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Certified Nursing Assistant (CNA)- Purpose: Provide direct and indirect patient care activities under the direction of a Registered Nurse or Licensed Practical Nurse. Assist patients with activities of daily living, provide personal care, comforts and assist in the maintenance of a safe and clean environment for an assigned group of residents. Qualifications: * Health * Ability to meet performance requirements * Educate and Training * Must be Certified Nursing Assistant * Attend in-service programs, as assigned, to learn procedures and develop skills and meet state requirements * Personal Qualifications: * Sensitive to our residents physical and psychosocial needs. * Ability to follow oral and written instructions * Capable of charting accurately of the Residents Care Record or other similar form * Pleasant and cheerful personality * Tactful and Courteous approach with residents and Visitors * Treat all residents information as confidential material * Adhere to dress code as directed by Center Policy. Specific Duties and Responsibilities Required: * Understand and practice universal precautions with all resident care * Perform all task/Procedures included on assignment or report to charge nurse any task not completed. * Assists in the preparation for admission of residents * Assist in and accompanies residents in admission, Transfer, and discharge procedures (Packing, unpacking, etc) * Provides post-mortem care * Provide morning care, which may include bed bath, Oral Hygiene, combing hair, back care, dressing residents, changing bed linen, cleaning over-bed table and bedside stand, straightening room, and other general care as necessary throughout the day. * Provide evening care, which may include washing hands/face as needed, oral hygiene, special skin care, freshening linen, cleaning over-bed tables, straightening room, and other general care as needed. * Provides general nursing care such as positioning residents, Lifting and turning residents, Applying/utilizing special equipment, assisting in use of bedpan, urinal or commode, and ambulating the resident with a gait belt. * Takes and records temperature, pulse, respirations, weight, height, blood pressure and intake and output measures * Adheres to policies and procedures of the center and the Department of Nursing. * Participates in socialization activities on the unit and assists residents to activities. * Tums and positions as ordered and/or as needed, making sure no rough surfaces are in direct contact with the body. Lifts and turns with proper and safe mechanics and with available resources. * Checks for reddened areas or skin breakdown and reports to an RN or LPN * Ensures that residents are dressed properly and assists as necessary. Ensures that clothing is properly stored in dressers or on hangers. Ensures that all residents are clean and dry at all times * Check unit for adequate linen and supplies * Restrains residents properly when ordered. Understands reasons fro restraint and suggests less restrictive measures if possible * Accompanies residents to appointments as directed * Provides reality orientation in daily care * Prepares residents for meals and services, removes food trays and assists with meals or feeding residents * Distributes drinking water and other nourishments to residents * Performs general care activities for residents in isolation, adhering to the center’s Infection Control Policies * Answers residents call lights, anticipates residents needs, and make rounds to assigned residents * Assists residents with handling and care of clothing and other personal property (including dentures, glasses, contact lenses, hearing aides, and prosthetic devices) * Collects and transports specimens as directed * Reports (and records when appropriate) and changes observed in condition or behavior of resident and any unusual incidents * Familiar with Nursing Care Plans and contributes when new information is available. * Assists in maintaining a safe and clean environment, reports equipment that is out of order, reports other problems to the charge nurse, maintains appropriate handling of clean and soiled lined, and stores supplies on the unit. * Establishes and maintains interpersonal relationships with residents, family members, and other center personnel, while assuring confidentiality of resident information * Attends in-service education programs, as needed, to learn new procedures, develop skills, etc * Practice careful, efficient and non-wasteful use of supplies and linen, and follows established charge procedures for resident charge items.

We’re committed to creating extraordinary communities where people thrive. Care to join us? Watermark Retirement Communities has been a leader in the senior housing industry for over 20 years. We’re looking for a dynamic individual who takes pride in their work and enjoys working with seniors as part of a dedicated team: We are without a doubt the most premier retirement community in the area and is a dream come true for a Registered Nurse or LVN! Bring your passion and Watermark will provide you something to be passionate about! We are looking for nurses with 2 + years with personal care home experience. Are you ready for a change? Are you ready to deliver care with the most up to date tools and systems? Do you want to be part of a community that supports and recognize how difficulty your job can be? The keep reading! At a Watermark Community you will leave work every day knowing you have made a positive impact not only with our residents and their family members, but with you fellow associates as well. We are committed to providing this environment for you. At Watermark our care givers are called Naya’s. Naya is an ancient Sanskrit word that means GUIDE, PERSON of WISDOM, LEADER. We focus on what is really important to those who provide care for our residents. We want the best nurses in the field to help us change the concept of healthcare in senior housing. If you are a trail blazer, if you know that there is a better way to provide nursing services to our seniors, if you would you like to work somewhere and not only have the opportunity to provide care but will also have time to develop meaningful relationships with our residents, then we know you will find a home with us! What you will need to qualify for this positions: * Licensed Registered Nurse or LVN in the state of CA * Management experience * Proven leader * Excellent communication skills * Excellent computer skills in Word, Excel and online systems What you can expect from us: * Comprehensive onboarding and orientation program * National and regional support * State of the art tools and systems * Excellent benefits * Beautiful work environment Watermark Retirement Communities, Inc. is an equal opportunity employer, Minority/Female/Disability/Veteran/LBGTQ – proudly embracing diversity in all of its manifestations.: Watermark Retirement Communities, Inc. is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any associate at Watermark or its affiliates via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Watermark Retirement Communities, Inc. No fee will be paid in the event the candidate is hired by Watermark as a result of the referral or through other means.:

The Registered Professional Nurse represents UMMC in coordinating and overseeing patient care delivery with an interdisciplinary approach, utilizing the nursing process with a commitment to customer service. The Registered Nurse directs, provides patient care, teaching, participates in continuous quality improvement, educational experiences and documents complete and accurate patient information. Maintains standards of professional nursing practice and supports the nursing philosophy and objectives, as well as initiatives. All practices and patient care decisions will be consistent with established hospital policy and procedure, The Joint Commission and all state and federal laws. Education/Training: Graduate from an approved school of nursing program.  Two years OR experience preferred. Licensure/Certification: Current RN licensure to practice in the State of New York and required certifications for respective nursing departments.  Annual BLS, ACLS and PALS certification required.                                                      Experience/Skills/Abilities: Successful completion of annual clinical, age and job specific competencies and skill verification tools required.  Ability to effectively communicate orally and in writing in a caring, considerate and concerned manner.  Willingness to accept responsibility.  Ability to direct ancillary and assistive staff and organize work assignments.  Leadership skills essential to the position.                                                        

New Nurses encouraged to apply!  Join our team of Professionals as a Registered Nurse in our Med/Surg/Telemetry Unit at United Memorial Medical Center in Batavia, NY!  The R.N. I maintains quality patient care through consistent standards of nursing practice in collaboration with the multidisciplinary team. Utilizes the nursing process: assess, diagnosis, plan, implement and evaluate to execute appropriate individual patient care. The R.N. is instrumental in providing an exceptional experience for patient and family. Requirements Include: Diploma or Associate’s Degree in Nursing required; Bachelor’s Degree in Nursing preferred. Registered Nurse license in New York State. Basic Life Support (BLS) certification . Any department specific          certifications. ACLS required within one year of employment in the department. Ability to effectively communicate orally and in writing in a caring, considerate and concerned manner. Willingness to accept responsibility. We will consider promising new nurses. 1 year Med/Surg/Telemetry experience preferred.

  Primary Job Function Exceeds the expectations of patients and visitors by creating an extraordinary experience in Telemetry Nursing Unit and MGH by greeting people warmly, sincerely, and with empathy. Assesses, plans, implements and evaluates nursing care for patients and participates in patient and family teaching.   Minimum Qualifications/Requirements: Graduate of an accredited school of nursing with a current Indiana Registered Nurse License. Bachelor of Science in Nursing (BSN) is preferred. No experience is required as the Telemetry department engages new nursing graduates. Ability to be discrete and protect confidential information. Strong customer service orientation.   Expectation of the attainment of the ACLS credential within one year of hire.   Working Conditions: Typical patient care environment requiring employee to regularly be at risk for occupational exposure to blood and other potentially infectious materials.  Should not pose “Direct Threat” to safety and health of self or others.   Requires ability to work holidays, weekends, days, evenings, and night hours based upon department needs.    Physical and Mental Activities, Tools and Equipment: This position requires critical thinking skills, math skills, and strong interpersonal skills. This position requires frequent walking, some bending, some lifting, and standing for periods of time to manage, coordinate and administer nursing care and the ability to lift 50 pounds and push and pull 200 pounds.   Use of personal computer, telephone equipment, paging systems, fax machines, copier, and  those equipment items necessary to provide patient care, i.e. thermometers, blood pressure manometers and stethoscope, intravenous equipment (pumps, sharps, etc.). These are not meant to be all inclusive. Equal Opportunity and Affirmative Action Employer:  Minority/Female/Veteran/Disability Marion General Hospital is a smoke-free environment.

Liberty Cares With Compassion At  Liberty Healthcare and Rehabilitation Services , we promote a challenging, but rewarding opportunity in a caring environment.   We are currently seeking experienced: LICENSED PRACTICAL NURSES (LPN) - $3,000 Sign On Bonus! Full Time, Days   Job Description: Assists in direction of nursing services for unit/hall, in accordance with the Nursing Practice Act, and under the supervision of a Registered Nurse. Delegates duties to professional nurses and non-professional nursing personnel and monitoring work performance under the supervision of a Registered Nurse. Observes patients for symptoms and/or reactions, including general physical and/or mental condition for signs, which may be indicative of adverse change. Assists with notifying attending physician of emergencies and death of patients in the unit. Implements orders of changes in orders as instructed or ordered by physicians. Performs other duties as assigned. Job Requirements: High school graduate. Licensed Practical Nurse, graduated from an accredited School of Nursing. Current, valid license from the North Carolina Board of Nursing and submit proof of license renewal every other year. Willing to work as charge nurses, and work as needed during emergencies to assure adequate coverage. Ability to provide quality nursing care to patients, follow doctors’ orders, and have a genuine interest in geriatric nursing. CPR certified yearly. Attend in-service training and other staff meetings as required. Visit www.libertyhealthcareandrehab.com for more information. Background checks/drug-free workplace. EOE.

SCHEDULE FTE: .80FTE, 3rd Shift PRIMARY FUNCTIONS In keeping with Chapter 6 of the Iowa Nursing Practice Act for Registered Nurses, the ANA Scope and Standards of Practice for Nursing and the ANA Code of Ethics for Nursing, the professional nurse assumes responsibility and accountability for the delivery of nursing care at Waverly Health Center.  The Registered Nurse is responsible for assessing, delegating, and coordinating nursing care based on the patient’s problem and needs, by initiating the nursing process in the everyday practice of nursing. Utilizes substantial specialized judgment and skill in providing direct and indirect patient care, observation, and counsel to patients and family, and accepts responsibility for the total nursing care of assigned patients. Communicates with providers, manager, and/or other healthcare team members about changes in patients’ clinical condition, including results of diagnostic studies and symptomatology. Assists with the clinical development of other nursing department staff members by serving as both mentor and consultant. MINIMUM QUALIFICATIONS Education, Experience, and Training Must be a graduate of an accredited school of nursing and currently licensed to practice as a Registered Nurse in Iowa. Baccalaureate degree in nursing preferred. Must be able to read, speak, and write fluent English. Ability to learn and navigate computer systems including the online training modules, the employee timesheet and the performance appraisal system. Job specific systems are also required. Physical Requirements Sitting – Approximately 25% of shift. Standing– Approximately 50% of shift. Walking – Approximately 50% of shift. Lifting – Approximately 35 pounds.  Must use, and require staff to use, when in hospital and/or pre-hospital settings, proper body mechanics and ergonomics and, as applicable, lifting/moving devices. Twisting – Infrequent. Bending – Moderate. Squat/Kneel – Approximately 25% of shift.

Position Summary: The PRN Registered Nurse is responsible toassess and identify patient/family needs, and to plan, implement, evaluate and document the individualized hospice nursing care provided to a patient in accordance with the interdisciplinary plan of careand the policies and expectations of the Clinical Services Department. The PRN Registered Nurse is responsible for care coordination and collaboration among the Interdisciplinary Group and other medical providers, and supervises the hospice care provided by Licensed Practical Nurses and Certified Nursing Assistants.  Assigned patients may be in a home, skilled nursing facility, assistedliving facility, or acute care setting.   The primary responsibility for the PRN Registered Nurse is to assure delivery of care to patients specific to team, resource and/or visit nurse coverage needs including on call, routine visits, unplanned visits, and visits to follow up on new admissions as needed and in accordance with the PRN Policy. The PRN Registered Nurse demonstrates excellence in nursing practice for assigned patients and is supportive of the organization’s needs in providing nursing care and services to all Hosparus Health  patients.   Position Duties & Responsibilities: Documents in a concise manner all pertinent data that reflects patient and family contact. Receives all physician orders and enters them into Electronic Documentation System. Maintains Medication Profile and notifies pharmacy of changes as they occur. Collaborates with the Clinical Manager and or Director to assure completion of duties,on-call as applicable,scheduling and arranging coverage for all areas of nursing service. Completes Point Of Service documentation in a timely manner. Communicates clearly, concisely and in a timely manner with team members. Collaborates with team members and others to assure coordination in delivery of care. Demonstrates collaborative and collegial relationships with Interdisciplinary Teams. Works with Interdisciplinary Teams to assure effective, cost-efficient care. Conducts a thorough nursing assessment that identifies variations from baseline in patient status including risk factors. Assesses the need for all care, treatment, and services. Identifies educational needs of the patient and family. Utilizes knowledge of Hosparus Patient Care Guidelines and Clinical Protocols in the development of nursing interventions. Communicates and collaborates with the patient’s attending physician if applicable, regarding care and treatment. Communicates with external providers of care. Assures that the Plan of Care is driven by needs identified as significant by patient and family. Develops initial Plan of Care for the Interdisciplinary Team and reviews/revises as patient status changes and/or per regulatory requirements. Initiates, reviews, and revises CNA plan of care based on patient status. Presents nursing concerns at Interdisciplinary Team meetings. Provides input utilizing principles of palliative nursing care. Identifies roles for volunteers and other services. Demonstrates clinical competency in principles of symptom control, pain control, and palliative care. Assumes responsibility for all patient transfers to inpatient settings, long term care facilities, home health agencies or other hospices. Provides nursing orders to the CNAs and supervises their delivery of care. Assumes primary responsibility for preauthorization of all patient care, treatment and services delivered by external providers. Prepares patients and caregivers adequately for discharge from Hospice care when appropriate. Prepares family and caregiver for the dying process, including signs and symptoms of impending death and notification of Hosparus Health  at the time of death. Provides follow up after the death and closure as determined by the Interdisciplinary Team. Demonstrates commitment to patient care by providing on-call, weekend, evening, and holiday rotations as requested by position. Evaluates patient response to care and treatment at each visit and identifies need to change Plan of Care based on data collected. Evaluates CNA services with the patient and family at each visit. Consistently meets medical eligibility criteria and goals of plan of care. Participates in the evaluation of department functions, identifying trends and areas for improvement as appropriate Provides understandable, appropriate patient, family, and caregiver education, specific to identified needs. Serves as a professional role model by providing individual expertise, knowledge and skills. Assumes the role of nurse preceptor.   Position Qualifications: RN with current RN licensure in the state of Indiana as required by designated position. BSN desired. Certification in hospice/palliative care preferred. Two years of nursing experience required. Knowledge of palliative care helpful. Must have a valid driver’s license in accordance to policy. 

Position Summary: Under the leadership of the department Director, Nursing, the Registered Nurse (RN) I isan active member of the department that collects data, provides comfort measures and care to patients. The RN I is responsible for providing care that is appropriate for the patient’s developmental age and is culturally sensitive. The RN I formulates an appropriate plan for care and analyzes the effectiveness of interventions while effectively interacting with patients, families other health team members.  The RN I maintains standards of professional nursing.  The Registered Nurse I duties are of considerable difficulty and are based on scientific principles and standards of nursing practice.   Basic Qualifications: Education: Requires an Associate’s degree in Nursing from an accredited school of nursing or completion of a degree from an accredited nursing school. Experience: Requires up to one year of work-related experience, or any equivalent combination of education, training and experience. Licensure, Registrations & Certifications: Requires a current state license as a Registered Nurse and is listed in good standing with the state’s Department of Professional Credentialing. Requires a current certification in Basic Life Saving (BLS). (If BLS verification is not current upon hire, it must be obtained within three (3) months of hire.)   Essential Job Responsibilities: Conducts an assessment of patient’s condition (i.e., physical, emotional, age, etc.), documents assessment findings and, in conjunction with medical notes, develops a patient care plan. Meets with other members of the patient care team to discuss, evaluate and monitor the care plan. Modifies the care plan, as appropriate, given changes in a patient's condition. Renders professional nursing care, including the administration of medicine and drugs, monitoring IV's and blood, monitoring EKG rhythms, performing venipuncture, inserting intravenous catheters, externally defibrillating patients, performing the more complex as well as routine treatments as prescribed by the physician or as indicated by the patient's condition.  Uses professional judgment in treating patients and modifies the treatment and/or contacts the physician as appropriate. Prepares or directs the preparation of necessary equipment and instruments and assists the physician during examination and treatment. Participates in the patient and family education and rehabilitation process by explaining and instructing patients and family members regarding treatments, procedures, nursing care plans, etc. to help mitigate fears and to educate during the recovery process.  Meets with patients and their families in order to help them overcome emotional problems associated with their health care condition. Makes regular rounds to assigned patients, alone or with physicians, observing and evaluating patients' symptoms and reactions to treatments and medications.  Determines progress and problems and takes corrective action as indicated or directed. Maintains records and charts of patients, reports to proper person pertinent information regarding the patient’s condition, medication given and treatments administered. Participates in Quality Assurance studies and integrates Quality Assurance standards into patient care activities. Participates in discharge planning activities in order to prepare the patient and their family for release from the hospital.  Acts as a liaison between members of the care team. Serves as a clinical leader, implementing nursing concepts, conducting patient conferences, and assisting in directing, orienting and teaching student nurses, Nursing Assistants, LPNs and other ancillary personnel. Controls narcotics and supplies used. Remains current on innovations, developments, new procedures and techniques in nursing care in order to provide quality nursing care services. Assumes responsibility for safety, infection control and performance improvement as part of CRHS’s efforts to provide quality care and services. Performs all associated duties, responsibilities and tasks. Presents a professional image to CRHS’s nursing co-workers, clinical and medical staff members, patients, families and visitors. Attends professional development programs and in-service training and meets the minimum requirement for continuing professional education. Performs other related job duties as assigned.

Position Summary: Under the leadership of the departmental Nursing Director and the supervision of a Registered Nurse, the Licensed Practical Nurse isresponsible for utilizing the nursing process in assessing, planning, implementing, and evaluating patient care.  The Licensed Practical Nurse is responsible for providing culturally sensitive care that is appropriate for the patient’s developmental age.  The Licensed Practical Nurse effectivelyinteracts with patients, family members, and other health team members, follows the nursing plan of care as it has been formulated, and maintains the standards of professional nursing.   Basic Qualifications: Education: Requires a high school diploma or a GED and graduation from a Licensed Practical Nurse program from an accredited vocational or community college. Experience: Requires up to one year of work-related experience, or any equivalent combination of education, training and experience. Licensure, Registrations & Certifications: Requires a current license as a Licensed Practical Nurse and a current certification in Basic Life Saving (BLS). (If BLS verification is not current upon hire, it must be obtained within the orientation period.)   Essential Job Responsibilities: Contributes to the development of the nursing plan of care through planning, data collection, implementation, and evaluation of the patient’s care. Effectively and consistently performs basic nursing skills and treatments as prescribed by the physician or as indicated by the patient's condition.  Provides assigned patients with quality patient care services consistent with the standards of care established by Nursing Services and CRHS. Functions as a part of an interdisciplinary team with positive interpersonal communication skills when communicating with patients, families, visitors, physicians, intra and inter-department staff members, and representatives from other organizations. Documents patient care which reflects appropriate nursing interventions and includes evidence of appropriate patient/family education. Implements and documents patient responses to treatments as defined within the scope of LPN duties through the State Board of Nursing and policies of CRHS. Demonstrates prioritization and decisiveness that enables the completion of typical patient assignments within an assigned shift. Performs associated duties, responsibilities, and tasks relating to safety, infection control, and performance improvement as part of CRHS’s efforts to provide quality care and services.. Presents a professional image to CRHS’s nursing co-workers, clinical and medical staff members, patients, families, and visitors. Attends professional development programs and in-service training and meets the minimum requirement for continuing professional education. Performs other related job duties as assigned.   Standards of Performance: Performs nursing care in accordance with established department and CRHS policies and procedures as measured by feedback and observation from nursing, medical, and management staff. Performs assigned patient care duties in a timely and accurate manner as measured by logs, charts, and observation. Complies with safety and infection control policies and practices in the delivery of patient care as measured by feedback and observation from nursing, medical, and management staff. Demonstrates reliability as measured by compliance with the CRHS Time and Attendance policy. Demonstrates professional conduct and adherence to safety, confidentiality, and HIPAA standards. Promotes teamwork with the entire staff, as well as other contacts within the department, as measured by observations of manager and coworkers. Adheres to the CRHS Standards of Behavior as measured by observations of managers, coworkers, and outside and/or inside customers. Verbalizes and/or demonstrates core competencies of the unit and department. Complies with regulatory requirements, including the National Patient Safety Goals, as observed by peers, supervisors, and other members of the healthcare team. Actively participates as a member of the healthcare team by attending all mandated in-services, as well as departmental staff meetings as determined by the departmental Director.

WEST PARK HOSPITAL DISTRICT d.b.a. CODY REGIONAL HEALTH JOB DESCRIPTION     JOB TITLE: Registered Nurse – Pre/Post Cardiac Cath Lab DEPARTMENT: Cardiac Cath Lab IMMEDIATE SUPERVISOR: Director of Cardiac Cath Lab SECONDARY SUPERVISOR: Chief Clinical Officer   JOB SUMMARY Provides nursing care to cardiovascular patients in the Catheterization Lab pre-op and post op setting. Attends required in-service, yearly education day and mandatory departmental meetings.  Participates in the collection of data for QI.  Adheres to hospital and departmental policies.  Practices good communication between departments, with physicians, each other and the Department Director.   The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.  The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age-specific needs, and to provide the care needed as described in the unit's/area's/department's policies and procedures.   AGES SPECIFIC TO CARDIAC CATH LAB Young Adult- 18 years through 34 years Middle Adult- 35 years through 50 years Mature Adult- 51 years through 69 years Geriatric Adult- 70 years +   CULTURE/RELIGIOUS ASPECTS Employee will care for patients of all cultural and religious backgrounds.  In view of the seasonal influx of people from all over the world, be prepared to care for patients of diverse cultural and/or religious backgrounds.   ETHICS AND COMPLIANCE Employee performs within the prescribed limits of Cody Regional Health’s Ethics and Compliance Program.  Is responsible to detect, observe and report compliance variances to their immediate supervisor, or upward through the chain of command, the Compliance Officer or hospital hotline.   CUSTOMER SERVICE All employees must adhere to the Mission, Vision and Key Values of West Park Hospital District.    ESSENTIAL FUNCTIONS 1.      Completes a head to toe physical assessment and social assessment of the patient upon admission. 2.      Initiate cardiac monitoring, oxygen therapy, non-invasive blood pressure, and oximetry.  Start/or evaluate    IV site.  Evaluate existing drainage systems in place. 3.      Prepare patient in pre-op for Cath Lab Procedure. 4.      Recognize cardiac arrhythmias.  Intervene using physician orders, ACLS Algorithm, or standing orders. 5.      Re-assess patient to identify progress and trends that require intervention or reporting to the physician. 6.      Operate equipment:  IV pump, PCA pump, cardiac monitors, pressure modules, arterial line, blanket    cooling/warming unit, defibrillator. 7.     Recover Cath Lab patients and monitor telemetry. Administer medications, calculate doses and maintain current knowledge of medications. 9.     Prepare, monitor and administer medications during stress test procedures. 10.   Assess the patient’s learning needs.  Educate the patient and family regarding discharge instructions and   home care. 11.   Treat patients and their families with respect and dignity. 12.   Maintain accurate and continued nursing documentation including patient history, condition, vital signs,         treatment, response to intervention, and change of status.   SECONDARY FUNCTIONS 1.      Follow the standard for infection control; hand washing, protective eyewear, mask, gown, gloves, head         cover, and shoe cover, as appropriate.  Proper disposal of contaminated items and the use of isolation.  2.      Participate in monthly outdating of medications and supplies and checking of crash cart, Check, order and         stock supplies according to par level. 4.      Enter orders into the computer. 5.      Participate in chart review.  Collects data for QI. 6.      Attend mandatory yearly education day, monthly mandatory staff meetings, and mandatory in-service.          Enhance professional growth by attending educational opportunities pertaining to Cardiac Cath Lab. 7.      Initiate and coordinate a Code Blue. 8.      Behave in a professional manner and maintain good interpersonal relationships with other staff,         departments, manager, and physicians.  9.      Participate in orientation of new Cath Lab staff.  Provide nursing students with opportunities to observe          and learn. 10.    Ensure all rooms and work areas are kept clean, stocked, and ready for use. 11.    Work with other departments in coordinating smooth transfer of patients. 12.    Perform other related duties as assigned or requested.   LICENSURE/EDUCATION Current Wyoming Registered Nurse license.  Bachelor of Science in Nursing preferred.    EXPERIENCE Previous Cath Lab experience preferred. Minimum of one to two years Critical Care, Emergency Department, or Pre-op/Post-op nursing experience, or three years of clinical nursing in a medical or surgical unit or a combined medical/surgical unit.   SKILLS Knowledge of, Critical Care nursing principles and the nursing process.  Perform effectively in stressful situations.  Use effective communication skills.  Ability to define problems, collect data, establish facts and draw conclusions.   WORKING CONDITIONS Clean, well-lighted, heated and air conditioned area.  Exposure to unpleasant sights, smells and infectious diseases, blood and body fluids, and occasionally to radiation.  Work schedule varies as needed. Overtime dependent upon need of department.  Holiday and weekend work required. On call shifts to maintain after hours cath lab availability are required.   REQUIRED CERTIFICATIONS BLS and ACLS required.     PHYSICAL DEMANDS       1 0-20% of work time: standing, walking, lifting, carrying or pushing 20 pounds or less. Any lifting of 35 pounds or more requires the use of an assistive device and/or physical assistance. Up to 80% or more of work time: sitting.    X 2 15-85% of work time: standing, walking, lifting, carrying or pushing up to 35 pounds independently. When lifting, carrying or pushing greater than 35 pounds assistance or assistive devices will be used.  0-15% of work time sitting     3 15-85% of work time: standing, walking, lifting, carrying or pushing items up to 100 lbs. and occasionally 150 lbs.  When lifting, carrying or pushing greater than 35 pounds assistance or assistive devices will be used.  0-15% of work time sitting   EXPOSURE CATEGORY                           X 1 Tasks that involve exposure to blood, body fluids or tissues.  This includes all procedures or job-related tasks that involve inherent potential for mucous membrane or skin contact with blood, body fluids or tissues, or potential spills or splashes of them.     2   Tasks that do not involve exposure to blood, body fluids or tissue, but exposure may be required as a condition of employment.  Appropriate protective measures are readily available to these employees when needed.     3   Tasks that involve NO exposure to blood, body fluids or tissue and tasks are not a condition of employment.  

WEST PARK HOSPITAL DISTRICT dba Cody Regional Health JOB DESCRIPTION  JOB TITLE:  OB Resident Registered Nurse                                                            DEPARTMENT: Women’s Health and Nursery REPORTS TO: Women’s Health Director   JOB SUMMARY The residency will be no longer than 12 months in length. The specific competencies required of the resident will be completed as opportunities present or are tested in the clinical setting. The resident will spend the majority of their time in the Women’s Health and Nursery department and will also have the opportunity to orient on the Acute Care Unit. The candidate must agree to working both day and night shift throughout the residency to obtain the maximum amount of opportunities to learn. The resident must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.  The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status. He/she must also interpret 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 the unit's/area's/department's policies and procedures. ESSENTIAL FUNCTIONS Admission of patient: 1.    Perform admission assessment 2.    Review history 3.    Develop plan of care 4.    Initiate electronic fetal monitoring and perform fetal assessments using NICHD terminology 5.    Perform sterile vaginal exams 6.    Provide required care for OB/OBS patients 7.    Report to OB provider using SBAR format and NICHD terminology Intrapartum: 8.    Monitor progress of laboring mothers 9.    Communicate with providers in SBAR format and using NICHD terminology 10.    Provide labor support, breathing techniques, and patient’s preferred pain management techniques 11.    Prepare delivery cart for vaginal deliveries 12.    Prepare mothers for scheduled, unscheduled, or emergent cesarean section.  13.    Obtain consent for treatment and blood product transfusion. Witness signatures for procedural consents 14.    Manage ordered medications or infusions 15.    Document in the patient’s electronic medical record 16.    Assist physician with artificial rupture of membranes, initiation of internal fetal monitoring or intrauterine pressure catheter, vaginal exams or other procedures 17.    Assist anesthesia with the administration of spinal or epidural anesthetic  Postpartum Recovery: 18.    Register neonate and obtain newborn identification 19.    Perform immediate post delivery care of mother and infant 20.    Determine Apgar scores 21.    Suction infants when appropriate 22.    Apply ID and security bands 23.    Weigh and measure infant 24.    Medication administration to mother and infant as ordered 25.    Utilization of NRP when appropriate 26.    Assess recovery vital signs, fundus, lochia and perineum per policy 27.    Initiate skin to skin contact. Promote infant/parent bonding Postpartum: 28.    Perform post partum care 29.    Provide patient education to mother/family 30.    Assess vital signs, fundus, perineum, lochia 31.    Assist and instruct on breast feeding 32.    Teach mother self care 33.    Perform nursery care on infant 34.    Operate necessary equipment for care 35.    Assess infants and vital signs, assist with circumcision, coordinate stabilization and transfer 36.    Other treatments or assist with procedures as directed or ordered 37.    Other duties as required 38.    of unstable infants, perform or assist with all types of feedings (breast feeding, nipple Nursery: 39.    Obtain consent for treatment. Witness to signature of procedural consents 40.    Documentation in neonates EMR 41.    Vital signs 42.    Breast, bottle, SNS, cup, syringe or gavage feeding assistance and support 43.    Glucose checks 44.    Initiate isolation if indicated 45.    UVC blood draws 46.    First bath 47.    Hearing screening 48.    CCHD screening 49.    TcB screening 50.    Medication administration (routine and special care) 51.    Prepare for neonatal transport Gynecological Patient Care: 52.    Admit and care for post-surgical patients 53.    Document care in patient’s EMR 54.    Monitor and assess per post-anesthesia protocol 55.    Perform discharge teaching for all patients Miscellaneous: 56.    Other treatments or assist with procedures as directed or ordered 57.    Other duties as required  SECONDARY FUNCTIONS 58.    Adhere to principles of infection control in delivery of OB care 59.    Enforce policy regarding cover ups, scrub clothes and handwashing, 60.    Collaborate with housekeeping department to ensure clean patient care areas and 61.    Enforce isolation policies for care of infant and mother 62.    Instruct parents in principles of infection control 63.    Routine cleaning by nursing staff is done on prescribed basis 64.    Demonstrate sterile technique 65.    Adhere to general policies of the OB Department 66.    Report equipment failures or structural issues to Plant Operations or Bio Medical contractor, or Information Services. 67.    Order and restock unit and patient supplies, laundry, 68.    Display knowledge equipment, instruments, and procedures 69.    Maintain and display knowledge of facility wide and OB/Nursery specific education 70.    Participate in in-services and staff meetings 71.     Rotate call days and floating to other departments. The following procedures will not be performed by an RN in the OB Department:     Intubation of adults or infants     Percutaneous arterial punctures     Episiotomies in precipitous deliveries     Umbilical vessel catheterization     Placement of intrauterine pressure catheter JOB REQUIREMENTS The resident may begin residency with a temporary license issued by the state of Wyoming after graduation from an approved school of nursing and prior to obtaining full Wyoming state licensure. The NCLEX must be passed on the first attempt and taken within the time frame set prior to hire. Should the NCLEX not be passed on the first attempt, the candidate’s residency will immediately end. The resident will perform as a licensed RN after obtaining Wyoming state licensure as a registered nurse and can be scheduled in the department after he/she has received experience in labor, deliver, nursery, postpartum, and acute care nursing and after a competency checklist for specific skills has been completed.   

Position Summary Under the direct supervision of the registered nurse, applies the nursing process of reassessment, planning, implementation and evaluation of patient care specific to the age of the patient population served in the T&D area. Provides direct patient care in an efficient and safe manner, consistent with the unit's standards of care. Demonstrates performance consistent with the mission, philosophy and goals of the unit and organization; remains flexible to changing systems, is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats staff, physicians, patients and families with consideration and respect. Ensures procedure suites are adequately prepared for procedure. Monitors all surgical instruments and supplies. Participates in departmental staff meetings and performance improvement activities. Qualifications Required: Formal Education and Certifications Current professional licensure in the State of West Virginia as a Licensed Practical Nurse CPR (if CPR is not current on hire or will expire during department orientation, staff must attend the next available CPR class after hire) Successful completion of the orientation program provided by the hospital, nursing and T&D staff development programs Knowledge and Experience Basic computer skills Current knowledge and skills appropriate to the age/type of patient population served, or obtained within probationary period Knowledgeable and sensitive to patients' rights in the delivery of care   Preferred: Formal Education and Certifications Minimum of one (1) year work experience in a nursing area Successful completion of a Coronary Care Class or agreement to take class within first year of employment Certification by the Association of Surgical Technologists Knowledge and Experience Minimum of one (1) year work experience in the operating room

POSITION SUMMARY Under the direct supervision of the registered nurse, applies the nursing process of reassessment, planning, implementation and evaluation to promote the ultimate resolution of the patient’s nursing problems. Provides direct nursing care on the units demonstrating cooperative relationships and facilitative communication with all members of the health care team. Contributes to nursing and the hospital through support of philosophy and objectives, educational and research efforts. QUALIFICATIONS Formal Education and Certifications REQUIRED Current professional licensure in the State of West Virginia as a Licensed Practical Nurse CPR (if CPR is not current on hire or will expire during department orientation, staff must attend the next available CPR class after hire) PREFERRED IV/Central Line

  ENTRY REQUIREMENTS: Bachelor's Degree in Pharmacy from accredited School of Pharmacy and completed state-required internship.   Current Michigan license as a Registered Pharmacist.   Knowledge of pharmacy third party billing and retail pharmacy computerization.   Knowledgeable of pharmaceutical care practice in the ambulatory setting.   Active membership in professional practice associations preferred.   ORGANIZATION: Under the general supervision of Store Coordinator, or Retail Pharmacy Manager.   May receive instruction and direction from the Director of Pharmacy.   .   Regular contact with physicians, nurses, and patients in order to coordinate the provision of high quality ambulatory pharmaceutical care.   Contact with other Pharmacy personnel at other MSI pharmacy locations and Munson Medical Center.   AGE OF PATIENTS SERVED: All ages (birth and above).   SPECIFIC DUTIES: 1.      Supports the MSI and Munson Healthcare Mission, Vision and Values.   2.      Embraces and supports the Performance Improvement philosophy of Munson Healthcare.   3.      Promotes personal and patient safety.   4.      Assures that the pharmacy department is offering outstanding customer service at all times.   Demonstrates support of MSI goal of being the premier professional pharmacy.   5.      Has knowledge of and meets expectations outlined in Commitment To MY Coworkers and supports department action plans for employee engagement.   6.      Interprets, accurately dispenses, and assures final check of physician prescription orders.   7.      Performs and documents appropriate interventions with health care professionals and patients while striving for maximal benefit from the drug therapy.     8.      Assures all oversight agencies requirements are met, including State Board of Pharmacy, Controlled Substance Act, all federal laws, etc.   9.      Interacts with physicians, physician office personnel and MMC departments in a professional manner in order to maintain a highly visible practice of outpatient pharmaceutical care.   10.   Maintain necessary dispensing and patient documentation to meet regulatory requirements.   11.   Develops and provides a quality pharmaceutical care model with clinical/patient oriented application with a vision toward the evolving requirements of the managed care environment.   12.   Provides quality patient consultation and education for medications including OTC medications and other health care product lines.   13.   Provides drug information support services to other health care providers.   14.   Supervises clerical, technical, and volunteer personnel.   15.   Maintains security of controlled substances per MSI policy and procedures.   16.   Assures all MSI policies and procedures of inventory control including ordering, purchasing, inventory turns, storage, security, etc. as well as auditing pertinent products are followed.     17.   Follows MSI product pricing strategies to maximize profitability while remaining within legal third party program requirements.   18.   Provides input to and assistance in maintaining policies, procedures, responsibility lists, etc.   19.   Maintains and advances knowledge by continuing education endeavors.   20.   Oversees day to day facility maintenance and cleanliness and communicates concerns and needs promptly to the Store Coordinator or Retail Pharmacy Manager.   21.   Follows all accounting procedures.   22.   Maintains strict patient confidentiality.   23.   Maintains and displays knowledge of third party reimbursement.   24.   Performs all other duties as assigned.