*** 40 hours per week *** ***Actual offered hourly wage will depend on experience of the applicant*** Summary of Position: The Ski Clinic Nurse provides professional nursing care to patients within the 3 ski clinics to include: Heavenly Ski Clinic, Sierra at Tahoe Ski Clinic and Kirkwood Ski Clinic, utilizing established policies and procedures, ensuring safe and effective care. The Ski Clinic RN assesses, plans, implements, and evaluates care in collaboration with the multidisciplinary care team. Qualifications Education: ● Completion of an accredited nursing program Experience: ● Minimum two years recent ER experience preferred Knowledge/Skills/Abilities: • Highly effective written and verbal communications skills. • Proficient computer skills are required to document, communicate, and enter information into the electronic medical records system. • Requires critical thinking skills, decisive judgment, and ability to work with minimal supervision. • Must be able to receive direction and assignments from physicians and prioritize tasks. • 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 California RN license or ability to obtain prior to hire date • Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) • ACLS, PALS required 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. Performs systems assessment at designated and appropriate intervals on all assigned patients, recognizing disturbed physiology and abnormal parameters. 4. Assesses pain levels on all patients per Barton’s policy. 5. Assesses psychosocial needs of patients, expressing interest in their progress and comfort, makes the appropriate referrals and prepares them for disposition. 6. Recognizes those patients at risk and makes appropriate referrals to community agencies per federal and state law and Barton Memorial Hospital policies. 7. Based on assessment findings, initiates appropriate nursing actions. Correctly analyzes, prioritizes and implements standing, temporary and emergency job tasks in a timely fashion and according to policy. 8. Follows Barton policies on medication administration and documentation. 9. Monitors patient reaction and compliance with physician orders. Reports any untoward change in patient condition to appropriate individuals. 10. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisors. 11. Functions as a team leader to include, communicates effectively with team members; completes assessments in a timely manner, supports team members helping and guidance 12. Assists physicians with examinations, procedures and other processes related to direct patient care. 13. Keeps patient/family informed of progress, procedures, and disposition. Focuses on customer service needs. 14. Effectively educates patients, families to include medication use and safety, nutrition interventions, safe use of medical equipment, management of pain, rehabilitation techniques and use of other resources 15. Monitors and ensures accuracy of documentation in patient medical record. All aspects of patient care are accurately documented 16. Operates equipment and performs job related duties in a safe manner. Ensures proper functioning of equipment and follows procedure when equipment malfunctions. 17. Accurately assesses a patient's condition and recognizes serious situations that call for immediate intervention by nursing or the physician. 18. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards 19. Responds to the needs of the department by performing other duties, as necessary.
***Actual offered hourly wage will depend on experience of the applicant*** Summary of Position: Assists licensed staff in the provision of basic nursing and therapy care in Skilled Nursing, using the application of basic skills, restorative care, utilizing established policies and procedures, ensuring safe and effective care. Services are provided based on the ages of the population served -- adult through geriatric, 65 years or older -- and in collaboration with the multidisciplinary care team. Demonstrates the skill necessary to meet the needs of all residents served in Skilled Nursing through support of the nursing process; collects resident care data, reports findings, assists team in meeting resident care goals. The Certified Nursing Assistant SNF is under the supervision of the Skilled Nursing licensed staff and therapists and reports to the Skilled Nursing Director or designee. Qualifications Education: • Completion of an accredited Nursing Assistant program Experience: • Previous long term care experience preferred Knowledge/Skills/Abilities: • Experience or specialty training required in vital signs, bed making and resident transfer techniques • Strong computer skills to complete patient data entry and notes • In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred Certifications/Licensure: • Current CA Nursing Assistant Certification • Current CPR/BLS certification by the American Heart Association (BLS 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 conditions. • Contact with residents 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. Provide consistently exceptional care at all times. 2. As directed by licensed nursing & therapy staff, provides care in a manner that is safe and sensitive to the rights of each resident. 3. Performs hourly rounding on all assigned residents consistently on every shift 4. As directed, assists the care team by collecting resident care data at designated and appropriate intervals on all assigned residents. Reports finding to licensed staff. 5. Recognizes and accurately reports relevant resident information to licensed staff. • Reports on all significant changes in resident condition or motivational level. • Notifies charge nurse of feeding problems, reassessment needs. • Notifies PT and charge nurse of any mobility problems, referral or reassessment needs. 6. Utilizes time, equipment, and supplies in an efficient & safe manner. 7. Completes all assigned duties during designated shift. Prioritizes resident care activities based on care needs. Recognizes need for purpose vs. task when caring for residents. 8. Provides personal care assistance to residents, encouraging self care and independence but offering and providing help as needed: • Personal hygiene – bathing, bathroom/bedpan, oral care, AM and PMcare • Positioning • Dressing • Ambulation & transfers • Eating • Transport 9. Under direction of the therapist and charge nurse, performs routine physical therapy treatments • Range of Motion • Strengthening Exercises • Ensures placement of restorative devices 10. Performs basic procedures & care to including: • Application of simple dressings within CNA scope of practice • Specimen collection • Reinforces team management of bowel/bladder program • Assists residents with nutritional intake. 11. Communicates appropriate information regarding resident safety to charge RN 12. Follows all appropriate infection prevention measures in place in the SNF at all times. 13. Ensures that all aspects of resident care are documented. Documentation is complete, accurate and timely. 14. Supplies and Equipment • Operates equipment and ensures proper functioning of equipment • Follows procedure when equipment malfunctions. • Ensures use of supplies are accurately documented 15. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the residents served. 16. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards 17. Adheres to all hospital and departmental policies regarding attendance and punctuality. 18. Responds to the needs of the department by performing other duties, as necessary.
***Actual offered hourly wage will depend on experience of the applicant*** Summary of Position: Responsible for the delivery of safe, effective, and quality patient-family centered care in the OR and other areas of perioperative services for all patient populations. The Perioperative RN is responsible for providing professional nursing care to patients in the surgery departments, including Lake Tahoe Surgery Center, utilizing established policies and procedures, ensuring safe and effective care. This RN functions as a circulating nurse, assisting the surgical team during procedures, accurately and according to policy. Services are provided based on the ages of the population served as defined by each department’s Scope of Services 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 departments. Qualifications Education: ● Completion of an accredited Nursing program. ● Bachelor’s degree in Nursing (BSN) preferred. Experience: ● Previous OR experience highly 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: ● If California is your primary home dept, then California RN license required and obtain Nevada RN within 6 months. ● If Nevada is your primary home dept, then Nevada RN license required and obtain California RN within 6 months. ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) required. ● ACLS Certification required; New Grad RN, must obtain ACLS within 6 months. ● PALS certification preferred. ● Certified Perioperative Nurse (CNOR) 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. Accurately and safely administers sedation/analgesia, monitor patients’ responses, ensure patient safety during procedure and document according to policy & procedure. 4. Performs systems assessment at designated and appropriate intervals on all assigned patients,recognizing disturbed physiology and abnormal parameters. 5. Assesses pain levels on all patients. 6. Assesses patients and develops an individualized perioperative patient plan of care. 7. Medication administration is safe, accurate and timely. 8. Monitors patient reaction to physician orders. Reports any untoward change in patient condition to appropriate individual(s). Correctly and concisely reports patient status. 9. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisor. 10. Functions as a circulating nurse 11. Accurately communicates with surgical technologist all pertinent information regardingimplants (size, type, product, and serial numbers) and documents this information in the implant log. Collaborates with surgical technologist to accurately complete implant/explantlogs. 12. Monitors and ensures accuracy of documentation in patient medical record. 13. Orients, instructs and trains assigned personnel. 14. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards. 15. Environmental services duties to include cleaning of the operating area. 16. Maintain required competencies. 17. Responds to the needs of the department by performing other duties, as necessary.
Summary of Position: The Anesthesia Support RN is responsible for the direction and evaluation of nursing practice to promote safe, efficient, and therapeutically effective nursing care throughout the perioperative areas. Provides nursing care to the patient during all phases of the perioperative procedure to include but not limited to: assisting anesthesia providers, circulating, relief of Charge Nurse as needed, patient preparation and positioning, ordering and stocking of supplies, assist with regional anesthesia, setting up sterile trays for lines, education of staff on Anesthesia supplies and equipment and any other task needed to be completed within the Perioperative Services as directed by Anesthesia provider. Coordinate and control the multi-disciplinary activities for patients undergoing surgical intervention and recovery in a safe environment. Serves as a role model for the clinical staff. Makes decisions regarding direct patient care needs and communicates appropriate information to other team members. Helps maintain equipment, supplies, and cleanliness of unit as a whole. Qualifications Education: • Completion of an accredited Nursing program. • Bachelor’s degree in Nursing (BSN) preferred. Experience: • At least 3 years of Perioperative Nursing experience to include duties as an OR Circulator. • Experience with education and skills instruction of personnel preferred. Knowledge/Skills/Abilities: • EPIC Optime application. • Proficient computer skills required to document, communicate and enter information into the electronic medical records system. • 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. • Knowledge of standard concepts, practices, and procedures within OR Nursing. • Knowledge and experience in the perioperative care of surgical patients. • Knowledge of specialized equipment used by anesthesia providers and in the OR. • Knowledge of AORN, ASPAN, CDC, OSHA, and Joint Commission standards. • Highly effective written and verbal communication skills. • Ability to respond effectively to emergencies, traumas (assist anesthesia), actual events and drills. • Ability to maintain confidentiality of patient and employee information. • 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. • Basic Life Support (BLS) certification • Advanced Cardiac Life Support (ACLS) certification • Pediatric Advanced Life Support (PALS) certification preferred. • Certified Perioperative Nurse (CNOR) 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 gasses. • 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. Based on assessment findings, individualizes care plans for each assigned patient. 4. Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. 5. Collaborate effectively with other disciplines as applicable. 6. Delegates tasks according to the state Nurse Practice Act and job descriptions. 7. Assess the patient for allergies and preexisting conditions. 8. Prepare for hemodynamic monitoring and insertion of invasive hemodynamic monitors such as intravenous, central venous, and arterial catheters using sterile technique. 9. Assists with transport and monitoring of critically ill patients. 10. Assist with Anesthesiologist with regional anesthesia including spinals, epidurals and regional blocks. Provides continuous monitoring of the patient during the procedure. Assess the patient’s level of pain with a valid and reliable pain scale. Assess the patient’s vital signs, oxygenation and ventilatory status. Observe for signs and symptoms of peripheral nerve catheter migration into a blood vessel. Assess for systemic toxicity from local anesthetic administered through the catheter or bolus injection. Knowledge of signs and symptoms of profound motor and sensory blockade, or overmedication. 11. Monitor patient response, ensure patient safety during procedure(s) and documents according to policy & procedure. 12. Provide patient/family education and discharge instructions regarding spinal, epidural, or regional anesthesia. 13. Is certified in moderate sedation and may sedate the patient at the direction of the anesthesiologist or other licensed independent practitioner. 14. Participates in in-services on regional blocks and completes an annual competency. 15. Assist with patient inductions, including application of assessment monitors and pre-oxygenation, intubation, and maintenance of oxygen mask until secured by Anesthesiologist. 16. Researching, ordering, stocking, and gathering supplies per established protocol for Anesthesia procedures. 17. Prepare Anesthesia machine, anesthesia circuit, monitoring equipment and suction for patient care per established protocols. 18. Troubleshoots equipment as needed. 19. Educate staff on Anesthesia equipment and supplies. 20. Assists with blood and fluid replacement. 21. Preparing medications under the direct supervision of the anesthesia provider. 22. Prepares fluid warmers, rapid transfusion devices, and Cell Saver. 23. Assist with difficult airway management. 24. Support anesthesiologists in non-OR locations (i.e., GI/OB/ED). 25. Documents patient care records and other forms accurately according to facility policy. 26. Assists with supply, drug and equipment inventories to maintain stock level and availability. 27. Develops and maintains effective relationships with the department staff and the medical staff. 28. Effectively coordinates daily activities of the surgery department to ensure the timely room set-up, turnover, and end of day duties. 29. Initiates and/or supports activities to control costs. 30. Help facilitate state & federal mandates (i.e., NRFit) standards of care and other quality improvement projects. 31. Provides guidance and support to the staff, as needed. 32. Provide support and assistance to the Perioperative Leadership Team. 33. Responds to the needs of the department by performing other duties as necessary. 34. Relieves Charge Nurse as needed. 35. 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.
