Registered Nurse (RN) Unit Manager

Brooklyn Center is hiring a Registered Nurse (RN) Unit Manager in Brooklyn, NY. Now offering a $5,000 sign-on bonus We now offer Daily Pay through a trusted third-party provider giving you faster access to your earnings! Premium health coverage through Aetna with low out-of-pocket costs! Duties: Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses, offering clinical & career advice Maintain the standards of care for the unit Review Resident records & quality of care Monitor overall care & review individual Residents' cases Address questions or complaints brought forward by Residents or their families Represent the unit's interests with the upper-level management Requirements: Must hold valid State RN License 3 years Long Term Care Experience preferred 2 years Charge Nurse experience preferred Strong computer skills Excellent communication skills About us: Brooklyn Center for Rehabilitation and Healthcare is a state-of-the-art 281-bed rehabilitation and skilled nursing facility located in the Crown Heights section of Brooklyn. It's a 280,000 sq. ft. ultramodern facility with a 6,000 sq. ft. high-tech therapy suite and 14,000 sq. ft of exclusive rooftop and outdoor spaces. A recognized leader in short-term rehab and long-term care, Brooklyn Center is committed to ensuring the highest quality of life for all our patients and residents, helping each to get stronger, healthier, and happier. We're a community of friends, neighbors, and family living life to the fullest. Brooklyn Center is a proud member of Centers Health Care-the largest post-acute health care network in the Northeast. Equal Opportunity Employer -M/F/D/V

OR Register Nurse - First Assist, Clackamas (40 hrs, day)

Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFAs will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases. Essential Responsibilities: Representative Functions or Duties: Practice standards of performance: Pre-operative. Performs pre-operative assessment and evaluation. Collaborates with the surgical team on plan of care. Intra-operative: Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Using instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Post-Operative. Evaluates the patient post-operatively according to facility protocols. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Intra operative nursing behaviors include: handling tissue, providing exposure, using instruments, clamp, cut, and legate as directed by the surgeon, providing homeostasis, suturing as directed by the surgeon. Assists with room preparation in collaboration with the Circulating Nurse and scrub person. Brings patient X-rays into room NOTE: Notifies Charge Nurse or designee if films are not available. Assists in patient transport to the operating room and patient transfer to the operating room table. Provides assistance to Anesthesia during induction. Participates in pre-op briefing time out process. Assists in patient position. Assists in patient preparation, i.e., prepping, catheterization, shaving, as necessary. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person. May perform pre and post-operative patient education as designated. Review chart for pertinent data. Assist in maintaining a safe environment and promoting efficiency in surgical. Procedures. Basic Qualifications: Experience Minimum two (2) years of peri-operative scrubbing and circulating experience in a KP OR or one (1) year experience as an RNFA in or outside of KP. Education Certification of Completion from AORN recognized RNFA course. Successful completion of an RNFA program that meets the AORN Recommended Education Standards for RNFA and criteria for the CB.PMN acceptance program. License, Certification, Registration Registered Nurse License (Oregon) Nurse Operating Room Certificate Basic Life Support Additional Requirements: Meets all qualification of an RNFA as outlined in AORN Position Statement. Must maintain CNOR and RN licensure with the required amount of Continuing Education. Preferred Qualifications: Minimum two (2) years of practice as an RNFA. CRNFA certification preferred. Advanced Cardiac Life Support (ACLS) required upon hire/transfer preferred. Notes: Week 1 : T/W/TH/F Week 2: T/W/TH/F Week 3: W/TH/F/SA Week 4: M/T/W/TH

Registered Nurse - RN - Home Health

Make a Difference on Your Own Schedule and Terms! Hiring Registered Nurses in Tennessee Professional Case Management, the leader in home healthcare, is now hiring RN's to provide in-home healthcare services to help those who have served our country! Benefit from one-on-one patient relationships and from the satisfaction of enhancing clients' health, quality of life and peace of mind. You make your own schedule - that leaves you with time to attend school, travel, volunteer or to enjoy activities with your family and friends. Hours Available for this location: (You can pick up in other locations as well) Tuesday, Thursday, Saturday - 8 hour Dayshifts Job Description Qualifications Graduate of a state-approved school of professional nursing. BSN preferred Current, unrestricted license as a Registered Nurse in the state(s) of practice New graduate nurses are welcome to apply ! Reliable means of transportation Current CPR certification Strong communication and interpersonal skills Essential Functions/Areas of Accountability Initiate actions independently and responsibly to improve the quality of client care Perform client visits as assigned to provide skilled interventions with a focus for achieving realistic client outcomes within a specified time period Provide direct care and assign and/or delegate functions according to education and demonstrated competence Act as client advocate Assess and evaluate health status of assigned clients: Collect objective and subjective client information Analyze, report and record data Validate, refine and modify data Utilize all data to identify and document current health care needs of assigned clients Collaborate with client, family/others, and other members of the healthcare team to identify client needs, and establish realistic goals of care Review plan of care on a regular basis to evaluates client response to plan, prioritize needs and modify plan to meet client's current needs: Cultural, ethical, spiritual aspects and decisions regarding treatment Plan interventions to support human functions and maintain hygiene in a comfortable and safe environment Align with community resources as indicated for appropriate care Verify medical orders are accurate, properly authorized and without contraindication. Administer prescribed medications and IV therapy or provide client/family/other education regarding self-administration. Develop, initiate, and document plan to provide client/family/other education and counseling. Evaluate home environment and initiate plan to ensure a safe environment. Institute standard policies and procedures to stabilize clients in an emergency situation. Demonstrate competence with technical nursing skills according to personal and legal scope of practice: Assessment skills as applied to the client, family/support system, and environment Teaching/counseling skills Realistic and measurable goal setting Evaluate client's medications for potential interactions, duplication, adverse effects and non-compliance Initiate appropriate preventative and rehabilitative nursing procedures Practice nursing with respect for individual, cultural, and spiritual differences Communicate interventions and client response to interventions effectively and in accordance with Agency requirements Report significant changes in client condition and needs to physician and other members of the team in a timely manner Maintain client records and clinical notes, showing systematic assessment, planning intervention and evaluation Coordinate services for the client as needed Participate in team meetings and clarify individualized reporting responsibilities with all new assignments Document legibly and according to Agency documentation guidelines and standards Maintain confidentiality in all aspects of the job Promote personal safety and a safe environment for clients and coworkers Demonstrate knowledge of safety/infection control practices by complying with established policies and procedures Recognize and respond appropriately to potentially unsafe situations Demonstrate safe practice in the use of equipment Assess environmental safety and take initiative to prevent accidents and promote safety Evaluate the home for its suitability for client care Notify case manager of need for review and/or training related to equipment, procedures, safety or infection control practices Initiate delegation of tasks to only those with verified skills and only for clients that are stable and where the outcome of the delegated task is predictable: Consider complexity of care, educational preparation and Agency policies when delegating care Remain responsible for all delegated acts Delegate/assign duties as specified in Agency regulations Initiate and assist with delegated care Participate in ongoing, professional self-development: Participate in all mandatory education per Agency guidelines Participate in supervising and teaching other nursing personnel as required Identify needs for personal professional growth Demonstrate competence in areas of assignment or identifies the need for additional training Perform other duties as assigned Here's Why Our Team Likes Working with Us Create the schedule you want to work Rewarding one-on-one work with Patients in the comfort of their homes Benefit Packages include medical, dental and vision benefits. See our Careers page for more details about benefit eligibility. Health Savings & Flexible Spending Accounts (pretax savings account!) Ideal Candidates will Possess strong communication and interpersonal skills Practice nursing with respect for individual, cultural, and spiritual differences Promote personal safety and a safe environment for clients Maintain compliance with agency policy and procedures Qualifications Graduate of a state-approved school of professional nursing Current, unrestricted license as a Registered Nurse (RN) in the state(s) of practice New graduate nurses are welcome to apply ! Current CPR certification and TB test To apply for this unique opportunity and to learn more about the community we service, please apply today! Standard Rate: $40.00 - $42.50 HourlyPlease contact Charmaine Lomax at x695 or at today to learn more about our opportunities where you can make a difference in your own career! Professional Case Management is an Equal Opportunity Employer.

Charge RN, Emergency Department, 36Hr/Night

Job Summary: The Charge Nurse, under the direct and indirect supervision of the Nursing Unit Coordinator, Assistant Coordinator and/or Hospital Supervisor facilitates and assists with all levels of nursing care being provided to a group of patients within one nursing unit during the period of one working shift. In addition to these responsibilities, the Charge Nurse frequently assumes all or partial staff nurse responsibilities. The Charge Nurses are directly accountable to the Nursing Coordinator for the unit. The Charge Nurses assist the staff nurses with day to day problem solving, communication between shifts, and may serve as a link between staff nurse and the Nursing Coordinator. Essential Responsibilities: The Charge Nurse will assist in the supervising of nursing personnel: Assist in the interviewing process of applicants for posted positions and makes recommendations to the Coordinator. Support organizational goals and objectives. Provide input into staff evaluations. Monitor performance of staff and provide documentation of performance problems to the Coordinator. Provide input into the development and maintenance of staffing patterns for the patient care unit and helps to monitor day-to-day staffing and utilization of nursing resources. Coordinate staff meetings under the direction of the Coordinator. The Charge Nurse will contribute to overall functioning of the Unit by monitoring resources. Identify and communicate to the Coordinator systems problems that interfere with effective client care and convey risk situations to the Coordinator. Participate and give input into trend analysis for the operational budget. Assist with materials management, ensuring availability of supplies needed. Provide direction during emergency situations as delegated. The Charge Nurse will actively participate in providing and/or facilitating client care. Participate in the development and implementation of standards of client care, policies and procedures and protocols. Coordinate and participate in the delivery of patient care on a specific unit. Utilizing the nursing process: 1. Assess need and priorities of patient. 2. Assist in the implementation of nursing care. 3. Evaluate effectiveness of nursing care. Participate in the development and ongoing monitoring of quality assurance activities. Provide input into and participate in development and achievement of departmental goals and objectives. Participate in multi-disciplinary patient care conferences and discharge planning activities as appropriate. Identify and assist in problem-solving both intrashift and intershift. Keep Coordinators Hospital Supervisors informed of problems/resolutions. Function within expected behavior standards of Staff Nurse as participating in role. The Charge Nurse will function as an educator for other health care professional and clients. Assists in development and presentation of in-service programs. Participates in clinical orientation to the nursing unit. Participate in the planning and provision of education/teaching to patients and their families. Serve as a resource to other departments in area of specialty. The Charge Nurse will participate in professional activities for self and others. Support departmental and organizational philosophy, goals, objectives, policies and procedures. Participate in meetings, special projects, and committees as designated. Support and/or participate in research programs approved by the Department of Nursing as designated. Promote interdepartmental and intradepartmental communications. Foster good public relations. Assume responsibility for own continuing education and development. The Staff Nurse will apply knowledge of organizational expectations of personnel policies and procedures. Follow appropriate policies and procedures for use of time in work environment, including absenteeism and tardiness. Monitor and take corrective action to prevent recurring absences. Return promptly from breaks and schedule them in concert with co-workers to provide appropriate coverage of unit and client care activities. Consistently on time and ready to work at start of shift and has assignments completed at end of shift. Maintain confidentiality of all client and organizational records. Release information according to established policy/procedure. Demonstrate a positive attitude while at the work site. Does not conduct personal conversations when members are waiting for service. Does not carry on discussions regarding other staff members, the organization, or medical care in public areas. Restricts personal business to non-client care areas during bonafide break times. Identify self by wearing a name tag, and verbally introducing self by name, title and/or department. Address members with courtesy and respect. Provide assistance to members or connects member with appropriate person when needed. Apply same courtesy standards to members on the telephone as in person. Oversees quality of unit in conjunction with the manager. Basic Qualifications: Experience Three (3) years of Registered Nurse experience, one year in clinical specialty. Education Graduate of accredited school of nursing. High school diploma or GED. License, Certification, Registration Pediatric Advanced Life Support within 6 months of hire OR Emergency Nursing Pediatric Course within 6 months of hire Registered Nurse License (in the state where care is provided) Advanced Cardiac Life Support Basic Life Support NIH Stroke Scale Certificate within 1 months of hire Additional Requirements: N/A Excellent critical thinking skills. Able to assume authority of unit. Preferred Qualifications: Baccalaureate degree in nursing. CEN, TNCC preferred. Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred. A desire and ability to function within the nursing process preferred. A desire and ability to function within professional and personnel standards as defined preferred. Ability to use and apply effective communication and interpersonal relationship skills preferred.

RN, OR First Assist

Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFAs will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases. Essential Responsibilities: Representative Functions or Duties: Practice standards of performance: Pre-operative. Performs pre-operative assessment and evaluation. Collaborates with the surgical team on plan of care. Intra-operative: Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Using instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Post-Operative. Evaluates the patient post-operatively according to facility protocols. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Intra operative nursing behaviors include: handling tissue, providing exposure, using instruments, clamp, cut, and legate as directed by the surgeon, providing homeostasis, suturing as directed by the surgeon. Assists with room preparation in collaboration with the Circulating Nurse and scrub person. Brings patient X-rays into room NOTE: Notifies Charge Nurse or designee if films are not available. Assists in patient transport to the operating room and patient transfer to the operating room table. Provides assistance to Anesthesia during induction. Participates in pre-op briefing time out process. Assists in patient position. Assists in patient preparation, i.e., prepping, catheterization, shaving, as necessary. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person. May perform pre and post-operative patient education as designated. Review chart for pertinent data. Assist in maintaining a safe environment and promoting efficiency in surgical. Procedures. Basic Qualifications: Experience Minimum two (2) years of peri-operative scrubbing and circulating experience in a KP OR or one (1) year experience as an RNFA in or outside of KP. Education Certification of Completion from AORN recognized RNFA course. Successful completion of an RNFA program that meets the AORN Recommended Education Standards for RNFA and criteria for the CB.PMN acceptance program. License, Certification, Registration Registered Nurse License (Oregon) Nurse Operating Room Certificate Basic Life Support Additional Requirements: Meets all qualification of an RNFA as outlined in AORN Position Statement. Must maintain CNOR and RN licensure with the required amount of Continuing Education. Preferred Qualifications: Minimum two (2) years of practice as an RNFA. CRNFA certification preferred. Advanced Cardiac Life Support (ACLS) required upon hire/transfer preferred.

RN, First Assist-Ambulatory Surgery

Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Region Ambulatory Surgery Centers. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. Essential Responsibilities: Practice standards of performance: Pre-operative: Performs pre-operative assessment and evaluation if required. Collaborates with the surgical team on plan of care. Coordinate and communicate with circulator regarding equipment and implant needs for case, assist in obtaining. Practice standards of performance: Intra-operative: Provides knowledge based technical assistance to the surgeon and operating room team during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Use of instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Practice standards of performance: Post-Operative: Apply post-op splints and/or braces. During Anesthesia emergence, bring stretcher into room. Help transfer patient to stretcher. Remain in room for turnover unless specific instructions for Post-op care required in PACU. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Assists with room preparation and opening of supplies in collaboration with the circulating nurse and scrub person. Have available patient X-rays/MRIs. Check image capture machine and films NOTE: Notify Team Lead or designee if films/MRIs etc. are not available. Assists in patient transport to the operating room and transfer to the operating room table. Assists in patient positioning. Assists in patient preparation, i.e., prepping, catheterization, clipping, as necessary. Participates in briefing/time out and debriefing. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the circulating nurse and scrub person. Assist in maintaining a safe environment and promoting efficiency in surgical procedures. Available for breaks and lunch relief, local monitor, scrub and circulate as needed. Basic Qualifications: Experience Two (2) years of intra-operative scrubbing and circulating experience. One (1) year of recent experience, within the last two (2) years, as an RNFA or successful completion of a CCI recognized RNFA course and agreement from ASC. Education N/A License, Certification, Registration Registered Nurse License (Oregon) Advanced Cardiac Life Support Basic Life Support Nurse Operating Room Certificate Additional Requirements: Meets all qualifications of an RNFA as outlined in AORN Position Statement. Preferred Qualifications: Two (2) to five (5) years of practice as an RNFA. CRNFA Certification preferred. Ability to assist on all cases performed within Surgical Services.

Emergency Department RN (30Hr, Nights)

Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications: Experience Minimum nine (9) months of RN experience. One (1) year of current ED experience or successful completion of the Kaiser Permanente New Grad Internship Program in the ED Education Graduate of an accredited nursing program. License, Certification, Registration Emergency Nursing Pediatric Course within 6 months of hire OR Pediatric Advanced Life Support within 6 months of hire Registered Nurse License (Oregon) Basic Life Support Advanced Cardiac Life Support NIH Stroke Scale Certificate within 3 months of hire Additional Requirements: Computer keyboarding skills. Emergency Nursing Pediatric Course Preferred Qualifications: Previous health care experience. Bachelors degree in nursing or related field. CEN preferred. TNCC preferred. Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred. A desire and ability to function within the nursing process preferred. A desire and ability to function within professional and personnel standards as defined. Ability to use and apply effective communication and interpersonal relationship skills preferred.

Emergency Department RN (36Hr, Nights)

Job Summary: Relocation Assistance Available Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications: Experience Minimum nine (9) months of RN experience. One (1) year of current ED experience or successful completion of the Kaiser Permanente New Grad Internship Program in the Emergency Department. Education Graduate of an accredited nursing program. License, Certification, Registration Pediatric Advanced Life Support within 6 months of hire OR Emergency Nursing Pediatric Course within 6 months of hire Registered Nurse License (Oregon) NIH Stroke Scale Certificate within 3 months of hire Basic Life Support Advanced Cardiac Life Support Additional Requirements: Computer keyboarding skills. Emergency Nursing Pediatric Course Preferred Qualifications: Previous health care experience. Bachelors degree in nursing or related field. CEN preferred. TNCC preferred. Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred. A desire and ability to function within the nursing process preferred. A desire and ability to function within professional and personnel standards as defined. Ability to use and apply effective communication and interpersonal relationship skills preferred.

RN First Assist, Sunnyside (40 hrs,)

Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFAs will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases. Essential Responsibilities: Representative Functions or Duties: Practice standards of performance: Pre-operative. Performs pre-operative assessment and evaluation. Collaborates with the surgical team on plan of care. Intra-operative: Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Using instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Post-Operative. Evaluates the patient post-operatively according to facility protocols. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Intra operative nursing behaviors include: handling tissue, providing exposure, using instruments, clamp, cut, and legate as directed by the surgeon, providing homeostasis, suturing as directed by the surgeon. Assists with room preparation in collaboration with the Circulating Nurse and scrub person. Brings patient X-rays into room NOTE: Notifies Charge Nurse or designee if films are not available. Assists in patient transport to the operating room and patient transfer to the operating room table. Provides assistance to Anesthesia during induction. Participates in pre-op briefing time out process. Assists in patient position. Assists in patient preparation, i.e., prepping, catheterization, shaving, as necessary. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person. May perform pre and post-operative patient education as designated. Review chart for pertinent data. Assist in maintaining a safe environment and promoting efficiency in surgical. Procedures. Basic Qualifications: Experience Minimum two (2) years of peri-operative scrubbing and circulating experience in a KP OR or one (1) year experience as an RNFA in or outside of KP. Education Certification of Completion from AORN recognized RNFA course. Successful completion of an RNFA program that meets the AORN Recommended Education Standards for RNFA and criteria for the CB.PMN acceptance program. License, Certification, Registration Registered Nurse License (Oregon) Nurse Operating Room Certificate Basic Life Support Additional Requirements: Meets all qualification of an RNFA as outlined in AORN Position Statement. Must maintain CNOR and RN licensure with the required amount of Continuing Education. Preferred Qualifications: Minimum two (2) years of practice as an RNFA. CRNFA certification preferred. Advanced Cardiac Life Support (ACLS) required upon hire/transfer preferred. Notes: Fair share call

RN, Emergency Department (30hr/Evenings)

Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications: Experience Minimum nine (9) months of RN experience. One (1) year of current ED experience or successful completion of the Kaiser Permanente New Grad Internship Program in the ED Education Graduate of an accredited nursing program. License, Certification, Registration Emergency Nursing Pediatric Course within 6 months of hire OR Pediatric Advanced Life Support within 6 months of hire Registered Nurse License (in the state where care is provided) NIH Stroke Scale Certificate within 3 months of hire Basic Life Support Advanced Cardiac Life Support Additional Requirements: Computer keyboarding skills. Emergency Nursing Pediatric Course Preferred Qualifications: Previous health care experience. Bachelors degree in nursing or related field. CEN preferred. TNCC preferred. Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred. A desire and ability to function within the nursing process preferred. A desire and ability to function within professional and personnel standards as defined. Ability to use and apply effective communication and interpersonal relationship skills preferred. Notes : Variable working days

TEMP RN, Emergency Department (36 Hours, Nights)

Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications: Experience Minimum nine (9) months of RN experience. One (1) year of current ED experience or successful completion of the Kaiser Permanente New Grad Internship Program in the ED. Education Graduate of an accredited nursing program License, Certification, Registration Emergency Nursing Pediatric Course within 6 months of hire OR Pediatric Advanced Life Support within 6 months of hire Registered Nurse License (Oregon) NIH Stroke Scale Certificate within 3 months of hire Advanced Cardiac Life Support Basic Life Support required at hire Additional Requirements: Computer keyboarding skills. Emergency Nursing Pediatric Course Preferred Qualifications: Previous health care experience. Bachelors degree in nursing or related field. CEN preferred. TNCC preferred. Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred. A desire and ability to function within the nursing process preferred. A desire and ability to function within professional and personnel standards as defined. Ability to use and apply effective communication and interpersonal relationship skills preferred.