Nurse Extern I - Nursing Internship - PRN

Description Summary: This position provides the student nurse an opportunity to work under the direction of a registered nurse and to gain experience in the areas of nursing professional, nursing processes and nursing practice. This hands-on experience will include educational sessions, job shadowing, and assisting in patient care. May provide patient care in a CNA role as approved by the manager. Responsibilities: Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability. Implements measures to promote a safe environment for patients and others. Follows nursing safety standards in the delivery of patient care. Follows approved policies and procedures for infection control. Follows policies and procedures for "high risk for falls" and "restraints". Identifies, reports, and appropriately intervenes in safety hazards. Practices universal precautions by appropriate disposal of waste, hazardous waste, sharps, and wearing personal protective equipment. Keeps patient rooms and other common patient areas free from potential hazards. Respects the patient’s right to privacy by protecting confidential information unless obligated or allowed by law to disclose the information. Follows policies and procedures for "no information patients". Awareness of conversations held at nursing stations. No participation in conversations outside the patient care environment. Assists in the provision of individualized goal-directed nursing care. Assists in the admission process; greets the patient, provides linens/gown, and orients the patient to the room and equipment. Provides patient care feedback to the team leader or other responsible person to achieve the patient care objective. Takes vital signs on admission and at intervals as the patient's condition warrants. Accurately records vital signs, intake, and output, and weights. Immediately notifies the team leader of any abnormal data. Documents clearly and concisely on appropriate forms according to policy. Participates in patient/family education. Educates patients/family on environmental and safety policies. Acts on direction from team leader regarding providing ongoing education nd reinforcement of teaching plan. Reports any identified teaching needs to the team leader. Requirements: High school diploma or equivalent Currently enrolled in a nursing program or recent graduate with pending licensure Basic Computer Knowledge Ability to communicate effectively, both verbally and written Maintain current BCLS Work Schedule: PRN Work Type: Per Diem As Needed

Registered Nurse - Emergency Department

Description CHRISTUS Santa Rosa Hospital – San Marcos, which originated in 1923 as Hays County Soldiers, Sailors and Marines Memorial Hospital, opened at its current Wonder World Drive location in 1983. Our staff of more than 700 Associates works with more than 300 active and consulting physicians to provide quality services to patients and their families. For more than 20 consecutive years, we have been named The Best Hospital in Hays County in the annual “Best of Hays” publication released by the San Marcos Daily Record. In addition to interventional cardiac services, CHRISTUS Santa Rosa Hospital – San Marcos is a Certified Chest Pain Center and an accredited Primary Stroke Center. We lead the region in da Vinci robotic-assisted surgery and offers a variety of specialty care services including medical imaging, rehabilitation, hospice, women’s services and more. Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or 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. 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. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation. All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program’s tracking software. Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS certification required Current TNCC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. CredentialGrace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire. Work Schedule: 6PM - 6AM 12 HR Shift Work Type: Full Time

Registered Nurse - Labor and Delivery - Full Time

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or 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. 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. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Services-specific competency validation. Completion of all annual competency verification requirements. Experience Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred. Licenses, Registrations, or Certifications Current certification required from one of the following: AWHONN Intermediate FHM, AWHONN Intermediate FHM Instructor, AWHONN Advanced FHM Instructor, AWHONN Instructor Trainer, or NCC Electronic Fetal Monitoring (C-EFM) Current NRP certification required Current ACLS certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. CredentialGrace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire. Work Schedule: 7PM - 7AM Work Type: Full Time

Respiratory Therapist

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of Duke Health’s four hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. $15,000 Commitment Bonus eligible if qualified Up to $8,000 Relocation Assistance eligible if qualified Job Description Perform diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice. Work performed in accordance with physician orders. Defined duties are performed in neonatal and pediatric patient populations. Duties and responsibilities Administer oxygen, aerosolized medication via Intermittent Positive Pressure Breathing ( IPPB), Intermittent Aerosol Therapy (IAT) and Metered Dose Inhaler ( MDI) and incentive breathing devices. Perform nasotracheal and artificial airway suctioning, CPR and bag- mask ventilation, pulse oximetry monitoring, arterial blood gas punctures and bedside pulmonary mechanics. Diagnostic cardiopulmonary procedures, pulmonary function studies, EKGs and cardiac monitoring. Assure correct set-up, safety and function of all equipment/ supplies necessary in the provision of patient care. Assure adherence to all infectious disease standards in the delivery of all patient care procedures. Understands pharmacological indications, dosages and response to adverse drug reactions. Provides education to patients, families, physicians, nursing and other members of the health care team. Perform other related duties incidental to the work described herein. Required Qualifications at this Level Education RCP Completion of AMA 2 approved year Associates Degree, or the equivalent program. RCP Advanced Completion of a 2 year AMA approved respiratory care program (Associates Degree or the equivalent). Must maintain annual skill maintenance requirements Must maintain annual safety/compliance requirements Must maintain North Carolina annual license requirements for CEUs Experience RCP None required RCP Advanced Six months to one year of clinical experience following graduation from a respiratory care program. Degrees, Licensure, and/or Certification RCP North Carolina State Licensure or North Carolina State Provisional License, Certification by the National Board for Respiratory Care (NBRC). If CRT, must obtain RRT within 6 months of employment Certification in Basic Life Support (BLS), and any other applicable certifications applicable to the institution. RCP Advanced North Carolina State Licensure Registry ( RRT) by the National Association for Respiratory Care (NBRC) Certification in Basic Life Support (BLS) Certification in Advanced Cardiac Life Support (ACLS) Certification in Pediatric Advanced Life Support (PALS) Certification in Neonatal Resuscitation (NRPS) if applicable to institution Knowledge, Skills, and Abilities Knowledge necessary to make appropriate clinical decisions and interactions relative to the specific age of a patient. Skills validation/certifications of competencies for the duties and responsibilities of this level. Must maintain annual skill and safety/compliance requirements Must maintain North Carolina annual license requirements for CEU's Customer service and communication expertise. Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team. Work is performed in all areas of the hospital. Required to carry emergency airway bag weighing approximately 20 pounds. Work requires walking, running, climbing and bending. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.