accepted assignment, with or without a reasonable accommodation. Physical responsibilities may include: Remaining awake and active throughout the entire shift Standing, walking or sitting for extended periods Frequently bending, reaching, turning and twisting Kneeling or squatting when necessary for safe care Using stairs in certain client homes Assisting clients with walking, balance and mobility Pushing or maneuvering a wheelchair Assisting with repositioning in a bed or chair Supporting safe transfers according to the care plan Handling laundry, household supplies and care equipment Completing light housekeeping throughout the shift Wearing required personal protective equipment Responding promptly during falls, emergencies or changes in condition The physical demands of each assignment may vary. Caregivers must review the requirements before accepting an assignment and disclose any limitation that could prevent them from safely performing the required care. Client Environments Night-shift care may be provided in: Private homes Independent-living communities Assisted-living communities Memory-care communities Senior-living facilities Other company-approved settings Applicants should understand that: Some homes may have dogs, cats or other household pets. Some clients require caregivers who are non-smokers. Some client environments may not be completely smoke-free. Applicants must disclose allergies, pet restrictions, smoke sensitivities or other environmental limitations before accepting an assignment. Family members, facility employees or other approved individuals may be present. Approved safety cameras or monitoring equipment may be present. Caregivers must follow all facility, household, confidentiality and safety requirements. Transportation, parking and travel conditions will vary by location. Caregivers must respect the client’s home, property, privacy and personal preferences. Hours and Assignment Disclaimer Helping Hearts offers night and overnight shifts ranging from 4 to 12 hours. Specific hours and assignments depend on: Current client needs The client’s requested schedule The client’s care level The client’s location Caregiver experience and qualifications Caregiver availability Transportation and travel distance Client and family preferences Assignment compatibility Changes in the client’s condition or service needs Full-time or part-time status does not guarantee a specific client, assignment, schedule or number of weekly hours. Client schedules may increase, decrease, change or end based on the client’s needs and preferences. Clients and families may request a different caregiver when they believe another caregiver would be a better fit. Caregivers may be considered for additional assignments when their availability, experience and location match current needs. Once a caregiver accepts an assignment, dependable attendance and completion of the entire scheduled shift are required. Employment Qualifications Applicants must: Be at least 18 years old. Possess a high school diploma, GED or equivalent. Have professional caregiving, personal-care, home-care or related experience. Be capable of working overnight while remaining fully awake and attentive. Demonstrate compassion, patience, professionalism and dependability. Follow written care plans and office instructions. Communicate professionally with clients, office staff and approved facility personnel. Complete accurate electronic documentation during every shift. Have reliable access to a smartphone. Maintain client confidentiality. Follow all attendance, call-off, clock-in, clock-out and documentation requirements. Safely perform the physical responsibilities of the accepted assignment. Complete required orientation, training and assignment-specific instruction. CPR and First Aid certification are not listed as pre-interview document requirements for this position. Required Physical Documents Applicants must have physical copies of the following documents available before moving forward in the interview process: Valid current driver’s license Social Security card Birth certificate Proof of high school completion, GED or equivalent Current automobile-insurance documentation Government-issued photo identification, if different from the driver’s license Any additional identity or employment-authorization documentation required for Form I-9 verification Any state-specific or assignment-specific documents requested by Helping Hearts Applicants must bring the original physical documents or acceptable certified copies when instructed. Screenshots or photographs stored on a telephone will not satisfy the physical-document requirement. Form I-9 employment verification will be completed in accordance with federal requirements. Applicants may present any acceptable document or legally permitted combination of documents for Form I-9 purposes. Required Employment Information Applicants must also provide: A current resume A complete five-year employment history Five professional references Current contact information for each professional reference Complete nighttime and overnight availability Disclosure of any transportation, pet, smoking or physical limitations that could affect assignment eligibility Friends and family members may not be used as professional references. Transportation Requirements Applicants must have: A valid current driver’s license Active automobile insurance Reliable personal transportation An acceptable driving record Dependable transportation during nighttime and early-morning hours The ability to travel to assigned client locations The ability to transport clients when required and authorized Caregivers must immediately report any change affecting their driver’s license, automobile insurance, vehicle availability or ability to transport clients safely. Background and Screening Requirements Applicants must: Complete a comprehensive background check covering up to 15 years, where legally permitted. Complete required abuse, neglect and sex-offender registry checks. Complete a pre-employment drug screening when applicable. Participate in random drug screening when required by company policy. Provide favorable and verifiable professional references. Report any criminal charge or legal change that may affect their ability to provide safe care. Have no disqualifying history related to abuse, neglect, exploitation, theft, fraud, violence, weapons or other offenses that would prevent safe employment, subject to applicable laws and individual review. Contingencies and Compliance Employment offers are contingent upon: Completion of the pre-interview document-verification process Presentation and verification of all required physical documents Satisfactory completion of the comprehensive background check Satisfactory completion of applicable registry checks Completion of drug screening when required Verification of the applicant’s driving credentials and automobile insurance Receipt of favorable professional references Verification of employment history Completion of all required orientation and training Compliance with applicable state and federal requirements Applicants who cannot provide the required physical documents or successfully complete the required screenings will not be eligible to move forward in the hiring process. Professional Appearance and Uniform Caregivers must arrive clean, prepared and professionally dressed. The required uniform includes: Solid navy-blue scrubs Closed-toe and closed-heel shoes Clean and professional appearance Hair secured when necessary for safety No strong fragrances Appropriate personal hygiene Why Join Helping Hearts? Full-time and part-time opportunities Night and overnight shifts ranging from 4 to 12 hours A variety of client assignments Assignment matching based on experience and availability A supportive and team-focused work environment Orientation and ongoing training Opportunities for professional development The chance to build meaningful client relationships The opportunity to make a genuine difference in the lives of individuals and families How to Apply Submit your resume along with a complete description of your caregiving experience, qualifications and nighttime availability. Before applying, please confirm that you possess physical copies of all required documents and can present them during the pre-interview verification process. To apply or learn more, call or text our main hiring number at 615-645-3999 . Helping Hearts USA LLC is an equal opportunity employer. We celebrate diversity and are committed to maintaining an inclusive workplace for all employees. Ready to make a difference? Apply today and become part of the Helping Hearts team!
Caregiver Full-time
Helping Hearts USA LLC

Caregiver

Helping Hearts USA LLC Nunnelly, TN
Join the Helping Hearts Team and Make a Difference Today! Night-Shift Caregivers Needed Schedule: Night and overnight shifts ranging from 4 to 12 hours Employment Opportunities: Full-time and part-time Weekend Availability: May be required depending on client needs Helping Hearts USA LLC is growing, and we are seeking compassionate, dependable and experienced night-shift caregivers to join our team. Available night and overnight shifts range from 4 to 12 hours. Shift lengths, start times, end times and available days vary according to each client’s care plan, personal preferences and scheduling needs. Some overnight assignments may continue into the early morning. Applicants must provide their complete nighttime availability. Once a caregiver accepts a permanent or temporary assignment, they must be able to work the complete scheduled shift consistently. Zero-Tolerance Sleeping Policy All night-shift caregivers must remain fully awake, alert, attentive and prepared to assist the client throughout the entire shift. Sleeping, dozing, lying down to rest or closing your eyes for extended periods is strictly prohibited, even when the client is sleeping. Night-shift caregivers are expected to: Complete all required safety checks. Monitor the client according to the care plan. Respond immediately when the client needs assistance. Complete assigned housekeeping and overnight tasks. Document care activities and observations in real time. Remain aware of the client’s location, condition and safety. Immediately report concerns or changes in condition. Failure to remain awake and attentive may result in immediate removal from the assignment and additional corrective action, up to and including termination. Important Pre-Interview Document Requirement Applicants must possess and present physical copies of all required employment documents during the pre-interview document-verification process. Applicants who do not have the required physical documents available will not be able to move forward in the interview and hiring process. Digital screenshots, photographs or informal copies will not be accepted in place of required physical documents during formal verification. For privacy and identity protection, applicants should not text or email photographs of their Social Security card, birth certificate or other sensitive identity documents. These documents must be presented through the secure verification process directed by Helping Hearts. Night-Shift Responsibilities Night-shift responsibilities may include: Assisting with bedtime and morning routines Providing toileting and incontinence care Changing protective undergarments and soiled linens Repositioning clients according to the care plan Performing required safety and wellness checks Monitoring clients who are at risk for falls or wandering Keeping pathways, floors and client areas free from hazards Providing medication reminders according to the care plan Preparing light meals, snacks or beverages Encouraging appropriate hydration Completing assigned laundry and light housekeeping Cleaning and organizing the client’s immediate living area Preparing clothing, supplies or meals for the following day Monitoring for changes in physical, emotional or behavioral condition Completing accurate electronic documentation throughout the shift Providing a clear handoff to the incoming caregiver or approved representative Client-Care Levels Helping Hearts supports clients with different levels of need. Assignments are matched according to the caregiver’s experience, skills, availability, location and ability to safely complete the care plan. Companionship and Overnight Supervision Some clients may primarily need: Overnight safety supervision Meaningful conversation and reassurance Assistance maintaining a calm bedtime routine Monitoring during periods of wakefulness Assistance with nighttime snacks or beverages Light housekeeping Laundry and linen changes Medication reminders Safety observation and general supervision Morning preparation and organization Personal Care and Activities of Daily Living Other clients may require hands-on assistance with: Bedtime or morning hygiene Dressing and undressing Grooming and oral care Toileting and incontinence care Changing protective undergarments Meal assistance and hydration reminders Walking and mobility assistance Wheelchair support Repositioning and comfort measures Maintaining dignity, privacy and independence during personal care Dementia and Memory-Care Support Some assignments may involve clients living with dementia, Alzheimer’s disease or other cognitive conditions. Responsibilities may include: Providing calm and consistent overnight supervision Offering redirection and reassurance Supporting established bedtime and morning routines Monitoring for confusion, agitation, wandering or changes in behavior Helping the client safely return to bed when appropriate Maintaining a quiet and supportive environment Following client-specific communication and safety strategies Immediately reporting significant behavioral or cognitive changes Caregivers assigned to dementia or memory-care clients must remain awake, patient, attentive and aware of the client’s location throughout the entire shift. Mobility, Transfer and Higher-Assistance Support Some clients may have limited mobility, be at high risk for falls or require significant physical assistance. Depending on the care plan and caregiver training, responsibilities may include: Assisting with walking and balance Supporting wheelchair mobility Assisting with bed mobility and repositioning Helping clients move between the bed, wheelchair, chair, commode or toilet Using an approved gait belt when directed Assisting with sit-to-stand or stand-to-sit transfers Using a mechanical or Hoyer lift only after required training and authorization Following all one-person or two-person transfer requirements Requesting assistance when a transfer cannot be completed safely Caregivers must never attempt an unsafe transfer or use equipment they have not been trained and authorized to operate. Non-Medical Health Support Depending on the assignment, caregivers may also be responsible for: Providing medication reminders according to the approved care plan Assisting clients with approved blood-glucose monitoring Documenting readings when required Observing food and fluid intake Monitoring for changes in physical, emotional or behavioral condition Reporting falls, injuries, pain, swelling, bruising, redness, skin concerns, confusion or unusual behavior Following established emergency and office-notification procedures Accurately documenting all completed tasks, observations and concerns Helping Hearts provides non-medical personal support. Caregivers must remain within their authorized role and follow the client’s approved care plan. Physical Requirements Applicants must be able to safely perform the essential responsibilities of their accepted assignment, with or without a reasonable accommodation. Physical responsibilities may include: Remaining awake and active throughout the entire shift Standing, walking or sitting for extended periods Frequently bending, reaching, turning and twisting Kneeling or squatting when necessary for safe care Using stairs in certain client homes Assisting clients with walking, balance and mobility Pushing or maneuvering a wheelchair Assisting with repositioning in a bed or chair Supporting safe transfers according to the care plan Handling laundry, household supplies and care equipment Completing light housekeeping throughout the shift Wearing required personal protective equipment Responding promptly during falls, emergencies or changes in condition The physical demands of each assignment may vary. Caregivers must review the requirements before accepting an assignment and disclose any limitation that could prevent them from safely performing the required care. Client Environments Night-shift care may be provided in: Private homes Independent-living communities Assisted-living communities Memory-care communities Senior-living facilities Other company-approved settings Applicants should understand that: Some homes may have dogs, cats or other household pets. Some clients require caregivers who are non-smokers. Some client environments may not be completely smoke-free. Applicants must disclose allergies, pet restrictions, smoke sensitivities or other environmental limitations before accepting an assignment. Family members, facility employees or other approved individuals may be present. Approved safety cameras or monitoring equipment may be present. Caregivers must follow all facility, household, confidentiality and safety requirements. Transportation, parking and travel conditions will vary by location. Caregivers must respect the client’s home, property, privacy and personal preferences. Hours and Assignment Disclaimer Helping Hearts offers night and overnight shifts ranging from 4 to 12 hours. Specific hours and assignments depend on: Current client needs The client’s requested schedule The client’s care level The client’s location Caregiver experience and qualifications Caregiver availability Transportation and travel distance Client and family preferences Assignment compatibility Changes in the client’s condition or service needs Full-time or part-time status does not guarantee a specific client, assignment, schedule or number of weekly hours. Client schedules may increase, decrease, change or end based on the client’s needs and preferences. Clients and families may request a different caregiver when they believe another caregiver would be a better fit. Caregivers may be considered for additional assignments when their availability, experience and location match current needs. Once a caregiver accepts an assignment, dependable attendance and completion of the entire scheduled shift are required. Employment Qualifications Applicants must: Be at least 18 years old. Possess a high school diploma, GED or equivalent. Have professional caregiving, personal-care, home-care or related experience. Be capable of working overnight while remaining fully awake and attentive. Demonstrate compassion, patience, professionalism and dependability. Follow written care plans and office instructions. Communicate professionally with clients, office staff and approved facility personnel. Complete accurate electronic documentation during every shift. Have reliable access to a smartphone. Maintain client confidentiality. Follow all attendance, call-off, clock-in, clock-out and documentation requirements. Safely perform the physical responsibilities of the accepted assignment. Complete required orientation, training and assignment-specific instruction. CPR and First Aid certification are not listed as pre-interview document requirements for this position. Required Physical Documents Applicants must have physical copies of the following documents available before moving forward in the interview process: Valid current driver’s license Social Security card Birth certificate Proof of high school completion, GED or equivalent Current automobile-insurance documentation Government-issued photo identification, if different from the driver’s license Any additional identity or employment-authorization documentation required for Form I-9 verification Any state-specific or assignment-specific documents requested by Helping Hearts Applicants must bring the original physical documents or acceptable certified copies when instructed. Screenshots or photographs stored on a telephone will not satisfy the physical-document requirement. Form I-9 employment verification will be completed in accordance with federal requirements. Applicants may present any acceptable document or legally permitted combination of documents for Form I-9 purposes. Required Employment Information Applicants must also provide: A current resume A complete five-year employment history Five professional references Current contact information for each professional reference Complete nighttime and overnight availability Disclosure of any transportation, pet, smoking or physical limitations that could affect assignment eligibility Friends and family members may not be used as professional references. Transportation Requirements Applicants must have: A valid current driver’s license Active automobile insurance Reliable personal transportation An acceptable driving record Dependable transportation during nighttime and early-morning hours The ability to travel to assigned client locations The ability to transport clients when required and authorized Caregivers must immediately report any change affecting their driver’s license, automobile insurance, vehicle availability or ability to transport clients safely. Background and Screening Requirements Applicants must: Complete a comprehensive background check covering up to 15 years, where legally permitted. Complete required abuse, neglect and sex-offender registry checks. Complete a pre-employment drug screening when applicable. Participate in random drug screening when required by company policy. Provide favorable and verifiable professional references. Report any criminal charge or legal change that may affect their ability to provide safe care. Have no disqualifying history related to abuse, neglect, exploitation, theft, fraud, violence, weapons or other offenses that would prevent safe employment, subject to applicable laws and individual review. Contingencies and Compliance Employment offers are contingent upon: Completion of the pre-interview document-verification process Presentation and verification of all required physical documents Satisfactory completion of the comprehensive background check Satisfactory completion of applicable registry checks Completion of drug screening when required Verification of the applicant’s driving credentials and automobile insurance Receipt of favorable professional references Verification of employment history Completion of all required orientation and training Compliance with applicable state and federal requirements Applicants who cannot provide the required physical documents or successfully complete the required screenings will not be eligible to move forward in the hiring process. Professional Appearance and Uniform Caregivers must arrive clean, prepared and professionally dressed. The required uniform includes: Solid navy-blue scrubs Closed-toe and closed-heel shoes Clean and professional appearance Hair secured when necessary for safety No strong fragrances Appropriate personal hygiene Why Join Helping Hearts? Full-time and part-time opportunities Night and overnight shifts ranging from 4 to 12 hours A variety of client assignments Assignment matching based on experience and availability A supportive and team-focused work environment Orientation and ongoing training Opportunities for professional development The chance to build meaningful client relationships The opportunity to make a genuine difference in the lives of individuals and families How to Apply Submit your resume along with a complete description of your caregiving experience, qualifications and nighttime availability. Before applying, please confirm that you possess physical copies of all required documents and can present them during the pre-interview verification process. To apply or learn more, call or text our main hiring number at 615-645-3999 . Helping Hearts USA LLC is an equal opportunity employer. We celebrate diversity and are committed to maintaining an inclusive workplace for all employees. Ready to make a difference? Apply today and become part of the Helping Hearts team!
RN NICU Full-time
Alaska Native Tribal Health Consortium

Registered Nurse - NICU ($10,000 Sign On)

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. Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals. Emergency Travel Assistance Education Assistance or Education leave eligibility Discount program for travel, gym memberships, amusement parks, and more. Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org. Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act. Summary: Provides professional nursing services to accomplish the individual patient plan of care; independently and consistently using the nursing process to safely, therapeutically, and efficiently care for a full assignment of patients with subtle and sometimes unidentified needs. Supports the operations of the Alaska Native Medical Center and programs. Provides professional nursing services to accomplish the individual patient plan of care; independently and consistently using the nursing process to safely, therapeutically, and efficiently care for a full assignment of patients with subtle and sometimes unidentified needs. Supports the operations of the Alaska Native Medical Center and programs. Responsibilities: Evaluates one’s own nursing practice in relation to professional practice standards and relevant statutes and regulations, identifying short and long term professional goals. Utilizes the ANA Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as the foundation for nursing practice. Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice. Makes decisions and takes actions on behalf of patients are determined in an ethical manner, and care is delivered in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity preserving patient autonomy, dignity, and rights. Collaborates with the patient, family, and other health care providers in the formation of overall goals and the plan of care, as well as in decisions related to care and the delivery of services. Considers factors related to safety, effectiveness, evidence based-practice, and cost in planning & delivering patient care, and assists the patient and family in identifying and securing appropriate and available services to address health-related needs. Delivers timely and effective nursing care according to established standards including physical, social and emotional care. Performs nursing assessments, interventions, and evaluations. Directs the day-to-day activities of LPNs, NAs and PSAs. Performs other duties as assigned. Evaluates one’s own nursing practice in relation to professional practice standards and relevant statutes and regulations, identifying short and long term professional goals. Utilizes the ANA Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as the foundation for nursing practice. Interacts with and contributes to the professional development of peers and others practicing in a Shared Governance model of nursing practice. Makes decisions and takes actions on behalf of patients are determined in an ethical manner, and care is delivered in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity preserving patient autonomy, dignity, and rights. Collaborates with the patient, family, and other health care providers in the formation of overall goals and the plan of care, as well as in decisions related to care and the delivery of services. Considers factors related to safety, effectiveness, evidence based-practice, and cost in planning & delivering patient care, and assists the patient and family in identifying and securing appropriate and available services to address health-related needs. Delivers timely and effective nursing care according to established standards including physical, social and emotional care. Performs nursing assessments, interventions, and evaluations. Directs the day to day activities of LPNs, NAs and PSAs. Performs other duties as assigned. Other Information: KNOWLEDGE and SKILLS Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology and concepts of disease. Knowledge and ability to utilize evidence-based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of Alaskan culture. Knowledge of nursing theorists and ability to provide theory-based care for patients. Knowledge of shared governance environment with shared-decision making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in providing effective nursing services, assessing patient situations and taking effective courses of action. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Skill in evaluating health problems and making recommendations based on observations. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION An Associate Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education. Must have participated in 30 hours every 2 years continuing education in nursing in general, 16 of which are in the specific area of practice. Minimum Experience Qualification Specific experience may be required for each work area. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support card required. All other certifications as required for specific work area: New Employees must obtain the required certifications within six months of hire; New graduates must obtain the required certifications within 18 months of hire; Contract and MOA employees must come to us with the required training completed as outlined in their individual contracts/MOAs, and must be licensed as a registered nurse by the State of Alaska and remain active with all annual licensing requirements. Preferred Education Qualification A Bachelor's Degree in Nursing is preferred. Preferred Certification Qualification National certification is preferred. Additional Requirements Depending on the needs of the organization, some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas. KNOWLEDGE And SKILLS Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology and concepts of disease. Knowledge and ability to utilize evidence based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of Alaskan culture. Knowledge of nursing theorists and ability to provide theory based care for patients. Knowledge of shared governance environment with shared-decision making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in providing effective nursing services, assessing patient situations and taking effective courses of action. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Skill in evaluating health problems, and making recommendations based on observations. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION An Associates Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education. Must have participated in 30 hours every 2 years continuing education in nursing in general, 16 of which are in the specific area of practice. MINIMUM EXPERIENCE QUALIFICATION Specific experience may be required for each work area. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support card required. All other certifications as required for specific work area : New Employees must obtain the required certifications within six months of hire; New graduates must obtain the required certifications within 18 months of hire; Contract and MOA employees must come to us with the required training completed as outlined in their individual contracts/MOAs, and must be licensed as a registered nurse by the State of Alaska and remain active with all annual licensing requirements. PREFERRED EDUCATION QUALIFICATION Bachelor’s Degree in Nursing preferred. PREFERRED CERTIFICATION QUALIFICATION National certification is preferred. ADDITIONAL REQUIREMENTS Depending on the needs of the organization , some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas.
RN Full-time
SSM Health

Registered Nurse - Interventional Radiology

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

Registered Nurse (RN) — Clinical Market Float Pool — St. Elizabeth Youngstown Hospital

Bon Secours Mercy Health Youngstown, OH
Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 36 Work Shift: Nights (United States of America) Mercy Health Intro paragraph As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. RN Clinical Market Float Pool – St. Elizabeth Youngstown Hospital Primary Function/General Purpose of Position The RN Clinical Float Pool assesses, analyzes, plans, implements and evaluates patient care following established patient care standards for the organization including those for patient assessment and transfer. The primary function of this job, based on hiring tier, is to be available and flexible to float to various departments, and sites throughout the markets within the organization to provide patient care, which could include but not limited to scheduling day of staffing, more than one assignment location within a single shift, travel assignments, or seasonal staffing patterns. Participates as a member of the health care team in cooperation with and under the direction of a clinical manager or designee as defined by the relevant Standards and Scope of Practice for the Registered Nurse. Essential Job Functions RN Clinical Float Pool are hired with the understanding they must float based on the tiers below: Tier 1: Float expectation within a single site based on competency Tier 2: Float expectation within multiple sites within a single market based on competency Tier 3: Float expectation within multiple sites across more than one market based on competency Demonstrates awareness of and supports organization departmental and operating unit goals through participation in continuous quality improvement and departmental activities. Acts as a patient safety advocate by participating in ongoing quality improvement in the department Incorporates the professional practice model into care delivery Plans and coordinates nursing care and clinical decisions using the best available evidence. Formulates and implements a plan of care for each patient which includes interventions, evaluation of response to interventions and documentation as appropriate to condition and age. Incorporates the professional practice model into care delivery. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Current nursing license in the designated state of employment (required) BLS Basic Life Support, ACLS Advanced Cardiac Life Support or PALS Pediatric Advanced Life Support (preferred at hire, must obtain from approved source prior to direct patient care; ACLS or PALS required based on specialty assignment) Education Associate's of Nursing (required) Bachelor's of Nursing (BSN) (preferred) Work Experience 1 year of experience as an Registered Nurse in acute care (required) Training EPIC Electronic Health Record (preferred) Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.​ Neonates (0-4 weeks) Infant (1-12 months) Pediatrics (1-12 years) Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) Working Conditions Periods of high stress and fluctuating workloads may occur. Long-distance or air travel as needed- not to exceed 10% travel. May be exposed to high noise levels and bright lights. May be exposed to physical altercations and verbal abuse. May be exposed to limited hazardous substances or body fluids.* May be required to use physical restraints. May be exposed to human blood and other potentially infectious materials.* May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Skills ​ Medical equipment knowledge Proficient in clinical skills Principles and practices of professional nursing Perform assessments Proficiency in using computerized tools Accountability for completion of required education and competencies Exhibits professionalism, ethical practice and customer focused Use of restraints Coordination of patient care delivery Integration of quality improvement, evidence- based practices and research in practice Teamwork Critical thinking Detail oriented Strong decision making and problem-solving skills Strong communication skills both verbal and written Ability to multi-task Must be flexible and able to adapt to change Conflict management and resilience Effective stewardship of available resources Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence Mercy Health is an equal opportunity employer. As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Stat Staffing - Youngstown Regional Office It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .
NP Pediatric CVICU Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Pediatric CVICU

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$87.55 - $109.44 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00026532-303901 Job Description Role Description Come work in a fast pace, innovative and dynamic unit! The Cardiovascular Intensive Care Unit (CVICU) provides state-of-the-art critical care to children with congenital and acquired heart disease. We also care for adults with congenital heart disease in the immediate post-operative period. Our facility is one of the largest and most technologically advanced units dedicated to the care of critically ill pediatric cardiac patients in the western United States. We care for more than 750 patients each year. Our CVICU is currently a 29-bed unit with plans to expand to 36 beds in the next few years. We are a post-surgical and cardiac medical unit. Our Pediatric Heart Transplant program is complemented by the Pediatric Advanced Cardiac Therapies (PACT) program. PACT provides artificial circulatory assist devices as alternatives to or bridges to transplant. These include ECMO, the Berlin Heart and Heart Mate. We are one of the most experienced teams nationally in the care of these complex patients. Our APP team is currently made up of 19 highly qualified NP’s and PA’s. We are a strong team that works well together to provide outstanding care to our patients and families. Together we have over 90 years of nursing and pediatric cardiac experience. Our interests range from research, VAD’s, anatomy and physiology, neonates, chronically critically ill, adults with congenital heart disease, and OR. We are looking for team players that share our passion for pediatric cardiac intensive care who want to be a part of a fast paced, fun, challenging, growing unit. Specific unit responsibilities of the advanced practice provider include: Pre rounding, creating a plan of care to advance the patient in their recovery, presenting on rounds and implementing the agreed upon plan. Procedure opportunities include but are not limited to: intubation/extubation, line placement, chest tube insertion and removal, pacer wire removal. Advance Practice opportunities at the hospital wide level include: participation in the clinical ladder, APP grand rounds, APP Council, APP task forces etc. We require a 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) and that you meet the License and Certification requirement. Pediatric cardiac and/or ICU experience highly preferred. Encouraged: Please include a personal statement outlining your interest in this position. 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 Service Standards of the Hospital (s). 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. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $87.55 to $109.44 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Full-time
SSM Health

Registered Nurse - Specialty Procedure II - Interventional Radiology

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

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

Aperion Care IL
$85,000 - $95,000 / year
ADON SUMMARY: The ADON will assist the Director of Nursing in planning, organizing, developing, and directing the day-to-day functions of the Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator, the Medical Director, and/or the Director of Nursing, to ensure that the highest degree of quality care is maintained at all times. Additional responsibility will focus on providing skin care to residents under the medical direction and supervisor of the residents’ attending physician, the Director of Nursing, or the Medical Director of the facility, with an emphasis on treatment and therapy of skin disorders. ESSENTIAL DUTIES AND RESPONSIBILITIES: Confer with the Director of Nursing and/or other licensed nursing personnel regarding the dermatologic disorders of residents in the facility Examine the resident and his/her records and charts, and discriminate between normal and abnormal findings, in order to recognize when to refer the resident to a physician for evaluation, supervision, or directions Provide assessment and diagnostic services to residents. Perform an assessment evaluation using techniques including observation, inspection, and palpation Initiate requests for consultation or referral. Respond to requests from the resident, physician, or nursing staff Identify, manage, and treat specific skin disorders and primary and secondary lesions, such as skin abrasions, foot problems such as corns and callouses, decubitus ulcers, bacterial, parasitic and viral skin infections, scaling popular diseases, and benign tumors Assist in resident rehabilitation activities. Where require, perform range of motion, assist in ambulation, provide emotional support. Monitor the results of physical therapy activities. Provide preventative health care services. Make recommendations to the resident concerning nutrition, prevention of common skin disorders, etc., Make written and oral reports/recommendations to the attending physician, Medical Director, or the DON concerning the status and care of the residents Implement and maintain established policies and procedures relative to RN care treatments. Interpret these to the physician, resident family members, and public as appropriate Assist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of nursing department. Ensure that reference material maintained at the nurse’s station is current. Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents. Develop and periodically update nursing service objectives and statements of philosophy. Assist in developing and implementing a nursing organization structure. Make written and oral recommendations to the Director as necessary/required, concerning the operation of the nursing department. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care. Ensure that all nursing personnel are following their respective job descriptions. Participate in the development, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with pertinent laws and regulations. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing. Assist the resident and Discharge Planning Coordinator in planning the nursing portion of the resident’s discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. Monitor the facility’s QI, QM and survey reports and provide the Director with recommendations that will be helpful in eliminating problem areas. Assist the Director in obtaining staffing information that must be posted on a daily basis. Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to Administrator. Service on the Quality Assurance and Assessment Committee as directed. Schedule, attend, and participate in developing the agenda for the Care Plan Team Meetings as required. Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing personnel to be employed. Assist the Director in the recruitment and selection of nursing personnel. Ensure that a sufficient number of Licensed Practical and/or Registered Nurses & CNA’s are available for each shift to ensure that quality care is maintained. Also ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistants program. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Delegate to the Charge Nurse and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing performance evaluations as directed. Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to Director. Review complaints and grievances made or filed by department personnel. Make appropriate reports to Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department’s policies and procedures to personnel, residents, visitors and government agencies as necessary. Ensure that all nursing personnel participate in the facility’s TB testing program. Participate in the interviewing and selection of residents for admission to the facility. Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Review nurse’s notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to Director. Assist in developing and implementing corrective action. Participate in developing, planning, conducting, and scheduling in-service training that provide instructions on “how to do the job” and ensure a well-educated nursing department. Participate in the mandatory new hire orientation. Assist Director in scheduling annual mandatory in-service training for staff. (OSHA, HIPAA, Abuse Prevention, Infection Control, etc.) Assist the Safety Officer in developing safety standards for the nursing department. Assist the Director of Nursing in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that nursing personnel work areas (nurse’s station, medication rooms, etc.) are maintained in a clean and sanitary manner. Ensure all resident care rooms, treatment areas, etc., are maintained in a clean, safe and sanitary manner. Ensure that all nursing personnel participate in and conduct all fire safety and disaster preparedness drill in a safe and professional manner. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the residents. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department’s equipment and supplies in a safe and operable manner. Ensure that only trained and authorized personnel operate the department’s equipment in a safe manner. Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. Assist the MDS/CPC in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Encourage the resident and his/her family to participate in the development and review of the resident’s plan of care. Be sure that staff members are providing care that reflects the wishes of the resident. Maintain confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. Ensure all nursing personnel are knowledgeable of the residents’ responsibilities and rights include the right to refuse treatment. Performs other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Wound Certification from accredited institution preferred. Must have, as a minimum, two (2) years of experience as an RN Must possess, as a minimum, a Nursing Degree from an accredited college or university. Registered Nurse with current unencumbered state license Must have, as a minimum, 2 years of experience as a supervisor in a hospital, nursing care facility, or other related health care facility. Must have, as a minimum of 6 months experience in rehabilitative and restorative nursing practices. Current CPR Certification is required. Must be able to read, write, speak and understand the English language. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must have patience, tact, a cheerful disposition and enthusiasm, as well as at the willingness to handle difficult residents. Must be able to relate information concerning a resident’s condition. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to move intermittently throughout the workday. Must function independently and have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. · Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility. Must be able to push, pull move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. SIGN ON BONUS SUBJECT TO TERMS AND CONDITIONS, AND MINIMUM HOURS WORKED. BONUS MAY VARY BY FACILITY. APERCHI1
RN Manager/Supervisor PACU Full-time
Cayuga Medical Center

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

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

Registered Nurse, RN - Operating Room

Tufts Medicine Boston, MA
$43.01 - $98.89 / hour
Registered Nurse, RN - Operating Room, OR Tufts Medical Center is a world-renowned academic medical center that has been caring for patients across New England for more than 200 years. As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Nurses are at the heart of that mission. As a Magnet® designated organization, Tufts Medical Center offers nurses the opportunity to practice at the highest level grounded in teamwork, clinical inquiry, and a culture of continuous improvement. We are committed to advancing nursing through evidence-based care, shared decision-making, and strong interdisciplinary collaboration. Nurses at Tufts MC are deeply integrated into all aspects of clinical care and operations. Whether providing high-acuity specialty care or leading quality and safety initiatives, our nurses are respected as full partners in care delivery and innovation. Their insight drives progress. Their expertise shapes outcomes. Nurses are supported through strong peer networks, diverse clinical experiences, and opportunities for professional development. Professional growth is expected, encouraged, and championed. At Tufts Medical Center, nursing isn’t just supported but integral to who we are. Join us and be part of a team that’s leading with purpose and redefining what’s possible in healthcare. Join a Leading Academic Operating Room Team At Tufts Medical Center, our Operating Room nurses support a broad range of highly specialized surgical services including transplant, trauma, robotics, vascular, orthopedic, thoracic, ENT, neurosurgery, and cardiovascular surgery. OR Registered Nurses are integral members of the perioperative team, collaborating closely with surgeons, anesthesia providers, surgical technologists, residents, fellows, and perioperative staff in a fast-paced academic medical center environment. Our Operating Room nurses care for highly acute and complex patient populations while supporting innovative surgical procedures across multiple specialties. Nurses are empowered to practice autonomously while utilizing advanced clinical judgment, communication, and critical thinking skills to deliver safe, seamless, and exceptional patient care throughout the surgical experience. Grow Your Career in a High-Acuity Surgical Environment The Operating Room at Tufts Medical Center offers ongoing opportunities for professional growth, skill development, and continued learning within one of New England’s leading academic medical centers. Staff are supported through comprehensive onboarding, mentorship, specialty training, certification support, continuing education, and participation in process improvement initiatives designed to help nurses build confidence and advance their careers in perioperative nursing. What truly differentiates our OR culture is the collaboration, teamwork, and commitment to continuous learning that allows nurses to thrive in a supportive and clinically advanced environment. Team members are encouraged to share ideas, grow professionally, and contribute to outstanding patient outcomes. Hours: Full-Time, 40 Hours per week Job Profile Summary ​This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. Job Description Minimum Qualifications: 1. Registered Nurse (RN) license. 2. Basic Life Support (BLS) certification. 3. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN) 2. Specialty Nursing certifications. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. 2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. 3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. 5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. 6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families. 7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. 8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. 9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. 10. Performs as an advocate and as an educator for patients and families. 11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. 12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives. 13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction. 15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources. 18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model. 19. May assume charge nurse functions in collaboration with unit leadership; 20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Contact with patients under wide variety of circumstances. 7. Subject to varying and unpredictable situations. 8. Handle emergency and crisis situations. 9. Subjected to irregular hours. 10. May have contact with hazardous materials. Skills & Abilities: 1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $43.01 - $98.89
RN Labor and Delivery Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II, Labor and Delivery

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description Our Labor and Delivery department consists of 10 labor/delivery/recovery rooms (LDRs), three ORs, three short stay/triage rooms, and three post-anesthesia care unit (PACU) beds. We deliver approximately 5000 babies per year. Job ID: LP_00023106-2658851 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. 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. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict 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: Graduate from an accredited nursing program. BSN preferred. Experience: Minimum of 1.5 years or 18 months of recent L&D experience, preferably in a center serving high risk patients. License/Certification Registered Nurse by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support NRP Provider Card by American Academy of Pediatrics (AAP) within 90 days of hire Advanced Cardiovascular Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Advanced Life Support Fetal Heart Monitoring (Advanced) by Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. 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 PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. 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): $96.35 to $111.14 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.
RN Home Health Home Health Full-time
Summit Healthcare

RN, Home Health, Full Time, Day Shift

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