455 jobs found

  This is an exceptional opportunity to join a Magnet-recognized, community-based hospital that delivers on our promise to provide Complete Connected Care.     Lowell General Hospital is an outstanding place to work and offers amazing advancement opportunities for our staff.  As a nurse, you can take part in our Clinical Advancement Program which recognizes nurses who consistently expand their roles by providing exceptional patient care.  We have competitive salaries & benefits, shared governance, tuition reimbursement, clinical mobility tracks and free on-campus parking. Staff are encouraged to participate in our unit based council or one of the many council opportunities.   Unit Summary: The Oncology Care Unit (OCU) is a 16 bed (5 semi private and 6 private rooms) dedicated inpatient oncology unit with telemetry. We care for adult acute care patients who have a wide variety of diagnoses and co-morbidities providing comprehensive care according to the scope of care defined by the hospital, Massachusetts Nurse Practice Act, American Nurses Association scope and Standards of Practice, and Quality Caring framework and professional practice model at Lowell General Hospital.   Job Responsibilities: The Staff nurse individualizes the patients care and provides complete connected patient centered care while promoting quality and safety. The Staff nurse will work with a multidisciplinary team to ensure patient needs are identified and met. This candidate must show enthusiasm, have excellent communication skills and strive for patient satisfaction and a positive patient experience.With specialized training nurses administer chemotherapy, implement new methods of symptom treatment and monitor their patients' progress in a supportive environment.    This is a great opportunity to be part of a strong team of nurses working in a community setting.   Qualifications: Graduate of accredited nursing program, BSN preferred, or enrolled in BSN program with anticipated graduation date Massachusetts RN required BCLS required Medical Surgical experience preferred, minimum of one year of rehab experience if recent graduate, new graduates are not eligible to apply Must have excellent time management and customer service skills RN candidates must be able to use electronic based charting systems. Cerner experience is preferred Telemetry experience preferred, will train if needed Medical Surgical Certification an advantage   Magnet Designation: The American Nurses Credentialing Center (ANCC) honored Lowell General Hospital with Magnet Recognition for excellence in nursing care in October, 2010 and re-designated in April, 2015. The Magnet Recognition Program recognizes healthcare organizations that are dedicated to nursing excellence, professionalism and patient-focused care. It is the highest level of recognition an organization can receive for providing the very best quality in patient care. Only 6.7% of hospitals hold this prestigious designation and only 4% of hospitals receive Magnet Re-designation.  About Lowell General Hospital: Lowell General Hospital is an independent, not-for-profit community hospital serving the Greater Lowell area and surrounding communities. With two primary campuses located in Lowell, Massachusetts, we are the second largest community hospital in Massachusetts. We have the latest state-of-the-art technology and a full range of medical and surgical services for patients, from newborns to seniors.   We are also a proud member of Circle Health and in collaboration with the medical community it is our promise to provide our patients with Complete connected care SM   Circle Health is an Equal Opportunity Employer. 

Are you a patient focused RN that would enjoy working in a Magnet recognized, community hospital?  If you are a Registered Nurse with critical care experience, we would love to speak with you about joining our team!  Job Summary:   We are seeking an RN for the Intermediate Medical Care Unit on our Saints Campus.  The Saints Campus combines all of the great qualities of a Magnet- recognized hospital, along with an easy to navigate, friendly-feel campus that is well loved by the surrounding community.   This unit provides intermediate level of care in an all private room model. The patient population covers a wide range of conditions including chest pain, new onset A-fib, congestive heart failure, post cardiac catheterization patients without intervention, COPD, patients requiring high flow oxygen therapy or bipap, GI bleed patients not requiring immediate intervention, substance abuse issues, and post-operative patients requiring telemetry monitoring.   The all RN staff is supplemented by nursing assistants and unit coordinators.  As a RN at Lowell General, you are responsible for delivering medicine safely and being able to provide care while following evidence based practices. Patient care is approached as a team to generate quality outcomes for patients and families.   Qualifications: Strong Medical Surgical experience required, step down experience a plus Able to read and interpret Tele strips is preferred Excellent time management skills Able to use electronic based charting systems. Cerner preferred. Valid BLS. ACLS required within six months of hire. What We Offer:  Clinical Advancement Program which provides advancement opportunities and financial rewards  Competitive salaries & benefits 403(b) retirement plan with match Shared governance: Nurses are encouraged to participate in our unit based councils or one of the many other council opportunities  Tuition reimbursement Clinical mobility tracks Free on-campus parking Magnet Designation:   The American Nurses Credentialing Center (ANCC) honored Lowell General Hospital with Magnet Recognition for excellence in nursing care in October, 2010 and  re-designated in April, 2015 . The Magnet Recognition Program recognizes healthcare organizations that are dedicated to nursing excellence, professionalism and patient-focused care. It is the highest level of recognition an organization can receive for providing the very best quality in patient care. Only 6.7% of hospitals hold this prestigious designation and only 4% of hospitals receive Magnet Re-designation.   About Lowell General Hospital: Lowell General Hospital is an independent, not-for-profit community hospital serving the Greater Lowell area and surrounding communities. With two primary campuses located in Lowell, Massachusetts, we are the second largest community hospital in Massachusetts. We have the latest state-of-the-art technology and a full range of medical and surgical services for patients, from newborns to seniors.  We are also a proud member of Circle Health and in collaboration with the medical community it is our promise to provide our patients with  Complete connected care   SM Circle Health is an Equal Opportunity Employer.  

Are you a patient focused RN that would enjoy working in a Magnet recognized, community hospital?  If you are a Registered Nurse with critical care experience, we would love to speak with you about joining our team!    Position Summary: The PCU is for patients who require a higher level of care than med/surg, but not quite as much as Intensive Care.  These units are also referred to as telemetry, step down, or intermediate level of care. Patients receive continuous cardiac monitoring, and some may also receive continuous oxygen saturation monitoring.  Patient can be on high flow oxygen, Bi-pap ventilation, and continuous cardiac Intravenous medications.  Patients requiring peritoneal and hemodialysis, cardiac catheterizations, pacemakers, internal cardiac defibrillator placement, post-operative monitoring, and interventional radiology also may be placed on PCU.  The nurse patient ratio is less than on the med/surg floors, allowing patients to be more closely monitored. To learn more about the Critical Care Units at Lowell General Hospital follow the link:  www.criticalcareatcirclehealth.com.   Qualifications:   Critical care experience required Able to read and interpret Tele strips independently Must have excellent time management skills Use of electronic based charting systems. Cerner experience is preferred. Valid BLS and ACLS required   What We Offer:  Clinical Advancement Program which provides advancement opportunities and financial rewards  Competitive salaries & benefits 403(b) retirement plan with company match Shared governance: Nurses are encouraged to participate in our unit based councils or one of the many other council opportunities  Tuition reimbursement Clinical mobility tracks Free on-campus parking   To learn more about the Critical Care Units at Lowell General Hospital follow the link:  www.criticalcareatcirclehealth.com. Magnet Designation:   The American Nurses Credentialing Center (ANCC) honored Lowell General Hospital with Magnet Recognition for excellence in nursing care in October, 2010 and  re-designated in April, 2015 . The Magnet Recognition Program recognizes healthcare organizations that are dedicated to nursing excellence, professionalism and patient-focused care. It is the highest level of recognition an organization can receive for providing the very best quality in patient care. Only 6.7% of hospitals hold this prestigious designation and only 4% of hospitals receive Magnet Re-designation.   About Lowell General Hospital: Lowell General Hospital is an independent, not-for-profit community hospital serving the Greater Lowell area and surrounding communities. With two primary campuses located in Lowell, Massachusetts, we are the second largest community hospital in Massachusetts. We have the latest state-of-the-art technology and a full range of medical and surgical services for patients, from newborns to seniors.  We are also a proud member of Circle Health and in collaboration with the medical community it is our promise to provide our patients with  Complete connected care   SM Circle Health is an Equal Opportunity Employer.    

Position Purpose: Under the general direction of the Nurse Manager or Clinical Nursing Supervisor, the Resource RN provides optimal patient care utilizing knowledge and skills within the context of evidence based nursing practice and the theory of human caring.   The RN is accountable for individualized patient care and outcomes over an entire episode of care. This position may be utilized as a resource RN in the areas of Emergency Department, Medical/Surgical/Telemetry, ICU, Maternal Child units, and other areas where competencies are shown.   Nature and Scope: The Resource RN must provide optimal patient care through assessment, planning, implementation, and evaluation of neonatal, pediatric, adolescent, adult, and geriatric patients and families.   The Resource RN must demonstrate the knowledge and skills necessary to provide care based on physical, motor/sensor, psychosocial, and safety appropriate to the age of the patient served and meets standards of quality as measured by the unit/department special populations competency standards.   When possible, the family or those significant to the family are considered as part of the assessment, planning, intervention and evaluation efforts of this position.   The Resource RN coordinates care between other professionals.   Evidence based nursing practice, along with critical thinking skills are required to provide optimally safe patient care when interacting with internal and external contacts and exercising judgment and making decisions.    Professional nursing practice is congruent with the American Nurses Association Code of Ethics.   Resource RNs who are full time or part time will float to the medical surgical module (all units), the critical care module (telemetry at minimum), and the maternal child module (Pediatrics and Post-Partum at minimum). Resource RNs who are per diem will float to the medical surgical module (all units) at minimum. RNs may also float to competencies within the hospital.   This position will work one major holiday per year (Thanksgiving, Christmas, New Years) AND one minor holiday per year (President's Day, Memorial Day, July 4th, Labor Day, Nevada Day, and/or Veteran's Day).   This position does provide patient care. The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.   Minimum Qualifications:   Requirements - Required and/or Preferred Education: Must have working-level knowledge of the English language, including reading, writing and speaking English. Experience: One year of acute care experience preferred. License(s): Ability to obtain and maintain a State of Nevada Registered Nurse license. Certification(s): BLS required. ACLS certification by American Heart Association standards required within six (6) months of hire for 200725. (ACLS not required for     all per diems in job code) Computer / Typing: Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.    

Job Summary: The ED Technician assists the professional nursing staff by performing specific functions relating to patient care in the Emergency Department.  The ED Tech works under the direct supervision of the RN and is accountable to the Patient Care Coordinator-Patient Care Manager-Director.  Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served; also demonstrates knowledge of the principles of growth and development 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/her age specific needs, and to provide the care needed. Performance Expectations: Demonstrates the ability to perform EKG tracing and correctly place telemetry monitor leads on patients. Demonstrates the ability to assist professional nursing staff in the caring for patients requiring emergency resuscitation. Demonstrates the ability to perform phlebotomy and collection of specimens according to policy and procedure. Demonstrates the ability to document vital signs and patient encounters appropriately in the EMR. Demonstrates the ability to set up sterile trays while maintaining the sterile field while assisting physicians with various procedures. Demonstrates the ability to tolerate physically demanding task of moving equipment and patients utilizing safety measures for both yourself and/or the patient. Demonstrates the ability to stock linens and supplies according to PAR levels in the ED. Demonstrates the ability to use proper phone etiquette. Demonstrates the ability to provide 1:1 monitoring for suicide precaution, restraint use, de-escalation and peaceful interventions. Demonstrates the ability to clean rooms terminally and in between patients discharged.  Qualifications: Education/Skills High school diploma or equivalent required.   Will have 2 hours of stroke education during orientation and 1 hour of stroke education annually.  Must complete education/training on EKG, lab site session, transport patients, and application and use of ortho devices by completion of clinical orientation. Suicide precautions, 1:1 monitoring, restraint use, and de-escalation and peaceful interventions education/training is required at orientation and annually. Work Experience: Related work experience preferred. Certification/Licensure: BLS is required by completion of clinical orientation.  Must maintain certifications. Mental Demands: Ability to perform tasks quickly, cooperate with others, take orders, and follow directions precisely, demonstrate initiative, understand emotional stress of patients families, and other staff during emergency or crisis situations, understand and utilize appropriate coping mechanisms in dealing with death and dying.   

ENTRY REQUIREMENTS: Bachelor of Science Degree from accredited college or University, with major in Exercise Science/ or similar program required  American College of Sports Medicine Certification preferred (not required) Current BCLS certification Current ACLS certification Completion of approved ECG interpretation course successfully or it may be challenged to meet competency through staff development One year of prior exercise testing experience in non-invasive cardiology type lab preferred.  Will consider experience in Cardiac Rehab program administering stress testing. Demonstrates effective verbal and written communication skills Must be proficient in the following procedures: Adult 12 lead EKG Pediatric 12 lead EKG Neonatal 12 lead EKG Holter Monitor set up Holter Monitor Scans (Based on need) Treadmill Exercise Testing Cardiolite Exercise Testing Persantine /Cardiolite Testing Signal Average EKG Stress Echo/Dobutamine stress testing Ambulatory Blood pressure monitoring Event recording placement Lexiscan procedure The following general clerical and basic office skills may be required within three months of hire, they include:                                 Computer skills are required for typing test results. Correct spelling and typing sentence structure of physician interpretation for electrocardiograms and all Cardiac Diagnostic Suite clinical duties (copying, filing, and distribution of reports). ORGANIZATION: This position reports to the Clinical Coordinator or lead Exercise Physiologist who receives direction from the manager.  The manager is directly responsible to the Director of the Cardiovascular Service line. There is no managerial responsibility with this position.  It will be necessary to supervise and teach electrocardiograms and other Cardiac Diagnostic Suite testing procedures to other Cardiac Diagnostic Suite staff, nursing students, new hires, and student interns and allied health students. Works closely with other hospital staff such as:  Physicians, all Cardiovascular Service Line staff, Medical Procedure Room Nurses, Students, and Nuclear Medicine department staff.  SPECIFIC DUTIES: Demonstrates knowledge of indications for various types of stress tests and methods of testing.  Follows GXT lab guidelines and procedures for patient assessment, preparation, ECG recordings, test performance, test endpoints and recovery monitoring.  Notifies the supervising physician of any abnormal pre-test conditions, abnormalities or concerns.  Prior to beginning any GXT/stress echo/dobutamine, the supervising physician will check the baseline ECG and images on stress/dob echoes for approval to begin.  Show post tracings and images on stress/dob echoes to supervising physician prior to discharge with approval to discharge.  See separate guidelines for terminating a stress test and contraindications to testing.  No stress testing of any kind will be run in the absence of the supervising physician being in the department and available. Effectively reports abnormal findings on any test performed to the attending physician. Performs resting 12 lead electrocardiograms in a uniform fashion with proper electrode placement. Will be able to administer Cardiolite stress testing with or without Physician, Nurse, Physician Assistant, Nuclear Medicine technologist or Nurse Practioner in attendance.  If the supervising physician is not in attendance, they must be in a designated area and immediately available in the Cardiac Diagnostic Suites. The Exercise Physiologist does not administer medication outside of oxygen and NTG with an immediate call to the supervising physician.  Performs ambulatory electrocardiograms and patient hook-ups according to department protocol. Applies Event recorders according to policy and procedure. Prepares Ambulatory blood pressure monitors according to procedure. Scans holter monitors and prepares report for physician interpretation (not all staff will be required to scan holters related to low volume to assure the highest competency, therefore not diluting the staff and affecting quality) Prepares and completes all necessary forms before and after testing for all procedures. Monitors and evaluates all tracings to include EKG's, Holter monitors, Stress Exercise/Dobutamine, Cardiolite, Adenosine, Dobutamine Cardiolites, Lexiscan and Persantine studies to determine artifact and dysrhythmia and/or ST segment changes. May provide coverage and relief in Cardiac Prevention and Rehabilitation.  This would require understanding exercise prescription of the cardiac client and interpretation of a telemetry monitor, and provision of patient education as it pertains to exercise and healthy lifestyle. Initiates cardiopulmonary resuscitation on patients until the code blue team arrives. Must know the use/location of all cardiac drugs that might be used during any testing procedure in the case of an emergency. Hangs intravenous solution via intermittent lock and maintains it for stress exercise tests via department protocol. Prepares Baxa pumps per protocol. Prepares IV pumps and has knowledge on operation of pumps. Explains the procedure and teaches the patient what to do during the testing procedure. Cleans and restocks any supplies and equipment used during a testing procedure. Utilizes the patient information system for patient data gathering and charges. Is required to do transcription of stress tests, and holters from the templates.  Limited staff based on shift and primary responsibilities may require other typing of reports such at Pulmonary Function studies to assure competency and quality. Is responsible for maintaining patient charts and files in proper sequence according to department protocol. Takes orders and signed face sheets to the Secretaries for scanning into OTG. Performs miscellaneous clerical assignments, audits, projects and patient studies as directed by the Clinical Coordinator or the Department Manager. Checks crash cart in the treadmill lab daily and replaces as needed through Distribution and/or Pharmacy. Performs other duties and responsibilities as assigned. All staff is involved in training of ECG staff outside of NIC. All staff will be involved in different aspects of training cardiac rehab students during their externship in Cardiac Diagnostic Suite.  (Stress testing primarily will be under the supervision of the Exercise Physiologist). Demonstrates expertise in all Cardiac Diagnostic Suite testing according to annual competencies and Healthstream completion.  Uses AIDET skill sets with every patient and provides the highest quality of care to every patient, providing them with privacy, respect and professionalism. Effectively participates in department meetings, works as a team to provide the highest of care to the patients we serve.  Performs all functions and activities with the highest level of professionalism, and maintains confidentiality. Will be expected to supervise the exercise specialist (CCVT's) in the Cardian Diagnostic Suite. Will be involved in annual discussion process as requested. 

Position Responsibilities:    The Patient Care Technician (PCT) works under the direct supervision of the Registered Nurse. The position exists to support the healthcare team in providing and assisting the patient with his/her care needs in collaboration with all healthcare providers. Job Duties include simple treatment, provision of personal care and ensuring the patient's surrounding is clean and orderly.  In addition will provide information, directions and any other assistance to physicians, patient, family customers and vendors.   ·       Must be certified as a nursing assistant (CNA) by the State of Indiana ·       Must be certified in the Health Care Provider BLS ·       Ability to work efficiently/effectively in a fast paced sometimes stressful working environment ·       Must be able to bend, lift and/or pull 50lbs or more ·       Efficient keyboarding and computer skills required. ·       Excellent reading and comprehension skills ·       Must be able to calculate simple math ·       Must be accountable, self-directed, and possess great interpersonal and customer service skills. ·       Must exhibit compassionate and caring skills ·       Must be able to set priorities and manage a high workload within a limited time for completion ·       Must be have ability to organize tasks and attend to details ·       Requires ability to observe patients and report changes to RN ·       Must be able to maintain concentration when subjected to frequent and varied interruptions and variable noise levels ·       Possess excellent relationship skills & possess a teamwork attitude ·       Must be willing to learn and become proficient in current tasks and skills as assigned as well as new that are included within the job description.   Union Hospital, Inc. is committed to the development of our staff. We recognize the contributions of our employees and the fact that each and every person plays an important role in providing our patients with quality healthcare. We are committed to continuously improving the quality of our processes, technology, employees and physicians and developing measures to monitor our success. One of our goals is to attract and maintain professionals and support staff who will help us remain a leader. As an EOE/AA employer, Union Hospital, Inc. will not discriminate in its employment practices due to an applicant's age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran or disability status. #CA

  JOB SUMMARY   Job Class:         281 Monitor Tech/ Unit Clerk   Department:     6101 1 West 6200 ICU   Minimum Qualifications:  Prefer HS Diploma or GED. Must be able to read, write and understand written and verbal communication. Basic Computer skills.   Demonstrates Competency in the Following Areas : Consistently demonstrates required duties when providing patient care as evidenced by: Accurately identifying normal and abnormal EKG rhythm strips. Notifying nursing personnel of EKG changes. Notifying appropriate nursing personnel of patient requests. Remain composed, reassuring and able to provide direction during emergency situations, STAT requests and orders: functioning as a calming influence and stable factor on the nursing unit. Consistently demonstrates appropriate quantity of work as evidenced by: Promptly post EKG strips on routine basis. Completing all assigned duties. Demonstrating the ability to adapt to changes in the workload as required in view of patient census fluctuations and staffing levels; always using time productively. Participate in quality measures as indicated in performance dashboard results. Being responsible for the completion of all daily clerical work assignments by the end of the assigned shift, without interference to the quality of work. Regularly performing well in an emergency situation under the direction of RN; demonstrating knowledge and planned use of emergency procedures. Consistently demonstrate a willingness to help out on the work that needs to be done; being willing to stay late to finish patient care responsibilities. Demonstrate through work performed a knowledge of policies and procedures of the hospital and nursing department as evidenced by: Demonstrate a thorough knowledge of EKG rhythms, both normal and abnormal. Knowing responsibilities in a cardiac arrest. Demonstrating a comprehensive knowledge of EKG monitoring and telemetry systems. Demonstrating attendance and reliability as evidenced by:  Willing to adjust personal schedule in case of a real department need (work late, work extra shift). Rotating shifts as required including weekends and holidays.   Performance Standards Dependability Great Attitude Caring Professionalism Team Player Maturity Pride in job. Great communication Appearance Privacy

JOB SUMMARY AND SPECIFICATIONS JOB SUMMARY Functions as a team member and performs telemetry related duties for inpatient units. Acts as a monitor tech adhering to hospital policies and procedures.   Maintains confidentiality of information regarding patients, personnel, and hospital business. Weekends included. Must train to PCT MINIMUM QUALIFICATIONS Professional & Technical Skills Education High School graduate or equivalent License(s) or Certification(s) N/A Other Skills or Requirements Excellent telephone and oral communication skills required. Must poses customer service/hospitality skills. Computer skills preferred. Skilled to Care for Certain Age-Related Patient Groups (incumbents will be skilled in the care of the following patient groups) X__ Does not apply _____ Adolescence (13-17 years) ____ All age groups _____ Infants (0-1 year) _____ Geriatric (65+ years) _____ Pediatric/Early Childhood (1-12 years) _____ Adult (18-64 years) MISSION STATEMENT Major Health Partners ("MHP") exists to create and deliver superior health care solutions by providing our patients and other customers with optimal clinical and economic outcomes. We will attain these goals by combining the following attributes: Attracting and retaining professional, adaptable, caring staff dedicated to life long learning using a continuous quality improvement process. Our staff will be measured and rewarded using these same principles. Combining innovation, existing clinical technologies, disease prevention, and management and information technologies to meet customer needs. As a public entity, we must make best use of our financial and human resources so we can care for patients without regard for their ability to pay. We must also function as the community’s leader in upgrading the level of health and wellness in the community. VISION STATEMENT We will be the best health care resource in central Indiana by recognizing all persons as individuals of value who deserve impeccable facilities and quality service beyond compare. PILLARS OF EXCELLENCE We are committed to: Delivering Quality Clinical Outcomes Providing a Quality Customer Experience Recruiting, developing and retaining Quality People Applying Quality Financial Practices Promoting and embracing Enterprise Wide Growth

Unit Clerk-Per Diem Position: Job Summary: The Unit Clerk is responsible for maintaining medical records, assisting with patient care, and performing clerical and CQI duties. Education, Training and Licenses Required: * Telemetry certification required within 6 months of hire date * BLS required within 6 months of hire date Experience Required: * One year experience as Unit Clerk preferred * Computer knowledge required Knowledge/Skills/Abilities: * High school graduate or GED required. * Medical terminology preferred. * Health Information Management awareness preferred. Equipment Knowledge Required: * Phone use, BP monitoring equipment and use, IVAC temp use, computer, typewriter. * Competency with the electronic documentation system must be obtained within 30 days of hire with full proficiency by 90 days of hire. Safety Requirements: Employees are responsible for all aspects of the hospital safety and health program including compliance with safety rules and regulations, remedying unsafe working conditions, and for continuously practicing safety while performing duties. Sonoma Specialty Hospital policy prohibits employees with patient contact or those who prepare products for patient use from wearing artificial nails. Physical Requirements: While performing the duties of this job, the position is frequently required to do the following: * Stoop, kneel, crouch, reach, and stand for sustained period of time. * Walk, push, pull, lift, carry objects from a lower to higher position or horizontally from position to position or otherwise move objects. * Feel sizes, shapes, temperatures, and textures by touching with skin, particularly that of the fingertips. * Express or exchange ideas orally and potentially loudly, accurately, or quickly. * Perceive the nature of sound with no less than a 40 db loss @ 1000 Hz and 2000 Hz with or without correction. * Exert up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently. * Minimum standard of visual acuity with or without correction. * While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside. Working Conditions (Noise, Environmental, Demands, Shift, Setting, Human Interface, etc.): Able to work in a fast paced, moderately noisy environment. Able to keep positive working relations with MDs, RNs and ancillary staff members in crisis situations. Priority setting and rapid assessment skills required. Maintains positive public relations with patients and patients family members. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly exposed to hospital areas and general office environment. The work environment is a clean, well-lit, well-ventilated, and temperature controlled environment. The noise level in the work environment is usually moderate. The hours of duty are lengthy and irregular.

Purpose of Job Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient. Job Requirements Education Bachelor of Science in Nursing (BSN) from an accredited school of nursing preferred. Graduate of an accredited school of nursing required. NIH Stroke Scale training required at hire or within 6 months of hire. Successful completion of Telemetry Cardiac Rhythm Course. Successful completion of annual mandatory education requirements Experience No experience necessary License/Certifications Current valid Registered Nurse (RN) License, valid compact multistate license to work, or a temporary permit while awaiting licensure required. Maintain current American Heart Association Basic Life Support (BLS) Certification required. Preferred: core certification related to area of specialty from National Certification Corporation (NCC) within 1 year of eligibility. Maintain American Heart Association Advanced Cardiac Life Support (ACLS) Certification. ACLS certification required within one year of employment. Skills/Knowledge/Abilities Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers. Ability to multi-task and prioritize work assignments. Ability to learn, retain, and utilize computer skills that are required for department and hospital information system. Physical Requirements Weight Demands Medium Work - Exerting up to 50 pounds of force. Physical Activity Occasionally Performed (1%-33%): Climbing Crawling Kneeling Sitting Frequently Performed (34%-66%): Balancing Carrying Crouching Distinguish colors Keyboarding/typing Lifting Pulling/Pushing Repetitive Motions Stooping/bending Twisting Constantly Performed (67%-100%): Fingering/Touching Grasping Hearing Reaching Seeing/Visual Speaking/talking Standing Walking Job Hazards Not Related: Electrical Shock/Static Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) Rare (1-33%): Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only Occasionally (34%-66%): Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) Equipment/Machinery/Tools Explosives (pressurized gas) Hazardous Drugs (exposure risks, personal protective equipment required) Frequent (67%-100%): Chemical agents (Toxic, Corrosive, Flammable, Latex) Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF) Mechanical moving parts/vibrations Essential Job Functions Essential Functions I Provides appropriate care specific to the age and population of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria. Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs and culture. Performs an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs. Includes data from the patient/significant other(s) in the assessment as appropriate. Prioritizes data collection according to patient's immediate needs. Uses assessment findings in discharge planning. Develops/reviews/revises and individualizes the plan of care to address the patient's nursing care needs for optimum patient care outcomes. Collaborates with physicians and other clinical disciplines as appropriate. Provides teaching specific to the patient's health care problem. Care plan reflects continuing care needs and/or referrals for discharge/transfer. Implements interventions that are consistent with the established plan of care in a safe and appropriate manner. Is familiar with, and follows, nursing protocols and standards of care for their unit. Uses current knowledge in nursing practice based on standards and research literature. Administers medication without error and utilizes critical thinking regarding medication effects on patient. Evaluates patient care to determine response to care/interventions for optimal patient outcome. Monitors outcomes and documents patient response to interventions. Evaluates the patient's capabilities and/or limitations related to nursing and medical interventions. Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal. Gives a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR content, and is familiar with the overall plan of care. Recognizes and addresses patient and family capabilities and limitations (physical and mental). Performs technical skills competently and independently to assure patient safety (autonomy). Able to competently perform technical skills independently. Is accountable to learn new skills and equipment within areas' specifications and time frame. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Charges accurately for use of supplies and equipment according to policy. Maintains competence in area of experience. Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission. Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization. Identifies and participates in performance improvement activities. Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns).  Completes appropriate report form for any risk (e.g., incident report, patient concern report, maintenance request). Works within the scope of practice as defined by the Nurse Practice Act. Observe appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications. Follows infection control guidelines and practices. Reviews, delegates and evaluates plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice. Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome). Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill). Right communication (clear, concise, correct, complete). Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points). Essential Functions II Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management. Follows and understands the mission, vision, core values, Employee Standards of Compassionate Care/AIDET and company policies/procedures. Other duties as assigned.

Position Purpose: To assist in providing a comfortable environment by being attuned to changes, both mentally and physically, not only for the patient but also families, friends and co-workers.   We are also a liaison for patients, their families and fellow workers.   Our goal is to improve the life of our patients through a caring, concerned and comfortable environment.                                         Essential Functions and Basic Duties: Positive and supportive team member to staff members and the hospital. Attends staff meetings. Strive to ensure continual compliance with Departmental and Hospital Policies and Procedures and State/Federal Regulations. Participates in mandatory in-services. Can identify and access system to report abuse to employees and/or patients. Adheres to policies and procedures for infection control, safety and risk management. Sub-process: Patient Care Provides morning care, evening care and general routine care to assure patient comfort. Prepares for meals, assists in feeding patients, passing water, and other nourishment. Assists and accompanies patients with admission, transfer and discharge. Takes and records vital signs, daily weights. Collects specimens. Make rounds willingly, anticipate patient needs, and responds to call lights promptly.   Maintain a clean and safe environment for patients and other nursing staff. Move, lift and ambulates patients and assist in transporting to other departments as needed. Keep accurate records on Intake and Output. IV removal, Foley removal and blood sugar checks as needed. Sub-process: Obstetrics Labor: Does vital signs. Post-Partum: Does vital signs, monitor fundus and flow take specimens to lab, clean areas. Nursery: Does vital signs on babies, do daily newborn care. Stocking OB Sub-process: Equipment and Supplies Proficient in the use of equipment pertaining to the job. Maintains equipment for the patient are areas and reports malfunctions to appropriate personnel. Applies soft restraints properly when ordered Applies telemetry monitors properly. Sub-process: Teamwork Assists with nurses' station duties. Observes and reports any changes in patient condition or behavior. Assist in orientation of new employees. Establish a good rapport with patients, families and visitors, respecting patients' right to privacy and confidentiality of information. Participates in nursing report and gives any additional report to co-workers. Maintains the charge system. Prioritized workload and completes assignment within allotted time.   Works as a team with co-workers. Establish a good rapport and working relationship with other departments. Shares in organizing schedule complications. Non-Clinical Demonstrates 100% commitment to performing according to the CHOICE values of TMH and    representing the organization in a positive and professional manner. Establishes and maintains effective communication and good working relationships with all co?workers. Adheres to TMH attire/dress code per policies and procedures. Utilizes initiative; strives to maintain steady level of productivity; self-motivated; manages activity and time. Completes annual education, training, in-service, and certification requirements; attends departmental staff meetings or reads meeting minutes. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled; completes work within designated times. Actively participates in departmental and facility performance improvement and continuous quality improvement activities. Strives to ensure continual compliance with departmental, hospital, state and federal regulations and policies. Follows policies and procedures for infection control, safety, and risk management to ensure a safe environment for patients, public and staff. Participates in mandatory in-service and staff meetings.   Qualifications: Education/Certifications : High School diploma or equivalent required Colorado Certified Nursing Assistant certification Current BLS CPR Certification required   Experience: One year Nursing Assistant experience preferred.   Skills/Abilities: Ability to read and communicate effectively in English Additional languages encouraged Comprehensive computer knowledge Manage stress appropriately, handle multiple priorities and make decisions under pressure   Work Environment: Minimum of 36 hours clinical shifts each week   Equipment:   All equipment utilized in the Inpatient Nursing Department, including clerical and medical equipment, vital sign carts, SCD pumps, bed and floor scales, polar cone telemetry, DME (durable medical equipment), sara/hoyer lifts, k-pads.      Mandatory Training & Involvement: SWANK Education Safety In-Service Annual Competencies NIMS Training:   IS-100Hcb and IS-700A Staff Meetings Infection Control Hazardous Materials CHOICE Values AIDET + P LEAN training

VCU Health System System's Medicine Specialty Unit is seeking a FT Clinical Nurse to work our Weekend Incentive Program (WIP).  Medicine Specialty is a 28 bed unit, all telemetry capable with 8 progressive care beds, focused on caring for the adult medical patient population with a variety of disease processes. The unit's mission is to foster collegial relationships between the entire inter-professional team to create a nurturing, caring, positive environment for our patients, families and team members. We are looking for team members who are highly adaptable, flexible and committed to providing excellent nursing care to Adult patients with acute on chronic disease processes. Medicine Specialty Unit prides itself in our commitment to caring for self and our team members, embracing Jean Watson's theory of human caring, by providing a space for our team members to have a moment of silence and relaxation during stressful shifts. We are committed to providing our patients with the education, resources and tools to best manage their care as they transition through the continuum of care in an inpatient hospital setting. Responsibilities Integrates technical skills and theoretical knowledge to meet the needs of the patient and family.   Assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort.   Provides direction, education, and begins to acquire leadership skills at the unit level.   Delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care.   Safely administers prescribed medications, identifying incompatibilities and/or interactions.   Qualifications   Required Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent   Graduate of an accredited RN nursing program   Completion of a Baccalaureate Degree in Nursing from an accredited program within 5 years of hire, (if not BSN-prepared or higher)     One year or more of clinical experience   Preferred Completion of a Baccalaureate Degree in Nursing from an accredited program   Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice.     Selected applicants will be slotted into appropriate levels for this position based on their experience and qualifications.  

JOB SUMMARY:   Care for patients in adult and older adult age groups.   PRINCIPAL DUTIES AND RESPONSIBILITIES: Cares for medical and surgical cardiac patients undergoing antiarrhythmic therapy, invasive treatments or procedures, cardiovascular surgery and patients with pulmonary disease, who require an intermediate level of care. Monitors and assesses patients requiring continuous cardiac monitoring (telemetry). Manages patients requiring mechanical ventilation or IV Insulin therapy. Provides postoperative care for cardiovascular surgery patients including coronary artery bypass, femoral-popliteal bypass, thoracotomy/lobectomy and abdominal aneurysm repair.   SCOPE OF CARE: The 6th floor is an Intermediate Care Unit and contains 46 beds. It provides care to patients who no longer need or do not need the level of care provided in the Intensive Care Unit, but requires a greater amount of care than that which can be provided on a general acute unit. Services provided include telemetry monitoring.

JOB SUMMARY:   Care for patients in adult and older adult age groups.   PRINCIPAL DUTIES AND RESPONSIBILITIES: Cares for medical and surgical cardiac patients undergoing antiarrhythmic therapy, invasive treatments or procedures, cardiovascular surgery and patients with pulmonary disease, who require an intermediate level of care. Monitors and assesses patients requiring continuous cardiac monitoring (telemetry). Manages patients requiring mechanical ventilation or IV Insulin therapy. Provides postoperative care for cardiovascular surgery patients including coronary artery bypass, femoral-popliteal bypass, thoracotomy/lobectomy and abdominal aneurysm repair.   SCOPE OF CARE: The 6th floor is an Intermediate Care Unit and contains 46 beds. It provides care to patients who no longer need or do not need the level of care provided in the Intensive Care Unit, but requires a greater amount of care than that which can be provided on a general acute unit. Services provided include telemetry monitoring.

POSITION SUMMARY: The Director of Professional Practice Development will provide professional development and education for staff in preparing for contemporary practice and supporting them in acquiring knowledge and skills to competently deliver optimum patient focused care and services within a culture of safety.    KEY RESPONSIBILITIES: Ensuring educational activities are congruent with Morton Hospital’s mission, goals, values, priorities and resources. Providing an appropriate climate for the adult learner and facilitate the learning process by developing, planning and presenting educational activities that foster the development of competency. Assisting learners to identify both their learning needs and the effective learning activities required to meet those needs while fostering a positive attitude about the benefits and opportunities of life-long learning. Identifying changes that should be made in practice and service using an evidence-based approach and facilitating the initiation of, adoption of, and adaptation to the change. Acting as a formal and informal consultant, assisting with the integration of new learning into practice and service by assisting nurses in identifying problems, identifying available internal and external educational resources and selecting educational options. Designing, creating and applying research by supporting the integration of research into practice and helping to develop staff members’ knowledge and skills in the research process, as well as fostering the use of systematic evaluative research data with regard to clinical, educational and managerial development. Modeling behaviors that reflect standards of professional organizations as well as the community Maintaining clinical competence in medical surgical-telemetry practice by working in assignments with a nurse. Integrating ethical principles in all aspects of practice. Providing ongoing evaluation of the quality and effectiveness of the educational activities in achieving outcomes that promote the delivery of cost-effective high quality healthcare. Creates and implements programs at work that connect employees with business goals. Participates in progressive improvement/quality improvements programs to improve the delivery of care and services, modifies training and education programs in response to outcomes. Demonstrates effective leadership skills including: critical thinking, problem solving, goal setting, decision making, delegation, strategic planning, project management, coaching and mentoring. Provides educational opportunities that benefit staff at all stages of their career development. Supports staff development with educational activities including: remediation, certification, mentoring, life support, regulatory requirements, product or system roll outs. Coordinates and teaches orientation, in-services and continuing education programs. Evaluation of their own practice in relation to professional practice standards, relevant regulations, maintaining continuing professional nursing competence and teaching and learning effectiveness. Collaborating with others in the practice of professional development at the institutional, local, regional and state levels. Promotes curriculum strands in all programs of a culture of safety, patient and family centered care as well as HCAHPS and core measures. Identifies specific patient care issues and new service lines that effect program planning and development. Collaborates with members of the multidisciplinary team in assessing, planning, implementing and evaluating patient care delivery. Promotes cultural competency. Participates with the Patient Care Directors to conduct a formal annual needs analysis to determine new strategic programmatic planning. Ensures professional development activities are in education management system to schedule, record employee registration for, track attendance to, and evaluate effectiveness of professional development.   CUSTOMER SERVICE SKILLS: TEAM WORK Involves other departments in project planning and implementation. Supports other departments and provides help and assistance when possible. Regularly attends and participates in team and/or departmental meetings and activities. Keeps others in the department informed of relevant information. Regularly offers and requests constructive feedback and coaching. Establishes and maintains effective working relations.   SERVICE EXCELLENCE (both internal and external) Welcomes patients/customers/employees in a warm, friendly manner. Actively listens and constructively responds to questions and concerns in a timely manner. Ensures that the dignity of the patient/customer/employee is maintained at all times. Abides by and upholds the hospital’s service excellence standards. Respects the diversity of the patient/customer/employee population. Demonstrates safe and effective use of equipment. (MediTech, Pyxis, fax, copier, software programs)   REQUIRED KNOWLEDGE, SKILLS & EDUCATION: Director of Professional Practice Development: Medical Surgical Nursing and Maternity The areas of responsibility include: EBHS, S1, S2, M2, Maternity, OPD, Pre-op, CNA’s, Unit Secretaries, Nursing Students and Nursing Orientation Licensed as a Registered Nurse in the State of Massachusetts BSN required. Graduate degree in nursing preferred; Certification in BLS, ACLS, PALS, NRP and Fetal Monitoring are required Has worked in an adult care setting for a minimum of 10 years, with 3 recent years in a unit with Telemetry. Prefer BLS,  ACLS, PALS, NRP and Fetal Monitoring Instructor certification Has knowledge of relevant educational content and appropriate methods of delivery and the ability to develop and facilitate relevant and effective education for adult learners. Director of Professional Practice Development: Critical Care The areas of responsibility include: ED, ICU, IVR, PACU, Radiology, Respiratory, Medical Assistants and Paramedic Students.  Assists in Nursing Orientation.  Licensed as a Registered Nurse in the State of Massachusetts BSN required.  Graduate degree in nursing preferred. Certification in BLS, ACLS, PALS, TNCC and MOAB are required Has worked in an adult care setting for a minimum of 10 years, with 3 recent years in a unit with Telemetry. Prefer BLS,  ACLS, PALS, TNCC and MOAB Instructor certification Has knowledge of relevant educational content and appropriate methods of delivery and the ability to develop and facilitate relevant and effective education for adult learners   Director of Professional Practice Development: Evening Shift The areas of responsibility include: EBHS, S1, S2, M2, Maternity, OPD, Pre-op, CNA’s, Unit Secretaries, Nursing Students and Nursing Orientation Licensed as a Registered Nurse in the State of Massachusetts BSN required.  Graduate degree in nursing preferred. Certification in BLS and ACLS are required Has worked in an adult care setting for a minimum of 10 years, with 3 recent years in a unit with Telemetry. Provide ongoing Telemetry education Prefer BLS and ACLS Instructor certification Has knowledge of relevant educational content and appropriate methods of delivery and the ability to develop and facilitate relevant and effective education for adult learners.      

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES   Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE:  Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes.  Facilitates immediate and direct complaint intervention and resolution.  Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system.  Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes.  Assists in the identification and management of staff, patient, and family educational needs.  Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.  Possess the authority to send employees home in the interest of safe patient care.    ARU/TCU : Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU : Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION : Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   FORENSIC NURSING : Provide timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain forensic nursing competences and participate in quality assurance projects, community education and peer review.   HOSPICE :  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST :  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING : Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.   RESOURCE POOL :  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES   Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS   Associate’s or Bachelor’s Degree from an accredited school of nursing Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED:   Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.   Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS   Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU   

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES   Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE:  Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes.  Facilitates immediate and direct complaint intervention and resolution.  Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system.  Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes.  Assists in the identification and management of staff, patient, and family educational needs.  Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.  Possess the authority to send employees home in the interest of safe patient care.    ARU/TCU : Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU : Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION : Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   FORENSIC NURSING : Provide timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain forensic nursing competences and participate in quality assurance projects, community education and peer review.   HOSPICE :  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST :  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING : Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.   RESOURCE POOL :  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES   Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS   Associate’s or Bachelor’s Degree from an accredited school of nursing Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED:   Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.   Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS   Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU   

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES   Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE:  Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes.  Facilitates immediate and direct complaint intervention and resolution.  Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system.  Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes.  Assists in the identification and management of staff, patient, and family educational needs.  Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.  Possess the authority to send employees home in the interest of safe patient care.    ARU/TCU : Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU : Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION : Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   FORENSIC NURSING : Provide timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain forensic nursing competences and participate in quality assurance projects, community education and peer review.   HOSPICE :  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST :  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING : Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.   RESOURCE POOL :  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES   Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS   Associate’s or Bachelor’s Degree from an accredited school of nursing Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED:   Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.   Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS   Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU   

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES   Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE:  Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes.  Facilitates immediate and direct complaint intervention and resolution.  Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system.  Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes.  Assists in the identification and management of staff, patient, and family educational needs.  Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.  Possess the authority to send employees home in the interest of safe patient care.    ARU/TCU : Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU : Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION : Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   FORENSIC NURSING : Provide timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain forensic nursing competences and participate in quality assurance projects, community education and peer review.   HOSPICE :  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST :  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING : Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.   RESOURCE POOL :  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES   Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS   Associate’s or Bachelor’s Degree from an accredited school of nursing Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED:   Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.   Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS   Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU