RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES Responsible for coordinating clinical care of patient. Integrates all health care providers to ensure high quality patient/family outcomes, and establishes a consistent and accountable relationship with patient/family. Key responsibilities include, but are not limited to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning. II. TYPICAL PHYSICAL DEMANDS Essential functions- Continuous: lifting up to 1/2 lb., seeing, hearing, talking, grasping, fingering. Frequent to continuous: standing, walking, stooping, forward reaching, handling. Frequent: pushing and pulling up to 30 psi, lifting up to 10 lbs., sitting, bending. Occasional to frequent: squatting, twisting. Occasional: pushing and pulling up to 70 psi; lifting: horizontal lift/carry up to 75 lbs. with assistance, floor to waist up to 35 lbs., waist to shoulder up to 25 lbs., overhead level up to 15 lbs.; carrying up to 35 lbs, running, climbing, side bending, kneeling, crouching, overhead reaching. Operates various machines/tools/work aids. III. TYPICAL WORKING CONDITIONS Inside work. Exposure to body fluids, blood products, and communicable diseases. Work environment may be highly stressful, fast paced and hectic. Assignment to inpatient adult psych areas and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which may compromise physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse, State of Hawaii 2.Diploma or Associate Degree in Nursing; Baccalaureate Degree in Nursing preferred. 3.Current BLS/HCP card in all areas; ACLS, NALS and/or PALS in designated areas. 4.Ability to read, write, speak and understand English effectively. Equal Opportunity Employer/Disability/Vet
RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: • An Advanced Practice Provider (APP) is a medical provider who treats, diagnoses, prescribes, and/or performs or assists in surgical procedures. APPs are licensed healthcare professionals, credentialed and privileged through the Medical Staff Office. APPs work collaboratively with physicians and the care team in all areas of the hospital and clinics to create a seamless environment of care. APPs are highly knowledgeable and serve as an essential part of the development and implementation of patients' care. The APP develops protocols for care, as appropriate, serves as a health care researcher, interdisciplinary consultant, and patient advocate. • If licensed as an Advanced Practice Registered Nurse (APRN), (State of Hawaii Department of Commerce and Consumer Affairs, Title 16, sub chapter 14, Hawaii Revised Statues.): o The APRN functions as an expert practitioner with educator consultant, researcher and leadership role components and functions autonomously and in collaboration with other healthcare professionals to enhance the quality of nursing practice and patient care. o Provides health care that includes services to individuals and families, emphasizing health promotion, disease prevention, and diagnosis and management of acute and chronic diseases. Direct care services may include, but are not limited to, obtaining a patient history, providing a complete or focused physical examination, ordering, conducting and interpreting diagnostic and laboratory tests, performing procedures, patient and family education, and managing social, economic and ethical issues within the scope of a health care provider. Indirect patient care services may include, but are limited to setting standards for nursing practice and facilitating the professional practice of nursing care at the bedside. • If licensed as Physician Assistant (PA) (State of Hawaii Administrative Rules Chapter 85, Subchapter 6): o A PA is an individual who has been certified by the board to practice medicine with physician supervision. A PA may perform those duties and responsibilities delegated by the supervising physician. o Under the supervision of a Physician, the PA functions as an expert practitioner. The PA provides health care that includes services to individuals and families, which includes health promotion, disease prevention, diagnosis and management of acute and chronic disease. Direct care services may include, but is not limited to, obtaining patient histories, providing a complete or focused physical examination, ordering, conducting, and interpreting diagnostic and laboratory tests, various diagnostic and/or therapeutic procedures; and performing procedures, etc., within scope of practice and licensure. The PA also provides patient and family education, and management of social, economic, and ethical issues within the scope of the health care provider. II. TYPICAL PHYSICAL DEMANDS: • Finger dexterity, seeing, hearing, speaking. • Continuous: sitting, static gripping of an object for prolonged periods. • Frequent: walking. • Occasional: standing, stooping/bending, climbing stairs, walking on uneven ground, lifting and carrying usual weight of 1 pound up to 5 pounds, reaching above, at and below shoulder level, frequent gripping of an object. III. TYPICAL WORKING CONDITIONS: • Not substantially subjected to adverse environmental conditions. • May be exposed to communicable disease and body fluids, and chemicals. • May be required to deal with hostile patients and/or families. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: • Current Hawaii State license as an APRN or Physician Assistant in good standing • If licensed as an APRN, specialty board certification aligned with area of assignment is required. • Depending on area of assignment, prescriptive authority for non-controlled and controlled substances may be required. • Depending on area of assignment, additional certification(s) may be required. • Credentialing and privileging required if providing medical level of care. • Current BLS certification. B. EXPERIENCE: • If licensed as an APRN, two (2) years nursing experience or successful completion of an APRN Fellowship Program for any APRN position. • One (1) year of clinical experience working as an APRN or Physician Assistant preferred. Equal Opportunity Employer/Disability/Vet
RESPONSIBILITIES Last Reviewed: 04/23 Effective Date: 02/03 I. JOB SUMMARY/RESPONSIBILITIES Responsible for coordinating clinical care of patient. Integrates all health care providers to ensure high quality patient/family outcomes, and establishes a consistent and accountable relationship with patient/family. Key responsibilities include, but are not limited to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning. II. TYPICAL PHYSICAL DEMANDS Essential functions- Continuous: lifting up to 1/2 lb., seeing, hearing, talking, grasping, fingering. Frequent to continuous: standing, walking, stooping, forward reaching, handling. Frequent: pushing and pulling up to 30 psi, lifting up to 10 lbs., sitting, bending. Occasional to frequent: squatting, twisting. Occasional: pushing and pulling up to 70 psi; lifting: horizontal lift/carry up to 75 lbs. with assistance, floor to waist up to 35 lbs., waist to shoulder up to 25 lbs., overhead level up to 15 lbs.; carrying up to 35 lbs, running, climbing, side bending, kneeling, crouching, overhead reaching. Operates various machines/tools/work aids. III. TYPICAL WORKING CONDITIONS Inside work. Exposure to body fluids, blood products, and communicable diseases. Work environment may be highly stressful, fast paced and hectic. Assignment to inpatient adult psych areas and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which may compromise physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse, State of Hawaii 2.Diploma or Associate Degree in Nursing; Baccalaureate Degree in Nursing preferred. 3.Current BLS/HCP card in all areas; ACLS, NALS and/or PALS in designated areas. 4.Ability to read, write, speak and understand English effectively. SCOPE OF SERVICE Kamehameha 4 RNs provide pre-op and post-op care to patients undergoing endoscopic and urologic procedures. Kamehameha 4 RNs also cross-train into Endoscopy for colonoscopies and EGDs. Pre-op care focuses on preparing the patient for their procedural experience and also identifying potential or actual problems that may occur. Phase I post-op care focuses on: monitoring vital signs, managing postoperative pain, monitoring the surgical site, treating symptoms of postoperative nausea and vomiting, treating post-anesthetic shivering and airway management. Phase II post-op care focuses on preparing the patient and family for care at home. Kamehameha 4 Short/Recovery Stay is a 20 bed ambulatory short stay/recovery area which operates 6 days a week, Monday through Friday from 5:00 am to 7:30 pm and Saturday 5:00 am to 4:30 pm. This unit provides care for patients of all ages. Equal Opportunity Employer/Disability/Vet
