Consult Jobs in Usa
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Assume responsibility for the clinical coordination and consultation regarding care across the continuum for all lung nodule patients.
Consult and partner with nursing leadership as needed to achieve desired patient outcomes.
Assess the educational needs of staff and assist in developing educational programs, staff education materials, and community education as needed.
Maintain and ensure compliance with continuing lung nodule education for medical and nursing staff.
Ensure evidence-based screening and treatment protocols are the standard of care within the facility.
Recommends, facilitates, and assists in the implementation of updates to pathways, order sets, and protocols as guided by new evidence-based guidelines published by industry organizations, e.g. Provide appropriate feedback and coaching to medical staff and associates based on data analysis and observation.
Ensure accurate and timely clinical data collection, verifying and updating data as needed.
Share prepared data with key stakeholders in an understandable and meaningful context to motivate adherence to protocols and continuous improvement.
Serve as a resource to medical staff, associates, patients, and families.
Perform various technical and specialized tasks involved with the concurrent and retrospective evaluation of patient care.
Utilize quality improvement tools, including root cause analysis, to investigate fallouts and generate action plans
Assist all hospital departments in implementing and sustaining their quality improvement processes related to lung nodules.
Regular, reliable attendance is required to ensure the highest level of patient care.
Follows hospital safety and quality standards and expectations as it pertains to job performance and patient care
Customer Relations:
Exhibits behaviors and actions that create a high level of patient/customer satisfaction, positive patient/customer relations, and respect for the patient’s/customer’s rights needs, and confidentiality.
Presents behaviors and actions that maintain the hospital’s credibility, integrity, and positive image.
Demonstrates behaviors and actions that support the mission, goals, and operations of the hospital and which contribute to continuous service improvement.
Assists with special projects as assigned.
Accurately interprets and communicates Human Resources Policies and Procedures.
Complies and adheres to all CSV policies.
Adheres to all patient and environmental safety policies and procedures.
Graduate of an accredited school of nursing with an ADN, BSN, or MSN degree
Hold a valid NM RN license. Excellent reading, writing, and editing skills in English.
Familiarity with Epic and ability to effectively evaluate medical records.
Must be able to understand graphical displays of data.
Excellent telephone and communication skills.
Ability to articulate information or data to multiple audiences with varying levels of knowledge and expertise.
Coordinates all referral processes for patients who meet the established criteria, including coordination with primary care physicians.
Educates the community to build new program awareness.
Creates direct-to-consumer marketing and education materials for business development
Mines specific data with the health system database to discover cases through a retrospective review of findings, resulting in the discovery of patients with specific diseases.
Develops a database to input potential cases, completed cases, and follow-up cases requiring constant updating as patients progress through the continuum of care.
Evaluates lab results, diagnostics, utilization patterns, and other metrics to monitor quality and efficiency for assigned population.
Develops clinical pathways for specific disease processes, promoting expeditious care access.
Makes appropriate surgical consult arrangements depending on the complexity.
Provides patients with information about follow-up with different specialties and coordinates follow-up care 1-2 years after evaluation.
Develops treatment protocols for positive findings in collaboration with physicians.
Understanding of hospital processes and the systems involved in the delivery of patient care.
Demonstrate skills in Microsoft Word, Excel, and PowerPoint.
3+ years of nursing experience in a critical care setting or RN level experience for the related specialty; One (1) to two (2) years of Quality Improvement experience desired.
MULTIPLE SHIFTS AVAILABLE
Full Time
Assume responsibility for the clinical coordination and consultation regarding care across the continuum for all lung nodule patients.
Consult and partner with nursing leadership as needed to achieve desired patient outcomes.
Assess the educational needs of staff and assist in developing educational programs, staff education materials, and community education as needed.
Maintain and ensure compliance with continuing lung nodule education for medical and nursing staff.
Ensure evidence-based screening and treatment protocols are the standard of care within the facility.
Recommends, facilitates, and assists in the implementation of updates to pathways, order sets, and protocols as guided by new evidence-based guidelines published by industry organizations, e.g. Provide appropriate feedback and coaching to medical staff and associates based on data analysis and observation.
Ensure accurate and timely clinical data collection, verifying and updating data as needed.
Share prepared data with key stakeholders in an understandable and meaningful context to motivate adherence to protocols and continuous improvement.
Serve as a resource to medical staff, associates, patients, and families.
Perform various technical and specialized tasks involved with the concurrent and retrospective evaluation of patient care.
Utilize quality improvement tools, including root cause analysis, to investigate fallouts and generate action plans
Assist all hospital departments in implementing and sustaining their quality improvement processes related to lung nodules.
Regular, reliable attendance is required to ensure the highest level of patient care.
Follows hospital safety and quality standards and expectations as it pertains to job performance and patient care
Customer Relations:
Exhibits behaviors and actions that create a high level of patient/customer satisfaction, positive patient/customer relations, and respect for the patient’s/customer’s rights needs, and confidentiality.
Presents behaviors and actions that maintain the hospital’s credibility, integrity, and positive image.
Demonstrates behaviors and actions that support the mission, goals, and operations of the hospital and which contribute to continuous service improvement.
Assists with special projects as assigned.
Accurately interprets and communicates Human Resources Policies and Procedures.
Complies and adheres to all CSV policies.
Adheres to all patient and environmental safety policies and procedures.
Graduate of an accredited school of nursing with an ADN, BSN, or MSN degree
Hold a valid NM RN license. Excellent reading, writing, and editing skills in English.
Familiarity with Epic and ability to effectively evaluate medical records.
Must be able to understand graphical displays of data.
Excellent telephone and communication skills.
Ability to articulate information or data to multiple audiences with varying levels of knowledge and expertise.
Coordinates all referral processes for patients who meet the established criteria, including coordination with primary care physicians.
Educates the community to build new program awareness.
Creates direct-to-consumer marketing and education materials for business development
Mines specific data with the health system database to discover cases through a retrospective review of findings, resulting in the discovery of patients with specific diseases.
Develops a database to input potential cases, completed cases, and follow-up cases requiring constant updating as patients progress through the continuum of care.
Evaluates lab results, diagnostics, utilization patterns, and other metrics to monitor quality and efficiency for assigned population.
Develops clinical pathways for specific disease processes, promoting expeditious care access.
Makes appropriate surgical consult arrangements depending on the complexity.
Provides patients with information about follow-up with different specialties and coordinates follow-up care 1-2 years after evaluation.
Develops treatment protocols for positive findings in collaboration with physicians.
Understanding of hospital processes and the systems involved in the delivery of patient care.
Demonstrate skills in Microsoft Word, Excel, and PowerPoint.
3+ years of nursing experience in a critical care setting or RN level experience for the related specialty; One (1) to two (2) years of Quality Improvement experience desired.
MULTIPLE SHIFTS AVAILABLE
Full Time
Shift: 5x8 Days Rewards: (COTA/Certified Occupational Therapy Assistant)
Pay depends on location and experience.
401K matching
New licensing reimbursement
Job staffing in all 50 states
We are offering a very competitive package to the right licensed Certified Occupational Therapist
Candidates need to possess phenomenal efficiency and attention to detail with a strong knowledge of procedures and patient safety. Being Compassionate and sensitive is a prerequisite for the profession. The ideal Candidates goes a step further by being a critical thinker and fast to act with emergencies. Requirements:
Must possess independent decision-making skills.
Solid understanding of patient safety and precautions
Excellent communication skills with the staff, physicians, patients and families.
Ability to relate positively to residents and families and work cooperatively with other employees.
Meet all local health regulations, and successfully complete a post-offer health assessment.
Physical and sensory requirements (with or without the aid of mechanical devices): walking, reaching, climbing, bending, lifting, grasping, fine hand coordination, pushing and pulling, ability to hear and respond to pages; ability to read and write; ability to communicate both verbally and in writing with residents, families, personnel, vendors and consultants; ability to remain calm under stress; ability to distinguish smells, tastes and temperatures.
Work Experience: At least 2 years of experience as a COTA (Certified Occupational Therapy Assistant) If you are seeking a position as a Certified Occupational Therapy Assistant and would like to work with an agency that will listen to your needs and career goals, then Focus Staff is the right place to be. We are proud of our ability to build relationships with all our healthcare professionals, whether you are seeking Travel assignments, PRN work or Permanent Placed positions. Responsibilities:
Provides patient care as an Occupational Therapy Assistant to patients in assigned facility (or facilities).
Assist patients under direction of an Occupational Therapist to maximize their potential in activities of daily living including areas of self-care, meal time skills, and manipulation skills
Constructs adaptive equipment, self-help devices as recommended by OT
Assists OT to instruct and educate patients and families for home care and carry over.
Properly and accurately documents/charts observations and other data related to the clinical condition of the patient.
Delivers age appropriate care for the patient population.
Attends and participates in continuing education programs to monitor proficiency, expand current knowledge and enhance professional excellence. Willingly shares knowledge and provides clinical orientation to other members of the staff.
Job Type: Contract/Temporary/Travel
Location: Sierra Vista, AZ If You have a Passion for Certified Occupational Therapy, Apply Today and a Recruiter will guide you through the Process.
Join our VIP team of Traveling Professionals! Traveling COTA, Certified Occupational Therapy Assistant, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. Tier14
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
TIRR Memorial Hermann, a leader in rehabilitation does more than provide therapy. We provide rehabilitation beyond the healthcare setting for children and adults with a disabling injury or illness and change lies by helping people regain the skills and confidence they need to re-integrate into the community and continue loving full and meaningful lives. Our highly trained rehabilitation teams see the potential in every person they work with and develop that potential to the fullest customize goal, setting in treatment planning we work to maximize independence, restore function, and improve the quality of life for our patients to achieve these goals. Founded in 1959, TIRR Memorial Hermann is a not-for-profit rehabilitation hospital serving the needs of adults and pediatric patients who have sustained life-altering injuries or illnesses. TIRR Memorial Hermann is located in Houston, TX in the Texas Medical Center and is known for its excellence in research and treatment for traumatic brain injury, stroke, spinal cord injury, amputations, cancer rehabilitation and other neurological diseases and disorders. Additionally, the Memorial Hermann Rehabilitation Network, affiliated with TIRR Memorial Hermann, includes two inpatient rehabilitation hospitals, five inpatient rehabilitation units within the Memorial Hermann Health System, eight outpatient rehabilitation centers and one outpatient medical clinic. For the more than 36 years, TIRR Memorial Hermann has been recognized among America’s best rehabilitation hospitals. Continuously topping the list in Texas and ranking No. 2 in the nation according to U.S. News and World Report's "Best Rehabilitation Hospitals” in America for 2 Learn more at /TIRR. This position is responsible for the effective management of selected ancillary operations as well as Nursing and Patient Care services within a specific acute care hospital of Memorial Hermann. Responsibilities include direction and decision-making, financial performance, compliance with regulatory agencies, patient satisfaction, productivity and the promotion of Partners-In-Caring, while ensuring maximum efficiency and effectiveness. Additionally, this position is responsible for promoting positive relations among the medical staff and hospital personnel, and assumes responsibility for hospital administration, along with other Executives, in the absence of the CEO. The incumbent also participates in system-wide initiatives to promote efficiencies and cooperation across system divisions. This position also serves as the Chief Nursing Officer and is responsible for the effective management of operations within a specific Memorial Hermann facility. Job DescriptionMinimum Qualifications
Education: Master’s degree in an applicable area of study is required. If Master’s degree is not in Nursing, a Bachelor’s degree or Doctoral degree in Nursing is required.
Licenses/Certifications: Licensed as a Registered Nurse in the State of Texas
Experience / Knowledge / Skills:
12 years of progressive nursing experience required
Eight (8) years of management/leadership experience required
Principal Accountabilities
Partners-in-Caring
Demonstrates commitment to the Partners-in-Caring philosophy and the Memorial Hermann behavioral expectations in all interactions and in performing all job duties. Serves as a positive role model to others at all levels of the organization, and ensures compliance with the Partners-in-Caring philosophy.
Personnel Management
Acts as a resource and advisor to directors, managers and supervisors; assists with planning, organizing and directing patient care.
Evaluates his/her own performance based on professional practice standards, relevant regulations and organizational criteria.
Maintains current knowledge in administrative practices.
Remains visible and available for consultation as needed (i.e. staffing, employee satisfaction, turnover rate, competent staff and team).
Financial Management
Coordinates and directs budget preparation for achievement of financial and operational goals for the hospital and for the division of nursing.
Assures operations of areas of accountability meet or exceed budget projects.
Customer Service
Ensures operations of areas of accountability meet or exceed customer and physician satisfaction.
Ensures that personnel will adhere to the Memorial Hermann Behavioral Expectations; reviews opinion surveys and comments/complaints and summaries to identify opportunities to improve patient services and to resolve problems; maintains a high reputation for both the department and the hospital.
Strategic Planning
Develops, maintains and evaluates organizational systems that support the implementation of strategic plans for the hospital and for the division of nursing.
Evaluates organizational systems to facilitate the delivery of nursing care.
Stays up-to-date on new developments in healthcare and looks for business development areas as well as for opportunities for new patient care services.
Medical Staff Relations
Remains visible and available to physicians and medical directors, and seeks input and feedback on hospital matters, especially planning of services, medical staff bylaws, as well as policy and procedure changes. Attends medical staff meetings to ensure effective communication throughout the hospital. Provides rapid response and follow-up to medical staff issues; greets new physicians and orients them to hospital operations; seeks ways to encourage physicians to utilize hospital services.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
Summary:
Demonstrates proficiency and independence in the care of patients and their families/significant others by applying and documenting the nursing process, assessment, nursing diagnosis, planning, implementation, and evaluation. Consults with staff, physicians and management on nursing problems and interpretation of hospital policies to ensure patient needs are met. Continues to learn new skills and maintains clinical competency within the department to provide direct and safe patient care.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Promotes positive public relations for the department and the hospital by presenting self in a professional manner;
assisting in community service programs, as requested. - Ability to problem solve patient/family issues to a positive conclusion for all involved.
- Demonstrates communication skills necessary to interact with persons of varying age and/or cultures. Always displays a positive attitude.
- Develops and maintains good relationships with co-workers, other department staff and physicians No disruptions.
- Practices five rights of medication administration.
- Demonstrates efficient time management skills to maximize productivity.
- Demonstrates and encourages teamwork.
- Asks for assistance and information from others when necessary.
- Support the Mission and Philosophy of the hospital and the Department. Demonstrates an understanding of and complies with Policies & Procedures.
- Supports a nursing philosophy of caring.
- Acts as patient advocate, including family in patient's care and respecting confidentiality.
- Able to set aside personal values to care for patients whose values conflict.
- Respects the patient's cultural and religious beliefs.
- Effectively deals with end-of-life decisions (code status).
- Can be relied upon to work assigned shifts. (Refers to absenteeism).
- Is accountable for actions, behaviors, and decisions.
- Utilizes chain of command appropriately to resolve issues.
- Participates in hospital quality activities as required.
- Participates in department quality activities as required.
- The employee will adhere to organizational/-departmental customer service standards.
- Utilizes Policies & Procedures as necessary and can access via Intranet.
- Participates in yearly legal compliance training.
- Explains departmental chain of command.
- Explains purpose of Legal Compliance Hotline and utilizes if indicated.
- Participates in departmental Legal Compliance plan.
- Attended Orientation/Re-Orientation.
- Completed Annual Department Competencies.
- Promotes positive public relations for the department and the hospital.
- Presents self in a professional manner;
assists in community service programs as requested. - Demonstrates communication skills necessary to interact with persons of varying age and/or cultures.
- Answers telephone as assigned, route calls or takes messages appropriately.
- Supports the Mission and Philosophy of the hospital and the Department. Demonstrates an understanding and application of these policies.
- Respects confidentiality.
- Ability to speak additional languages preferred.
- Must have strong written and verbal skills.
- Must have basic computer knowledge. Job Requirements:
Education/Skills- Bachelor of Science Degree in Nursing, preferred
Experience
- 1 year of experience in the related nursing specialty preferred
Licenses, Registrations, or Certifications
- BLS required
- RN License in state of employment required
- ACLS required
- PALS required
- Verbal CPI hire required
Work Type:
Per Diem As Needed
Summary:
Coordinate and perform diagnostic medical imaging procedures for the Department of Ultrasound, assisting the Radiologist utilizing a variety of diagnostic ultrasound equipment, both fixed and mobile.
CHRISTUS Santa Rosa Hospital – San Marcos, which originated in 1923 as Hays County Soldiers, Sailors and Marines Memorial Hospital, opened at its current Wonder World Drive location in 1983. Our staff of more than 700 Associates works with more than 300 active and consulting physicians to provide quality services to patients and their families. For more than 20 consecutive years, we have been named The Best Hospital in Hays County in the annual "Best of Hays" publication released by the San Marcos Daily Record. In addition to interventional cardiac services, CHRISTUS Santa Rosa Hospital – San Marcos is a Certified Chest Pain Center and an accredited Primary Stroke Center. We lead the region in da Vinci robotic-assisted surgery and offers a variety of specialty care services including medical imaging, rehabilitation, hospice, women's services and more.
Responsibilities:
Perform a variety of high-quality ultrasound procedures including all vascular studies under minimal supervision utilizing diagnostic ultrasound imaging equipment.
Documents calibration procedures for individual imaging equipment.
Coordinates, organizes, plans and makes quick decisions on emergent cases; evaluates and acts to maintain efficiency and maximize productivity.
Assists the Radiologist in performing invasive biopsy procedures using the Ultrasound system to pinpoint exact anatomical location(s) of a specified diseased area for specimen evaluation and diagnosis.
Perform all vascular ultrasound exams requested.
Ensures that all procedures are accurately charged and that all charges are turned in at the end of the day for correct billing.
Ensures that the Ultrasound room is adequately supplied, check equipment and computer status for readiness, reports any problems that could change the workflow and make sure corrective actions are taken to ensure of workflow continuity.
Demonstrates competence to perform assigned patient care responsibilities in a way that meets the age-specific and developmental needs of persons served by the department.
Appropriately adapts assigned patient assessment to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each person served.
Demonstrates adherence to the Core Values of CHRISTUS Santa Rosa Health Care.
Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.
Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
Demonstrates adherence to the CORE values of Santa Rosa Health Care.
Performs other duties as assigned.
Requirements:
Education/Skills
Graduate of AMA approved School of Radiological Sciences, Ultrasound Technology, or other accepted and approved equivalent.
Experience
One (1) year of experience in a clinical ultrasound setting is preferred.
Prefer one (1) year of experience performing the following exams:
Carotid Arteries
Upper Extremity veins
Lower Extremity veins
Upper Extremity arteries
Lower Extremity arteries
Abdominal Aorta
Aortic Hepatic and Porta flow systems
PW or CW insonation of cerebral arteries transcranially, and peripheral arteries.
Knowledge of plethysmography for arterial and venous circulation evaluation.
Licenses, Registrations, or Certifications
Registered Vascular Specialist (RVS) or Registered Vascular Technologist (RVT) is required.
Registration by the credentialing bodies for Ultrasound Technologists is Required
American Registry of Diagnostic Sonographers (ARDMS), Cardiovascular Credentialing International (CCI), or American Registry of Radiologic Technologist (ultrasound) is Required
BLS is required
Work Schedule:
Varies
Work Type:
Full Time
Practice will remain within the scope delineated by education/training.
The NP provides care and treatment, including routine care to adolescents and children, in accordance with health center policies and protocols.
The NP is responsible for participating in development, execution of and periodic review of the written policies governing the services which the health center provides.
The NP, in conjunction with the Medical Director, participates in the periodic review of the patient's health records under his/her care.
The NP arranges for or refers patients to needed services that cannot be provided at the health center.
The NP assures that adequate patient health records are maintained and transferred as required when patients are referred to other providers.
Responsibilities: Provides primary health care in school setting.
Elicits pertinent medical and psycho-social history including patient profile, chief complaint, and history of present illness, past medical history, social history and review of body systems.
Performs a physical examination as pertinent, modifying the examination for the nature of the complaint or problem, age/sex of patient and physical / mental condition of the student.
Orders and /or perform laboratory, x-ray and diagnostic studies appropriate for complaint, age, race, sex and physical condition of student.
Documents in the medical record according to policy and procedure.
Allows for privacy and modesty in the provision of care.
Completes medical evaluation forms including sports physicals and medical home physicals on qualifying students.
Differentiates between normal and abnormal (including variations of normal) information obtained from history, physical and screening examination of the adolescents and pediatric patients.
Develops preliminary interpretation of diagnostic test and other data results, (history, physical, laboratory, and x-ray studies) with impression as to severity, etiology and immediacy of patient's problem.
Develops plan of care for students with follow up and referrals as needed.
Applies established therapeutic practices to patient's problem within the scope of practice demonstrating sound clinical judgement in decision-making.
Administers / prescribes medications as needed.
Initiates appropriate management for emergency situations until EMS is available.
Provides education/training of patient/family member.
Develops a health management plan considering patient's problem, age, sex, race and condition and involve patient's family as appropriate.
Identifies and documents patient/family educational needs upon initial assessment.
Identifies barriers to learning.
Provides teaching based on identified needs.
(cultural, ethnic factors, functional) Evaluates the effectiveness of instruction provided.
Advocates on behalf of students concerning physical health issues between parent, physician, and community.
Demonstrates knowledge of NP specific policies and procedures and the ability to safely and competently perform quality patient care.
Maintains continuing education as need for licensure.
Attends hospital-wide and school-based health in-services to maintain and increase knowledge of related issues.
Demonstrates knowledge of policies, manuals, and chain of communications.
Obtains necessary training prior to initial procedure/equipment use.
Assures equipment is in operating order prior to use, adhering to operating guidelines and differentiates between patient complications and equipment malfunction.
Provides supervision for RN in Center.
Conducts chart review of RNs maintaining scheduling and forms.
Conducts annual department competencies checklist with RN.
Orientates RN to new skills.
Provides care in the health center when RN is absent.
Available to RN by telephone for consultation when not on site.
Requirements: Master of Science in Nursing Minimum one year of experience preferred APRN License in state of employment RN License in state of employment or compact BLS Work Schedule: 5 Days
- 8 Hours Work Type: Full Time
Practice will remain within the scope delineated by education/training.
The NP provides care and treatment, including routine care to adolescents and children, in accordance with health center policies and protocols.
The NP is responsible for participating in development, execution of and periodic review of the written policies governing the services which the health center provides.
The NP, in conjunction with the Medical Director, participates in the periodic review of the patient's health records under his/her care.
The NP arranges for or refers patients to needed services that cannot be provided at the health center.
The NP assures that adequate patient health records are maintained and transferred as required when patients are referred to other providers.
Responsibilities: Provides primary health care in school setting.
Elicits pertinent medical and psycho-social history including patient profile, chief complaint, and history of present illness, past medical history, social history and review of body systems.
Performs a physical examination as pertinent, modifying the examination for the nature of the complaint or problem, age/sex of patient and physical / mental condition of the student.
Orders and /or perform laboratory, x-ray and diagnostic studies appropriate for complaint, age, race, sex and physical condition of student.
Documents in the medical record according to policy and procedure.
Allows for privacy and modesty in the provision of care.
Completes medical evaluation forms including sports physicals and medical home physicals on qualifying students.
Differentiates between normal and abnormal (including variations of normal) information obtained from history, physical and screening examination of the adolescents and pediatric patients.
Develops preliminary interpretation of diagnostic test and other data results, (history, physical, laboratory, and x-ray studies) with impression as to severity, etiology and immediacy of patient's problem.
Develops plan of care for students with follow up and referrals as needed.
Applies established therapeutic practices to patient's problem within the scope of practice demonstrating sound clinical judgement in decision-making.
Administers / prescribes medications as needed.
Initiates appropriate management for emergency situations until EMS is available.
Provides education/training of patient/family member.
Develops a health management plan considering patient's problem, age, sex, race and condition and involve patient's family as appropriate.
Identifies and documents patient/family educational needs upon initial assessment.
Identifies barriers to learning.
Provides teaching based on identified needs.
(cultural, ethnic factors, functional) Evaluates the effectiveness of instruction provided.
Advocates on behalf of students concerning physical health issues between parent, physician, and community.
Demonstrates knowledge of NP specific policies and procedures and the ability to safely and competently perform quality patient care.
Maintains continuing education as need for licensure.
Attends hospital-wide and school-based health in-services to maintain and increase knowledge of related issues.
Demonstrates knowledge of policies, manuals, and chain of communications.
Obtains necessary training prior to initial procedure/equipment use.
Assures equipment is in operating order prior to use, adhering to operating guidelines and differentiates between patient complications and equipment malfunction.
Provides supervision for RN in Center.
Conducts chart review of RNs maintaining scheduling and forms.
Conducts annual department competencies checklist with RN.
Orientates RN to new skills.
Provides care in the health center when RN is absent.
Available to RN by telephone for consultation when not on site.
Requirements: Master of Science in Nursing Minimum one year of experience preferred APRN License in state of employment RN License in state of employment or compact BLS Work Schedule: 5 Days
- 8 Hours Work Type: Full Time
Summary:
Coordinate and perform diagnostic medical imaging procedures for the Department of Ultrasound, assisting the Radiologist utilizing a variety of diagnostic ultrasound equipment, both fixed and mobile.
CHRISTUS Santa Rosa Hospital – San Marcos, which originated in 1923 as Hays County Soldiers, Sailors and Marines Memorial Hospital, opened at its current Wonder World Drive location in 1983. Our staff of more than 700 Associates works with more than 300 active and consulting physicians to provide quality services to patients and their families. For more than 20 consecutive years, we have been named The Best Hospital in Hays County in the annual "Best of Hays" publication released by the San Marcos Daily Record. In addition to interventional cardiac services, CHRISTUS Santa Rosa Hospital – San Marcos is a Certified Chest Pain Center and an accredited Primary Stroke Center. We lead the region in da Vinci robotic-assisted surgery and offers a variety of specialty care services including medical imaging, rehabilitation, hospice, women's services and more.
Responsibilities:
Perform a variety of high-quality ultrasound procedures including all vascular studies under minimal supervision utilizing diagnostic ultrasound imaging equipment.
Documents calibration procedures for individual imaging equipment.
Coordinates, organizes, plans and makes quick decisions on emergent cases; evaluates and acts to maintain efficiency and maximize productivity.
Assists the Radiologist in performing invasive biopsy procedures using the Ultrasound system to pinpoint exact anatomical location(s) of a specified diseased area for specimen evaluation and diagnosis.
Perform all vascular ultrasound exams requested.
Ensures that all procedures are accurately charged and that all charges are turned in at the end of the day for correct billing.
Ensures that the Ultrasound room is adequately supplied, check equipment and computer status for readiness, reports any problems that could change the workflow and make sure corrective actions are taken to ensure of workflow continuity.
Demonstrates competence to perform assigned patient care responsibilities in a way that meets the age-specific and developmental needs of persons served by the department.
Appropriately adapts assigned patient assessment to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each person served.
Demonstrates adherence to the Core Values of CHRISTUS Santa Rosa Health Care.
Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.
Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
Demonstrates adherence to the CORE values of Santa Rosa Health Care.
Performs other duties as assigned.
Requirements:
Education/Skills
Graduate of AMA approved School of Radiological Sciences, Ultrasound Technology, or other accepted and approved equivalent.
Experience
One (1) year of experience in a clinical ultrasound setting is preferred.
Prefer one (1) year of experience performing the following exams:
Carotid Arteries
Upper Extremity veins
Lower Extremity veins
Upper Extremity arteries
Lower Extremity arteries
Abdominal Aorta
Aortic Hepatic and Porta flow systems
PW or CW insonation of cerebral arteries transcranially, and peripheral arteries.
Knowledge of plethysmography for arterial and venous circulation evaluation.
Licenses, Registrations, or Certifications
Registered Vascular Specialist (RVS) or Registered Vascular Technologist (RVT) is required.
Registration by the credentialing bodies for Ultrasound Technologists is Required
American Registry of Diagnostic Sonographers (ARDMS), Cardiovascular Credentialing International (CCI), or American Registry of Radiologic Technologist (ultrasound) is Required
BLS is required
Work Schedule:
Varies
Work Type:
Full Time
CHRISTUS Spohn Hospital Beeville is designated by the Texas Department of Health as a Level IV Trauma Center, providing24 hour emergency and intensive care services for critically ill or injured patients, and stabilizing some16,500 patients in the ER each year. CHRISTUS Spohn Hospital Beeville offers Emergency Services, Intensive Care, Medical Surgical Services, Obstetrics, Surgical Services, Critical Care, and Rehabilitation Services. The hospital has three operating rooms; eight same-day surgery rooms; two endoscopy rooms; an expanded recovery area; new cardiopulmonary service area and an expanded outpatient services wing. Women’s Services includes nine birthing suites and a full service nursery, with access to a level III Neonatal Intensive Care Unit.
Summary:
All pharmacists fill orders for drugs, monitor patient drug therapies and provide drug information. Pharmacists provide pharmacy services with compassion, excellence, and efficiency.
Responsibilities:
~ Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Operational Duties and Responsibilities
Prepares and dispenses drug orders per physician request according to established policies, procedures, and protocols.
Interprets drug orders (verbal and written) and transcribes/verifies into computerized patient medication record accurately. Maintains, accurate, complete patient drug record.
Compounds and dispenses pharmaceuticals including non-sterile and sterile products, chemotherapy and parenteral nutrition products accurately.
Issues controlled substances to patient care areas and maintains records as required by law and institutional policies.
Provides services efficiently and in a timely fashion.
Maintains current pharmacist license. Ensures applicable CE records and licensure are maintained in department files. Attends staff meetings.
Completes all competency/skills assessment requirements.
Supervises and directs pharmacy support personnel. Verifies the daily activities of pharmacy technicians
Ambulatory care Pharmacist: Provides ambulatory pharmaceutical care services utilizing approved protocols and/or collaborative agreement with other providers, including managing patient drug therapy, anticoagulation management, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications. Performs duties in the clinical areas assigned such as but not limited to anticoagulation clinics, intensive medical home, transition of care, Discharge Medication reconciliation, etc.
Clinical Duties and Responsibilities
Ensures safe, appropriate, cost-effective drug therapies for patients according to established policies, procedures, and protocols.
Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose.
Assists with pharmacokinetics consult service and renal drug dosing per hospital protocol.
Reads, extracts, and interprets information in patient medical records accurately.
Detects and reports suspected adverse drug reactions accurately and in a timely manner.
Sustains the hospital drug formulary, minimizing non-formulary procurements, utilizing therapeutic substitution protocols, and promoting rational drug therapy selection.
Provides clinical consultation and clarification to practitioners as appropriate.
Provides accurate, adequate, and timely drug information to the hospital’s professional staff.
Provides drug education to patients and their families per institutional protocol.
Participates in the quality improvement and medication use review activities of the department. Collects data, conducts monitors and inspections, and maintains logs, records and other documentation as assigned.
Conducts designated interventions as defined in department Clinical Intervention activities (IV to PO, Renal Dosing, Pharmacokinetic dosing support, Anticoagulation). Baseline departmental standards for reporting interventions for clinical productivity as defined by departmental goals.
Participates in antibiotic stewardship, opioid stewardship, and shortage management activities as assigned.
Attends interdisciplinary rounds when assigned.
Provides services efficiently and in a timely fashion.
Occupational Hazards
Potential for exposure to hazardous and toxic substances (including chemotherapeutic, cytotoxic drugs and cleaning solutions), sticks or cuts by needles and other sharp items.
Risk 0 exposure category.
Potential for musculoskeletal injuries if proper lifting and carrying techniques are not used.
Potential exposure to biologic material when participating in direct patient care activities (e.g., patient education, code attendance).
Job Requirements:
Education/Skills
~ Doctor of Pharmacy or BS Pharmacy degree required
Experience
~ Hospital experience preferred
Licenses, Registrations, or Certifications
Pharmacy state licensure required within 60 days of start date
BLS or ACLS is required
PALS (for pediatric practice) is required
In 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:
8AM - 5PM Monday-Friday
Work Type:
Full Time