RN Fellowship - Medical/Surgical

apartment Kaiser Permanente location_onOR, US

Job Summary:

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Responsibilities:

Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.
Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.
Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.
Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.

Share this job

Related Jobs

Med-Surg

Full-time

Charge RN - Med-Surg (Ortho/Neurosurgery/General Surgery) - KSMC 2N / 36 Hr / Days

apartment Kaiser Permanente location_onOR

Job Summary: The Charge Nurse, under the direct and indirect supervision of the Nursing Unit Coordinator, Assistant Coordinator and/or Hospital Supervisor facilitates and assists with all levels of nursing care being provided to a group of patients within one nursing unit during the period of one working shift. In addition to these responsibilities, the Charge Nurse frequently assumes all or partial staff nurse responsibilities. The Charge Nurses are directly accountable to the Nursing Coordinator for the unit. The Charge Nurses assist the staff nurses with day to day problem solving, communication between shifts, and may serve as a link between staff nurse and the Nursing Coordinator. Essential Responsibilities: The Charge Nurse will assist in the supervising of nursing personnel: Assist in the interviewing process of applicants for posted positions and makes recommendations to the Coordinator. Support organizational goals and objectives. Provide input into staff evaluations. Monitor performance of staff and provide documentation of performance problems to the Coordinator. Provide input into the development and maintenance of staffing patterns for the patient care unit and helps to monitor day-to-day staffing and utilization of nursing resources. Coordinate staff meetings under the direction of the Coordinator. The Charge Nurse will contribute to overall functioning of the Unit by monitoring resources. Identify and communicate to the Coordinator systems problems that interfere with effective client care and convey risk situations to the Coordinator. Participate and give input into trend analysis for the operational budget. Assist with materials management, ensuring availability of supplies needed. Provide direction during emergency situations as delegated. The Charge Nurse will actively participate in providing and/or facilitating client care. Participate in the development and implementation of standards of client care, policies and procedures and protocols. Coordinate and participate in the delivery of patient care on a specific unit. Utilizing the nursing process: 1. Assess need and priorities of patient. 2. Assist in the implementation of nursing care. 3. Evaluate effectiveness of nursing care. Participate in the development and ongoing monitoring of quality assurance activities. Provide input into and participate in development and achievement of departmental goals and objectives. Participate in multi-disciplinary patient care conferences and discharge planning activities as appropriate. Identify and assist in problem-solving both intra-shift and inter-shift. Keep Coordinators Hospital Supervisors informed of problems/resolutions. Function within expected behavior standards of Staff Nurse as participating in role. The Charge Nurse will function as an educator for other health care professional and clients. Assists in development and presentation of in-service programs. Participates in clinical orientation to the nursing unit. Participate in the planning and provision of education/teaching to patients and their families. Serve as a resource to other departments in area of specialty. The Charge Nurse will participate in professional activities for self and others. Support departmental and organizational philosophy, goals, objectives, policies and procedures. Participate in meetings, special projects, and committees as designated. Support and/or participate in research programs approved by the Department of Nursing as designated. Promote interdepartmental and intradepartmental communications. Foster good public relations. Assume responsibility for own continuing education and development. The Staff Nurse will apply knowledge of organizational expectations of personnel policies and procedures. Follow appropriate policies and procedures for use of time in work environment, including absenteeism and tardiness. Monitor and take corrective action to prevent recurring absences. Return promptly from breaks and schedule them in concert with co-workers to provide appropriate coverage of unit and client care activities. Consistently on time and ready to work at start of shift and has assignments completed at end of shift. Maintain confidentiality of all client and organizational records. Release information according to established policy/procedure. Demonstrate a positive attitude while at the work site. Does not conduct personal conversations when members are waiting for service. Does not carry on discussions regarding other staff members, the organization, or medical care in public areas. Restricts personal business to non-client care areas during bona fide break times. Identify self by wearing a name tag, and verbally introducing self by name, title and/or department. Address members with courtesy and respect. Provide assistance to members or connects member with appropriate person when needed. Apply same courtesy standards to members on the telephone as in person.

Med-Surg

Full-time

Registered Nurse RN - Med/Surg

apartment Good Shepherd Health Care System location_onHermiston, OR

Overview Medical, Dental & Vision benefits paid by Employer! Up to $20,000 Sign-On Bonus Wage Range: $46.78 - $79.58 Night Shift Full-time, 36 hrs/ week Schedule: Sun, Wed, Thur/Wed, Thur, Sat 7:00pm-7:30am Holiday B Med/Surg Department Definition of Position : The Medical-Surgical Registered Nurse provides direct and individualized nursing care to adult patients before and after surgical procedures. This role involves assessing patient conditions, administering medications, monitoring vital signs, and collaborating with interdisciplinary teams to ensure optimal patient outcomes. Respond quickly and accurately to changes in condition or response to treatment. Responsible for initiating the computerized Plan of Care on admission. P erform general nursing duties in all departments under appropriate supervision. Responsibilities Essential Job Functions : Perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure. Accept responsibility for the direction, control, planning, of an activity Make evaluations and decisions based on measurable or verifiable criteria. Work independently Recognize the rights and responsibilities of patient confidentiality. Convey empathy and compassion to those experiencing pain, grief, or trauma. Relate to others in a manner that creates a sense of teamwork and cooperation. Communicate effectively and therapeutically with people from every socioeconomic background. Incorporating guest relations in daily activities. Ability to provide care for the patient's age-specific, cultural, physical, and psychosocial well-being. The employee supports the hospital mission, vision, values, policies, and procedures. Participates in required education for DNV programs as applicable to position (reference program education curriculum). Performs other related duties as assigned. Qualifications QUALIFICATIONS: Education Required: Graduate of an accredited school of professional nursing Preferred: BSN, MSN Licenses/ certifications/ registrations Required: Evidence of continuing education is appropriate for skill level and area of practice. Current RN license in the State of Oregon; BLS, ACLS and PALS Preferred: Certified Medical-Surgical Registered Nurse (CMSRN) Experience Required: None. Preferred: Previous Medical-Surgical nursing Other: None. Physical Requirements: The physical and sensory functions described below are essential to the successful performance of this position. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions. The position requires sufficient auditory ability to detect and respond to various sounds, including patient alarms and verbal communication. Clear and effective communication is essential, as is the ability to interact with patients, families, and healthcare team members. Visual acuity is necessary for observing patient conditions, reading documentation and monitors, and distinguishing colors for clinical purposes, such as identifying medications or safety indicators. Tactile perception is also important for assessing physical characteristics such as temperature, size, shape, or texture during patient care. Motor coordination is required for reaching, grasping, handling, and performing fine motor tasks necessary for the use of medical equipment and procedures. The position also involves occasional stooping, kneeling, crouching, or crawling when assisting patients or accessing equipment. Walking and standing are typically continuous throughout the shift. The role requires the ability to lift to 50 pounds independently and involves frequent pushing, pulling, carrying, or repositioning of objects or patients weighing up to 25 pounds. There may also be occasional lifting or transferring of individuals weighing over 100 pounds, with the expectation that appropriate lifting techniques, mechanical aids, or team assistance will be used to ensure safety. May to sit for long periods of time. Working Conditions: This position is performed primarily in an indoor healthcare environment, such as a hospital, clinic, or long-term care facility. While the work setting is protected from outdoor weather conditions, it may be subject to variable indoor temperatures. The role involves frequent exposure to infectious and contagious diseases, hazardous materials, and medical equipment, with the expectation that all staff follow appropriate safety protocols and utilize personal protective equipment (PPE) as required. The health care environment can be fast-paced and unpredictable, requiring the ability to respond quickly to changing circumstances, including high-pressure or emergency situations. The work setting also involves multiple simultaneous demands and varying levels of noise due to medical equipment, staff activity, and patient needs. 36 Hours USD $46.78/Hr. USD $79.58/Hr. 01-3030 Medical / Surgical Night

RN Nurse Manager - Med/Surg and ICU

apartment Adventist Health location_onTillamook, OR

Job Description: Located off the beautiful Oregon Coast, Adventist Health Tillamook has been one of the area's leading healthcare providers since 1950. We are comprised of a 25-bed critical access medical center, rural health and urgent care medical offices, home care services, and a vast scope of services located throughout Tillamook County and the surrounding areas. Tillamook is known for its small-town charm, lively art scene and delicious Tillamook Cheese. The allure of Tillamook's community is complimented by access to outdoor adventures and the scenic Oregon Coast. Job Summary: Creates an environment where front line nurses and ancillary staff provide whole person care that is safe, complication free, and optimizes functional independence for each patient. Maintains a highly-visible presence on the unit. Collaborates closely with staff, charge nurses, physicians, and other department leaders to ensure that clinical operations are efficient and effective, and achieve high patient/family/staff satisfaction. Supervises and directs the activities of various levels of assigned nursing and ancillary personnel utilizing both professional and supervisory discretion and independent judgment.Schedules, leads, and coordinates the daily activities of a defined unit on an assigned shift. Assists department Manager in accomplishing unit and organizational goals Job Requirements: Education and Work Experience: Bachelor’s Degree in nursing or equivalent combination of education/related experience: Required Master's Degree: Preferred Five year's technical experience: Preferred One year's leadership experience: Preferred Two years' experience of acute care nursing in hospital setting: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Preferred National specialty certification in area of expertise or in nursing administration: Preferred Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Essential Functions: Builds a high performing clinical work team by recruiting and retaining skilled professional staff. Builds a strong infrastructure with designated charge nurses and unit champions. Engages staff in developing action plans for needed change to create safe, desired outcomes. Completes periodic evaluations of personnel supervised. Coaches and disciplines personnel when deems appropriate. Monitors attendance. Works closely with staff, unit champions, and the clinical educator to identify and meet educational needs. Uses consistent exercise of discretion and judgment. Sets and strives to achieve goals for patient safety, quality of care and compliance with regulatory requirements. Creates a culture of open communication. Develops strategies to improve patient/family, and physician satisfaction. Establishes standards of care for professional nursing practice that staff are held accountable to. Monitors critical processes and outcomes of care through audits, analysis of data, and complaints or incident reports. Exercises discretion and independent judgment with respect to matters of significance, evaluating and comparing possible courses-of-action, and making decisions/recommendations after considering the various possibilities. Conducts daily rounds with physicians and other staff and actively communicates, as needed, to coordinate appropriate care for patients and families. Directs/monitors personnel in the performance of patient care activities in order to ensure adequate patient care and quality of work. Investigates and resolves patient care and operational issues, as needed. Initiates and coordinates individual and team conferences with health team members, patients, and/or families to initiate and revise care plans for optimal, individualized patient care as per care setting. Assesses the personnel requirements of the unit on a daily basis and requests additional personnel when determines they are necessary. Authorizes and assigns overtime to personnel when independently determines this to be appropriate. Completes monthly unit staff schedule on time, accurately, and in collaboration with staff members and management with minimal incidents of absence or unbalanced/short staffing events. Facilitates throughput through early discharge of patients, pull-ahead beds, and timely admission/transfer of patients and forecasting admission. Works with facility services to assure that the department and equipment is maintained to be safe and operational. Prevents complications of care including nosocomial infections. Conducts emergency preparedness reviews. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us: Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Med-Surg

Full-time

Registered Nurse (RN) - Med Surg

apartment Samaritan Health Services location_onAlbany, OR

Summary Occasionally JOB SUMMARY/PURPOSE The Registered Nurse (RN) is accountable for utilizing the nursing process to provide safe, age-appropriate, direct and indirect patient care, while practicing within the scope of practice of the Oregon State Board of Nursing. DEPARTMENT DESCRIPTION The Medical Surgical unit specializes in the care of acutely ill adults and of those who require surgery both emergent and elective. Medical Surgical patients are given the highest standards of professional care by registered nurses and nurse assistants. Specialty certification in Medical Surgical Nursing is strongly encouraged and supported. EXPERIENCE/EDUCATION/QUALIFICATIONS Current unencumbered Oregon RN license required. Healthcare Provider Level BLS required. KNOWLEDGE/SKILLS/ABILITIES Social Perceptiveness: Ability to work with a diverse population from pediatrics to geriatrics. Basic understanding of age-related differences in caring for and/or communicating with patients and caregivers. Possess personal sensitivity to the needs and experiences of others and a non-judgmental attitude towards persons of differing standards, values, lifestyles, and ages. Adaptability/Flexibility: Ability to respond quickly and appropriately to situations that may arise with high risk or diverse patient populations. Ability to adjust actions in relation to others and adapt to offer best possible care to patients. Time Management: Ability to organize, plan and prioritize work to complete within required time frames and to follow-up on pending issues. Ability to perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure. Communication: Effective written and oral communication skills to explain complex issues, exchange information between team members, and tactfully discuss issues. PHYSICAL DEMANDS Rarely (1 - 10% of the time) (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 - 100% of the time) LIFT(Floor to Waist: 0"-36") 40 - 60 Lbs LIFT(Waist to Eye: up to 54") 20 - 40 Lbs SQUATStatic (hold >30 sec) KNEEL(on knees) ROTATE TRUNKSitting SIT LIFT(Floor to Waist: 0"-36") 0 - 20 Lbs LIFT(Floor to Waist: 0"-36") 20 - 40 Lbs LIFT(Knee to chest: 24"-54") 0 - 20 Lbs LIFT(Knee to chest: 24"-54") 20 - 40 Lbs LIFT(Knee to chest: 24"-54") 40 - 60 Lbs LIFT(Waist to Eye: up to 54") 0 - 20 Lbs LIFT(Overhead: 54" and above) 0 - 20 Lbs CARRY1-handed, 0 - 20 pounds CARRY2-handed, 20 - 40 pounds CARRY2-handed, 40 - 60 pounds SQUATRepetitive REACH- Upward PUSH(20-40 pounds force) PULL(20-40 pounds force) STAND WALK - LEVEL SURFACE CARRY2-handed, 0 - 20 pounds BEND FORWARDat waist ROTATE TRUNKStanding REACH -Forward MANUAL DEXTERITYHands/wrists FINGER DEXTERITY PINCHFingers GRASPHand/Fist PUSH(0-20 pounds force) PULL(0-20 pounds force) None specified

Med-Surg

Full-time

Registered Nurse (RN) - Med Surg

apartment Samaritan Health Services location_onAlbany, OR