Berlin Time Difference Jobs in Usa

Registered Nurse (RN) Pediatric Home Health A Nursing Role Built for Focused, One-on-One Care
At Care Options for Kids, pediatric home health nursing is intentionally different. Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the home, allowing you to focus fully on your patient and use your clinical judgment with confidence.
In this role, you'll care for pediatric patients with high acuity needs while building consistent relationships with both the child and their family. Nurses who thrive here value autonomy, continuity of care, and the ability to deliver skilled nursing in a calm, controlled environment, backed by real clinical support whenever it's needed
If you're an RN looking for a role where you can practice nursing with focus, purpose, and support, this position was designed with you in mind.
Care Options for Kids Benefits
~ Weekly Pay and Direct Deposit
~ Paid Time Off (PTO) and flexible scheduling
~ Medical, Dental, and Vision Insurance
~401(k) Retirement Plan
~ Employee Referral Bonus Opportunities
~ Career Advancement Opportunities
~ Training and Competency Development
~ Respiratory Therapists on Staff to Provide Training and Mentorship
~24/7 On-Call Clinical Support

Support That Keeps You Safe and Confident
~ Easy-to-use Employee Portal that puts you in control, request shifts that fit your schedule and preferences, earn Care Bucks rewards, and stay connected to the COFK community.
~24/7 on-call clinical support whenever you need it
~ Training and competency support for high-acuity care
~ Clear care plans and physician orders
~ PPE provided in every home, including masks, gloves, and hand sanitizer, with care aligned to CDC safety guidelines
~ A dedicated team focused on nurse safety and success

Requirements
Current, active Texas RN license
Current BLS CPR card (obtained in-person, not online)
G-tube, trach, vent experience, or willing to train
Care Options for Kids is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
#RDNUDAL
Salary:
$28.00 - $37.00 / hour

Registered Nurse (RN) Pediatric Home Health A Nursing Role Built for Focused, One-on-One Care
At Care Options for Kids, pediatric home health nursing is intentionally different. Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the home, allowing you to focus fully on your patient and use your clinical judgment with confidence.
In this role, you'll care for pediatric patients with high acuity needs while building consistent relationships with both the child and their family. Nurses who thrive here value autonomy, continuity of care, and the ability to deliver skilled nursing in a calm, controlled environment, backed by real clinical support whenever it's needed
If you're an RN looking for a role where you can practice nursing with focus, purpose, and support, this position was designed with you in mind.
Care Options for Kids Benefits
~ Weekly Pay and Direct Deposit
~ Paid Time Off (PTO) and flexible scheduling
~ Medical, Dental, and Vision Insurance
~401(k) Retirement Plan
~ Employee Referral Bonus Opportunities
~ Career Advancement Opportunities
~ Training and Competency Development
~ Respiratory Therapists on Staff to Provide Training and Mentorship
~24/7 On-Call Clinical Support

Support That Keeps You Safe and Confident
~ Easy-to-use Employee Portal that puts you in control, request shifts that fit your schedule and preferences, earn Care Bucks rewards, and stay connected to the COFK community.
~24/7 on-call clinical support whenever you need it
~ Training and competency support for high-acuity care
~ Clear care plans and physician orders
~ PPE provided in every home, including masks, gloves, and hand sanitizer, with care aligned to CDC safety guidelines
~ A dedicated team focused on nurse safety and success

Requirements
Current, active Texas RN license
Current BLS CPR card (obtained in-person, not online)
G-tube, trach, vent experience, or willing to train
Care Options for Kids is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
#RDNUDAL
Salary:
$28.00 - $37.00 / hour

Job Description:

Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and evaluation. Delegates aspects of care to other nursing personnel based upon their licensure, preparation and job descriptions. Contributes to the meeting of the mission and goals of the facility and Essentia, and meets the requirements of the Joint Commission if applicable and/or other federal, state, and local regulatory or accrediting agencies. Responds to emergency calls, assists ambulance team in performance of medical services and safe transportation of patients to medical facilities.

Education Qualifications:

- RN Hiring Incentive Eligible Position: Qualified candidates may be eligible for a hiring incentive of up to $7500 (ADN) and up to $10,000 (BSN)

- ED Unit Clinical Ladder promoting internal growth.

- Career Ladder - designed to recognize professional development and differentiates levels of nursing expertise and contribution to nursing professional development.

Licensure/Certification Qualifications:

- BSN or ADN degree from an accredited school or college of nursing
- urrent nursing licensure in state(s) of employment
- Basic Cardiac Life Support (BCLS) certification within 1 month
- Advanced Cardiovascular Life Support (ACLS) certification within 1 year
- Pediatric Advanced Life support (PALS) certification within 1 year
- Emergency Nursing Pediatric Course (ENPC) certification within 2 years
- Trauma Nursing Core Course (TNCC) certification within 2 years

***

Essentia Health is an integrated health system serving patients in Minnesota, Wisconsin, and North Dakota.

Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of more than 15,000 employees, including more than 2,200 physicians and advanced practitioners, who serve our patients and communities through the mission of being called to make a healthy difference in people’s lives.

Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship, and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 78 clinics, six long-term care facilities, six assisted living and independent living facilities, 7 ambulance services, 27 retail pharmacies, and one research institute.

Employee Benefits at Essentia Health: At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.
Job Location: 32nd Avenue Building
Shift Rotation: Evening Rotation (United States of America)
Shift Start/End: 1pm | 3pm/9pm | 11pm
Hours Per Pay Period: 64
Compensation Range: $37.10 - $55.65 / hour
Union:
FTE: 0.8
Weekends: Yes
Call Obligations:
Sign On Bonus:

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job acts as a leader in the provision of patient care using the nursing process within the framework of the Nurse Practice Act, ANA Code for Nurses and Scope & Standards of Practice. Effectively delegates, directs, and assists licensed and ancillary team members. Assumes accountability for quality patient outcomes, exhibits sensitivity to cultural, ethnic and religious diversity in all interactions, and maintains involvement in activities aimed toward the achievement of unit and the department’s strategic goals and objectives. Demonstrates professional responsibility and accountability for his/her own practice and supports the company's philosophy of nursing.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Required - Graduate of an accredited school of nursing.

Preferred - Bachelor’s degree in nursing.

Work Experience
Required - None.

Certifications

Required - Current registered nurse (RN) license in state of practice.

Current Basic Life Support (BLS) certification from the American Heart Association.

Preferred - Certification in clinical specialty area.

Knowledge Skills and Abilities (KSAs)

- Proficiency in using computers, software, and web-based applications.

- Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.

- Excellent organizational and time management skills.

Job Duties

- Effectively uses the nursing process in the delivery of patient care.

- Assesses learning needs and implements teaching strategies appropriate for the diverse needs of the patient, family, and other groups or disciplines.

- Communicates, delegates, and manages nursing team resources (human and fiscal) properly and serves as a leader and partner on the interdisciplinary team.

- Uses data, information, and knowledge to evaluate and promote change in order to achieve optimal outcomes.

- Embraces concepts and behaviors that enhance customer satisfaction and employee morale and improvement in the profession of nursing.

- Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.

- Performs other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
This employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Duties performed routinely require exposure to blood, body fluid and tissue.

The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain communicable diseases. The incumbent has an occupational risk for exposure to all communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 5 select option 1) or This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Night (United States of America)

Job Summary:

Registered Nurses provide quality nursing services by working with the patient care team to assess, plan, implement, and
evaluate patients' care and by providing a positive, supportive environment. The Registered Nurse is the front-line
representative of the patient care team often serving as the intermediary between the patient and family, the provider(s),
and other care team members. This role is expected to: participate in performance improvement initiatives; maintain
professional competence; develop others; uphold confidentiality, safety, and professional standards; and support Shared
Governance through service on councils or sponsored activities.

Core Responsibilities and Essential Functions:

Patient Care and Care Coordination: Monitors, examines, and evaluates the patients conditions. Assists with the care plan and takes appropriate actions to promote the patients short/long-term outcomes and wellbeing. Delivers care plan as outlined, applying independent judgment where appropriate. Collaborates with and communicates patient care plans with other staff, as appropriate. Prioritizes and coordinates optimum daily patient flow and patient experience. Delivers safe and effective care according to policies and procedures. Maintains appropriate documentation of patient assessment, changes in condition, care delivered, education provided, and any incidents or exceptions related to standards of care or compliance with hospital policy. Patient Advocacy and Satisfaction: Listens to concerns, probes in-depth to understand the needs and concerns, and responds to patient needs in an appropriately timed manner. Serves as an educational resource for patients and families on health-related issues. Communicates necessary patient information to family, licensed care providers, and other staff. Embraces the concept of patient- and family-centered care to maintain patient, family, staff, and physician satisfaction. Prioritizes actions according to patient needs and provides input into the plan of care by reporting pertinent information involving the patient and family to the appropriate individuals in accordance with confidentiality standards. Performance Improvement: Seeks opportunities to improve the work environment and processes. Contributes ideas to help identify solutions and supports change implementation. Supports and contributes to improvement initiatives aligned with achieving better patient quality outcomes, patient satisfaction, staff satisfaction, and organizational financial performance. Professional Competency and Growth: Maintains professional licenses and certifications. Completes all required training. Self-identifies and self-manages training and development opportunities. Is involved in professional organizations. Keeps current with research literature and industry best practices. Seeks opportunities for professional growth and leadership development. Professional Leadership: Fosters the growth and development of other nurses through mentorship and preceptorship. Contributes to a positive and supportive work environment. Adheres to all confidentiality, safety, and professional standards. Acts with professionalism embrace shared governance principles and demonstrate integrity. Holds self and others accountable for practice by participating in the peer feedback process. Positively promotes the nursing profession and assists with the recruitment of nurses to AU Health. Other duties as assigned.

Required Minimum Education:

- Associates Nursing or Bachelors Nursing or Masters Nursing-Preferred

Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.

- Basic Life Support or BLS - Instructor
- Reg Nurse (Single State) or RN - Multi-state Compact

Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Night (United States of America)

Job Summary:

Registered Nurses provide quality nursing services by working with the patient care team to assess, plan, implement, and
evaluate patients' care and by providing a positive, supportive environment. The Registered Nurse is the front-line
representative of the patient care team often serving as the intermediary between the patient and family, the provider(s),
and other care team members. This role is expected to: participate in performance improvement initiatives; maintain
professional competence; develop others; uphold confidentiality, safety, and professional standards; and support Shared
Governance through service on councils or sponsored activities.

Core Responsibilities and Essential Functions:

Patient Care and Care Coordination: Monitors, examines, and evaluates the patients conditions. Assists with
the care plan and takes appropriate actions to promote the patients short/long-term outcomes and wellbeing.
Delivers care plan as outlined, applying independent judgment where appropriate. Collaborates with
and communicates patient care plans with other staff, as appropriate. Prioritizes and coordinates optimum
daily patient flow and patient experience. Delivers safe and effective care according to policies and
procedures. Maintains appropriate documentation of patient assessment, changes in condition, care
delivered, education provided, and any incidents or exceptions related to standards of care or compliance
with hospital policy.
Patient Advocacy and Satisfaction: Listens to concerns, probes in-depth to understand the needs and
concerns, and responds to patient needs in an appropriately timed manner. Serves as an educational
resource for patients and families on health-related issues. Communicates necessary patient information to
family, licensed care providers, and other staff. Embraces the concept of patient- and family-centered care
to maintain patient, family, staff, and physician satisfaction. Prioritizes actions according to patient needs and
provides input into the plan of care by reporting pertinent information involving the patient and family to the
appropriate individuals in accordance with confidentiality standards.
Performance Improvement: Seeks opportunities to improve the work environment and processes.
Contributes ideas to help identify solutions and supports change implementation. Supports and contributes
to improvement initiatives aligned with achieving better patient quality outcomes, patient satisfaction, staff
satisfaction, and organizational financial performance.
Professional Competency and Growth: Maintains professional licenses and certifications. Completes all
required training. Self-identifies and self-manages training and development opportunities. Is involved in
professional organizations. Keeps current with research literature and industry best practices. Seeks
opportunities for professional growth and leadership development.
Professional Leadership: Fosters the growth and development of other nurses through mentorship and
preceptorship. Contributes to a positive and supportive work environment. Adheres to all confidentiality,
safety, and professional standards. Acts with professionalism embrace shared governance principles and
demonstrate integrity. Holds self and others accountable for practice by participating in the peer feedback
process. Positively promotes the nursing profession and assists with the recruitment of nurses to AU Health.
Other duties as assigned.
Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

- Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing-Preferred

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

- BLS-I - Basic Life Support - Instructor or BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support
- RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact

Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Night (United States of America)

Job Summary:

Registered Nurses provide quality nursing services by working with the patient care team to assess, plan, implement, and evaluate patients' care and by providing a positive, supportive environment. The Registered Nurse is the front-line representative of the patient care team often serving as the intermediary between the patient and family, the provider(s), and other care team members. This role is expected to: participate in performance improvement initiatives; maintain professional competence; develop others; uphold confidentiality, safety, and professional standards; and support Shared Governance through service on councils or sponsored activities.

Core Responsibilities and Essential Functions:

Patient Care and Care Coordination: Monitors, examines, and evaluates the patients conditions. Assists with
the care plan and takes appropriate actions to promote the patients short/long-term outcomes and wellbeing.
Delivers care plan as outlined, applying independent judgment where appropriate. Collaborates with
and communicates patient care plans with other staff, as appropriate. Prioritizes and coordinates optimum
daily patient flow and patient experience. Delivers safe and effective care according to policies and
procedures. Maintains appropriate documentation of patient assessment, changes in condition, care
delivered, education provided, and any incidents or exceptions related to standards of care or compliance
with hospital policy.
Patient Advocacy and Satisfaction: Listens to concerns, probes in-depth to understand the needs and
concerns, and responds to patient needs in an appropriately timed manner. Serves as an educational
resource for patients and families on health-related issues. Communicates necessary patient information to
family, licensed care providers, and other staff. Embraces the concept of patient- and family-centered care
to maintain patient, family, staff, and physician satisfaction. Prioritizes actions according to patient needs and
provides input into the plan of care by reporting pertinent information involving the patient and family to the
appropriate individuals in accordance with confidentiality standards.
Performance Improvement: Seeks opportunities to improve the work environment and processes.
Contributes ideas to help identify solutions and supports change implementation. Supports and contributes
to improvement initiatives aligned with achieving better patient quality outcomes, patient satisfaction, staff
satisfaction, and organizational financial performance.
Professional Competency and Growth: Maintains professional licenses and certifications. Completes all
required training. Self-identifies and self-manages training and development opportunities. Is involved in
professional organizations. Keeps current with research literature and industry best practices. Seeks
opportunities for professional growth and leadership development.
Professional Leadership: Fosters the growth and development of other nurses through mentorship and
preceptorship. Contributes to a positive and supportive work environment. Adheres to all confidentiality,
safety, and professional standards. Acts with professionalism embrace shared governance principles and
demonstrate integrity. Holds self and others accountable for practice by participating in the peer feedback
process. Positively promotes the nursing profession and assists with the recruitment of nurses to AU Health.
Other duties as assigned.
Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Required Minimum Education:

- Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing-Preferred

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

- ACLS - Advanced Cardiac Life Support or ARC-ALS - Amer Red Cross Advanced Life Support or ACLS-I - ACLS - Instructor or ACLS-P - ACLS-Provisional (180 Days) within 180 Days

- BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor

- RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact

Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (United States of America)

Clinical Dietitian

Full Time -

8:30 am - 5:30 pm

Great Benefits!

Practices as a member of the interdisciplinary health care team responsible for the provision of medical nutrition therapy. Fosters continuity of the Nutrition Care Process across all phases of the continuum of care as recommended by the Academy of Nutrition and Dietetics. Performs nutrition assessment for patients identified to be at nutrition risk based on criteria outlined by the hospital and best practice standards. Calculates metabolic nutrient requirements according to the age and disease specific needs of patients. Performs nutrition focused physical exam to further evaluate risk of malnutrition as indicated. Develops a nutrition diagnosis as appropriate and consistent with the Nutrition Care Process. Creates and implements a nutrition intervention and care plan for all patients with a nutrition diagnosis. Continuously evaluates and monitors the effectiveness and outcomes of medical nutrition therapy intervention. Provides nutrition education to patients, family, and/or members of the health care team on recommended nutrition intervention(s) to accomplish nutrition goals; which may include, but is not limited to any of the following topics: specialized diet, enteral/oral medical nutrition supplements, food selections, eating behaviors, and community nutrition resources. Manages the delivery of nutrition care services according to the site of care assigned. Participates in performance improvement and research activities. Mentors dietetic interns/diet technicians. Actively assess, evaluates and maintains professional development and competencies outlined in the position description.

Core Responsibilities and Essential Functions:

Provide medical nutrition therapy according to system policy and A.N.D. Nutrition Care Process practice
standards
* Utilizes the Nutrition Care Process and WellStar Nutrition Care Policies when assessing patients
* Responsible for nutrition screen, assessment, diagnosis, intervention, and monitoring/evaluation of identified at risk patients
* Apply psycho-social, age appropriate, evidence-based nutrition care
* Document all patient encounters in the health care record in accordance with hospital and department policies and procedures
* Identify, monitor, and evaluate enteral nutrition support regimens. Manage enteral nutrition support under the supervision of medical staff
* Develop and implements transitional feeding plans
* Perform Nutrition Focused Physical Exams to evaluate malnutrition severity as appropriate
* Assess patients learning needs, barriers to learning, preferred learning styles and educational level and provides nutrition education accordingly
* Utilizes community resources through the continuum of care to foster positive patient outcomes
Develops, implements, and promotes quality services based on client expectation and needs.
* Collaborates with patient and/or family member, and health care team to assess nutrition and education needs of patients.
* Provides services and establishes goals based on the identified needs of patients and/or family members.
* Applies knowledge and skills in developing, implementing and maintaining nutrition care plans
* Continuously evaluates nutrition care processes and patient outcomes and implements quality practice by following system policies, procedures, and evidenced based research
* Provides care according to organizational ethics, licensure and Standards of Professional Practice for Dietetics Professionals
* Applies Joint Commission and/or regulatory standards in the provision of nutrition care
* Utilized patient experience and empathy skills when interacting with patients and family members
* Participates in multidisciplinary rounds, appropriate committees, and team member huddles
Locates, reviews, and utilizes best practice research findings for their application in optimally managing a disease or condition and improving patient outcomes.
* Bases clinical practice on sound scientific principles, current research and theory
* Shares and reports research and patient outcomes utilizing various media
* Demonstrates knowledge related to clinical practice.
* Communicates sound scientific principles, research, and theory to health care team members and dietetic interns in optimally managing patients' care
* Shares knowledge and expertise with dietetic interns, patients, family members and health care team members
* Documents understanding of relevant information and results of communication with dietetic interns/technicians/patients/families and healthcare team members
* Contributes to the development of new knowledge and services
* Seeks out information effectively and independently to provide effective services
Systematically evaluates the quality and effectiveness of practice and revises practice as needed to incorporate results of evaluation.
* Participates in and identifies performance improvement criteria for nutrition care by completing peer chart audits as assigned and reviewing with their nutrition leader
* Continuously evaluates and refines service based on measurable outcomes by keeping a productivity log
* Identifies expected outcomes of patient care
* Participates in quality improvement initiatives and projects
Engages in lifelong self-development to improve knowledge and skills that promote continued competence.
* Conducts yearly self-assessment to identify professional strengths and weaknesses
* Identifies needs for professional development and mentors dietetic interns
* Documents professional development activities according to system policies
Engage in continuous learning opportunities to further develop skills and capabilities in application technical and functional areas
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:
Bachelors Dietetics or Bachelors Nutrition
Other / Certificate Dietetics or Other / Certificate Nutrition

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.
BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor or BLS-P - Basic Life Support-Provisional (30 Days) within 30 Days
LD - Lic Dietician or LD-P - Lic Dietician - Provisional (180 Days) within 180 Days
RD - Registered Dietician or RDN - Reg Dietician Nutritionist or RDN-P - Reg Dietician Nutritionist - Provisional (180 Days) within 180 Days

Additional License(s) and Certification(s):

Required Minimum Experience:

One to two years clinical experience Preferred and Completion of a supervised practice didactic program accredited by the Accreditation Counsel for Education in Nutrition and Dietetics (ACEND)

Required Minimum Skills:

Excellent interpersonal, customer service, verbal and written communication skills.
Knowledge of best practices in clinical nutrition and the dietetics profession.
Knowledge of N

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (United States of America)

Job Summary:

The Wound, Ostomy, and Continence Clinical Nurse (WOCN) functions under the direction of the Nurse Manager and provides acute and rehabilitative care for people with select disorders of the GI, GU and Integumentary systems. The WOCN serves as a resource to nursing and medical staff and is responsible for delivering in-depth, comprehensive patient care in complex multiple problem patient care situations. The WOCN can independently perform job functions.
The WOCN is a licensed caregiver who practices in a competent manner, upholds the voice of the patient, system policies and procedures while supporting service excellence goals in the clinical environment that employs a shared governance model. Clinical practice is executed using best evidence through continuous learning from formal education; active reading of professional literature; and reflective practice. He / She serves as a partner in care anticipating and providing for the patient care needs of his/her patients, families and significant others. Role specific competencies, responsibilities, and practice are guided by the WellStar Professional Practice Model, 5-Star Nursing.
It is expected that the WOCS nurse is certified, licensed, knowledgeable, and upholds the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. As a member of the patient services team, it is expected the individual upholds the voice of the patient, system policies and procedures while supporting service excellence goals.

Core Responsibilities and Essential Functions:

Exemplary Practice and Outcomes
* Acts as a consultant to the physician, providing evaluations of patients and developing individualized, evidence-based plans of care that address wounds, fistulas, ostomies, and continence issues at the specialist level.
* Responds to the physician consult request by writing orders within the WOCN scope of practice and standing orders for other nurses to follow. Determines type and frequency of wound/ostomy care provided to the patient using their expert judgment, including modifications as the patients condition changes
* Upon receiving physician order for consult, marks patients for ostomy surgery, selecting the best and alternative sites for the surgeons consideration, provides education to the patient and family pre- and post-op and guidance for psychosocial, sexual and body image adaption to promote optimal client outcomes.
* Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence-based practice; analytical/critical thinking insuring that care is individualized; coordinating care through effective partnerships; caring is central to achieve optimal patient care outcomes
* Provides relationship-based care delivery patient-centered care by partnering with the patient and significant others (as appropriate) using comprehensive hand-off communication processes; interdisciplinary evaluation and communication (i.e., unit rounds, case reviews, peer review, etc.); just in time and planned patient teaching; keeping the patient informed using appropriate communication tools and making the patients goals the focus of the plan of care.
* Practices using current clinical practice standards with a focus on safety and quality
* When performing duties in outpatient Wound Care and Hyperbaric Unit:
* Demonstrates knowledge and understanding of the Healing Strategies for wound care and the role of HBO therapy, and the different approved clinical indications and treatment protocols for HBO treatment.
* Delivers care to the patient immediately prior to, during, and immediately following the HBO
* treatment that is consistent with existing policies and Healing Strategies within his/her scope
* of practice and documents all aspects of that care.
* Monitors and ensures the proper delivery of treatment gas as ordered.
* Monitors the patients continually during treatments for symptoms of oxygen intolerance, claustrophobia, hypoglycemic reactions, decompression sickness or any other adverse reaction to HBO treatments.
* Under the direction of the program manager or designee, appropriately intervenes in the
* event of an adverse reaction and follows established protocols.
* Demonstrates competence in reinforcing age specific patient and family education on
* common topics related to the HBO therapy and related underlying disease processes.
* Demonstrates competence in performing ordered treatments including but not limited to
* vital signs, blood sugars, and emergency procedures, consistent with existing policies
* and within his/her scope of practice.
* Documents required elements of each treatment in a clear, concise manner that includes a description of the chamber settings, duration of treatment, patient response to the procedure,
* and any other relevant observations.
* Chamber Operations
* Demonstrates and applies basic knowledge about HBOT chamber operations to ensure
* efficacy of treatment and safety of the patient and those in the immediate area.
* Demonstrates knowledge of the basic physiological principles/concepts of the HBO
* treatment and incorporates them into the treatment process.
* Operates controls to pressurize and depressurize the chamber according to prescribed
* policies for clinical indications and physician orders.
* Maintains accurate logs and records of the time, pressures, depths, etc. of chamber operations according to established protocols.
* Performs maintenance of the hyperbaric chamber (s) and related support systems under the guidance of the Program Director/Safety Coordinator.
* Cleans chamber following each treatment, according to recommendations of manufacturer,
* and in accordance with established facility infection control policies.
* Maintains emergency equipment and supplies located in the HBO area. Documents equipment checks as required by established policies.
Teamwork and Collaboration
* The WOCN serves as clinical expert in various hospital committees, community groups and organizations (United Ostomy Association, Diabetic Outpatient Clinic and local home care agencies); leads outcome evaluations including quarterly NDNQI pressure ulcer prevalence; participates in improvement initiatives related to WOC nursing practice; evaluates and develops product formularies and algorithms to support best practices for the prevention and treatment of wound, ostomy and continence conditions and facilitates the needs of the bariatric population with specialty bed management.
* Coordinates the delivery and documentation of safe quality patient care which includes promotion of interdisciplinary communication and regular interdisciplinary planning/rounds; completion of timely documentation and promotion of a respectful, inclusive clinical environment
* Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and