Staff RN - Per Diem CPCU

$1 - $1,000,000 / year

Job Summary: Under the supervision of the Unit Director, the RN performs patient care functions as approved by the State of Maine Board of Nursing and St. Joseph Hospital policies and procedures. The Clinical Leader/Charge Nurse will provide direct supervision for the shift the RN is assigned. JOB REQUIREMENTS Education: ASN Required, BSN preferred License(s): Current Maine RN license or compact license Certifications (s): BLS current or within 30 days of hire; ACLS current or within 90 days of hire; PALS current or within 1 year of hire Experience: 1 -3 years preferred Other Skills Required: Must be a team player, have strong communication skills as well the ability to multi-task Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $33.43 - $46.04 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

REGISTERED NURSE- Progressive Care- Day Shift

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients with the department. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner Seeks feedback regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards) Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Recognizes and praises excellent performance in colleagues and co-workers, when identified Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties Displays professional, positive perspective at all times, including when faced with difficult circumstances Seeks opportunities to assist all team members Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer review of colleagues Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages ETO per policy Other duties as consistent with this role. For the Cath and Angio Lab Departments 3 years’ critical care experience preferred Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. For the Emergency Department Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Responds to emergency situations per department/role requirements such as code blue and rapid response team. TNCC within 18 months and NIHSS stroke scale certifications within about a year Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NHISS certification preferred or obtained prior to completion of orientation Call required for Cath Lab and Stress Lab. Education and Experience Current New Hampshire RN license required BLS required ACLS required (except for Pre-Admission Testing and Operating Room) PALS (for Emergency Department) Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Graduate of an approved Nursing program preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Night RN for Progressive Care Unit

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Registered Nurse, PCU - PRN

Surgery Partners Durango, CO

Job Summary: Under the direction of the Department manager or Supervisor this position assesses, plans, organizes and evaluates all aspects of patient care for assigned unit/patients. Reports to : Director, PCU and RN Supervisor Hourly Rate : $34.14-$54.00 ( hourly rate does not include overtime or bonuses which are not guaranteed ) Essential Job Functions : Utilizes the nursing process to provide quality patient care according to established standards of care which includes planning, implementing, evaluating and adjusting plan of care, and discharge planning based on expected patient outcomes. Admits, transfers, and discharges patients. Completes ongoing patient assessment and documents according to policy Completes nursing assessment as appropriate for the patients condition and within established time frames. Develops patient plan of care to include patient problems, goals, evaluations and interventions. Reports symptoms and significant changes in patient’s condition to appropriate personnel and in timely manner Assesses, collaborates and coordinates patient’s discharge planning needs and readiness for discharge with other members of the care team. Demonstrates appropriate application of age specific standards, policies and procedures and guidelines in caring for child, adolescent, adult, and geriatric patients. Collaborates and works cooperatively with physicians and other members of the multidisciplinary healthcare team in formal and informal teaching of patients and/or family about his or her disease process and wellness promotion plan and discharge planning. Demonstrates an awareness and relevance of research in nursing. Evaluates practices to identify areas for improvement or opportunities for research. Other duties as assigned. Demonstrates the spirit of the philosophy, mission, and values of the hospital through words and actions and implements them into departmental processes, programs, and the working environment. Minimum Requirements : Education : Graduation from accredited school of nursing. Bachelor of Science in Nursing is preferred. Certification, Licensure : Current state license as a registered nurse; current CPR certification; ACLS, PALS or TNCC certifications per policy. Experience, Training, Knowledge : Previous experience as an RN in related care area preferred. Physical Requirements: Requires lifting, carrying, pushing, and/or pulling up to fifty (50) pounds; stooping, kneeling, and/or crouching; standing and walking more than five (5) hours per day; visual acuity in order to correctly distinguish skin tone variations, evidence of IV infiltration, infection, also to read telemetry, blood pressure gauges, etc.; audio acuity, in order to correctly distinguish various body sounds, i.e. respiration’s, heart sounds, bowel sounds, also to discern sounds made by various types of machinery or equipment which would indicate dangerous or improper operation. Working Conditions/Environmental Exposures : Environmental hazards such as chemicals, solvents, needles, needle containers, sharps, blood, body fluids, various infectious/communicable diseases, infectious medical waste, radiation, and/or radioactive materials and/or radioactive waste, proximity to moving mechanical parts. Protective clothing/equipment may be necessary. Animas Surgical Hospital offers a competitive benefits package including but not limited to: health, dental, vision, & life insurance and 401k with employer matching. Animas Surgical Hospital is a drug free workplace and performs a pre-employment drug screen which includes marijuana. ASH IMMUNIZATIONS AND VACCINATIONS REQUIREMENTS – Aligns with CDC’s Advisory Committee on Immunization Practices (ACIP) for Healthcare Personnel Hepatitis B- Lab evidence of immunity (titer) to Hepatitis B or three doses Hep B vaccine at appropriate intervals Influenza- documentation of current seasonal flu vaccine (mandatory from November 1st through March 31st each year) Measles, Mumps, and Rubella - Lab evidence of immunity (titer) to Measles, Mumps, and Rubella or 2 doses of MMR Vaccination Varicella (chickenpox) - Lab evidence of immunity (titer) to Varicella or 2 doses of Varicella Vaccine Tetanus, diphtheria, pertussis (Tdap) - documented proof of immunization Tuberculosis Screening - Documentation of a two-step TB skin test within the past year OR lab verification of a negative TB Gold or T-Spot tuberculin test within the past 6 months * VACCINE RECORDS OR EVIDENCE OF IMMUNITY ARE REQUIRED PRIOR TO 1ST DAY OF SCHEDULED WORK

Registered Nurse PCU PRN

HCA Healthcare Sanford, FL

*Nights Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at HCA Florida Lake Monroe Hospital , you’ll have all the staffing support, technology and resources you need to deliver safe, high-quality care—so you can focus on what you do best. Job Summary and Qualifications The Progressive Care Registered Nurse coordinates and delivers high quality, patient-centered care. In collaboration with medical providers, the RN provides pre-operative and post-operative nursing care. The RN serves as an advocate for patients to support an unparalleled patient experience. What you will do in this role: Assess patient condition during admission and during each shift, identifying and reporting any changes in patient status. Perform procedures or other functions as ordered by the medical provider. Document the administration of care in the patient medical record in a timely and thorough manner. Perform the administration of prescribed medications and monitors response. Maintain a knowledge of medications, procedures, and equipment used in the care of cardiac and medical-surgical patients. What qualifications you will need: Florida RN license and/or approved multistate RN license required. Compact license holders have 60 days to obtain the Florida license after relocation. 1+ years of RN experience in an acute care environment preferred Registered Nurse Diploma, or Associate Degree, BSN is preferred NIH Stroke Scale must be obtained within 30 days of employment start Basic Cardiac Life Support, or BCLS Instructor must be obtained within 30 days of start American Heart Association ACLS Provider issued card required within 6 months of employment start date Benefits HCA Florida Lake Monroe Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location HCA Florida Lake Monroe Hospital is a 221-bed acute care hospital. We serve the communities of Seminole and West Volusia County. At HCA Healthcare, we are committed to the care and improvement of human life. We are a Level II Trauma Center. We provide the only full-service cardiovascular program. Our program offers open-heart surgery and interventional cardiology. Electrophysiology, cardiac rehabilitation, and comprehensive diagnostic services are also offered by this program. Other services that we provide include orthopedic and spine care, as well as robotic surgery. We offer acute inpatient medical rehabilitation and complete imaging services. HCA Healthcare has been recognized as one of the World Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expense "Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare If growth and continued learning is important to you, we encourage you to apply for our Registered Nurse PCU PRN opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Staff RN - Per Diem - CPCU

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