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DescriptionSummary: The Catheterization Laboratory Technologist I has a critical role in supporting cardiac catheterization procedures by preparing the lab and operating essential equipment, including fluoro imaging and digital image acquisition.

This role ensures the accurate documentation of patient information and hemodynamic measurements, while also maintaining stringent aseptic technique and patient safety standards.

The Technologist I actively collaborates with the medical team to optimize patient care and departmental efficiency, serving as the radiation safety representative during X-ray usage and continually developing proficiency in specialized cath lab technologies.

Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Promotes Organizational Principles of Catholic Healthcare; Solidarity, Holistic Care, Respect for Human Life, Participatory Community of Work and Mutual Respect, Stewardship, Act in communion with the Church.
* Ensures major equipment is operational in assigned area(s) and documents as required for quality control; reports any issues through chain of command and per hospital process.
* Participates in daily room checks and stocking of supplies.
* Accesses daily patient schedule and appropriate patient information for assigned procedures.
* Ensures appropriate equipment, supplies, and room configuration for all procedures.
* Collaborates with procedure team and Cath Lab Lead/Coordinator to ensure appropriate patient care and departmental efficiency at all times.
* Ensures proper patient information is entered into cath lab computer and imaging systems.
* Ensures proper procedure documentation, hemodynamic measurements/recording, and ECG recognition during assigned procedures.
* Ensures patient position is appropriate and safely secured on procedure table per procedure type.
* Trains and completes competencies to set up and operate cath lab equipment including, but not limited to: Imaging (X-Ray, intravascular ultrasound-IVUS, intracardiac echo-ICE), contrast injector, hemodynamic system, intra-aortic balloon pump, rotational atherectomy, thrombectomy, left ventricular assist device, etc.
* Supports and anticipates the needs of the physician and ensures patient safety when scrubbing procedures; moves/pans table appropriately during fluoro and X-Ray acquisition.
* Adheres to aseptic technique 100% of the time during procedures and stops the line if a break in sterile technique is identified.
* Adheres to organizational policies and processes related to patient safety, patient privacy, infection control (hand hygiene), and patient communication before, during, and after procedure.
* Collaborates with others on the team in sharing knowledge; to gain and provide appropriate knowledge as appropriate; to foster teamwork and team cohesion.
* Supports department and team by engaging in patient transport as appropriate.
* Obtains and maintains proficiency in access site management.
* Acts as radiation safety representative for patients and team while X-Ray is used.
* Performs fluoro imaging and digital image acquisition as appropriate for procedure or as instructed by the physician.
* Adheres to the attendance policy and departmental productivity standards.
* Supports department and organization's commitment to Zero Harm and Customer Service.
* Adheres to departmental and organizational dress code.
* Understands and upholds the CHRISTUS mission, vision, and purpose.
* Supports and promotes Unit based Councils, process improvement projects, and a nursing collaborative care model that meets requirements for magnet status.
* Promotes and serves with respect to the CHRISTUS core values; Dignity, Integrity, Excellence, Compassion, Stewardship.Job Requirements:Education/Skills
* Graduate from an accredited school of Radiology Technology, an associate's degree in a healthcare-related field, or an acceptable equivalent required
* Bachelor's degree preferredExperience
* 0-1 year of experience in an acute care setting preferredLicenses, Registrations, or Certifications
* Basic Life Support (BLS) certification is required
* Advanced Cardiovascular Life Support (ACLS) certification is required within 6 months of hire to work/perform independently
* Pediatric Advanced Life Support (PALS) certification is required within 6 months of hire to work/perform independently at Pediatric facilities
* One of the following certifications is preferred (individuals whose ARRT certification lapsed prior to June 1, 2023, may qualify under LSRTBE exemption criteria) :
* Registered Cardiovascular Invasive Specialist (RCIS) by CCI
* Registered Cardiac Electrophysiology Specialist (RCES) by CCI
* Registered Cardiac Sonographer (RCS) by CCI
* Radiography (R) by ARRT
* Cardiac Interventional Radiography (CI) by ARRT
* Cardiovascular Interventional Radiography (CV) by ARRT
* Vascular Interventional Radiography (VI) by ARRT
* Abdomen (AB) RDMS by ARDMS
* Obstetrics & Gynecology (OB/GYN) RDMS by ARDMS
* Adult Echocardiography (AE) RDCS by ARDMS
* Registered Vascular Technologist (RVT) by ARDMS
* State Licensure required based on modality
* Texas: MRT or LMRT by TMB
* Louisiana: LRT (R) or (F) by LSRTBE
* New Mexico: RRT or FUS by MIRTP NMEDIn accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.Work Schedule:4 Days
- 10 Hours Work Type:Full Time

DescriptionSummary:

Responsible for patient assessment, patient care planning, and provision of quality nursing care to an assigned group of patients for a defined work period. Provides direction and supervision to LVN/LPNs, nursing assistants, unit secretaries, and other clinical/clerical associates. By assignment, may function as a charge nurse for the unit. Involves provision of patient care/service to older adolescents, young adults, adults, geriatric and pediatric patients.

Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Patient Care PlanningDevelops a comprehensive nursing care plan which addresses all significant needs and problems identified through nursing assessment.Prepares nursing elements of the interdisciplinary care plan prior to the initial team conference.Reviews and updates nursing care plan and collaborates with team members as changes occur.Patient Care ProvisionImplements patient care as planned in nursing care plan and interdisciplinary care plan.Sets priorities based on knowledge of patient acuity and patient needs.Provides safe and therapeutic care and seeks resources when appropriate.Safely performs and accurately documents procedures, consistent with established nursing policy and procedure.Patient Care EvaluationEvaluates patient response to interventions and attainment of goals in collaboration with interdisciplinary team.Evaluates progress toward nursing goals and revises goals as needed on a weekly basis.Completes nursing progress note for assigned patients on a daily basis.Completes nursing flow sheets for assigned patients on a daily basis.TeachingEvaluates education needs of patient and significant others and documents their response to teaching.Utilizes, adapts, and revises teaching resources to meet patient education needs.Explains procedures, tests, and disease process to patients and families as needed.Acts as role model for health care students and other team members.Acts as preceptor to assigned orientees.Assists in the orientation of new staff by sharing knowledge and experience.Patient Care CommunicationReports and documents accurately and concisely to appropriate persons the patient's condition.Maintains patient confidentiality.Applies basic verbal and nonverbal skills to maintain open, effective communication among care team members, patients, and significant others.Encourages direct discussion between staff members when differences occur and seeks assistance to arbitrate differences as needed.Gives and accepts constructive feedback appropriately.Identifies actual and potentially unsafe patient care practices, reports them in the designated manner, and suggests alternatives.

Job Requirements:

Education/Skills

Bachelor of Science Degree in Nursing, preferred

Experience

Six months to a year of experience as a licensed RN or holder of an active GN permit

Licenses, Registrations, or Certifications

BLS requiredRN License in state of employment or compactGraduate Nurse PermitAssociates with an unsuccessful licensure application or on the 75th day following the effective date of the temporary permit; will be transferred to another position within CHRISTUS Health

Work Schedule:

7PM - 7AM

Work Type:

Full Time

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: Charge RN Intermediate ICU Fulltime 7p-7a day shift Wellstar Paulding campus The RN Clinical Charge Nurse is responsible for directing and overseeing the daily activities of the unit on an assigned shift to assure successful safe delivery of care.

The Charge Nurse is a caregiver and often takes modified patient care assignment.

They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the WellStar Shared Governance Model.

The framework for practice is steered by the WellStar Professional Nursing Practice Model and evidence based practice and research.

RN competencies are derived from these models and supported by the WellStar Core Competencies.

The RN Clinical Charge Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care.

Expectations of practice include: accountability; responsibility and authority for the practice of nursing; effective teamwork; delegation; communication; respect; personal development; and development of team members.

The role contributes to the establishment and maintenance of practices that ensure excellence in patient care, provides for the efficient use of resources, and undertakes leadership task such as staff schedules, unit patient flow, subject matter expertise for clinical concerns, physician rounding, committee involvement, survey readiness, and other task as assigned by the manager, which are basic to the department's ability to function in a smooth and effective manner.

The RN Clinical Charge Nurse is a resource to other areas opportunity to learn about operational functionality and hospital/facility awareness.

He/she is assists in the growth and development of team members in the unit to help build department skills sets and to inspire expertise.

This leader brings with him or her ability to build rapport between nurses and physicians to continue service to the patients and is a role model to others.

It is expected that all RN Clinical Charge Nurses are licensed, knowledgeable and uphold 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.

She/he possesses (advanced) clinical expertise and utilizes this expertise to support and promote the delivery of safe, age appropriate and culturally aware patient care and serves as a partner in care.

Core Responsibilities and Essential Functions: Resources and Support
* Monitors equipment inventory, location and utilization to ensure staff have tools and equipment needed to perform their job.
* Participates in planning and requesting resources for providing high quality care and assists in acquiring appropriate staffing during unexpected staffing shortages or surges in census.
* Proactively plans for the care of patients across the care continuum in the course of giving direct patient care.

Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e., decrease in re-admission rates; avoidable days; adverse events; etc).

Tactical Responsibilities
* Make Patient Assignments.
* Consideration for new grads, float and type of patient.
* Daily Discharge/Length of Stay Review.
* Round with Physicians/Surgeons.
* Assign Surgery Beds In Conjunction with Surgery Schedule.
* Consult with Supervisor Nursing Administration (House Supervisor) on Bed Flow and Availability.
* Emergency Services: Assignments for sections, manage waiting room, multiple areas open at different times.

Exemplary Practice and Outcomes
* Rounds on every patient daily to evaluate quality and appropriateness of patient care including corrective action when needed utilizing peer coaching and accountability.
* Performs or provides oversight for the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice; analytical/critical thinking insuring that care is individualized; coordinating care through effective partnerships; caring is central to achieve optimal patient care outcomes.
* Provides or provides oversight for 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 .
* Within the Emergency Department Setting: Charge Nurse rounds on patients in a modified method in conjunction with nurses to focus on patient safety concerns and patient care.

Teamwork and Collaboration
* Communicates with nurse manager and/or assistant nurse manager any needs or concerns pertaining to care delivery or employee performance.
* 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 (Interdisciplinary rounds do not apply in the Emergency Services setting).
* Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and retention of all healthcare team members.
* Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary processes and actively supports/participates in shared governance at all levels in the system.

Professional Development
* Ensures patient/family/staff confidentiality and corporate compliance for self (and accountability for team members) requirements including completing all required mandatory education and proficiencies.
* Serves as a preceptor (or mentor) for other professional nurses (and staff or students for all disciplines) to ensure that there is a current and future qualified workforce; modeling the professional practice of nursing and creating a healthy work environment.

Evidence Based Practice and Research
* Promotes Evidence based practice, nursing research and performance improvement in nursing.

Participates in activities such as value analysis as part of the decision making process in evaluating patient care products.
* Upholds all health care system/organizational policies and procedures and clinical competencies put forth by this job description and professional.association including legal, regulatory and accreditation requirements and standards ensuring by way of example, such goals as TJC Patient Safety Goals and WellStar Health Systems safety absolutes.
* Participates in data collection, poses relevant clinical questions to advance evidence based practice.

Consults appropriate experts and uses appropriate resources, data, and evidence to address practice questions.

Performs other duties as assigned Complies with all WellStar Health System policies, standards of work, and code of conduct.

Required Minimum Education: Graduate of an accredited/approved school of nursing as and Associate Degree/Diploma Nurse Required or Baccalaureate degree in nursing (BSN) from an accredited school of nursing Preferred Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated.

BLS
- Basic Life Support or BLS-I
- Basic Life Support
- Instructor RN
- Reg Nurse (Single State) or RN-COMPACT
- RN
- Multi-state Compact ACLS
- Advanced Cardiac Life Support-Preferred or ACLS-I
- ACLS
- Instructor-Preferred or ACLS-P
- ACLS
- Provisional-Preferred Advanced Cardiac Life Support or ACLS
- Instructor or ACLS
- Provisional Additional License(s) and Certification(s): Required Minimum Experience: Minimum 1 year nursing experience Required or Minimum 2 years Preferred and Experience as relief charge with clinical expertise Preferred Required Minimum Skills: 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:

Wellstar North Fulton Hospital has an opportunity for a RN - Acute Care - Medical Telemetry - Full-Time Night Shift

The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared Governance Model. The framework for practice is steered by the Wellstar Professional Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the Wellstar Values.
It is expected that all RN Clinical Nurses are licensed, knowledgeable and uphold 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 that 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
A. Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes
B. Provides relationship-based patient centered care that is consistent with population specific characteristics (e.g. age, gender, disease, etc) in a manner that adapts service delivery to reflect an understanding of cultural diversity
C. Always partners with the patient and significant others (as appropriate) using such appropriate method for setting and purpose (e.g., bedside shift report; interdisciplinary rounds; just in time and planned patient teaching; keeping the patient and significant others updated and making the patients goals the focus of the plan of care.
D. Practices using current clinical practice standards.
Teamwork and Collaboration
A. Coordinates the delivery and documentation of safe quality patient care that promotes the professional care delivery model. This includes, but is not limited to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review, etc); completion of timely documentation and promotion of a respectful, inclusive clinical environment
B. Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and retention of all healthcare team members.
C. Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary process and actively supports/participates in shared governance at all levels in the system.
Professional Development and Initiative
A. Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
B. Serves as a preceptor and/or or mentor for other professional nurses (and staff or students for all disciplines) to ensure that there is a current and future qualified workforce, modeling the professional practice of nursing and creating a healthy work environment
Evidence Based Practice and Research
A. Promotes Evidence based practice, nursing research and performance improvement in nursing. Participates in activities such as value analysis as part of the decision-making process in evaluating patient care products.
B. Upholds all health care system/organizational policies and procedures and clinical competencies put forth by this job description and professional association including legal, regulatory and accreditation requirements and standards ensuring by way of example, such goals as TJC Patient Safety Goals and Wellstar Health Systems safety absolutes
C. Participates in data collection, poses relevant clinical questions to advanced evidence-based practice. Consults appropriate experts and uses appropriate resources and evidence to address practice questions.
Resources and Support
A. Proactively plans for the care of patients across the care continuum in the course of giving direct patient care.
B. Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e., decrease in re-admission rates; avoidable days; adverse events; etc).
C. Supports efficient and effective use of human and material resources.
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

Associate's Degree in nursing or Graduate of accredited/approved school of nursing
Bachelor's Degree Nursing

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

All certifications are required upon hire unless otherwise stated.

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

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 5 years RN experience Required
direct patient care experience Preferred

Required Minimum Skills:

Ability to read, write and speak English language, optimize the use of technology to support clinical care and holds basic computer skills.
Strong interpersonal, collaborative skills along with customer service skills required.
Ability to function in a fast paced environment and respond to emergencies in using a decisive, composed and respectful manner.
Possess excellent time management skills; practices nursing using evidence and analytical skills.
practices nursing using evidence and analytical skills along with possessing strong critical thinking skills.

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:

Wellstar North Fulton Hospital has an opportunity for a RN - Acute Care - Cardiac Telemetry, Cath Lab Recovery- Full-Time Night

The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared Governance Model. The framework for practice is steered by the Wellstar Professional Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the Wellstar Values.
It is expected that all RN Clinical Nurses are licensed, knowledgeable and uphold 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 that 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
A. Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes
B. Provides relationship-based patient centered care that is consistent with population specific characteristics (e.g. age, gender, disease, etc) in a manner that adapts service delivery to reflect an understanding of cultural diversity
C. Always partners with the patient and significant others (as appropriate) using such appropriate method for setting and purpose (e.g., bedside shift report; interdisciplinary rounds; just in time and planned patient teaching; keeping the patient and significant others updated and making the patients goals the focus of the plan of care.
D. Practices using current clinical practice standards.
Teamwork and Collaboration
A. Coordinates the delivery and documentation of safe quality patient care that promotes the professional care delivery model. This includes, but is not limited to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review, etc); completion of timely documentation and promotion of a respectful, inclusive clinical environment
B. Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and retention of all healthcare team members.
C. Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary process and actively supports/participates in shared governance at all levels in the system.
Professional Development and Initiative
A. Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
B. Serves as a preceptor and/or or mentor for other professional nurses (and staff or students for all disciplines) to ensure that there is a current and future qualified workforce, modeling the professional practice of nursing and creating a healthy work environment
Evidence Based Practice and Research
A. Promotes Evidence based practice, nursing research and performance improvement in nursing. Participates in activities such as value analysis as part of the decision-making process in evaluating patient care products.
B. Upholds all health care system/organizational policies and procedures and clinical competencies put forth by this job description and professional association including legal, regulatory and accreditation requirements and standards ensuring by way of example, such goals as TJC Patient Safety Goals and Wellstar Health Systems safety absolutes
C. Participates in data collection, poses relevant clinical questions to advanced evidence-based practice. Consults appropriate experts and uses appropriate resources and evidence to address practice questions.
Resources and Support
A. Proactively plans for the care of patients across the care continuum in the course of giving direct patient care.
B. Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e., decrease in re-admission rates; avoidable days; adverse events; etc).
C. Supports efficient and effective use of human and material resources.
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

Associate's Degree in nursing or Graduate of accredited/approved school of nursing
Bachelor's Degree Nursing

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

All certifications are required upon hire unless otherwise stated.

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

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 5 years RN experience Required
direct patient care experience Preferred

Required Minimum Skills:

Ability to read, write and speak English language, optimize the use of technology to support clinical care and holds basic computer skills.
Strong interpersonal, collaborative skills along with customer service skills required.
Ability to function in a fast paced environment and respond to emergencies in using a decisive, composed and respectful manner.
Possess excellent time management skills; practices nursing using evidence and analytical skills.
practices nursing using evidence and analytical skills along with possessing strong critical thinking skills.

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)

Job Summary: Wellstar North Fulton Hospital has an opportunity for a RN Care Coordinator. Full-time Day shift

The Care Coordinator RN (CC RN) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met. The CC RN plans effectively to meet the patient's needs, manage the length of stay and promote efficient utilization of resources. Overall, the role integrates and coordinates care facilitation, care progression and transitional care planning functions.
Specific functions within this role include:
Psychosocial and functional status assessment, transitional care planning, clinical care progression, facilitate patient/family care conferences, participate in interdisciplinary rounds, and patient/family education
Collaborates effectively with the utilization review nurse, patient's physicians and the interdisciplinary care team to provide a comprehensive assessment of the patient's medical care needs, psychosocial needs, any social determinants of health needs, goals/outcome attainment and continued care needs
Assures that the patient is progressing towards their discharge goal and assists to alleviate barriers
Seeks consultation from appropriate disciplines/departments as required to proactively identify and resolve delays to expedite care and facilitate discharge.
May have other duties assigned

Core Responsibilities and Essential Functions:

Assessment
* Based on preliminary screening of patients, initiates assessment of patients chronic disease management needs and psychosocial risk factors and availability of resources to assist upon discharge.
* Partners with the PAS, financial counselor and/or UM nurse to assess insurance and coverage requirements for all payers to ensure adherence to those requirements.
* Collaborates with the patient and family, along with the physician(s) and other members of the care team to fully establish and support both the patients care progression and discharge plans..
* Meets with physicians and care team routinely to collaborate on timely and efficient patient management.
Disposition Planning
* Manages all aspects of discharge planning for assigned patients.
* Implements discharge planning timely and provides resources in an efficient manner.
* Meets with patient/family to assess needs and develop an individualized discharge plan in collaboration with physicians.
* Identifies and documents barriers for timely disposition.
* Ensures/maintains discharge plan consensus with patient/family, physicians, care teams and payers.
* Responds to referrals for patients post-acute needs from physicians and the care team.
* Participates in Interdisciplinary Rounds with the patients care team to confirm estimated date of discharge and make recommendations for best level of care transition at discharge.
* Initiates/facilitates post-acute referrals through departmental processes for timely transition to the next level of care.
* Refer appropriate cases for social work intervention based on departmental protocol.
* Allows for any cultural or religious beliefs in providing service and continuity of care.
Care Progression
* Collaborates with physicians and care team to facilitate communication regarding patients care progression to ensure timely and efficient delivery of care.
* Proactively identifies delays/obstacles in diagnostic or treatments within the plan of care which can lead to discharge delays.
* Identities and discusses with physician the medical necessity for inpatient testing that may be more appropriate in the outpatient setting.
* Actively works to resolve barriers to discharge and engages/escalates barriers to discharge to the appropriate leader for efficient resolution
Documentation
* Initial clinical/psychosocial assessment completed and documented in medical record.
* Ensure all records are up-to-date and documentation is clear and concise.
* Ensure timely and accurate documentation in progress notes of interactions with patient/family, physicians, care team, and community partners as it pertains to the patients discharge plan.
* Accounts for and indicates all services arranged/delivered in electronic medical record.
* Track avoidable days and report trends that lead to undesired outcomes.
Professional Development and Initiative
* Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
* Supports department-based goals which contribute to the success of the organization.
* Serves as a preceptor and/or mentor for student interns (if appropriate)
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

Associate's Degree in Nursing from an accredited school of nursing with a Georgia RN License Required

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

All certifications are required upon hire unless otherwise stated.

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

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 1 year nursing experience in the acute care setting. Required

Required Minimum Skills:

Excellent written and verbal communication skill.
Must possess maturity, self-confidence, objectivity, and positive attitude.
Self-directed with the ability to function well under stress, handle change, and function in a fast-paced environment
Strong assessment, interview, organizational and problem-solving skills.
Knowledge regarding local, state and federal regulations required.
Knowledge of community and state-wide resources and programs.
Ability to work collaboratively with physicians, members of the care team, and the patient/family to assist with progression of care through their transition to the next level of care.

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:

Fulltime 7p-7a

Sign On Bonus Eligible

Magnet Designated/Lantern Award for ER excellence/Level iV 40 bed and growing ER at Wellstar Paulding-- come grow with us in a culture of genuine care and compassion in a supportive patient and staff focused culture

The RN Clinical Nurse Emergency Department is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared Governance Model. The framework for practice is steered by the Wellstar Professional Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the Wellstar Values.It is expected that all RN Clinical Nurses Emergency Services are licensed, knowledgeable and uphold 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 that 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* A.Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes* B.Provides relationship-based patient centered care that is consistent with population specific characteristics (e.g. age, gender, disease, etc) in a manner that adapts service delivery to reflect an understanding of cultural diversity* C.Always partners with the patient and significant others (as appropriate) using such appropriate method for setting and purpose (e.g., bedside shift report; interdisciplinary rounds; just in time and planned patient teaching; keeping the patient and significant others updated and making the patients goals the focus of the plan of care.* D.Practices using current clinical practice standards.Teamwork and Collaboration* A.Coordinates the delivery and documentation of safe quality patient care that promotes the professional care delivery model. This includes, but is not limited to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review, etc); completion of timely documentation and promotion of a respectful, inclusive clinical environment* B.Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and retention of all healthcare team members.* C.Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary process and actively supports/participates in shared governance at all levels in the system.Professional Development and Initiative* A.Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.* B.Serves as a preceptor and/or or mentor for other professional nurses (and staff or students for all disciplines) to ensure that there is a current and future qualified workforce; modeling the professional practice of nursing and creating a healthy work environmentEvidence Based Practice and Research* A.Promotes Evidence based practice, nursing research and performance improvement in nursing. Participates in activities such as value analysis as part of the decision-making process in evaluating patient care products.* B.Upholds all health care system/organizational policies and procedures and clinical competencies put forth by this job description and professional association including legal, regulatory and accreditation requirements and standards ensuring by way of example, such goals as TJC Patient Safety Goals and Wellstar Health Systems safety absolutes* C.Participates in data collection, poses relevant clinical questions to advanced evidence-based practice. Consults appropriate experts and uses appropriate resources and evidence to address practice questions.Resources and Support* A.Proactively plans for the care of patients across the care continuum in the course of giving direct patient care.* B.Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e., decrease in re-admission rates; avoidable days; adverse events; etc).* C.Supports efficient and effective use of human and material resources.Performs other duties as assignedComplies 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 - 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
* PALS - Pediatric Adv Life Support or ARC-PALS - Amer Red Cross Pediatric Advanced Life Support or PALS-I - PALS - Instructor or PALS-P - PALS-Provisional (180 Days) within 180 Days
* TNCC - Trauma Nurse Core Course or ATCN - Adv Trauma Care for Nurses Cer or TNCC-P - Trauma Nurse Core Course - Provisional (18 Months) within 18 Months
* ACLS - Advanced Cardiac Life Support or ACLS-P90 - ACLS-Provisional (90 Days) within 90 Days or ARC-ALS - Amer Red Cross Advanced Life Support or ACLS-I - ACLS - Instructor

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 5 years RN experience Required

Required Minimum Skills:

Ability to read, write and speak English language, optimize the use of technology to support clinical care and holds basic computer skillsStrong interpersonal, collaborative skills along with customer service skills requiredAbility to function in a fast paced environment and respond to emergencies in using a decisive, composed and respectful mannerPossess excellent time management skillspractices nursing using evidence and analytical skills along with possessing strong critical thinking skills.

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)

Overview

Fulltime 7p-7a Shift

28 bed Cardiac/Telemetry /Renal Floor

Magnet Designated Campus- dedicated to genuine standards of care and compassion

Sign on Bonus eligible for experienced RN's committed to our community

The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared Governance Model. The framework for practice is steered by the Wellstar Professional Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the Wellstar Values.

It is expected that all RN Clinical Nurses are licensed, knowledgeable and uphold 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 that the individual upholds the voice of the patient, system policies and procedures while supporting service excellence goals.

Responsibilities
Core Responsibilites and Essential Functions

- Exemplary Practice and Outcomes
A. Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes
B. Provides relationship-based patient centered care that is consistent with population specific characteristics (e.g. age, gender, disease, etc) in a manner that adapts service delivery to reflect an understanding of cultural diversity
C. Always partners with the patient and significant others (as appropriate) using such appropriate method for setting and purpose (e.g., bedside shift report; interdisciplinary rounds; just in time and planned patient teaching; keeping the patient and significant others updated and making the patient's goals the focus of the plan of care.
D. Practices using current clinical practice standards.
- Teamwork and Collaboration
A. Coordinates the delivery and documentation of safe quality patient care that promotes the professional care delivery model. This includes, but is not limited to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review, etc); completion of timely documentation and promotion of a respectful, inclusive clinical environment
B. Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and retention of all healthcare team members.
C. Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary process and actively supports/participates in shared governance at all levels in the system.
- Professional Development and Initiative
A. Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
B. Serves as a preceptor and/or or mentor for other professional nurses (and staff or students for all disciplines) to ensure that there is a current and future qualified workforce, modeling the professional practice of nursing and creating a healthy work environment
- Evidence Based Practice and Research
A. Promotes Evidence based practice, nursing research and performance improvement in nursing. Participates in activities such as value analysis as part of the decision-making process in evaluating patient care products.
B. Upholds all health care system/organizational policies and procedures and clinical competencies put forth by this job description and professional association including legal, regulatory and accreditation requirements and standards ensuring by way of example, such goals as TJC Patient Safety Goals and Wellstar Health Systems' safety absolutes
C. Participates in data collection, poses relevant clinical questions to advanced evidence-based practice. Consults appropriate experts and uses appropriate resources and evidence to address practice questions.
- Resources and Support
A. Proactively plans for the care of patients across the care continuum in the course of giving direct patient care.
B. Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e., decrease in re-admission rates; avoidable days; adverse events; etc).
C. Supports efficient and effective use of human and material resources.
-

- Required for All Jobs
-

- Performs other duties as assigned
- Complies with all Wellstar Health System policies, standards of work, and code of conduct.
-

- Qualifications
Required Minimum Education
-

- Associate's Degree in nursing or Graduate of accredited/approved school of nursing Required
- Bachelor's Degree Nursing Preferred
-

- Required Minimum Experience
-

- Minimum 2 years direct patient care nursing experience Required
-

- Required Minimum Skills
-

- Ability to read, write and speak English language, optimize the use of technology to support clinical care and holds basic computer skills
- Strong interpersonal, collaborative skills along with customer service skills required;
- Ability to function in a fast paced environment and respond to emergencies in using a decisive, composed and respectful manner;
- Possess excellent time management skills; practices nursing using evidence and analytical skills
- practices nursing using evidence and analytical skills along with possessing strong critical thinking skills.
-

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

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

- Additional Licenses and Certifications

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:

Wellstar North Fulton Hospital has an opportunity for a RN - Acute Care - Cardiac Telemetry - Full-Time Night Shift

The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared Governance Model. The framework for practice is steered by the Wellstar Professional Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the Wellstar Values.
It is expected that all RN Clinical Nurses are licensed, knowledgeable and uphold 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 that 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
A. Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes
B. Provides relationship-based patient centered care that is consistent with population specific characteristics (e.g. age, gender, disease, etc) in a manner that adapts service delivery to reflect an understanding of cultural diversity
C. Always partners with the patient and significant others (as appropriate) using such appropriate method for setting and purpose (e.g., bedside shift report; interdisciplinary rounds; just in time and planned patient teaching; keeping the patient and significant others updated and making the patients goals the focus of the plan of care.
D. Practices using current clinical practice standards.
Teamwork and Collaboration
A. Coordinates the delivery and documentation of safe quality patient care that promotes the professional care delivery model. This includes, but is not limited to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review, etc); completion of timely documentation and promotion of a respectful, inclusive clinical environment
B. Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and retention of all healthcare team members.
C. Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary process and actively supports/participates in shared governance at all levels in the system.
Professional Development and Initiative
A. Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
B. Serves as a preceptor and/or or mentor for other professional nurses (and staff or students for all disciplines) to ensure that there is a current and future qualified workforce, modeling the professional practice of nursing and creating a healthy work environment
Evidence Based Practice and Research
A. Promotes Evidence based practice, nursing research and performance improvement in nursing. Participates in activities such as value analysis as part of the decision-making process in evaluating patient care products.
B. Upholds all health care system/organizational policies and procedures and clinical competencies put forth by this job description and professional association including legal, regulatory and accreditation requirements and standards ensuring by way of example, such goals as TJC Patient Safety Goals and Wellstar Health Systems safety absolutes
C. Participates in data collection, poses relevant clinical questions to advanced evidence-based practice. Consults appropriate experts and uses appropriate resources and evidence to address practice questions.
Resources and Support
A. Proactively plans for the care of patients across the care continuum in the course of giving direct patient care.
B. Participates in the development of protocols and procedures when called upon or through self-initiation in collaboration with care managers and other members of the health care team to achieve best practice outcomes (i.e., decrease in re-admission rates; avoidable days; adverse events; etc).
C. Supports efficient and effective use of human and material resources.
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

Associate‘s Degree in nursing or Graduate of accredited/approved school of nursing
Bachelor‘s Degree Nursing

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

All certifications are required upon hire unless otherwise stated.

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

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

Minimum 5 years RN experience Required
direct patient care experience Preferred

Required Minimum Skills:

Ability to read, write and speak English language, optimize the use of technology to support clinical care and holds basic computer skills.
Strong interpersonal, collaborative skills along with customer service skills required.
Ability to function in a fast paced environment and respond to emergencies in using a decisive, composed and respectful manner.
Possess excellent time management skills; practices nursing using evidence and analytical skills.
practices nursing using evidence and analytical skills along with possessing strong critical thinking skills.

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.

Employment Type:Full timeShift:12 Hour Night ShiftDescription:

POSITION SUMMARY & HIGHLIGHTS: 

We are currently accepting applications for a Registered Nurse for our Telemetry at our Level III Trauma Center in Nampa! This position will be located at our Medical Center at the corner of I-84 and Garrity Boulevard in Nampa, Idaho. 

 

Saint Alphonsus Health System is currently offering: 

• Comprehensive health benefits package, including medical, dental, and vision coverage on Day 1 of employment 

• Retirement savings plan with employer match 

• Tuition reimbursement (after 180 days of employment) and professional development opportunities 

• Relocation assistance 

• Shift Differentials based on work schedules 

 

WHAT YOU WILL DO: 

• Monitor and assess patients' vital signs, cardiac rhythms, and telemetry readings

• Collaborate with the healthcare team to develop and implement individualized care plans

• Administer medications and perform necessary procedures to ensure optimal patient outcomes

• Provide patient education and support to promote health and wellness

• Document patient assessments, interventions, and outcomes accurately and efficiently

• Collaborate with interdisciplinary teams to coordinate patient care and facilitate smooth transition

• Be part of a tight knit team with strong leadership that offers a supportive environment with opportunities for growth

• Work in an 18-bed unit with a growing service line and where you will receive step-down level training

MINIMUM QUALIFICATIONS:  

• Current Idaho or multistate RN license required

• Multistate license must establish residency with the Idaho Board of Nursing within 60 days from hire

• BLS certification at date of hire 

• American Heart Association Advanced Cardiovascular Life Support for HealthCare Provider (ACLS) certification within 6 months of hire 

 

HIGHLIGHTS AND BENEFITS: 

When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon.  

• We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one. 

• Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop. 

• We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow. 

Visit to learn more! 

 

MINISTRY/FACILITY INFORMATION: 

Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based. 

• Top 15 Health Systems in the country by IBM Watson Health; 

• The region’s most advanced Trauma Center (Level II); 

• Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life. 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, disability, veteran status, or any other status protected by federal, state, or local law.