Summary of Position: Responsible for the delivery of safe, effective, and quality patient-family centered care in the preoperative and postoperative units. The Perianesthesia RN is responsible for providing professional nursing care to patients in the Surgery Department, utilizing established policies and procedures, ensuring safe and effective care. This position is responsible for accurately and safely administering sedation/analgesia, monitoring patients’ responses, ensuring patient safety during procedure and documenting according to policy & procedure. Services are provided based on the ages of the population served; 1 year through geriatric - 65 years or older and in collaboration with the multidisciplinary care team. The RN demonstrates the knowledge and skills necessary to identify and meet the individualized needs of all patients served in Surgery Department. Qualifications Education: ● Completion of an accredited Nursing program. ● Bachelor’s degree in Nursing (BSN) preferred. Experience: ● Candidates with previous acute care experience will be given preference. ● Previous PACU or ICU experience preferred. Knowledge/Skills/Abilities: ● Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. ● Must be able to work in a stressful environment and take appropriate action. ● Proficient computer skills as are required to document, communicate and enter information into the electronic medical records system. ● In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred. Certifications/Licensure: ● Current California and Nevada RN license or ability to obtain prior to start date. ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) required ● ACLS certification required ● PALS certification required ● Certified Post Anesthesia Nurse (CPAN) or Certified Ambulatory Perianesthesia Nurse (CAPA) certification preferred Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Provides patient care, evaluates outcomes, consults with others as required and adjusts care plan as necessary to ensure optimal care. 3. Assess patients at intervals as stated in policies and procedures. 4. Based on assessment findings individualizes care plan for each assigned patients. 5. Medication administration is followed with departmental and hospital policy. 6. Monitors patient reaction to physician orders. Reports any untoward change in patient condition to appropriate individual(s). Correctly and concisely reports patient status. 7. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisor. 8. For urgent add-ons, functions as a preadmit nurse a. Performs nursing history and physical b. Provides patient pre-procedure education (i.e. NPO status, medication instructions, etc.) c. Obtains preoperative testing results d. If necessary, sends chart to anesthesia for review 9. Functions as a preoperative nurse a. Performs initial patient assessment b. Provides patient and procedure specific education c. Prepares patient for procedure (obtains vitals, starts IV, etc.) 10. Functions as a postoperative nurse. a. Performs initial patient assessment b. Apply the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score [i.e., PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. c. Provides acute pain and comfort management as needed d. performing interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels; e. performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels; f. Performs interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period; 11. Accurately and safely administers sedation/analgesia. Monitors patient response, ensures patient safety during procedure and documents according to policy & procedure. Utilizes moderate sedation (following appropriate policy/procedure) while assisting with regional anesthesia placement or local with MAC. 12. Assists physicians with examinations, procedures, including sedation, and other processes related to direct patient care. Assists Anesthesiology with regional anesthesia. 13. Accurately and safely discharges patients utilizing the discharge criteria. 14. Keeps patient/family informed of progress, procedures, and disposition. Focuses on customer service needs. 15. The patients learning needs, abilities, preferences and readiness to learn is assessed. 16. Monitors and ensures accuracy of documentation in patient medical record. a. Ensure completeness of chart and electronic medical record to include surgical navigators. 17. Operates equipment and performs job related duties in a safe manner. Insures proper functioning of equipment and follows procedure when equipment malfunctions. 18. Orients, instructs and trains assigned personnel. 19. The staff member is able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. The individual demonstrates knowledge of the principles of growth and development over the lifespan and possesses the ability to identify each patient’s age-specific needs. 20. Transfer care as applicable. 21. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards (AORN, ASPAN, CDC, OSHA, Joint Commission, CDPH, Title XXII, and CMS). 22. Performs monthly outdates on medications and supplies. 23. Assists with ordering of supplies (to include medications and nutrition stock). 24. Environmental services duties to include cleaning of the preoperative and postoperative areas. 25. Delegate tasks according to the state Nurse Practice Act and job descriptions. 26. Document nursing care accurately, completely, and legibly. 27. Collaborate effectively with other disciplines as applicable. 28. Participate in quality review and performance improvement projects. 29. Participate in the performance appraisal process. 30. Use problem-solving and conflict resolution skills to foster effective work relationships with team members. 31. Maintain required competencies. 32. Responds to the needs of the department by performing other duties, as necessary.
Summary of Position: The Registered Nurse for Concierge Medicine (RN) serves as the key point of contact within the health care system for patients to ensure timely access to a variety of health care programs and services. The RN acts as an advocate for the patient and facilitates care across the entire care continuum. The RN invests time to build meaningful relationships with patients and provides world class, comprehensive, customized care coordination. The RN is dedicated to a specific patient panel, though occasional cross-coverage for other RN’s panels may be needed. The RN provides after hours call to perform nurse triage. Qualifications Education: • Completion of an accredited nursing program • Bachelor’s degree in Nursing (BSN) preferred Experience: • Minimum of three (3) years as an RN in a hospital or outpatient clinic • Experience working with patients with complex medical needs, such as those recovering from surgery or managing a chronic illness • Experience in telephone or in person triage Knowledge/Skills/Abilities: • Excellent listening, communication and interpersonal skills • The ability to harness independence and autonomy, when necessary, as well as the ability to work seamlessly as part of a team • Flexibility and willingness to occasionally work after hours or on weekends, if necessary • Sound clinical and personal judgment and professional demeanor • Strong critical thinking and problem-solving skills and an ability to make quick decisions and take action in emergencies • Proven nurse with track record of providing extraordinary patient care and customer service • Advanced computer literacy Certifications/Licensure: • California RN license required • Nevada RN license required • Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) or ability to obtain prior to start date. • Valid California or Nevada Driver’s license (depending on state of employee’s residence) or ability to obtain prior to start date • Current vehicle insurance Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. • The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. • The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. • Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. • Lifts, positions, pushes and/or transfer patients. • The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Routine Hospital/Healthcare & Office/Administrative conditions. • Contact with patients and guests under a wide variety of circumstances. • Regularly exposed to the risk of bloodborne diseases. • Exposure to infections and contagious disease. • Exposed to hazardous anesthetic agents, body fluids and waste. • Subject to hazards of flammable and explosive gases. • Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. • Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. • Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. The Registered Nurse - Concierge Medicine is responsible for triaging and coordinating the care needs of assigned patient panel and develops comprehensive plans to manage care delivery across the patient care continuum. 3. Corresponds directly with concierge patients on a routine basis, fostering a relationship of trust and reliability. Acts as the single point of contact for patients and referral sources ensuring high levels of customer satisfaction. Intervenes immediately when a potential bottleneck in our system may occur. 4. Facilitates the patient’s participation in all decisions concerning care and appropriately advocates on their behalf. 5. Works closely with teams of doctors and patient care coordinators to ensure best patient health and satisfaction outcomes. 6. Responds to telephone calls and MyChart messages in a timely manner. 7. Ensures physician orders to initiate treatments and scheduling are available and viable; judiciously intervenes/connects with physicians to rectify issues. May assist with entering orders for the physician to co-sign. 8. Escorts patients to and from various departments for tests and treatments; assesses need for adaptive equipment, wheelchairs, etc. to support safety. Remains with patients as requested and pro-actively orchestrates or takes additional customer service measures and actions as appropriate, to ensure a high-quality patient experience. 9. In addition to working with patients in the outpatient medical offices, the RN prepares for and executes all-inclusive visits to patients’ homes and offices. Acts as a liaison between home health agencies and physicians to coordinate discharge plan for patient care and establish post-discharge plan of care. 10. Coordinates prescriptions and refills with pharmacies locally and out of the area. 11. Intervenes appropriately to reduce anxiety and enhance patients’ ability to follow-through with appointments and prescribed care. 12. Involves appropriate leaders in service recovery as necessary. 13. Provides after-hours and weekend call as required for concierge patients. 14. Responds to the needs of the department by performing other duties, as necessary.
Summary of Position: The Surgical Technician facilitates the operative or other invasive procedure by preparing and providing the required sterile instruments, supplies and equipment. Maintains the sterile field and anticipates and responds to the needs of the surgical team. Qualifications Education: ● High school diploma or GED required. ● Graduate from an accredited surgical technology program or equivalent education/experience ● Certified surgical technologist (CST) preferred Experience: ● Minimum of six months previous OR experience preferred ● Orthopedic, specifically sports medicine, experience preferred ● Previous experience in reprocessing operations preferred Knowledge/Skills/Abilities: ● Knowledge of or experience with Medical Terminology. ● Highly effective written and verbal communications skills. ● Proficient computer skills ● Requires critical thinking skills, decisive judgment and ability to work with minimal supervision. ● Must be able to work in a stressful environment and take appropriate action. ● In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred Certifications/Licensure: ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) or ability to obtain prior to start date. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Functions as a scrub person during operative and other invasive procedures by a. assembling supplies and equipment required for the procedure; b. preparing and organizing sterile supplies and instruments for the procedure; c. performs surgical counts according to departmental policy; d. assisting with placement of sterile drapes; e. providing instruments and supplies to the surgical team during the procedure; f. maintaining an organized sterile field; g. ensuring sterility of the field and taking corrective actions as needed; and h. preparing sterile dressings. 3. Clean and prepare surgical instruments for processing and transport them to the decontamination areas. 4. Meets regulatory requirements for sterilization, high level disinfection and biological monitoring. 5. Assist with post procedure cleaning of the operative or other invasive procedure room and preparation of room for subsequent patients. 6. Maintain privacy and confidentiality of individuals and health information. 7. Demonstrates a working knowledge of regulatory standards and ensures that practice is compliant with hospital/departmental policies (AORN, CDC, OSHA, Joint Commission, CDPH, and CMS). 8. Orients, instructs and trains assigned personnel. 9. Utilizes the EMR to perform essential job functions. 10. Performs monthly outdates of supplies. 11. Assists with ordering of supplies. 12. Participate in the performance appraisal process. 13. Maintain required competencies 14. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisor. 15. Use problem-solving and conflict resolution skills to foster effective work relationships with team members. 16. Responds to the needs of the department by performing other duties, as necessary.
*** 5 days a week - 8 hour days *** Summary of Position: The Medical Assistant (MA) works with all members of the care team by performing a variety of clinical and administrative patient-related duties as established in the roles and responsibilities defined below. The MA works to fulfill a variety of patient needs and ensures smooth patient flow within the department. The MA provides comfortable, safe, professional care for clinic patients, and provides all assistance required to successfully schedule and complete patient appointments. The MA demonstrates the ability to meet the needs and provide services to all age-groups from infancy to geriatrics and is competent in providing services to a culturally diverse population. Qualifications Education: ● High school diploma or GED preferred. ● College level coursework in the delivery of care in a medical clinic preferred. ● Medical Assistant certification as recognized by The Medical Board of California or a nationally recognized certification agency. ● OR completion of a Medical Assistant program including a clinical externship ● OR one year of recent Medical Assistant experience. ● Ability to obtain certification as recognized by the Medical Board of California or a nationally recognized certification agency within 18 months of hire. Minimum Experience: ● One to three years’ recent experience as a Medical Assistant preferred ● Float MA positions require at least two years of recent MA experience ● Ambulatory care/physician office experience preferred. ● Patient Centered Medical Home or Patient Centered Specialty Practice experience preferred. Knowledge/Skills/Abilities: ● Proficiency in clinical skills and office procedures. ● Computer and keyboard experience, including charting in electronic medical records. ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. ● Working knowledge of quality improvement measures and the Patient-Centered Medical Home. Certifications/Licensure: ● Current Basic Life Support for Healthcare Providers certification from the American Heart Association, or ability to obtain prior to start date. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, or crouch for extended periods of time. ● Specific vision abilities required by this job include close vision, adequate near and distant vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of urgent, emergent or crisis situations. ● Subject to pressure due to irregular hours, (Urgent Care: weekend hours, holiday hours) frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Support the quality programs and processes of the Barton Patient Centered Medical Home (PCMH) or Patient Centered Specialty Practice teams 3. Assists the care team by collecting patient care data and reports findings to licensed staff. Escorts patients to exam rooms, takes weight and vital signs and obtains chief complaint/ reason for visit. Obtains social, family, personal and surgical history, reviews current medications with dosage, documents pharmacy preference, allergies and adverse drug reactions, conducts all appropriate health screenings and documents fall risk, performs point of care testing. 4. Assists licensed staff with minor diagnostic procedures and treatments, including sterilizing and setting up instruments, preparing examination rooms and instruments, assisting provider with procedure and stocking supplies. 5. At the direction of licensed staff, provides understandable explanations, and educates patients and families regarding treatments and interventions. 6. Schedules patients for testing procedures. Obtains tests results and ensures that lab reports, x-rays, outside progress notes/medical records, and other information is in the medical record prior to the appointment. 7. Labels and maintains proper storage for specimens and tests. 8. Processes requests for prescription medication refills according to protocol. 9. Administers medications within scope of practice and training. 10. Cleans and disinfects room counters, exam tables and instruments after each use. 11. Recognizes signs and symptoms of acute medical or physiological conditions and immediately reports such circumstances to a registered nurse, mid-level provider or physician. 12. Documents all aspects of patient care in the electronic medical record system. Assists with charge capture entry as needed. 13. Cross trains to cover other departments and flexibility to cover as needed. 14. Actively participates in team huddles and care team meetings. 15. Responds to the needs of the department by performing other duties, as necessary.
Summary of Position: The Medical Assistant (MA) works with all members of the care team by performing a variety of clinical and administrative patient-related duties as established in the roles and responsibilities defined below. The MA works to fulfill a variety of patient needs and ensures smooth patient flow within the department. The MA provides comfortable, safe, professional care for clinic patients, and provides all assistance required to successfully schedule and complete patient appointments. The MA demonstrates the ability to meet the needs and provide services to all age-groups from infancy to geriatrics and is competent in providing services to a culturally diverse population. Qualifications Education: ● High school diploma or GED preferred. ● College level coursework in the delivery of care in a medical clinic preferred. ● Medical Assistant certification as recognized by The Medical Board of California or a nationally recognized certification agency. ● OR completion of a Medical Assistant program including a clinical externship ● OR one year of recent Medical Assistant experience. ● Ability to obtain certification as recognized by the Medical Board of California or a nationally recognized certification agency within 18 months of hire. Minimum Experience: ● One to three years’ recent experience as a Medical Assistant preferred ● Float MA positions require at least two years of recent MA experience ● Ambulatory care/physician office experience preferred. ● Patient Centered Medical Home or Patient Centered Specialty Practice experience preferred. Knowledge/Skills/Abilities: ● Proficiency in clinical skills and office procedures. ● Computer and keyboard experience, including charting in electronic medical records. ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. ● Working knowledge of quality improvement measures and the Patient-Centered Medical Home. Certifications/Licensure: ● Current Basic Life Support for Healthcare Providers certification from the American Heart Association, or ability to obtain prior to start date. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, or crouch for extended periods of time. ● Specific vision abilities required by this job include close vision, adequate near and distant vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of urgent, emergent or crisis situations. ● Subject to pressure due to irregular hours, (Urgent Care: weekend hours, holiday hours) frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Support the quality programs and processes of the Barton Patient Centered Medical Home (PCMH) or Patient Centered Specialty Practice teams 3. Assists the care team by collecting patient care data and reports findings to licensed staff. Escorts patients to exam rooms, takes weight and vital signs and obtains chief complaint/ reason for visit. Obtains social, family, personal and surgical history, reviews current medications with dosage, documents pharmacy preference, allergies and adverse drug reactions, conducts all appropriate health screenings and documents fall risk, performs point of care testing. 4. Assists licensed staff with minor diagnostic procedures and treatments, including sterilizing and setting up instruments, preparing examination rooms and instruments, assisting provider with procedure and stocking supplies. 5. At the direction of licensed staff, provides understandable explanations, and educates patients and families regarding treatments and interventions. 6. Schedules patients for testing procedures. Obtains tests results and ensures that lab reports, x-rays, outside progress notes/medical records, and other information is in the medical record prior to the appointment. 7. Labels and maintains proper storage for specimens and tests. 8. Processes requests for prescription medication refills according to protocol. 9. Administers medications within scope of practice and training. 10. Cleans and disinfects room counters, exam tables and instruments after each use. 11. Recognizes signs and symptoms of acute medical or physiological conditions and immediately reports such circumstances to a registered nurse, mid-level provider or physician. 12. Documents all aspects of patient care in the electronic medical record system. Assists with charge capture entry as needed. 13. Cross trains to cover other departments and flexibility to cover as needed. 14. Actively participates in team huddles and care team meetings. 15. Responds to the needs of the department by performing other duties, as necessary.
