Surgical Technologist - New Haven

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive and non-invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists are experts in the theory and application of the principles of asepsis and sterile technique to combine the knowledge of human anatomy, surgical procedures, and implementation and tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. EEO/AA/Disability/Veteran Responsibilities Contributing to the preparation of the surgery by assisting the Circulating Nurse in making available all necessary supplies, instrumentation and equipment according to the needs of the patient and the surgical team. Maintaining safety awareness as it applies to patient and equipment. Proper handling and identification of all specimens. Collaborating with team members to check and accurately restock necessary supplies in assigned room in a fiscally responsible manner. Preparing the operative site for surgery under the direction of a registered nurse and assists the other members of the surgical team as needed; reports status of procedure to relief team. Demonstrating commitment to personal growth and development. This is to include attending in-services, maintaining certification, keeping up-to-date on meeting minutes and updated policies and procedure. Recognizing the importance of teamwork, consideration, and cooperation within the operating room. Responsible for preparing and maintaining sterile fields to assure quality patient care. This is to include assuring integrity of asepsis according to policies and procedures; maintain alertness and report any break in technique. Assist and anticipate the needs of the surgeon. Verify with Circulating Nurse complete, sponge, needle and instrument counts. Inspection of supplies and equipment for evidence of proper sterilization and integrity according to standards. Identifying the principles of sterile technique and applies these techniques when assisting each operative procedure. Qualifications EDUCATION A graduate of CAAHEP accredited surgical technology program or formal program as defined by the LCCST. (Training may be through a hospital based program or through the military.) EXPERIENCE 1-2 years of experience and certification as a surgical technician preferred. LICENSURE Must obtain LCC-ST certification within 1 year of employment if not already certified. SPECIAL SKILLS Demonstrated knowledge of the theory and application of sterile and aseptic technique combined with the knowledge of human anatomy and various instrumentation and procedures in all surgical areas and services. Demonstrates knowledge of all aspects of the Perioperative Department and works independently on surgical procedures. Utilizes the recommended guidelines as set forth in the Association of Surgical Technologist Standards of Practice in accomplishing job-related responsibilities. PHYSICAL DEMAND Standing 90% of the work day. Ability to lift up to 36 pounds, handle highly-stressful physical and interpersonal situations, do repetitive work, fine hand manipulations, and work at an elevated level from floor. Able to cope with repeated skin scrubbing and withstand variation in room temperatures. YNHHS Requisition ID 163282

surgical technologist OR

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive and non-invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists are experts in the theory and application of the principles of asepsis and sterile technique to combine the knowledge of human anatomy, surgical procedures, and implementation and tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. EEO/AA/Disability/Veteran Responsibilities Contributing to the preparation of the surgery by assisting the Circulating Nurse in making available all necessary supplies, instrumentation and equipment according to the needs of the patient and the surgical team. Maintaining safety awareness as it applies to patient and equipment. Proper handling and identification of all specimens. Collaborating with team members to check and accurately restock necessary supplies in assigned room in a fiscally responsible manner. Preparing the operative site for surgery under the direction of a registered nurse and assists the other members of the surgical team as needed; reports status of procedure to relief team. Demonstrating commitment to personal growth and development. This is to include attending in-services, maintaining certification, keeping up-to-date on meeting minutes and updated policies and procedure. Recognizing the importance of teamwork, consideration, and cooperation within the operating room. Responsible for preparing and maintaining sterile fields to assure quality patient care. This is to include assuring integrity of asepsis according to policies and procedures; maintain alertness and report any break in technique. Assist and anticipate the needs of the surgeon. Verify with Circulating Nurse complete, sponge, needle and instrument counts. Inspection of supplies and equipment for evidence of proper sterilization and integrity according to standards. Identifying the principles of sterile technique and applies these techniques when assisting each operative procedure. Qualifications EDUCATION A graduate of CAAHEP accredited surgical technology program or formal program as defined by the LCCST. (Training may be through a hospital based program or through the military.) EXPERIENCE 1-2 years of experience and certification as a surgical technician preferred. LICENSURE Must obtain LCC-ST certification within 1 year of employment if not already certified. SPECIAL SKILLS Demonstrated knowledge of the theory and application of sterile and aseptic technique combined with the knowledge of human anatomy and various instrumentation and procedures in all surgical areas and services. Demonstrates knowledge of all aspects of the Perioperative Department and works independently on surgical procedures. Utilizes the recommended guidelines as set forth in the Association of Surgical Technologist Standards of Practice in accomplishing job-related responsibilities. PHYSICAL DEMAND Standing 90% of the work day. Ability to lift up to 36 pounds, handle highly-stressful physical and interpersonal situations, do repetitive work, fine hand manipulations, and work at an elevated level from floor. Able to cope with repeated skin scrubbing and withstand variation in room temperatures. YNHHS Requisition ID 163281

Certified Surgical Technician - LMH OR *Sign-on Bonus up to $10,000*

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Assists With Care Of The Patient Throughout The Perioperative Experience. Performs Scrub And Related Duties With A Registered Nurse. Is Responsible For The Immediate Sterile Field And Instrumentation. Assists With Preparation, Maintenance And Cleanup Of Supplies And Equipment. Responsible For Sterilization Of Equipment And Instruments When Necessary. Prepares Operating Room For Surgical Procedures. Provides Assistance To Nursing And Anesthesia Staff. Assists With Inventory Management As Well As Equipment Maintenance. Provides Any Supportive Duties That May Be Necessary For The Efficient, Effective, Productive Provision Of Patient Care And Department Flow. EEO/AA/Disability/Veteran Responsibilities Implements Actions To Maintain A Safe Environment For The Patient To Include But Not Limited To: Positioning ?Time Out? Medication Management Prevention Of Nosocomial Infection Implements Actions To Prevent Patient Injury From: Positioning, Extraneous Objects, Medications, Infection, Chemical/Physical/Electrical Hazards. Demonstrates Knowledge Of All Skills And Principles Necessary In The Role (I.E. Asepsis, Hazmat, Blood Borne Pathogens. Prepares And Organizes Materials Recognizing Special Needs Of Patient, Procedure And/Or Surgeon. Assist In Room Preparation When Required. Checks And Maintains Department Equipment And Supplies. Safely Operates All Equipment According To Manufacturer Specifications. Insures All Necessary Instrumentation And Equipment Are In Working Order. Implements Case Breakdown Procedure Insuring Minimal Downtime Between Cases / Assists In Room Turnover. Demonstrates Clinical And Technical Skills According To Established Standards Of Practice. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Asc. Qualifications EDUCATION High School Diploma Or Equivalent required. Graduate Of Approved School Of Allied Health Or Surgical Technology required. Cpr Certification Required. EXPERIENCE Operating Room Experience Preferred. LICENSURE BLS Required. SPECIAL SKILLS National Certification Required within 18 months of hire. YNHHS Requisition ID 142152

APP| Primary Care Outpatient | Stamford, CT

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Physician Assistant or Nurse Practitioner is a licensed professional provider who functions in collaboration with an attending physician in a variety of practice settings at YNHHS. Provides exceptional direct diagnostic and therapeutic patient care to the highest standards of the organization as part of a multidisciplinary team. Cultivates a patient centric environment which focuses on the whole individual inclusive of physical, psychosocial, spiritual and functional needs of the patient, family, and significant others. Serves as the focal professional for the continuity of care in patient care within scope of practice standards, as well as specialty specific standards to address and resolve problems that may arise. EEO/AA/Disability/Veteran Responsibilities Clinical Care * The Physician Assistant (PA) or the Nurse Practitioner (NP) provides assessment, triage, and therapeutic management of patient/family needs throughout the disease process as an integral part of an interdisciplinary team. The NP/PA, whether the practice setting is the inpatient, ambulatory, or outpatient settings, provides optimal patient care, from diagnostic to prognostic matters. This individual works in collaboration with the attending supervising/collaborating physician(s) in accordance with state law and hospital regulations, hospital policy, protocols and clinical pathways and may provide autonomous team based care. * Obtains medical histories, performs physical examinations, reviews/orders diagnostic/therapeutic tests and radiologic results, formulates and manages patient treatment plans. The NP/PA may perform procedures, prescribe treatment and medications in accordance with institutional and state guidelines, as well as, when necessary for scope within specialty or professional competency standards. In some clinical specialties, the NP/PA may have autonomous practice managing certain patient populations. * The NP/PA may also function as first or second assistant on operative cases (as long as within position scope and job educational prerequisites are in place), using fine motor skills and manual dexterity. * Other clinical job duties may be applied in accordance with departmental and operational goals, training related to profession and practice necessitated guidelines and responsibilities, inclusive but not limited to responding to emergency situations within the YNHHS parameters Patient Education & Psychosocial Support * The NP/PA will educate patients/families on care and recommended or available resources. In collaboration with the supervising/collaborating MD, this may be inclusive of admitting instructions, treatment plan, actual and potential side effects of treatments/medications, and discharge plan. * The NP/PA, as part of a multidisciplinary team, provides psychosocial support to patients, their family members, and significant others in a caring, ethical, and professional manner. Information Management * The NP/PA ensures appropriate documentation within the accordance of hospital and regulatory requirements and protects information of all forms, whether computer-based, paper, film, voice, or other media from unauthorized access modification, destruction, or intentional or accidental disclosure. Quality Management * The NP/PA is expected to demonstrate a high standard of moral and ethical behavior, professionalism, compassion, and commitment to patient care. * Ensures compliance with patient related healthcare regulatory requirements, standards and recommendations. Professional Development * The NP/PA continuously engages in projects that maintain and advance professional competency. * The NP/PA serves as a clinical resource for new house staff and may provide service specific orientation pertinent to clinical education * Consistently demonstrates high reliability organizational behaviors through reporting safety events as well as near misses. * The NP/PA continuously engages in projects that maintain and advance professional competency. * Maintains all employee requirements determined by hospital policy. * The NP/PA may serve as a clinical preceptor for NP/PA students and other health care professionals and may serve as a mentor to pre-PA/NP candidates. * The NP/PA may collaborate on research, quality assurance and performance improvement projects, and assist with the formation of protocols that will be applied to clinical practice or further their educational and clinical expertise. Qualifications EDUCATION Graduate from an accredited Nurse Practitioner or an accredited Physician Assistant Program. EXPERIENCE Prefer clinical working experience as a NP/PA within the given specialty/service line recommended, but none required. APRNs, PAs, CRNAs and CNMs are required to be appointed to the Affiliated Medical Staff of a YNHHS Hospital and credentialed through the Medical Staff process. Evidence of current competence to practice as {an APRN, PA, CRNA, CNM} via appropriate reference letters from physicians and other practitioners must be able to be obtained during the Medical Staff appointment process in order to be eligible. LICENSURE Active PA Certification by the National Commission of Certification of Physician Assistants (NCCPA), Connecticut State Physician Assistant License, ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification. Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty. OR Connecticut State Registered Nurse License, Connecticut State Nurse Practitioner License, Board specialty certification, as appropriate for position profile ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification. Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty. Additional Information To learn more, please email our In-House Provider Recruiter, Lee Bradford via e-mail at [email protected] or you may reach out to schedule a time directly on her calendar by using the link below. Please be sure to include your resume: Schedule a time to speak with Lee EEO/AA/Disability/Veteran YNHHS Requisition ID 149665

SURG TECH-YSC NPOR

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive and non-invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists are experts in the theory and application of the principles of asepsis and sterile technique to combine the knowledge of human anatomy, surgical procedures, and implementation and tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. EEO/AA/Disability/Veteran Responsibilities Contributing to the preparation of the surgery by assisting the Circulating Nurse in making available all necessary supplies, instrumentation and equipment according to the needs of the patient and the surgical team. Maintaining safety awareness as it applies to patient and equipment. Proper handling and identification of all specimens. Collaborating with team members to check and accurately restock necessary supplies in assigned room in a fiscally responsible manner. Preparing the operative site for surgery under the direction of a registered nurse and assists the other members of the surgical team as needed; reports status of procedure to relief team. Demonstrating commitment to personal growth and development. This is to include attending in-services, maintaining certification, keeping up-to-date on meeting minutes and updated policies and procedure. Recognizing the importance of teamwork, consideration, and cooperation within the operating room. Responsible for preparing and maintaining sterile fields to assure quality patient care. This is to include assuring integrity of asepsis according to policies and procedures; maintain alertness and report any break in technique. Assist and anticipate the needs of the surgeon. Verify with Circulating Nurse complete, sponge, needle and instrument counts. Inspection of supplies and equipment for evidence of proper sterilization and integrity according to standards. Identifying the principles of sterile technique and applies these techniques when assisting each operative procedure. Qualifications EDUCATION A graduate of CAAHEP accredited surgical technology program or formal program as defined by the LCCST. (Training may be through a hospital based program or through the military.) EXPERIENCE 1-2 years of experience and certification as a surgical technician preferred. LICENSURE Must obtain LCC-ST certification within 1 year of employment if not already certified. SPECIAL SKILLS Demonstrated knowledge of the theory and application of sterile and aseptic technique combined with the knowledge of human anatomy and various instrumentation and procedures in all surgical areas and services. Demonstrates knowledge of all aspects of the Perioperative Department and works independently on surgical procedures. Utilizes the recommended guidelines as set forth in the Association of Surgical Technologist Standards of Practice in accomplishing job-related responsibilities. PHYSICAL DEMAND Standing 90% of the work day. Ability to lift up to 36 pounds, handle highly-stressful physical and interpersonal situations, do repetitive work, fine hand manipulations, and work at an elevated level from floor. Able to cope with repeated skin scrubbing and withstand variation in room temperatures. YNHHS Requisition ID 146610

HVC Critical Care Nurse

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The Charge Role, Delegates And Supervises Unit Activities. May Be Requires To Work On Other Nursing Units According To Distribution Of Staff And Patients. Performs Other Duties As Assigned Or Requested In Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities Assesses The Patient's Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care. Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team. Evaluates The Effectiveness Of The Plan Of Care, Patient?S Response To Care, And Readiness For Discharge. Revises The Plan Of Care As Needed And Makes Referrals Where Indicated. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes. Functions As A Preceptor To New Staff. Functions As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator Qualifications EDUCATION: Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE: Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. ACCOUNTABILITY: Accountable to practice within the Scope and Standards of Practice within the Nurse Practice Act of their state of practice. RNs at YNHH are accountable to YNHHS standards of professional behavior. Nursing practice is overseen by the Chief Nursing Officer (CNO) in each delivery network, and RNs are accountable to their chain of command . RNs are accountable to team members and upholding standards of professional behavior. COMPLEXITY): In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic). Accountable to the Scope and Standards of practice noted in this job description. LICENSURE/CERTIFICATION: Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. Benefits: Competitive salary based on experience and qualifications. Comprehensive health, dental, and vision insurance. Retirement savings plan with employer contributions. Paid time off and flexible scheduling options. Professional development and continuing education opportunities. Employee wellness initiatives and support programs. Additional Information Heart and Vascular Cardiac ICU (5-1 SP) The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure. Our patients are treated with medical and interventional management. Nursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. RN-HVC Cardiothoracic ICU (CTICU/WP3) Cardiothoracic ICU is an 18-bed cardiac surgery unit, specializing in care for complex post-operative CABG, valve replacements, aortic dissection repairs, heart transplants and LVAD implantation. This is also the only unit in YNHH health system that cares for patients requiring ECMO, whether it is VV (lung bypass) or VA (heart and lung bypass). In addition, patients may require additional devices including IABP, Impella/VADs, and/or CRRT. Nurses will be trained to devices based on previous experience and progression of skills, expectations and critical thinking. HVC Cardiovascular ICU and Stepdown (5-4 SP) The Cardiovascular ICU and Stepdown is a 14-bed hybrid unit consisting of 8 ICU and 6 stepdown beds. We specialize in caring for patients post complex vascular surgery, such as aortic repairs, and post cardiac surgery patients such as CABG and valve replacements in our ICU beds. In the stepdown beds we care for patients with a variety of complex heart and vascular diagnoses.

Surgical Nurse (RN) / OR Surgical RN

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. The professional role of the RN is exemplified by the qualities of leadership, delegation, collaboration, effective communication, ensuring quality outcomes. YNHHS nurses practice in a framework outlined in our professional practice model, which states, "Achieving outcomes through Autonomy and Accountability". We value Nursing Professional Governance, and use evidence and data to support our practice with the patient and family at the center, always. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. EEO/AA/Disability/Veteran Responsibilities STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or situation Diagnosis: The RN analyzes the assessment data to determine the actual and potential diagnoses or the issues. Outcomes Identification: The RN identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Implementation: The RN implements the identified plan. Coordination of Care: The RN coordinates care delivery and transitions in care. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment. Evaluation: The RN evaluates progress toward attainment of outcomes. STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in professional role activities, including leadership, appropriate to their education and position. The RN is accountable to for their professional actions to themselves, their healthcare consumers, their peers and ultimately to society. Ethics: The RN practices ethically. Culturally congruent practice: The RN practices in a manner that is congruent with cultural diversity and inclusion principles. Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Leadership: The RN leads within the professional practice setting and the profession. Education: the RN seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Professional Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner. Qualifications EDUCATION Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. LICENSURE Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. SPECIAL SKILLS Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. PHYSICAL DEMAND Requires prolonged standing; walking; use of sight, hearing, and touch. May be exposed to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care. Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds. Additional Information Experienced OR RN's

Registered Nurse (RN), Float Critical Care / ICU

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The Charge Role, Delegates And Supervises Unit Activities. May Be Requires To Work On Other Nursing Units According To Distribution Of Staff And Patients. Performs Other Duties As Assigned Or Requested In Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities Assesses The Patient's Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care. Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team. Evaluates The Effectiveness Of The Plan Of Care, Patient?S Response To Care, And Readiness For Discharge. Revises The Plan Of Care As Needed And Makes Referrals Where Indicated. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes. Functions As A Preceptor To New Staff. Functions As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator Qualifications EDUCATION: Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE: Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. ACCOUNTABILITY: Accountable to practice within the Scope and Standards of Practice within the Nurse Practice Act of their state of practice. RNs at YNHH are accountable to YNHHS standards of professional behavior. Nursing practice is overseen by the Chief Nursing Officer (CNO) in each delivery network, and RNs are accountable to their chain of command . RNs are accountable to team members and upholding standards of professional behavior. COMPLEXITY): In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic). Accountable to the Scope and Standards of practice noted in this job description. LICENSURE/CERTIFICATION: Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. Benefits: Competitive salary based on experience and qualifications. Comprehensive health, dental, and vision insurance. Retirement savings plan with employer contributions. Paid time off and flexible scheduling options. Professional development and continuing education opportunities. Employee wellness initiatives and support programs. Additional Information Heart and Vascular Cardiac ICU (5-1 SP) The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure. Our patients are treated with medical and interventional management. Nursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. RN-HVC Cardiothoracic ICU (CTICU/WP3) Cardiothoracic ICU is an 18-bed cardiac surgery unit, specializing in care for complex post-operative CABG, valve replacements, aortic dissection repairs, heart transplants and LVAD implantation. This is also the only unit in YNHH health system that cares for patients requiring ECMO, whether it is VV (lung bypass) or VA (heart and lung bypass). In addition, patients may require additional devices including IABP, Impella/VADs, and/or CRRT. Nurses will be trained to devices based on previous experience and progression of skills, expectations and critical thinking. HVC Cardiovascular ICU and Stepdown (5-4 SP) The Cardiovascular ICU and Stepdown is a 14-bed hybrid unit consisting of 8 ICU and 6 stepdown beds. We specialize in caring for patients post complex vascular surgery, such as aortic repairs, and post cardiac surgery patients such as CABG and valve replacements in our ICU beds. In the stepdown beds we care for patients with a variety of complex heart and vascular diagnoses.

Surgical Technologist - YNHH

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive and non-invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists are experts in the theory and application of the principles of asepsis and sterile technique to combine the knowledge of human anatomy, surgical procedures, and implementation and tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. EEO/AA/Disability/Veteran Responsibilities Contributing to the preparation of the surgery by assisting the Circulating Nurse in making available all necessary supplies, instrumentation and equipment according to the needs of the patient and the surgical team. Maintaining safety awareness as it applies to patient and equipment. Proper handling and identification of all specimens. Collaborating with team members to check and accurately restock necessary supplies in assigned room in a fiscally responsible manner. Preparing the operative site for surgery under the direction of a registered nurse and assists the other members of the surgical team as needed; reports status of procedure to relief team. Demonstrating commitment to personal growth and development. This is to include attending in-services, maintaining certification, keeping up-to-date on meeting minutes and updated policies and procedure. Recognizing the importance of teamwork, consideration, and cooperation within the operating room. Responsible for preparing and maintaining sterile fields to assure quality patient care. This is to include assuring integrity of asepsis according to policies and procedures; maintain alertness and report any break in technique. Assist and anticipate the needs of the surgeon. Verify with Circulating Nurse complete, sponge, needle and instrument counts. Inspection of supplies and equipment for evidence of proper sterilization and integrity according to standards. Identifying the principles of sterile technique and applies these techniques when assisting each operative procedure. Qualifications EDUCATION A graduate of CAAHEP accredited surgical technology program or formal program as defined by the LCCST. (Training may be through a hospital based program or through the military.) EXPERIENCE 1-2 years of experience and certification as a surgical technician preferred. LICENSURE Must obtain LCC-ST certification within 1 year of employment if not already certified. SPECIAL SKILLS Demonstrated knowledge of the theory and application of sterile and aseptic technique combined with the knowledge of human anatomy and various instrumentation and procedures in all surgical areas and services. Demonstrates knowledge of all aspects of the Perioperative Department and works independently on surgical procedures. Utilizes the recommended guidelines as set forth in the Association of Surgical Technologist Standards of Practice in accomplishing job-related responsibilities. PHYSICAL DEMAND Standing 90% of the work day. Ability to lift up to 36 pounds, handle highly-stressful physical and interpersonal situations, do repetitive work, fine hand manipulations, and work at an elevated level from floor. Able to cope with repeated skin scrubbing and withstand variation in room temperatures. YNHHS Requisition ID 163279

RN - Cardiovascular Surgery ICU (CSICU / CVICU)

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The Charge Role, Delegates And Supervises Unit Activities. May Be Requires To Work On Other Nursing Units According To Distribution Of Staff And Patients. Performs Other Duties As Assigned Or Requested In Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities Assesses The Patient's Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care. Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team. Evaluates The Effectiveness Of The Plan Of Care, Patient?S Response To Care, And Readiness For Discharge. Revises The Plan Of Care As Needed And Makes Referrals Where Indicated. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes. Functions As A Preceptor To New Staff. Functions As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator Qualifications EDUCATION: Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE: Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. ACCOUNTABILITY: Accountable to practice within the Scope and Standards of Practice within the Nurse Practice Act of their state of practice. RNs at YNHH are accountable to YNHHS standards of professional behavior. Nursing practice is overseen by the Chief Nursing Officer (CNO) in each delivery network, and RNs are accountable to their chain of command . RNs are accountable to team members and upholding standards of professional behavior. COMPLEXITY): In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic). Accountable to the Scope and Standards of practice noted in this job description. LICENSURE/CERTIFICATION: Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. Benefits: Competitive salary based on experience and qualifications. Comprehensive health, dental, and vision insurance. Retirement savings plan with employer contributions. Paid time off and flexible scheduling options. Professional development and continuing education opportunities. Employee wellness initiatives and support programs. Additional Information Heart and Vascular Cardiac ICU (5-1 SP) The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure. Our patients are treated with medical and interventional management. Nursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. RN-HVC Cardiothoracic ICU (CTICU/WP3) Cardiothoracic ICU is an 18-bed cardiac surgery unit, specializing in care for complex post-operative CABG, valve replacements, aortic dissection repairs, heart transplants and LVAD implantation. This is also the only unit in YNHH health system that cares for patients requiring ECMO, whether it is VV (lung bypass) or VA (heart and lung bypass). In addition, patients may require additional devices including IABP, Impella/VADs, and/or CRRT. Nurses will be trained to devices based on previous experience and progression of skills, expectations and critical thinking. HVC Cardiovascular ICU and Stepdown (5-4 SP) The Cardiovascular ICU and Stepdown is a 14-bed hybrid unit consisting of 8 ICU and 6 stepdown beds. We specialize in caring for patients post complex vascular surgery, such as aortic repairs, and post cardiac surgery patients such as CABG and valve replacements in our ICU beds. In the stepdown beds we care for patients with a variety of complex heart and vascular diagnoses.

Surgical Technician - Sign-on Bonus $10,000

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Assists With Care Of The Patient Throughout The Perioperative Experience. Performs Scrub And Related Duties With A Registered Nurse. Is Responsible For The Immediate Sterile Field And Instrumentation. Assists With Preparation, Maintenance And Cleanup Of Supplies And Equipment. Responsible For Sterilization Of Equipment And Instruments When Necessary. Prepares Operating Room For Surgical Procedures. Provides Assistance To Nursing And Anesthesia Staff. Assists With Inventory Management As Well As Equipment Maintenance. Provides Any Supportive Duties That May Be Necessary For The Efficient, Effective, Productive Provision Of Patient Care And Department Flow. EEO/AA/Disability/Veteran Responsibilities Implements Actions To Maintain A Safe Environment For The Patient To Include But Not Limited To: Positioning ?Time Out? Medication Management Prevention Of Nosocomial Infection Implements Actions To Prevent Patient Injury From: Positioning, Extraneous Objects, Medications, Infection, Chemical/Physical/Electrical Hazards. Demonstrates Knowledge Of All Skills And Principles Necessary In The Role (I.E. Asepsis, Hazmat, Blood Borne Pathogens. Prepares And Organizes Materials Recognizing Special Needs Of Patient, Procedure And/Or Surgeon. Assist In Room Preparation When Required. Checks And Maintains Department Equipment And Supplies. Safely Operates All Equipment According To Manufacturer Specifications. Insures All Necessary Instrumentation And Equipment Are In Working Order. Implements Case Breakdown Procedure Insuring Minimal Downtime Between Cases / Assists In Room Turnover. Demonstrates Clinical And Technical Skills According To Established Standards Of Practice. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Asc. Qualifications EDUCATION High School Diploma Or Equivalent required. Graduate Of Approved School Of Allied Health Or Surgical Technology required. Cpr Certification Required. EXPERIENCE Operating Room Experience Preferred. LICENSURE BLS Required. SPECIAL SKILLS National Certification Required within 18 months of hire. YNHHS Requisition ID 142152

Operating Room Registered Nurse (OR RN)

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. The professional role of the RN is exemplified by the qualities of leadership, delegation, collaboration, effective communication, ensuring quality outcomes. YNHHS nurses practice in a framework outlined in our professional practice model, which states, "Achieving outcomes through Autonomy and Accountability". We value Nursing Professional Governance, and use evidence and data to support our practice with the patient and family at the center, always. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. EEO/AA/Disability/Veteran Responsibilities STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or situation Diagnosis: The RN analyzes the assessment data to determine the actual and potential diagnoses or the issues. Outcomes Identification: The RN identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Implementation: The RN implements the identified plan. Coordination of Care: The RN coordinates care delivery and transitions in care. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment. Evaluation: The RN evaluates progress toward attainment of outcomes. STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in professional role activities, including leadership, appropriate to their education and position. The RN is accountable to for their professional actions to themselves, their healthcare consumers, their peers and ultimately to society. Ethics: The RN practices ethically. Culturally congruent practice: The RN practices in a manner that is congruent with cultural diversity and inclusion principles. Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Leadership: The RN leads within the professional practice setting and the profession. Education: the RN seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Professional Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner. Qualifications EDUCATION Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. LICENSURE Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. SPECIAL SKILLS Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. PHYSICAL DEMAND Requires prolonged standing; walking; use of sight, hearing, and touch. May be exposed to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care. Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds. Additional Information Experienced OR RN's