Home Health RN

apartment Pathwell Health location_onFontana, CA

The RN is responsible for assessing patient health problems and needs, developing and implementing nursing care plans, and maintaining medical records. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration is required. We are looking for either Full Time of PRN role. ESSENTIAL DUTIES AND RESPONSIBILITIES The essential functions include, but are not limited to the following: Provide skilled nursing treatments as ordered by the client’s doctor Complete evaluation tasks, including vital signs and medication reviews Coordinate with physicians, therapists, and other individuals in the client’s care plan Assess and chart observations of the client’s condition at each visit Maintain complete and accurate documentation of nursing care Work collaboratively with all members of the healthcare team Provide education to clients and families on proper home health care procedures and strategies Record patients' medical information and vital signs Monitor, record, and report symptoms or changes in patient's conditions Administer local, inhalation, intravenous, or other anesthetic Prepare patients for and assist with examinations or treatments Modify patient treatment plans as indicated by patients' responses and conditions Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition Monitor all aspects of patient care, including diet and physical activity Engage in research activities and participation in formal educational training activities related to nursing Perform other duties as assigned MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES) Associate degree required; Graduate of an accredited state-approved, Bachelor’s Degree from the school of nursing preferred Current and valid California Registered Nurse License Prior nursing experience, specifically in home health (preferred) Current CPR certification (required), Driver’s License, Car Insurance, Car Registration Strong interpersonal skills that build personal rapport and establish trust with the client Computer literate, Strong organizational skills Excellent written and communication skills Ability to meet physical demands of the job (ex: lifting 50 pounds for transfers) Home health care experience Bilingual (Spanish) preferred PHYSICAL DEMANDS AND WORK ENVIRONMENT The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.

RN

Manager/Supervisor

Per Diem

RN Charge Nurse Sub Acute

apartment Dignity Health location_onSan Bernardino, CA

$74.05 / hour

Job Summary and Responsibilities As a Charge Nurse, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team. Every day you will advocate for your fellow nurses as you support them in reaching their full potential, which aligns with your department's operational goals and objectives. To thrive in this role, you need to be accountable and confident. You're an excellent communicator in 1:1 interactions and in front of groups. It's also important for you to be comfortable holding tough conversations, as you are responsible for the performance of your people and your unit. Review staff documentation for appropriate and measurable patient goals, interventions and outcomes and provides feedback to staff and Nurse Manager. Provide colleagues with consistent, constructive, positive and negative feedback. Provides feedback on a consistent basis to Ns Mgr. regarding staff nurses performance. Effectively utilizes the Ns Mgr. in situations where resolution of issue exceeds authority. Proactively identifies and addresses issues by initiating interactions with the affected Health Team Member (s) as evidenced by resolution of the issues and/or communication to the Ns Mgr. Complete evaluations for personnel on assigned shift. Complete all assessments, admissions, transfers, shift assessments and discharge assessments within the time frames established by hospital policy. Reassesses patient status as indicated. Identify psycho-social, spiritual, cultural, learning needs and discharge planning. Identifies predictable patient problems, life threatening situations, low volume/high risk patient problems, and anticipates less predictable patient problems and initiates appropriate interventions. Recognizes the relationship between physiological and environmental factors and their affect on the patient/family. Identifies current patient/family coping mechanisms, support systems and their effectiveness. Identifies need for other resources to assist in the assessment of needs. Incorporates advanced and/or specialized nursing path physiology and assessment skills into clinical practice. Demonstrates ability to assess multisystem failure and/or instability during complicated intervention and therapy. Identifies the inter-relationship between data, patient behavior and symptoms. Initiates patient's plan of care using assessment data. Determines and prioritizes nursing diagnosis, expected outcomes and discharge planning. Plan of care demonstrates knowledge of age specific needs, conditions, and measurable interventions including diagnostic process and expected diagnostic values for high volume cases. Updates the plan of care, which includes input from patient/family and/or significant other. Integrates the medical plan of care in the patient's plan of care. Utilizes existing standards of care in formulating plans. Plan of care includes collaboration and/or consultation with other members of the health care team. Effectively communicates plan of care to other staff members. Anticipates potential problems for high risk, problem prone or low volume cases and documents plan of care. Provides basic patient care reflective of age specific needs and implements physician's orders for high-volume diagnosis. Administers and controls narcotics and medications including parenterals and blood components consistent with established plan of care and implemented in a safe appropriate and documented manner. Utilizes appropriate resources. Identifies drug interactions. Demonstrates knowledge of antidotes/treatments for medication overdose and infiltrations. Maintains current knowledge of new and infrequently used medications related to area of practice. Takes charge of emergency, life threatening situations. Documents nursing interventions, patient response, treatment modalities, effectiveness in approved documentation format and communicates information to physicians and coworkers in a timely manner. Responds appropriately to usual and abnormal diagnostic data and documents interventions. Implements and instructs patients, families, or significant others about the illness, management of the illness and care after discharge using resources and referrals as necessary. Identifies and implements alternative interventions to achieve expected outcomes. Involves and solicits feedback from patient and/or significant other. Coordinates discharge process, actively follows-up referrals and documents. Recognizes subtle changes and trends and identifies abnormal deviations in vital signs. Interprets these with respect to the patient's condition and takes appropriate action. Functions independently and acts as a resource person. Suggests appropriate interventions for abnormal vital signs or other clinical problems, utilizing clinical assessment of the patient. Makes recommendations to improve patients response to treatment modalities, e.g., medication changes, ventilation changes, line placement, skin care, wound management, nutritional needs, activity level, Etc. Independently assesses patient learning needs and seeks assistance in identifying/meeting complex learning needs of patients and families. Identifies complex learning needs of patients and families. Incorporates teaching into the plan of care and performs the teaching for routine patient problems. Functions as a resource in assisting others to identify learning needs and teaching strategies for patient, family and/or significant other and teaches others involved in the care of the patient and family with complex problems. Evaluates the teaching plan, revises in relation to patient and/or family response and patient outcomes and documents appropriately. Evaluates the effectiveness of interventions based on the plan of care and expected outcomes. Makes patient rounds and directly observes and evaluates patient care. Evaluates the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Seeks assistance when necessary. Functions as a resource for unit personnel and other health care professionals in evaluating the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Evaluates patients, families and/or significant others understanding of care. Seeks feedback and changes or modifies instruction based on the evaluation process. Communicates the rationale for nursing interventions to staff. Teaches staff using a variety of teaching strategies. Acts as an educational resource to other units in addition to assigned unit at least annually. Job Requirements Required Graduate of accredited Registered Nurse (RN) program and Two (2) years experience performing acute care duties, upon hire Registered Nurse: CA, upon hire and Basic Life Support - CPR, upon hire Where You'll Work Founded in 1910, Dignity Health - Community Hospital of San Bernardino is a 347-bed, acute care, nonprofit, community hospital located in San Bernardino, California. Known for its programs in maternity care and pediatrics, behavioral health and long-term subacute care for adults and children, the hospital also includes inpatient and outpatient surgery. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visit here https://www.dignityhealth.org/socal/locations/san-bernardino for more information. One Community. One Mission. One California

RN

Manager/Supervisor

Per Diem

RN Charge Nurse Sub Acute

apartment Dignity St. Mary's Medical Center San Francisco location_onSan Bernardino, CA

$74.05 / hour

Job Summary and Responsibilities As a Charge Nurse, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team. Every day you will advocate for your fellow nurses as you support them in reaching their full potential, which aligns with your department's operational goals and objectives. To thrive in this role, you need to be accountable and confident. You're an excellent communicator in 1:1 interactions and in front of groups. It's also important for you to be comfortable holding tough conversations, as you are responsible for the performance of your people and your unit. Review staff documentation for appropriate and measurable patient goals, interventions and outcomes and provides feedback to staff and Nurse Manager. Provide colleagues with consistent, constructive, positive and negative feedback. Provides feedback on a consistent basis to Ns Mgr. regarding staff nurses performance. Effectively utilizes the Ns Mgr. in situations where resolution of issue exceeds authority. Proactively identifies and addresses issues by initiating interactions with the affected Health Team Member (s) as evidenced by resolution of the issues and/or communication to the Ns Mgr. Complete evaluations for personnel on assigned shift. Complete all assessments, admissions, transfers, shift assessments and discharge assessments within the time frames established by hospital policy. Reassesses patient status as indicated. Identify psycho-social, spiritual, cultural, learning needs and discharge planning. Identifies predictable patient problems, life threatening situations, low volume/high risk patient problems, and anticipates less predictable patient problems and initiates appropriate interventions. Recognizes the relationship between physiological and environmental factors and their affect on the patient/family. Identifies current patient/family coping mechanisms, support systems and their effectiveness. Identifies need for other resources to assist in the assessment of needs. Incorporates advanced and/or specialized nursing path physiology and assessment skills into clinical practice. Demonstrates ability to assess multisystem failure and/or instability during complicated intervention and therapy. Identifies the inter-relationship between data, patient behavior and symptoms. Initiates patient's plan of care using assessment data. Determines and prioritizes nursing diagnosis, expected outcomes and discharge planning. Plan of care demonstrates knowledge of age specific needs, conditions, and measurable interventions including diagnostic process and expected diagnostic values for high volume cases. Updates the plan of care, which includes input from patient/family and/or significant other. Integrates the medical plan of care in the patient's plan of care. Utilizes existing standards of care in formulating plans. Plan of care includes collaboration and/or consultation with other members of the health care team. Effectively communicates plan of care to other staff members. Anticipates potential problems for high risk, problem prone or low volume cases and documents plan of care. Provides basic patient care reflective of age specific needs and implements physician's orders for high-volume diagnosis. Administers and controls narcotics and medications including parenterals and blood components consistent with established plan of care and implemented in a safe appropriate and documented manner. Utilizes appropriate resources. Identifies drug interactions. Demonstrates knowledge of antidotes/treatments for medication overdose and infiltrations. Maintains current knowledge of new and infrequently used medications related to area of practice. Takes charge of emergency, life threatening situations. Documents nursing interventions, patient response, treatment modalities, effectiveness in approved documentation format and communicates information to physicians and coworkers in a timely manner. Responds appropriately to usual and abnormal diagnostic data and documents interventions. Implements and instructs patients, families, or significant others about the illness, management of the illness and care after discharge using resources and referrals as necessary. Identifies and implements alternative interventions to achieve expected outcomes. Involves and solicits feedback from patient and/or significant other. Coordinates discharge process, actively follows-up referrals and documents. Recognizes subtle changes and trends and identifies abnormal deviations in vital signs. Interprets these with respect to the patient's condition and takes appropriate action. Functions independently and acts as a resource person. Suggests appropriate interventions for abnormal vital signs or other clinical problems, utilizing clinical assessment of the patient. Makes recommendations to improve patients response to treatment modalities, e.g., medication changes, ventilation changes, line placement, skin care, wound management, nutritional needs, activity level, Etc. Independently assesses patient learning needs and seeks assistance in identifying/meeting complex learning needs of patients and families. Identifies complex learning needs of patients and families. Incorporates teaching into the plan of care and performs the teaching for routine patient problems. Functions as a resource in assisting others to identify learning needs and teaching strategies for patient, family and/or significant other and teaches others involved in the care of the patient and family with complex problems. Evaluates the teaching plan, revises in relation to patient and/or family response and patient outcomes and documents appropriately. Evaluates the effectiveness of interventions based on the plan of care and expected outcomes. Makes patient rounds and directly observes and evaluates patient care. Evaluates the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Seeks assistance when necessary. Functions as a resource for unit personnel and other health care professionals in evaluating the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Evaluates patients, families and/or significant others understanding of care. Seeks feedback and changes or modifies instruction based on the evaluation process. Communicates the rationale for nursing interventions to staff. Teaches staff using a variety of teaching strategies. Acts as an educational resource to other units in addition to assigned unit at least annually. Job Requirements Required Graduate of accredited Registered Nurse (RN) program and Two (2) years experience performing acute care duties, upon hire Registered Nurse: CA, upon hire and Basic Life Support - CPR, upon hire Where You'll Work Founded in 1910, Dignity Health - Community Hospital of San Bernardino is a 347-bed, acute care, nonprofit, community hospital located in San Bernardino, California. Known for its programs in maternity care and pediatrics, behavioral health and long-term subacute care for adults and children, the hospital also includes inpatient and outpatient surgery. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visit here https://www.dignityhealth.org/socal/locations/san-bernardino for more information. One Community. One Mission. One California

RN

Manager/Supervisor

Per Diem

RN Charge Nurse Sub Acute

apartment Dignity Health location_onSan Bernardino, CA

$74.05 / hour

Job Summary and Responsibilities As a Charge Nurse, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team. Every day you will advocate for your fellow nurses as you support them in reaching their full potential, which aligns with your department's operational goals and objectives. To thrive in this role, you need to be accountable and confident. You're an excellent communicator in 1:1 interactions and in front of groups. It's also important for you to be comfortable holding tough conversations, as you are responsible for the performance of your people and your unit. Review staff documentation for appropriate and measurable patient goals, interventions and outcomes and provides feedback to staff and Nurse Manager. Provide colleagues with consistent, constructive, positive and negative feedback. Provides feedback on a consistent basis to Ns Mgr. regarding staff nurses performance. Effectively utilizes the Ns Mgr. in situations where resolution of issue exceeds authority. Proactively identifies and addresses issues by initiating interactions with the affected Health Team Member (s) as evidenced by resolution of the issues and/or communication to the Ns Mgr. Complete evaluations for personnel on assigned shift. Complete all assessments, admissions, transfers, shift assessments and discharge assessments within the time frames established by hospital policy. Reassesses patient status as indicated. Identify psycho-social, spiritual, cultural, learning needs and discharge planning. Identifies predictable patient problems, life threatening situations, low volume/high risk patient problems, and anticipates less predictable patient problems and initiates appropriate interventions. Recognizes the relationship between physiological and environmental factors and their affect on the patient/family. Identifies current patient/family coping mechanisms, support systems and their effectiveness. Identifies need for other resources to assist in the assessment of needs. Incorporates advanced and/or specialized nursing path physiology and assessment skills into clinical practice. Demonstrates ability to assess multisystem failure and/or instability during complicated intervention and therapy. Identifies the inter-relationship between data, patient behavior and symptoms. Initiates patient's plan of care using assessment data. Determines and prioritizes nursing diagnosis, expected outcomes and discharge planning. Plan of care demonstrates knowledge of age specific needs, conditions, and measurable interventions including diagnostic process and expected diagnostic values for high volume cases. Updates the plan of care, which includes input from patient/family and/or significant other. Integrates the medical plan of care in the patient's plan of care. Utilizes existing standards of care in formulating plans. Plan of care includes collaboration and/or consultation with other members of the health care team. Effectively communicates plan of care to other staff members. Anticipates potential problems for high risk, problem prone or low volume cases and documents plan of care. Provides basic patient care reflective of age specific needs and implements physician's orders for high-volume diagnosis. Administers and controls narcotics and medications including parenterals and blood components consistent with established plan of care and implemented in a safe appropriate and documented manner. Utilizes appropriate resources. Identifies drug interactions. Demonstrates knowledge of antidotes/treatments for medication overdose and infiltrations. Maintains current knowledge of new and infrequently used medications related to area of practice. Takes charge of emergency, life threatening situations. Documents nursing interventions, patient response, treatment modalities, effectiveness in approved documentation format and communicates information to physicians and coworkers in a timely manner. Responds appropriately to usual and abnormal diagnostic data and documents interventions. Implements and instructs patients, families, or significant others about the illness, management of the illness and care after discharge using resources and referrals as necessary. Identifies and implements alternative interventions to achieve expected outcomes. Involves and solicits feedback from patient and/or significant other. Coordinates discharge process, actively follows-up referrals and documents. Recognizes subtle changes and trends and identifies abnormal deviations in vital signs. Interprets these with respect to the patient's condition and takes appropriate action. Functions independently and acts as a resource person. Suggests appropriate interventions for abnormal vital signs or other clinical problems, utilizing clinical assessment of the patient. Makes recommendations to improve patients response to treatment modalities, e.g., medication changes, ventilation changes, line placement, skin care, wound management, nutritional needs, activity level, Etc. Independently assesses patient learning needs and seeks assistance in identifying/meeting complex learning needs of patients and families. Identifies complex learning needs of patients and families. Incorporates teaching into the plan of care and performs the teaching for routine patient problems. Functions as a resource in assisting others to identify learning needs and teaching strategies for patient, family and/or significant other and teaches others involved in the care of the patient and family with complex problems. Evaluates the teaching plan, revises in relation to patient and/or family response and patient outcomes and documents appropriately. Evaluates the effectiveness of interventions based on the plan of care and expected outcomes. Makes patient rounds and directly observes and evaluates patient care. Evaluates the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Seeks assistance when necessary. Functions as a resource for unit personnel and other health care professionals in evaluating the effectiveness of interventions based on psychosocial, cultural, religious and educational influences. Evaluates patients, families and/or significant others understanding of care. Seeks feedback and changes or modifies instruction based on the evaluation process. Communicates the rationale for nursing interventions to staff. Teaches staff using a variety of teaching strategies. Acts as an educational resource to other units in addition to assigned unit at least annual Job Requirements Required Graduate of accredited Registered Nurse (RN) program and Two (2) years experience performing acute care duties, upon hire Registered Nurse: CA, upon hire and Basic Life Support - CPR, upon hire Where You'll Work Founded in 1910, Dignity Health - Community Hospital of San Bernardino is a 347-bed, acute care, nonprofit, community hospital located in San Bernardino, California. Known for its programs in maternity care and pediatrics, behavioral health and long-term subacute care for adults and children, the hospital also includes inpatient and outpatient surgery. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visit here https://www.dignityhealth.org/socal/locations/san-bernardino for more information. One Community. One Mission. One California

RN

Outpatient

Full-time

Outpatient Registered Nurse - RN - Dialysis

apartment Fresenius Medical Care location_onRialto, CA

$34.50 - $59 / hour

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility, and area level. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. May serve as a Preceptor to new employees. Required to complete CAP requirements to maintain or advance. Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines, and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with minimum of 2 years of Nephrology Nursing experience The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $34.50 - $59 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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