Overview Advanced Practice Provider, under the direction of the Attending Physician, will assist in providing medical and/or surgical care of the department patients in both the inpatient and outpatient setting. S/he assists the supervising provider in the management of patients, performing evaluations, diagnostic, and therapeutic procedures. The PA or NP reports all patient interactions to the supervising physician in support of providing quality, efficient, continuous and cost-effective patient care for NAH. Responsibilities Communication * Demonstrates knowledge of medical procedures and terminology.* Consults with colleagues, supervising physicians, specialists, referral providers and other healthcare professionals. Patient Care * Collaborates with the provider and other health care professionals to provide health care across the continuum of care for assigned patients.* Demonstrates the ability to assess data reflective of the patient's status and interpret information relative to the patient's age-specific needs.* Provides patient care (obtaining a health history, performing a detailed physical exam, creating a comprehensive assessment of the patient, ordering and interpreting diagnostic tests, prescribing pharmacological agents, treatments, and non-pharmacological therapies).* Completes documentation of all evaluations, care, and services rendered in the EMR (within 24 hours of the time care was provided in the outpatient setting; from the time of discharge in the inpatient setting).* Documents patient's response to the treatment plan; recommends changes as deemed necessary.* Performs procedures under the supervision of the attending physician.* Initiates emergency care in the inpatient and outpatient setting until the arrival of a physician.* Orders referrals as necessary.* Prepares patients for procedures including education, positioning, skin preparation and administration of local anesthetic and preparation of equipment.* Prepares pre-admit orders for same day patients.* Functions as a first or second assistant in the operating room (performing surgical exposure, surgical dissections, layer closure of wounds, harvesting of autologous graft materials).* Completes discharge plans for both same day and in-hospital surgical patients. Clinical Development * Participates in performance improvement initiatives in support of practice improvement.* Participates in the development of policies and procedures.* Participates in healthcare quality committees.* Participates in Quality Assurance programs; audits advanced practice healthcare techniques.* Serves as first contact person for nursing staff, medical staff, social service, pastoral care, and other hospital departments regarding the management of service patients. Compliance/Safety * Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.* Completes all company mandatory modules and required job-specific training in the specified time frame. Qualifications Education Acute Care Nurse Practitioner or: Master's of Science Degree in Physician Assistant- RequiredGraduate from a university program approved by the Accreditation Review commission on education for the Physician Assistant and Nationally Certified as a Physicians Assistant- Required Certification & Licensures Acute Care Nurse Practitioner Certification by NCCPA- RequiredAZ State Licensure as Physician Assistant- RequiredBLS (American Heart Association)- RequiredACLS- Required if practicing in Hospital settingFingerprint Clearance Card application number- Required upon hireFingerprint Clearance Card- Required within 90 days of hire Experience Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
Overview Ensuring the achievement of Northern Arizona Healthcare’s mission, the Registered Nurse is accountable for the coordination of care for patients and their families including direct care, patient and family education and discharge planning. When providing care, Registered Nurses follow the process of assessing, nursing diagnosing, outcome identification, planning, implementing and evaluation as the basis for the delivery of care. The Registered Nurse provides leadership for ancillary personnel by being a team leader, serving as a preceptor, and being an active member of the healthcare team.The nurse practices within the ANA Scope of Practice, the ANA Code of Ethics for Nurses and the standards of his/ or her specialty. Responsibilities Patient Care * Assesses the needs and conditions of assigned patients by gathering relevant patient health information. * Identifies outcomes, develops a plan of care individualized to the patient and/or situation, and implements the identified plan appropriate for the attainment of the expected outcomes. * Assesses patient's progress toward the attainment of outcomes and effectively revises/updates diagnoses, outcomes and plans of care as appropriate. * Contributes to patient experience by providing safe, high quality & patient centered care (as described above) and by respecting patients privacy, and treating all patients,family members and guests, as well as other associates, with dignity, respect, and compassion. * Evaluates patient conditions frequently and adapts plan of care appropriately. * Performs aseptic techniques by maintaining a sterile field while using principles of disinfection, sterilization, and infection control. * Maintains infection prevention standards. * Collaborates with physicians and other health care professionals. * Assists as necessary with procedures and transportation throughout the hospital per hospital and departmental policies and procedures. Education * Participates in creating and sustaining a learning environment supported by evidenced based practice and research. * Focuses on personal development areas, engaging in professional/collegial interactions with peers and students. * Work collaboratively with peers and other health care providers, and participating in ongoing in-service and educational seminars. * Participates in the mentoring and education of colleagues and students. Compliance/Safety * Adheres to regulatory and organizational standards affecting patient care and safety as well as all hospital and departmental policies and procedures. Practices in a safe, high quality and cost effective manner. * Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility. * If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates. * Completes all company mandatory modules and required job specific training in the specified time frame. * Maintains timely and accurate documentation of assessments, interventions, EMR entries, and patient responses. * Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. Qualifications Education: RNs hired on or after 7/1/2016: Must graduate from a BSN program within 6 years of hire into an RN position. Certification and Licensure: Active, unrestricted, Arizona RN License or valid, participating compact license- RequiredBLS - RequiredACLS - RequiredSGNA- Preferred Experience: Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
Overview This position provides system-wide leadership (both acute and non-acute) to drive supply chain cost reduction across the system assuring achievement of the Supply Chain Strategic Initiative goals. This position directs and leads the overall strategy, development and implementation of all clinical cost improvement plans for assigned service lines. Leads multi-disciplinary teams, including physician value analysis teams, to decrease product use variation and costs through the development of consensus supply utilization programs and initiatives. Responsible for clinical and related operational financial performance improvements and outcomes in the areas of Perioperative Services, Cardiology, Cardiac Cath/EP Lab, Women’s and Infant Services, Interventional Radiology and various procedural areas. Responsibilities Leadership * Provides system-wide clinical leadership and consultation to company facilities in the utilization of supplies, products, and equipment for assigned service line.* Leads multi-disciplinary teams, including physician value analysis teams, to decrease product use variation and costs through the development of consensus supply utilization programs and initiatives. Communication * Communicates with risk management on product recalls and FDA alert notices and acts as a resource for the medical staff, legal, and hospital departments as necessary.* Promotes positive interpersonal connections with System leadership, employees and colleagues and other system leaders, physicians, patients, and customers . Value Analysis * Performs initial clinical assessments of new products and equipment to determine clinical efficacy and potential cost/benefit to company. Gathers product information and introduces targeted new products, services, and equipment to the Supply Chain Management team. Directs the creation and implementation of organizational supply standards.* Provides technical and clinical skills, support and knowledge in the product selection process. Facilitates validation, evaluation and final recommendations by the value analysis teams, physician value analysis teams, clinical discipline team, physician clinical consensus groups, and other clinicians and operations staff involved in the product selection process.* Supports the general purchasing organization and vendor relationship to achieve quality, cost-effective solutions in conjunction with business representatives and company staff, coordinates new product in-service education and clinical product validations and evaluations.* Prepares, distributes, collects and tabulates product evaluation/validation forms and provides feedback to Supply Chain Management, values analysis teams, physicians, and clinicians. Contract Support * Supports contract professionals in review and renewal of group purchasing organization (GPO) and local supply contracts to improve standardization, cost, and utilization.* Supports win-win negotiations with suppliers. Compliance/Safety * Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.* Completes all company mandatory modules and required job-specific training in the specified time frame.* Maintains current professional and technical knowledge relating to the healthcare market by attending educational workshops/conferences, reviewing professional publications, establishing a professional network, and participating in professional societies. Qualifications Education High School Diploma or GED- RequiredBachelor's Degree in nursing, business, or related field or equivalent experience- Required Certification & Licensures Active, unrestricted, Arizona RN License or valid, participating compact license- Required Experience 5 years of substantial nursing experience in Medical/Surgical, Operating Room, Cath lab, Respiratory and/or Pediatrics, depending upon the assigned service line- RequiredHealthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs. CALL REQUIRED: Must be able to physically show upNo
Overview Ensuring the achievement of Northern Arizona Healthcare’s mission, the Charge RN, under the supervision of the ClinicalManager/Director, is responsible for overseeing and directing the patient care activities on the unit during a worked shift. When providingleadership to the department, the Charge RN acts as an advocate for the shift, making sure the Clinical Manager/Director are aware ofthe unique needs of the shift. The Charge RN provides leadership for nursing personnel by being a team leader, serving as a preceptor,and being an active member of the health care team. The Charge RN practices within the ANA Scope of Practice, the ANA Code of Ethics for Nurses and the standards of his/ or her specialty. Responsibilities Patient Care* Addresses patient and family concerns, communicates issues and solutions through appropriate channels. * Documents incidents, events, interventions, and patient/staff/physician responses. * Serves as patient advocate. * Prioritize and problems solves to meet changes in patient status/condition. * Works with other departments to ensure smooth patient throughput processes including discharge planning and patient education as appropriate. * Collaborates with physicians and other health care professionals to ensure staffing patterns meet appropriate skill mix necessary for quality patient care. * Serves as a liaison with patients, physicians, Administrative Coordinator, Staffing Office, Transfer Center, Care Coordination department, unit staff, ancillary staff and departments. * Serves as a resource, assists staff in caring for patients; able to assist physician with order entry. Administrative* Staffing for current and next shift, determining appropriate staff levels and mix to provide quality care and maintain unit productivity. * Assign patient care teams, delegate patient care activities to unit and ancillary staff. * Addresses work flow issues, ensures incidents are appropriately documented and corrective steps are taken. * Makes bed or patient assignment based on patient needs and staff resources. * Identifies appropriate referral and educational resources for patients and staff. * Advocates for both patients and staff as needs arise. * Demonstrated knowledge of NAH and department policies and procedures. Works to ensure compliance of best practice amongst each staff member. Coaching and Development* Ensures staff accountability, monitors staff performance, and provides real time constructive feedback whenever possible. * Identifies performance opportunities for improvement and provides resources and education as needed. * Regularly recognizes employees for strong performance and improvements. * Collaborates with clinical manager on employees performance evaluations. * Collaborates and communicates with the clinical manager regarding staff performance. * Provides coaching to nursing staff. * Provides input to nursing leadership regarding employment actions including performance evaluation, promotion, corrective action and termination on a regular basis. Education* Participates in creating and sustaining a learning environment supported by evidenced based practice and research. * Focuses on personal development areas, engaging in professional/collegial interactions with peers and students. * Works collaboratively with peers and other health care providers, and participating in ongoing in-service and educational seminars. * Participates in the mentoring and education of colleagues and students. Compliance/Safety* Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. * Adheres to regulatory and organizational standards affecting patient care and safety as well as all hospital and departmental policies and procedures. Practices in a safe and cost effective manner. * Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility. * If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates. * Completes all company mandatory modules and required job specific training in the specified time frame. * Maintains timely and accurate documentation of assessments, interventions, EMR entries, and patient responses. Qualifications Education: RNs hired on or after 7/1/2016: Must graduate from a BSN program within 6 years of hire into an RN position; the original due date will not change if promoted to a Charge RN position.RNs hired prior to 7/1/2016 without a BSN or without a BSN-in-process promoted to Charge RN must obtain their BSN degree within 6 years of their promotion date. If the requirement is not completed by that due date, the Charge Nurse may step down from their position or retire. Existing Charge RNs: Employees in Charge Nurse roles as of 7/1/2016 without a BSN, must obtain their BSN degrees no later than 6/30/2022. If the requirement is not completed by that due date, the Charge Nurse may step down from their position or retire.Promotions to Charge RN:CVICU: Open Heart Training Program- Required within 2 years of hireSurgical ICU & CVICU:Neuro Training Program- Required within 2 years of hire Certification & Licensures: Pediatrics:Active, unrestricted, Arizona RN License or valid, participating compact license - RequiredBLS - RequiredATCN - Required within 18 months of hirePALS - Required Experience: Minimum of one (1) year experience as an RN- Preferred Pre Anesthesia Testing Clinic:2 Years of bedside nursing experience- Required2 Years of surgical experience- Required Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
Overview Ensuring the achievement of Northern Arizona Healthcare’s mission, the Registered Nurse is accountable for the coordination of care for patients and their families including direct care, patient and family education and discharge planning. When providing care, Registered Nurses follow the process of assessing, nursing diagnosing, outcome identification, planning, implementing and evaluation as the basis for the delivery of care. The Registered Nurse provides leadership for ancillary personnel by being a team leader, serving as a preceptor, and being an active member of the healthcare team.The nurse practices within the ANA Scope of Practice, the ANA Code of Ethics for Nurses and the standards of his/ or her specialty. Responsibilities Patient Care * Assesses the needs and conditions of assigned patients by gathering relevant patient health information. * Identifies outcomes, develops a plan of care individualized to the patient and/or situation, and implements the identified plan appropriate for the attainment of the expected outcomes. * Assesses patient's progress toward the attainment of outcomes and effectively revises/updates diagnoses, outcomes and plans of care as appropriate. * Contributes to patient experience by providing safe, high quality & patient centered care (as described above) and by respecting patients privacy, and treating all patients,family members and guests, as well as other associates, with dignity, respect, and compassion. * Evaluates patient conditions frequently and adapts plan of care appropriately. * Performs aseptic techniques by maintaining a sterile field while using principles of disinfection, sterilization, and infection control. * Maintains infection prevention standards. * Collaborates with physicians and other health care professionals. * Assists as necessary with procedures and transportation throughout the hospital per hospital and departmental policies and procedures. Education * Participates in creating and sustaining a learning environment supported by evidenced based practice and research. * Focuses on personal development areas, engaging in professional/collegial interactions with peers and students. * Work collaboratively with peers and other health care providers, and participating in ongoing in-service and educational seminars. * Participates in the mentoring and education of colleagues and students. Compliance/Safety * Adheres to regulatory and organizational standards affecting patient care and safety as well as all hospital and departmental policies and procedures. Practices in a safe, high quality and cost effective manner. * Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility. * If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates. * Completes all company mandatory modules and required job specific training in the specified time frame. * Maintains timely and accurate documentation of assessments, interventions, EMR entries, and patient responses. * Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. Qualifications Education RNs hired on or after 7/1/2016: Must graduate from a BSN program within 6 years of hire into an RN position. Existing Staff RNs: RNs hired before 7/1/2016 are not mandated to have a BSN, but are encouraged to pursue a BSN degree. Certification & Licensures Active, unrestricted, Arizona RN License or valid, participating compact license- RequiredBLS - RequiredACLS - RequiredNIHSS- Required within 30 days of hire Experience Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.
