Job Summary Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at Summit Healthcare. The nursing process, critical thinking and problem-solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span. Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization. This specialty will require additional skills and experience than the RN position. Essential Functions Nursing standards of practice* as outlined below: Standard 1: Assessment - Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. - Integrates knowledge from environmental factors into the assessment process. - Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. - Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. - Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. - Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. - Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. - Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis - Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. - Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. - Corroborates the diagnoses with the patient, family, group or community. - Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. - Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification - Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, - Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. - Documents expected outcomes as measurable goals. - Evaluates the actual outcomes against the expected outcomes. Standard 4: Planning - Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. - Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. - Prioritizes nursing interventions to achieve patient outcomes and goals. - Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. - Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation - Establishes and maintains a therapeutic relationship with patient or families. - Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. - Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). - Ensures the implementation, coordination and ongoing evaluation of the patient care plan. - Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. - Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. - Provides information and instruction to assist patients and family members to understand health care practices and processes. - Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. - Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. - Maintains patient confidence and protects operations by keeping information confidential. - Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association. Standard 6: Evaluation - Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. - Supervises and evaluates care provided by direct care assistive and support staff. - Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. - Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition to the six standards above, Summit Healthcare also integrates the following standards: Advocacy: - Provides a supportive environment for communications and decision making by patients and their families. - Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. - Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. - Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. - Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. - Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. - Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: - Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. - Demonstrates professionalism in attitude, dress and behavior. - Contributes to positive team functioning and supporting one another. - Develops cultural competence in order to provide culturally competent care. - Actively participates in developing and evaluating professional goals and performance at regular intervals. - Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. - Accountable for reporting professional practice issues to the appropriate person, agency or professional body. - Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. - Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. - Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: - Supports Summit’s philosophy, vision and mission. - Participates in the development and revision of standards of care, policies and procedures. - Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. - Promotes a safe work environment by identifying and resolving potential risk issues. - Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. - Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. - Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. - Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. - Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. *Nursing Scope and Standards of Practice, 3rd Edition, American Nurses Association. Published by Nursesbooks.org, 2015. Secondary Functions: - Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars. - Reads department and association wide policies and procedures pertinent to the department. Other Duties Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Abilities: - This position requires: General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. Self-direction and self-motivation. Must be able to read, write, speak, and understand English Supervisory Responsibilities None. Work Environment At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice. To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards: - Always SHINE – show respect and be kind. - Always work together – we are on the same team. - Always serve others – no job is beneath you. - Always maintain high standards of quality and safety – best practice every time. - Always communicate clearly – be compassionate. - Always practice integrity – maintain confidentiality. - Always be accountable – take responsibility. - Always empower – create an environment of success. - Always excel – don’t settle for mediocrity. - Always promote wellness – make choices for a healthy lifestyle. Physical Demands Heavy Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work. Required Education and Experience All Departments: - Graduate from an accredited school of nursing - Current AZ RN license - CPR Certification % Department Specific Education and Experience Emergency Department: ACLS * / & PALS * / & NIHSS & SECURE TNCC, ATLS or ITLS or other trauma course (with approval) ** / & ENPC ** (preferred) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Dialysis: ACLS * / & NIHSS & Home Health: Arizona Dept. of Public Safety class 1 fingerprint clearance card Current driver’s license Current auto insurance Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ICU: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 2 ACLS * / & PALS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Med/Surg 3 and Med/Surg Telemetry ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OB: PALS * / & (L&D only) Department specific stroke education STABLE ** / & + AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only) NRP * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience OR: ACLS * / & + PALS * / & + Department specific stroke education Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience ASC/Preop/PACU: ACLS * / & + PALS * / & + Department specific stroke education SECURE (Floats only) Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience IV Therapy: ACLS * / & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Imaging: NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Diagnostic Imaging: ACLS * / & + PALS * / & + Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Oncology: Chemotherapy/Biotherapy certification ** / & Cath Lab: ACLS * / & NIHSS & Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience Occupational Health: NIOSH Breath Alcohol Testing (BAT) certification DOT drug screening certification Certified Occupational Hearing Conservationist (CAOHC) Cardiac Rehab: ACLS * / & Senior Behavioral Health: NIHSS & SECURE Professional organization specialty certification + Baccalaureate in nursing + 1+ years specific unit experience * - Renewal may take up to 30 days after expiration of original certification. ** - Renewal make take up to 75 days after expiration of original certification. & - Required within 6 months of employment, or at completion of orientation. % - Certification required with 30 days of employment. X – Required. + - Preferred. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues. This is a safety sensitive position.
General Position Summary: Assists in providing quality care for the patient population seen in the physician office. Performs all essential and secondary functions. Essential Functions / Major Responsibilities: • Records patient vitals and chief complaints. • Responsible for accurate charting of each patient chart. • Completes Electronic Health Record duties to include chart completion, buckets, and reporting. • Triage patients and assist provider with patient care. • Obtains, labels and documents specimens. • Perform EKGs, urine drug screens, SVN, and cerumen removal. • Administers vaccines, injections, and medications according to physician order and direction. • Performs venipuncture and point of care testing • Performs point of care quality testing • Set ups and maintains sterile field. • Assists providers with procedures. • Relays instructions to patients based on provider specifications • Maintains infections control and standard precautions. • Conducts and documents quality control measures. • Creates new patient charts. • Documents in real time, under the direction of the provider, in patient’s charts (scribe). • Provides phone coverage, reviews messages and returns calls when needed. • Cleans rooms, work stations, and equipment as directed in policy and procedures • Order, stock and maintain medical supplies. • Educates and trains patients to include training on home monitors or equipment. • Submit requests for authorizations, referrals, and Rx refills as directed by the provider. • Relays information via phone to patients related to (but not limited to) follow up testing and procedure results, and instructions. • Displays proper etiquette and mannerisms that reflect the SHINE Behavior standards. • Promotes the Patient Safety Standards as a core value of the organization. Secondary Functions: • Covers the front office duties; schedules appointments; orders supplies. • Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars. • Reviews department and hospitalwide policies and procedures annually. • All other duties as assigned. Additional / Seasonal Responsibilities: None Job Scope: This job involves: Recurring work situations with occasional variations from the norm. A moderate level of complexity. Typical operation from established and well-known procedures. Performance of duties under moderate direction. Supervisory Responsibility: None. Interpersonal Contacts: Contacts: Are normally made with others both inside and outside the clinic. Are made with own department as well as other departments or locations. Frequently contain confidential/sensitive information necessitating discretion at all times. Are made via telephone, e-mail, and face-to-face interaction. Are usually with patients and staff. Specific Job Skills & Mental Activities: This position requires operational knowledge of all equipment in most physician practice offices, including: computer, printer, scanner, fax, copy machine, phone systems, credit card terminal, and EKG machine, point of care equipment, spirometry, autoclave, centrifuge, venipuncture equipment, and EHR programs specific to physician practices. This employee must be service oriented and have excellent customer service skills, computer skills, telephone etiquette, organizational skills, multitasking skills, professional interpersonal skills, time management skills and the ability to prioritize work, and. Must be able to read, write, speak, and understand English. Education and/or Experience: Level I: • Medical Assistant formal education or training (preferred) • Certification (NCCT) as a Certified OR Registered Medical Assistant or higher (LPN, RN) (required) • Basic computer skills (required). • IV or phlebotomy experience (preferred). • CPR/BLS (required within 30 days of hire) • Maintenance of CPR and MA Certification (required throughout employment) Note: RNs or LPNs hired as a certified MA must maintain their license in good standing and will work within the scope of an MA job description • Able to schedule patient appointments • Able to accurately take and document all vitals • Able to take and document a patient personal and family history Medical Assistant Resident Basic computer skills (required). Two years experience in a health-care field (preferred). IV or phlebotomy experience (preferred). CPR/BLS (required within 30 days of hire) NCCT Medical Assistant Certification (required within 90 days of hire) Level II: • All Skills above • One year experience in a health-care field. • Assist providers with procedures • Refill medications per provider guidelines • Understand medication classifications • Arrange for hospital/SNF/ surgical admissions, procedures • Obtain authorizations for procedures and medications • Prepare patient communication (Letters, phones notes, etc.) • Reconcile medications/alert to possible interactions • Understand lab results-know when to report STAT/Urgent results to provider • Medical Assistant is able to conduct the following tests: a. EKG b. POCT testing (INR, HcG, H&H, Rapid Strep, Rapid Flu, etc.) c. Administer all types of injections Level III: • All Skills above • Two years’ experience in a health-care field. • Manage COASIIS accounts • Phlebotomy is part of daily duties • Scribe/document for providers as needed • Cross train to other departments • Independently perform testing on patients (SIBO, etc.) PROVIDER MUST BE ON SITE Physical Demands & Job Conditions: Heavy Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. Worker is exposed to contact with chemicals and contact with infectious fluids. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety sensitive position. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues.
General Position Summary: Assists in providing quality care for the patient population seen in the physician office. Performs all essential and secondary functions. Essential Functions / Major Responsibilities: • Records patient vitals and chief complaints. • Responsible for accurate charting of each patient chart. • Completes Electronic Health Record duties to include chart completion, buckets, and reporting. • Triage patients and assist provider with patient care. • Obtains, labels and documents specimens. • Perform EKGs, urine drug screens, SVN, and cerumen removal. • Administers vaccines, injections, and medications according to physician order and direction. • Performs venipuncture and point of care testing • Performs point of care quality testing • Set ups and maintains sterile field. • Assists providers with procedures. • Relays instructions to patients based on provider specifications • Maintains infections control and standard precautions. • Conducts and documents quality control measures. • Creates new patient charts. • Documents in real time, under the direction of the provider, in patient’s charts (scribe). • Provides phone coverage, reviews messages and returns calls when needed. • Cleans rooms, work stations, and equipment as directed in policy and procedures • Order, stock and maintain medical supplies. • Educates and trains patients to include training on home monitors or equipment. • Submit requests for authorizations, referrals, and Rx refills as directed by the provider. • Relays information via phone to patients related to (but not limited to) follow up testing and procedure results, and instructions. • Displays proper etiquette and mannerisms that reflect the SHINE Behavior standards. • Promotes the Patient Safety Standards as a core value of the organization. Secondary Functions: • Covers the front office duties; schedules appointments; orders supplies. • Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars. • Reviews department and hospitalwide policies and procedures annually. • All other duties as assigned. Additional / Seasonal Responsibilities: None Job Scope: This job involves: Recurring work situations with occasional variations from the norm. A moderate level of complexity. Typical operation from established and well-known procedures. Performance of duties under moderate direction. Supervisory Responsibility: None. Interpersonal Contacts: Contacts: Are normally made with others both inside and outside the clinic. Are made with own department as well as other departments or locations. Frequently contain confidential/sensitive information necessitating discretion at all times. Are made via telephone, e-mail, and face-to-face interaction. Are usually with patients and staff. Specific Job Skills & Mental Activities: This position requires operational knowledge of all equipment in most physician practice offices, including: computer, printer, scanner, fax, copy machine, phone systems, credit card terminal, and EKG machine, point of care equipment, spirometry, autoclave, centrifuge, venipuncture equipment, and EHR programs specific to physician practices. This employee must be service oriented and have excellent customer service skills, computer skills, telephone etiquette, organizational skills, multitasking skills, professional interpersonal skills, time management skills and the ability to prioritize work, and. Must be able to read, write, speak, and understand English. Education and/or Experience: Level I: • Medical Assistant formal education or training (preferred) • Certification (NCCT) as a Certified OR Registered Medical Assistant or higher (LPN, RN) (required) • Basic computer skills (required). • IV or phlebotomy experience (preferred). • CPR/BLS (required within 30 days of hire) • Maintenance of CPR and MA Certification (required throughout employment) Note: RNs or LPNs hired as a certified MA must maintain their license in good standing and will work within the scope of an MA job description • Able to schedule patient appointments • Able to accurately take and document all vitals • Able to take and document a patient personal and family history Medical Assistant Resident Basic computer skills (required). Two years experience in a health-care field (preferred). IV or phlebotomy experience (preferred). CPR/BLS (required within 30 days of hire) NCCT Medical Assistant Certification (required within 90 days of hire) Level II: • All Skills above • One year experience in a health-care field. • Assist providers with procedures • Refill medications per provider guidelines • Understand medication classifications • Arrange for hospital/SNF/ surgical admissions, procedures • Obtain authorizations for procedures and medications • Prepare patient communication (Letters, phones notes, etc.) • Reconcile medications/alert to possible interactions • Understand lab results-know when to report STAT/Urgent results to provider • Medical Assistant is able to conduct the following tests: a. EKG b. POCT testing (INR, HcG, H&H, Rapid Strep, Rapid Flu, etc.) c. Administer all types of injections Level III: • All Skills above • Two years’ experience in a health-care field. • Manage COASIIS accounts • Phlebotomy is part of daily duties • Scribe/document for providers as needed • Cross train to other departments • Independently perform testing on patients (SIBO, etc.) PROVIDER MUST BE ON SITE Physical Demands & Job Conditions: Heavy Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. Worker is exposed to contact with chemicals and contact with infectious fluids. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety sensitive position. OSHA Exposure Category: OSHA Exposure Category 1 Involves exposure to blood, body fluids, or tissues.
The following information is designed to outline the functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained. Essential functions may change based on organizational need. General Position Summary: Responsible for handling of instruments and functions as a scrub tech. Responsible for meeting the established standards of nursing practice in the operating room under direction of the circulation RN in conjunction with the OB Director. This position is also responsible for advanced non-license patient care duties. Essential Functions / Major Responsibilities: · Completes daily assignment in accordance with infection control policies and procedures. · Works effectively as an operating room staff member and communicates all pertinent information regarding patient status to Circulating Nurse. · Utilizes opportunities for patient education. · Participates in in-service programs, nursing committees and staff meetings. · Uses and maintains supplies/equipment efficiently and in a cost effective manner. · Collaboratively reviews charges to be submitted. · Promotes harmonious relationships and favorable attitudes among the healthcare team. · Supports and adheres to administrative and nursing service policies and procedures. · Assist with orientation of new employees. · Responsible for in-service training programs regarding new procedures and equipment as needed. · Conforms to hospital dress code and operating room dress code. · Assists with transferring patients from operating room table to cart or bed. · Prepares surgical suite for surgical case in regards to preference cards, surgeon’s requests and patients’ special needs. · Functions appropriately according to Surgical Technician skills list in OB services. · Remains knowledgeable of the location, quantity of supplies and equipment in the operating room. Reports any unusual occurrences/incidents to Director or charge nurse and completes reports as appropriate in the incident reporting system. · Knows location, purpose and use of all equipment and supplies. · Certifies with Circulating Nurse correctness of sponge, needle and instrument counts according to operating room policies and procedures. Reports any unusual occurrences/incidents to Director or charge nurse and completes as appropriate reports in the incident reporting system. · Assists with cleanup of operating room and preparation for the next case (scheduled or emergency) according to OR policies and procedures. Ensures a clean safe environment conducive to patients’ well-being and privacy. · Assists with reprocessing of supplies, instruments, and equipment according to OR policies and procedures. Knowledgeable in and maintains aseptic technique. · Assists in care, handling, maintenance and disinfection of supplies, equipment and instruments. · Acts rapidly and effectively, follows hospital policies and procedures in any emergency situation. · Conserves use of supplies to ensure cost efficient quality of care. · Maintains and stocks the operating rooms and supply carts. Stocks supplies per departmental needs. · Checks for adequate supplies and orders supplies following ordering policies. · Assists in the cleaning, inspection, and disinfection of equipment used according to manufacturer’s recommendations and the organization’s infection control standards. · Assists in the troubleshooting of equipment problems and calling appropriate resources if necessary for loaner equipment while ours is being repaired. · Sets up the supplies of the mayo stand and prepares cautery and other necessary equipment prior to the procedure. Troubleshoots any potential problems and communicates with the registered nurse. · Transports specimens to the lab. · Discards disposables and suction contents in appropriate containers for blood-borne contamination at the end of the procedure. · Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. · Promotes the Patient Safety Standards as a core value of the organization. · Participates in departmental and association wide informational meetings and in services, including staff meetings, association wide forums, and seminars. · Ensures compliance with HIPAA policies and procedures. · All other duties as assigned. Secondary Functions: · Provides basic patient care, including vital signs, blood glucose on adults, hygiene (bathing and oral care), positioning, toileting, linen changes, ambulation, range of motion, nutritional and hydration support, collecting lab specimens. · Assists with post-mortem care · Functions as a Health Unit Coordinator: Responsible for operations of the nurses’ station involving multiple simultaneous tasks to ensure the smooth and safe flow of information. Serves as the unit receptionist, switchboard operator, and general “go-to person” for nurses, patient care technicians, physicians, ancillary staff, outside agencies, and visitors. · Functions as a Patient Care Technician: Responsible for basic patient care, patient safety, emotional support to patients and families, maintenance of a safe environment, stocking of unit supplies, communication with staff and patients, and accurate documentation. · Assists with the setup for medical procedures · Responsible to perform Direct Observer and Sitter duties as needed · Assists the nurse in admitting, transferring, and discharging patients. · Orient patients and families to patient rooms, patient activities, and hospital policies. · Documents patient care provided and I&O · Communicates information to Nursing and medical staff. · Completes efficient and purposeful patient rounding to promote patient safety and the patient experience · Promotes safe sleep practices · Competent to perform neonatal heal sticks · Competent to perform neonatal baths · Competent to perform neonatal metabolic screening · Competent to perform neonatal vital signs · Competent to perform neonatal weights · Competent to perform transcutaneous bilirubin monitoring · Competent to remove cord clamps · Competent to remove staples · Competent to perform Foley catheter care · Competent to remove peripheral IVs (adults) Additional Responsibilities: · Completes all tasks as expressed in the Skills Delineation List. Job Scope: This job involves: · Recurring work situations with occasional variations from the norm. · A moderate to high level of complexity. · Operation from established and well-known procedures. · Performance of duties under moderate supervision. Supervisory Responsibility: · None. Interpersonal Contacts: Contacts: · Are normally made with others both inside and outside the hospital. · Are usually made with own department staff and supervisor as well as with other departments or locations. · Frequently contain confidential/sensitive information necessitating discretion at all times. · Are usually face-to-face, with some contact by telephone and e-mail. · Are usually with patients, physicians, and staff. Specific Job Skills & Mental Activities: This position requires knowledge of general surgical instruments needed for surgical procedures within the scope of the Obstetrics department. Must have excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. This position requires knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. This position requires self-direction and self-motivation. Must be able to read, write, speak, and understand English. Education, Licensures, and/or Experience: · High School diploma or equivalent (required). · Current CPR/BLS certificate (required within 30 days of hire date). · One year prior hands on patient care experience (required) · OB Tech experience (preferred). · Surgical Tech diploma or scrub tech certificate (preferred). Physical Demands & Job Conditions: Exert up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is subject to contact with chemicals, contact with infectious fluids, heavy lifting, constant standing, and encounters with upset/disturbed individuals. Physical motions include finger dexterity, standing, walking, stooping, crawling, talking, reaching, feeling, sitting, bending, kneeling, climbing, grasping, listening/hearing, handling, lifting up to 50-100 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety-sensitive position. OSHA Exposure Category: Involves exposure to blood, body fluids, or tissues.
Come work where others vacation! We are seeking experienced Registered Nurses for our Nursery unit! Now offering a $10k sign on bonus & relocation assistance plus night shift differential! Our People. Join us for a fulfilling career where we prioritize your growth. We offer diverse career paths, including cross-training in Labor and Delivery, Postpartum care, and our Level 2 nursery. Our team values collaboration and camaraderie. With team outings to strengthen connections, our staff enjoys a supportive and fun work environment. Our Department. In our department, we operate in a family-centered care environment, focusing primarily on ensuring the best possible birthing experience for our community's families. Our unit offers a diverse range of services, including care during triage visits, the labor process, and postpartum care. We're equipped to manage both well newborns and premature infants, even those born as early as 32 weeks gestation. Join our team and be part of a supportive environment where your skills can flourish, and you can contribute to the well-being of our patients and their families. About our Labor & Delivery Unit: 24/7/365 NNP services 800 + deliveries annually We deliver down to 32 weeks but will deliver to any gestational age in an emergency or case where the patient cannot be transported safely. 10 couplet care/GYN beds, 7 LDRP rooms, 2 triage beds & 2 Obstetrical operating rooms. Cesarean sections are performed in the OB OR. Summit Healthcare’s Level II Nursery is certified by the Arizona Perinatal Trust as a Level II Perinatal Care Center. A special team of skilled physicians, neonatal nurse practitioners, and nurses provide 24- hour care for your baby in a nurturing compassionate, and family friendly setting. The staff in the nursery cares for infants who need special care, including those with respiratory and feeding difficulties or those requiring antibiotic and IV therapy. The Level II Nursery is fully equipped with monitors, bed warmers and isolettes. Essential Functions / Major Responsibilities: Standard 1: Assessment Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care. Integrates knowledge from environmental factors into the assessment process. Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes. Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process. Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations. Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. Corroborates the diagnoses with the patient, family, group or community. Prioritize diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. Documents expected outcomes as measurable goals. Evaluate the actual outcomes against the expected outcomes. Standard 4: Planning Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. Prioritizes nursing interventions to achieve patient outcomes and goals. Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation Establishes and maintains a therapeutic relationship with patient or families. Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). Ensures the implementation, coordination and ongoing evaluation of the patient care plan. Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. Provides information and instruction to assist patients and family members to understand health care practices and processes. Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. Maintains patient confidence and protects operations by keeping information confidential. Care is coordinated and delivered within the confines of available human, material and fiscal resources of the Association (Summit Healthcare Association). Standard 6: Evaluation Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. Supervises and evaluates care provided by direct care assistive and support staff. Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition the six standards above, the Association also integrates the following into the professional nursing of the association. Advocacy: Provides a supportive environment for communications and decision making by patients and their families. Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. Demonstrates professionalism in attitude, dress and behavior. Contributes to positive team functioning and supporting one another. Develops cultural competence in order to provide culturally competent care. Actively participates in developing and evaluating professional goals and performance at regular intervals. Role models the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. Accountable for reporting professional practice issues to the appropriate person, agency or professional body. Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: Supports the philosophy, vision and mission of the Association. Participates in the development and revision of standards of care, policies and procedures. Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. Promotes a safe work environment by identifying and resolving potential risk issues. Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. Additional Responsibilities: Completes all tasks as expressed in the Skills Delineation List. Job Scope: Recurring work situations with occasional variations from the norm. Will assist other nursing units within scope of training. A moderate to high level of complexity. Operation from established and well-known procedures. Performance of duties under moderate supervision. Assigned to be “On-Call” for emergency backup as needed. Must be available to share in weekend and holiday rotation for scheduling shifts. Specific Job Skills & Mental Activities: This position requires general nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). This position requires excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. This position also requires knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. This position requires self-direction and self-motivation.
