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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
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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.
Work Shift
Day (United States of America)
Clinical Dietitian
Full Time -
8:30 am - 5:30 pm
Great Benefits!
Practices as a member of the interdisciplinary health care team responsible for the provision of medical nutrition therapy. Fosters continuity of the Nutrition Care Process across all phases of the continuum of care as recommended by the Academy of Nutrition and Dietetics. Performs nutrition assessment for patients identified to be at nutrition risk based on criteria outlined by the hospital and best practice standards. Calculates metabolic nutrient requirements according to the age and disease specific needs of patients. Performs nutrition focused physical exam to further evaluate risk of malnutrition as indicated. Develops a nutrition diagnosis as appropriate and consistent with the Nutrition Care Process. Creates and implements a nutrition intervention and care plan for all patients with a nutrition diagnosis. Continuously evaluates and monitors the effectiveness and outcomes of medical nutrition therapy intervention. Provides nutrition education to patients, family, and/or members of the health care team on recommended nutrition intervention(s) to accomplish nutrition goals; which may include, but is not limited to any of the following topics: specialized diet, enteral/oral medical nutrition supplements, food selections, eating behaviors, and community nutrition resources. Manages the delivery of nutrition care services according to the site of care assigned. Participates in performance improvement and research activities. Mentors dietetic interns/diet technicians. Actively assess, evaluates and maintains professional development and competencies outlined in the position description.
Core Responsibilities and Essential Functions:
Provide medical nutrition therapy according to system policy and A.N.D. Nutrition Care Process practice
standards
* Utilizes the Nutrition Care Process and WellStar Nutrition Care Policies when assessing patients
* Responsible for nutrition screen, assessment, diagnosis, intervention, and monitoring/evaluation of identified at risk patients
* Apply psycho-social, age appropriate, evidence-based nutrition care
* Document all patient encounters in the health care record in accordance with hospital and department policies and procedures
* Identify, monitor, and evaluate enteral nutrition support regimens. Manage enteral nutrition support under the supervision of medical staff
* Develop and implements transitional feeding plans
* Perform Nutrition Focused Physical Exams to evaluate malnutrition severity as appropriate
* Assess patients learning needs, barriers to learning, preferred learning styles and educational level and provides nutrition education accordingly
* Utilizes community resources through the continuum of care to foster positive patient outcomes
Develops, implements, and promotes quality services based on client expectation and needs.
* Collaborates with patient and/or family member, and health care team to assess nutrition and education needs of patients.
* Provides services and establishes goals based on the identified needs of patients and/or family members.
* Applies knowledge and skills in developing, implementing and maintaining nutrition care plans
* Continuously evaluates nutrition care processes and patient outcomes and implements quality practice by following system policies, procedures, and evidenced based research
* Provides care according to organizational ethics, licensure and Standards of Professional Practice for Dietetics Professionals
* Applies Joint Commission and/or regulatory standards in the provision of nutrition care
* Utilized patient experience and empathy skills when interacting with patients and family members
* Participates in multidisciplinary rounds, appropriate committees, and team member huddles
Locates, reviews, and utilizes best practice research findings for their application in optimally managing a disease or condition and improving patient outcomes.
* Bases clinical practice on sound scientific principles, current research and theory
* Shares and reports research and patient outcomes utilizing various media
* Demonstrates knowledge related to clinical practice.
* Communicates sound scientific principles, research, and theory to health care team members and dietetic interns in optimally managing patients' care
* Shares knowledge and expertise with dietetic interns, patients, family members and health care team members
* Documents understanding of relevant information and results of communication with dietetic interns/technicians/patients/families and healthcare team members
* Contributes to the development of new knowledge and services
* Seeks out information effectively and independently to provide effective services
Systematically evaluates the quality and effectiveness of practice and revises practice as needed to incorporate results of evaluation.
* Participates in and identifies performance improvement criteria for nutrition care by completing peer chart audits as assigned and reviewing with their nutrition leader
* Continuously evaluates and refines service based on measurable outcomes by keeping a productivity log
* Identifies expected outcomes of patient care
* Participates in quality improvement initiatives and projects
Engages in lifelong self-development to improve knowledge and skills that promote continued competence.
* Conducts yearly self-assessment to identify professional strengths and weaknesses
* Identifies needs for professional development and mentors dietetic interns
* Documents professional development activities according to system policies
Engage in continuous learning opportunities to further develop skills and capabilities in application technical and functional areas
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Required Minimum Education:
Bachelors Dietetics or Bachelors Nutrition
Other / Certificate Dietetics or Other / Certificate Nutrition
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor or BLS-P - Basic Life Support-Provisional (30 Days) within 30 Days
LD - Lic Dietician or LD-P - Lic Dietician - Provisional (180 Days) within 180 Days
RD - Registered Dietician or RDN - Reg Dietician Nutritionist or RDN-P - Reg Dietician Nutritionist - Provisional (180 Days) within 180 Days
Additional License(s) and Certification(s):
Required Minimum Experience:
One to two years clinical experience Preferred and Completion of a supervised practice didactic program accredited by the Accreditation Counsel for Education in Nutrition and Dietetics (ACEND)
Required Minimum Skills:
Excellent interpersonal, customer service, verbal and written communication skills.
Knowledge of best practices in clinical nutrition and the dietetics profession.
Knowledge of N
MEP Project Engineer
Location Dallas,TX
Full Time
Required Skills and Qualifications
Educational Background: Bachelor’s degree in Engineering (Mechanical, Civil, Electrical, or related fields),.
Experience: Typically 5+ years in project engineering or a related field.
Technical Proficiency: Knowledge of engineering principles, project management software (e.g., MS Project, AutoCAD), and technical problem-solving.
Key Responsibilities
Project Engineers are responsible for managing the technical and engineering aspects of projects from conception to completion. Their duties typically include:
Project Planning and Coordination: Develop detailed project plans, including scope, goals, deliverables, timelines, and resource allocation, and sequence project stages to ensure smooth execution.
Team Management: Delegate tasks to engineers, contractors, and other team members based on skills and experience, and facilitate communication across cross-functional teams.
Budget and Resource Management: Prepare and manage project budgets, track costs, and make adjustments as needed to stay within financial constraints.
Technical Oversight: Provide engineering expertise, solve technical problems, conduct site inspections, and ensure compliance with industry standards, regulations, and company quality guidelines.
Documentation and Reporting: Maintain thorough records of project activities, including plans, designs, reports, and updates, and communicate progress to stakeholders and management.
Risk Management: Identify potential risks, develop mitigation strategies, and troubleshoot design or product issues to keep projects on track.
Project Completion: Participate in final testing, commissioning, and handover processes to ensure successful project delivery.
Summary:
The competent Nurse, in the Medsurg or Telemetry clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
*This is a PREMIUM PAY position.*
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Meets expectations for flexibility of assignment within the ministry.
Proactively provide assignment availability on a regular basis.
Able to be assigned to more than one unit.
Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
Documents patient history, symptoms, medication, and care given.
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
CORE COMPETENCIES
Standard I: Utilizes the Nursing Process
Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
Communicates findings to appropriate healthcare team members.
Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals.
Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
Performs timely reassessment and documentation.
Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.
Standard II. Patient Throughput & Patient Flow Process
Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
Utilizes appropriate systems of communication and tools to facilitate the discharge process.
Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.
Standard III. Unit Operations
Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
Demonstrates good stewardship in proper use and maintenance of equipment and Supplies.
Assesses departmental staffing needs; actively participates in resourcing efforts.
Educates and trains others on the operations, ethics, and regulations within the industry.
Standard IV. Safe Practice/Quality Care/Regulations
Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
Demonstrates accountability for nursing research and quality improvement activities.
Provides evidence-based nursing care.
Communicates patient information effectively across the continuum of care.
Educates and trains others on the operations, ethics, and regulations within the industry.
Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.
TECHNICAL COMPETENCIES
Clinical Policies and Standards
Follows a specific set of standards and associated clinical procedures.
Analyzes policy and standards documentation and ensures organizational compliance.
Provides feedback for improvement of procedures.
Assists in the development and implementation of specific procedures.
Works with control and monitoring mechanisms, tools and techniques.
Health Information Documentation
Shares experiences with maintaining paper and electronic patient documentation.
Walk through the steps and procedures for receiving, validating and updating patient records.
Describes the flow of information between various stations or units.
Discusses the functions, features and document flow of electronic documentation.
Transcribes verbal orders; explains techniques forensuring their accuracy.
Explains health information documentation best practices and their rationale across health care practices.
Medical Equipment
Describes experience with basic medical equipment used in own unit or facility.
Uses standard diagnostic tools and techniques to resolves common equipment problems.
Educates patients about the appropriate use of home medical equipment.
Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety.
Inspects, troubleshoots and evaluates incoming equipment.
Medical Order Processing
Shares experiences with processing medical orders for one or more groups of patients or conditions.
Describes functions and features of the system used to enter, validate, update and forward medical orders.
Discusses common errors, their sources and procedures for correcting.
Explains considerations for entering and following standing orders.
Differentiates between standing orders and preprinted orders and considerations for each.
Patient Chart Reading and Interpretation
Describes experiences in reading and interpreting patient charts for patients on unit and under own care.
Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions.
Recognizes unexpected readings and alerts nursing or medical staff.
Relates examples of mis-readings or misinterpretations and lessons learned.
Reviews, discusses and validates own interpretation with others.
Patient Safety
Shares experiences with ensuring safety for one or more patient groups or settings.
Explains key features of safety guidelines and procedures for those groups and settings.
Listens and responds to safety inquiries from patients and family members.
Recognizes and addresses physiological and psychological signs of problems.
Describes considerations for patients who can cause to harm to self, versus harm to others.
Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.
Job Requirements:
Education/Skills
~ Bachelor of Science Degree in Nursing, preferred
Experience
~ Minimum of 2 years of combined experience required in Medsurg and Telemetry
~5 years of experience preferred
Licenses, Registrations, or Certifications
BLS required
ACLS required
RN License in the state of employment or compact required
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
Summary:
A professional who assesses, plans, implements, coordinates, monitors, and evaluates patient care activities. He/she has clinical and/or functional knowledge of the position for which they are accountable either directly or indirectly through delegation of tasks. Incumbent is accountable to the Administrative Team. Collaborates with other Clinical Associates to meet individual needs using communication and available resources to promote quality, cost effective care.
Responsibilities:
- Documents initial evaluations, progress notes, treatments administered, and discharge summaries according to established departmental policies, procedures, and goals in all practice settings as appropriate.
- Responsible for patient evaluation delivering treatment to referred patients by clinical protocols resulting in patient satisfaction. Notifies physician of evaluation and patient progress as appropriate. Identifies barriers to patient and physician satisfaction and assists with improving entire process.
- Responsible for coordinating and implementing optimal patient care within assigned caseload in an efficient, cost-effective manner. Associate delegates treatments and tasks appropriately and makes suggestions for improvement in skill mix and patient care delivery including demonstrating cross training and flexibility with scheduling
- Responsible for charge entry including accurate documentation of treatment and equipment given utilizing appropriate unit/minute guidelines. Enters charges timely on PTR or in computer and turns charges in on a daily basis.
- Responsible for communicating effectively with all members of the health care team including patient, family, and physicians and identifies barriers to effective communication and teamwork.
- Develops, educates, and instructs patient on safe and appropriate exercises during treatment sessions. Provides written home exercise program instruction and ensures patient understanding.
- Responsible for promoting educational growth by attending appropriate educational in-services and meetings. Contributes to the education of co-workers, students, and/or community by developing or presenting educational materials.
- Responsible for preparing patient and family for discharge. Makes appropriate plans and
- Recommendations involving continuum of care. Ensures resources are in place prior to patient discharge. Attends patient case conferences and/or completes appropriate paperwork in a timely manner.
- Associate performs clinical skills accurately and professionally in assigned area. Associate is recognized for a specialized level of therapy services and assists with program development and marketing to physicians.
- Associate cleans completely after each patient or delegates task and ensures completion. Associate identifies environment of care concerns and seeks resolution. Associate assists with overall cleanliness of department.
- Maintain licensure and/or certification(s) required for the position, without lapse.
- Drives personal and/or CHRISTUS vehicles according to policies and procedures while on approved/official business.
- Attends meetings as required.
Requirements:
- Master’s Degree required
- Current Louisiana OT License required
- BLS provider certification required
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Summary:
The competent Nurse, in the Medsurg or Telemetry clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Meets expectations for flexibility of assignment within the ministry.
- Proactively provide assignment availability on a regular basis.
- Able to be assigned to more than one unit.
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
- Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
- Using the appropriate protocol, administers medications and treatments;
monitors for side-effects and effectiveness of the treatment prescribed. - Documents patient history, symptoms, medication, and care given.
- Assess learning needs and provides education to patients, family members and/or care givers;
identify issues and resources.
CORE COMPETENCIES
Standard I: Utilizes the Nursing Process
- Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
- Communicates findings to appropriate healthcare team members.
- Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
- Implements patient care and therapeutic procedures;
monitors and documents progression of treatment and teaching goals. - Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
- Performs timely reassessment and documentation.
- Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.
Standard II. Patient Throughput & Patient Flow Process
- Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
- Utilizes appropriate systems of communication and tools to facilitate the discharge process.
- Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.
Standard III. Unit Operations
- Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
- Demonstrates good stewardship in proper use and maintenance of equipment and Supplies.
- Assesses departmental staffing needs;
actively participates in resourcing efforts. - Educates and trains others on the operations, ethics, and regulations within the industry.
Standard IV. Safe Practice/Quality Care/Regulations
- Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
- Demonstrates accountability for nursing research and quality improvement activities.
- Provides evidence-based nursing care.
- Communicates patient information effectively across the continuum of care.
- Educates and trains others on the operations, ethics, and regulations within the industry.
- Knowledge of federal, state and local healthcare-related laws and regulations;
ability to comply with these in healthcare practices and activities.
TECHNICAL COMPETENCIES
Clinical Policies and Standards
- Follows a specific set of standards and associated clinical procedures.
- Analyzes policy and standards documentation and ensures organizational compliance.
- Provides feedback for improvement of procedures.
- Assists in the development and implementation of specific procedures.
- Works with control and monitoring mechanisms, tools and techniques.
Health Information Documentation
- Shares experiences with maintaining paper and electronic patient documentation.
- Walk through the steps and procedures for receiving, validating and updating patient records.
- Describes the flow of information between various stations or units.
- Discusses the functions, features and document flow of electronic documentation.
- Transcribes verbal orders;
explains techniques forensuring their accuracy. - Explains health information documentation best practices and their rationale across health care practices.
Medical Equipment
- Describes experience with basic medical equipment used in own unit or facility.
- Uses standard diagnostic tools and techniques to resolves common equipment problems.
- Educates patients about the appropriate use of home medical equipment.
- Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety.
- Inspects, troubleshoots and evaluates incoming equipment.
Medical Order Processing
- Shares experiences with processing medical orders for one or more groups of patients or conditions.
- Describes functions and features of the system used to enter, validate, update and forward medical orders.
- Discusses common errors, their sources and procedures for correcting.
- Explains considerations for entering and following standing orders.
- Differentiates between standing orders and preprinted orders and considerations for each.
Patient Chart Reading and Interpretation
- Describes experiences in reading and interpreting patient charts for patients on unit and under own care.
- Reviews patients’ charts for completion and accuracy;
identifies and alerts to mistakes or omissions. - Recognizes unexpected readings and alerts nursing or medical staff.
- Relates examples of mis-readings or misinterpretations and lessons learned.
- Reviews, discusses and validates own interpretation with others.
Patient Safety
- Shares experiences with ensuring safety for one or more patient groups or settings.
- Explains key features of safety guidelines and procedures for those groups and settings.
- Listens and responds to safety inquiries from patients and family members.
- Recognizes and addresses physiological and psychological signs of problems.
- Describes considerations for patients who can cause to harm to self, versus harm to others.
- Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.
Job Requirements:
Education/Skills
- Bachelor of Science Degree in Nursing, preferred
Experience
- Minimum of 2 years of combined experience required in Medsurg and Telemetry
- 5 years of experience preferred
Licenses, Registrations, or Certifications
- BLS required
- ACLS required
- RN License in the state of employment or compact required
Work Schedule:
24 HOURS
Work Type:
Full Time
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The primary role of the Home Infusion Nurse is to provide clinical care and education to home-based patients receiving a wide range of parenteral medications dispensed from Optum Infusion Pharmacy (the "Company"). The most common route of administration is intravenous, however medications may also be given via subcutaneous infusion or injection, intramuscular injection, or intraspinal (intrathecal and epidural) infusion. Service delivery takes place in patient homes and also in ambulatory infusion suites, where available. All infusion services and medication delivery is provided in accordance with Optum Infusion Pharmacy policies, procedures and therapy-specific protocols, and based on comprehensive orders received from a physician or licensed practitioner. The Home Infusion Nurse fills an integral role in the clinical operations of the organization, working collaboratively with the multi-disciplinary team needed to prepare, deliver and seek reimbursement for the infusion therapy that is safely and effectively administered to each patient.
Schedule for this position will be Monday, Wednesday, Thursday, and Friday, 10am-8pm. This is a heavy travel position, mileage is reimbursed and drive time is part of the schedule. Patient population includes both adult and pediatric patients.
Primary Responsibilities:
- Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self-care and self-administration, and clinical monitoring of patient response to therapy
- Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of caregiver support, and willingness of patient and/or caregivers to become as independent in therapy administration and monitoring of response to therapy as possible
- Obtain and document patient's medical history at the start of care and ongoing, particularly as related to the diagnosis being treated with the prescribed infusion therapy
- Complete all required clinical documentation thoroughly and timely, including nursing plans of care (POC), plans of treatment (POT), visit notes, clinical summaries, medication profiles, discharge summaries and any updates provided to members of the patient's care team, as well as obtaining patient and/or caregiver signatures on relevant consents and required forms
- Participate in case conferences as needed to comprehensively plan patient care with the multi-disciplinary care team
- Provide skilled care to patients of varying ages and medical conditions, as outlined in the plan of care and in accordance with physician orders and the plan of treatment
- Establish, secure and maintain vascular access devices as prescribed, including (but not limited to) peripheral IV (PIV) placement, PICC and tunneled central venous catheter dressing changes, and implanted port access
- Administer medications as prescribed, performing therapy-specific clinical assessments in accordance with the Company's policies, procedures and protocols, which may include frequent vital sign monitoring, management of acute infusion reactions, monitoring of side effects, and procurement of laboratory specimens
- Communicate observations of patient response to therapy and overall physical assessment/condition with members of the care team in a timely manner, which may include the nursing supervisor, dispensing pharmacist, registered dietitian, and licensed prescriber, among others
- Establish collaborative relationships with home health agencies (HHAs) delivering services on behalf of / or in conjunction with the Company, providing agency education and support as requested by the nursing supervisor
- Maintain a comprehensive knowledge base of infusion therapies administered in the home and ambulatory infusion center, utilizing Company policies, procedures and protocols in addition to all available training resources to ensure understanding of each therapy before initiating treatment
- Maintain current nursing licensure in all states in which patients are serviced, as required by the respective State Boards of Nursing and/or Department of Health
- Comply with all State and Federal regulations and laws, including employee health and safety protections mandated by the Occupational Safety and Health Administration (OSHA), patient privacy and data security required by the Health Insurance Portability and Accountability Act (HIPAA), as well as all home infusion standards of practice
- Complete all training required upon hire and annually per policy, including cardiopulmonary resuscitation (CPR) certification
- Serve as a professional representative of the Company when meeting with and/or providing education to external customers, payers and referral sources
- Assist in staff orientation and training, serving as a clinical educator and resource as requested
- Drive personal/rental vehicle (per travel policy) in the completion of job duties, including (but not limited to) travel to the Company office, patient homes, area hospitals, physician offices, home health agency offices, and the Company's Ambulatory Infusion Suite (AIS)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in
Required Qualifications:
- Active and unrestricted licensure as a Registered Nurse (RN) in the state(s) of practice and others as requested
- Available to commit to the required schedule of M,W,TH,F 10am-8pm.
- Pediatric experience
- Current Basic Life Support (BLS) and/or CPR certification, or willing to obtain prior to starting employment
- 1+ years of experience working as an RN in a clinical care setting that contributes to proficiency in infusion therapy (such as medical surgical unit, emergency department, intensive care unit, post-anesthesia care unit, or similar setting)
- Proficient with electronic medical record documentation
- Demonstrated ability to work with an interdisciplinary team of professionals including pharmacists and technicians, physicians and other licensed prescribers, registered dietitians, home health agencies (HHAs), sales representatives, and others as needed to provide comprehensive care and support of patients and caregivers
- Demonstrated ability to and able to work independently in home or alternate-site settings
- Demonstrated ability to and able to assume a flexible work schedule
- Demonstrated ability to and able to meet attendance, overtime, after-hours on-call, and other reliability requirements of the position
- Access to reliable transportation that will enable travel to customer and/or patient sites
Preferred Qualifications:
- Experience administering infusion therapy in a home or alternate-site setting
- Bilingual with Spanish
- Knowledge of and experience with Microsoft Office and electronic medical records (EMR) programs
- Knowledge of the Infusion Nursing Society (INS) standards of practice, policies and procedures
- Knowledgeable of HIPAA patient privacy and data security requirements, OSHA employee protection regulations, and The Joint Commission's accreditation standards for home health and home infusion pharmacy (or other relevant accrediting organizations)
- Proficient with Microsoft Office
- Proven excellent organizational and critical thinking skills
- Proven effective interpersonal communications, both written and verbal
- Proven effective teaching skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
* Display an ability to interpret and evaluate theories in the field or discipline.
* Connect subject matter with relatable professional/employment fields of students
* Stay current in subject matter through professional development.
* Collaborate with program director and/or faculty members to prepare for classroom, hands-on and simulated lab, and clinical instruction.
* Contribute to curriculum review, development, and creation to maintain high standards of program integrity. b) Teaching Performance * Work constantly to instill in students the technical and academic competencies and employment behavior expected in classroom/lab/clinical setting and out in the industry.
* Prepare for class instruction in adherence to approved learning objectives and competencies through appropriately outlined syllabus and can provide written evidence of preparation upon request.
* Employ a variety of instructional techniques, modalities (utilization of Learning Management System), and instructional media consistent with the multitude of resources available applicable to meet the needs and capabilities of the curriculum.
* Develop and maintain a classroom environment conducive to effective learning focused on student-centered practices.
* Support students through retentions efforts to include recitation opportunities, office hours, and utilization of supportive academic resource measures.
* Develop and enforce appropriate rules and expectations of students in the classroom setting compliant with MATC policies/procedures and that result in a safe, effective learning environment.
* Meet and conduct assigned classes as scheduled and in a professional manner.
* Maintain standards of teaching at the collegiate level and perform according to the Standards of Performance outlined in the MATC policies and procedures. c) Evaluation of Student Learning * Effectively administer assessment of student comprehension towards meeting the learning objectives and complete institutional assessment requirements as directed.
* Maintain accurate, complete, and correct records as required by accreditation standards, federal regulations, and administrative guidelines.
* Record and submit rosters and final grades as required per college processes II. College Community Responsibilities: a) Support of College Policies and Procedures * Maintain confidentially as per state and federal regulations to include but not limited to Family Educational Rights and Privacy Act (FERPA) and Health Insurance Portability and Accountability Act (HIPPA) laws.
* Effectively manages, and/or supports department director with, the departmental budget and work closely with MATC staff to ensure that all assets, materials, supplies, etc., are properly managed and documented per college policy and procedures.
* Advise students, in cooperation with counselors, administrators, etc., in order to ensure that effective services are identified that will assist students in achieving their objective.
* Ensure that safe and reasonable precautions are implemented to protect students, equipment, and facilities. b) Participation in College and Program Activities * Attend and participate in staff meetings, college committees, and college activities.
* Participate in professional development opportunities both within and outside MATC.
* Engagement with state meetings (KBOR) as requested regarding compliance of curriculum of program discipline. c) Contribution to the Growth and Enhancement of College Mission and Programs * Communicate effectively with staff, students, and the public the mission and operation of Manhattan Area Technical College and the specific program.
* Cooperate with other members of the MATC staff in planning instructional goals, objectives, and methods.
* Assist in the operation and management of MATC through effective planning and communication with administration and all staff personnel.
* Assist in the selection of resource materials and equipment and make facility improvement recommendations. d) Perform other duties as assigned by the supervisor *Qualifications:** Registered Nurse (current Kansas license in good standing with no disciplinary action pending) required.
* Master’s degree or higher in nursing, or evidence of enrollment and plan for completion of Masters of Science in Nursing (MSN) program within six (6) years required.
* Minimum of two (2) years’ experience in clinical nursing required with recent clinical experience preferred.
* Maintain nursing licensure and specialty certifications as appropriate.
* Maintain Kansas State Board of Nursing requirements for teaching in ADN.
* Provides proof of appropriate health records for clinical instruction: Hepatitis B series (three (3) doses) or proof of one (1) positive titer.; Varicella (two (2) doses) or proof of immunity by titer.; MMR (two (2) doses) or proof of immunity by titer to: Rubeola, Rubella, Mumps; Documentation of tetanus vaccine within the last ten (10) years; Proof that the candidate does not have active tuberculosis; Record of annual influenza and COVID-19 vaccines.
* Ability to communicate clearly and professionally through both verbal and written skills.
* Strong interpersonal skills, including public speaking and ability to present the college in a positive way.
* Ability to work with individuals from diverse backgrounds.
* Strong computer and word processing skills.
* Demonstrated poise, tact and diplomacy with the ability to handle sensitive and confidential information and situations. *Physical Demands:** Ability to sit for extended periods of time.
* Ability to read computer screens and mail, email, and talk on the phone.
* Ability to unpack and move supplies up to twenty-five (25) lbs.
* Ability to work occasional evenings and attend events as required. *Work Environment:** Professional and deadline-oriented environment in an educational setting.
* Interaction with students, staff and guests. *NOTICE OF SPECIAL POSITION OF EMPLOYMENT REQUIREMENTS*1. This position description is not designed to cover or contain a comprehensive list of all duties and results to be performed in this position. Duties and Performance standards may be added, subtracted, and/or changed by your supervisor at any time due to changes in department or institutional requirements. 2. Unless exempt due to employment contract signed by the President, all employees of Manhattan Tech are to be considered as an “at-will” employee. 3. All employees of Manhattan Tech are considered “responsible employees” pertaining to Title IX regulations concerning both prevention and reporting of sexual assault or harassment situations. As such, all employees must communicate with the Title IX Coordinator if they witness or hear about sexual assault or harassment situations. 4. Manhattan Tech is an equal opportunity employer and complies with EEOC and ADA employment requirements. Manhattan Tech grants equal opportunity to all qualified persons without unlawful discrimination based on race, color, gender, age, national origin, ancestry, ethnicity, disability, sexual orientation, religion or veteran status. 5. All ‘offers of employment” are subject to criminal background check prior to employment. Job Types: Full-time, Contract Projected Total Compensation: $45,762.00 - $74,250.00 per year Benefits:
* Dental insurance
* Flexible spending account
* Health insurance
* Life insurance
* Paid time off
* Professional development assistance
* Referral program
* Retirement plan
* Tuition reimbursement
* Vision insurance Work Location: In person
Aveanna Healthcare has grown tremendously during the past year through a series of exciting acquisitions and we are currently looking for a Physical Therapist (PT) to join our dynamic home health care team. In this position, you make it possible for patients to recuperate from illness or injury in the comfort of their own home
Schedule: Full-time 30 points Monday - Friday
Territory: Rochester, Chatfield, Plainview, Elgin, and Eyota communities
Essential Job Functions:
- Perform initial and ongoing assessments to evaluate mobility, coordination, strength and current level of function.
- Responsible for administration, evaluation, and interpretation of tests and measurements to determine functional goals and outcomes.
- Provide a written evaluation and plan of care defining physical therapy needs, goals, progress and expected outcomes.
- Delivery of physical therapy services to comply with prescribed physician orders.
- Maintains plan of care by performing timely documentation of client performance, modifying goals and treatment as needed, and determine discharge care plans as appropriate.
- Responsible for discharge planning, including collaborating and educating the patient and his/her caretakers on home exercise plan to follow discharge.
- Participates in coordination of services with health care team, physicians, parent/guardians, nurses, etc.
- Documents according to policy and procedure and requires minimal supervision or instruction.
- Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers
- Maintain effective communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff.
- Supervises other personnel (PTA, HHA) as applicable.
- Completes OASIS assessments where allowed by state professional practice and regulation.
- Follow policies and procedures and conforms to all applicable patient care standards, licensure regulations and state laws.
- Maintain effective communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff.
- Supervises other personnel (OTA, HHA) as applicable.
- Completes OASIS assessments where allowed by state professional practice and regulation.
Aveanna Healthcare Offers:
- 401(k) with match
- Health, Dental and Vision Benefits
- Tuition Discounts and Reimbursement
- PTO, Sick Time, and Paid Holidays
Requirements:
- Degree in Physical Therapy from an accredited university/program.
- Current, unrestricted state license as a Physical Therapist in the state of practice
- Demonstrated proficiency in clinical assessments, documentation and compliance with policies and procedures
- Valid CPR certification, Drivers License and proof of automobile insurance
- Experience in Home Health Therapy and completion of OASIS documentation preferred but not required
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
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