LPN Full-time
Kaiser Permanente

Licensed Practical Nurse - Orthopedics

$5,000 SIGN ON BONUS ELIGIBLE POSITION! -May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: https://www.lmpartnership.org/local-contracts. Job Summary: Makes members/patients and their needs a primary focus of ones actions; develops and sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs and resolves problems. Performs duties as under Nurse Practice Act (Portions adopted from the Colorado State Nurse Practice Act CRS 12-38-103). Essential Responsibilities: This position knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications including the consistent use of 5 rights and 3 checks of medication administration, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly. Applies principles of asepsis and infection control. Maintains a safe and therapeutic patient care environment, including identifying malfunctioning equipment. Supports the physician and other medical providers in the care and treatment of patients, including rooming the patient; communicating delays to patient, provider, and team members; and facilitating the medical providers schedule. Performs duties and responsibilities with excellence, enthusiasm, great service orientation demonstrating courteous behaviors and mannerisms, and by anticipating physician and other medical providers needs. Practices within scope of practice perimeters as inferred by licensure, standard nursing practice, knowledge, skill level, and KP guidelines. Performs routine and specialized nursing procedures following physicians orders and approved nursing care plan, e.g. administers treatment using therapeutic equipment, such as intermittent positive pressure breathing apparatus; administers medications (including narcotics) orally or by injections; and provides specialized nursing care to acutely ill patients. If IV certified LPN, may perform intravenous therapy, as per Colorado State Board of Nursing Chapter IX. Monitors patients condition by observing, collecting, reporting, and recording objective/subjective data; identifies changes in the patients condition; collect data and report sign and symptoms of deviation from normal health status, symptoms and/or reactions to medications and treatments; initiates appropriate standard emergency procedures and reports adverse patient conditions to physician, Nursing Manager, or registered nurse. Teaches and promotes general preventive health measures to patients and members of their families regarding home health care, such as use of medications, administering injections, taking blood pressure, general post-operative care, and general diabetic care. Disseminates pre-printed standard aftercare instructions and pre-printed patient instruction material. Licensed Practical Nurse. Assists physician with examinations, treatments and minor surgery, by preparing patient and room for a specific procedure and attending patient during procedure. Records pertinent information in patients medical chart, e.g., patients nursing history, physical data, vital signs, symptoms, treatments, examinations, medications administered, reactions and general observations, according to standard requirements. Assists in orienting and training new employees, as assigned. May perform the duties of a Nursing Assistant or Medical Receptionist, as required. May assign/coordinate activities for nursing and medical assistants and medical receptionist. Orders, stores and maintains adequate inventory of supplies and instruments used by department as assigned. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.
RN Labor and Delivery Full-time
Kaiser Permanente

Staff Nurse II - Modesto Labor & Delivery (Evening/On-call)

Job Summary: The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members. Essential Responsibilities: Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy. Formulates a goal-directed plan of care when and where appropriate to do so. Implements care in a thorough, skillful, consistent, and continuous manner. Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies. Identifies patient/family learning needs and acts to meet them. Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs. Provides/coordinates care for patients/patient populations. Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs. Delegates appropriately and coordinates duties of health care team members. Evaluates effectiveness of care given by health care team members. Utilizes effective communication methods and skills, following lines of authority, as appropriate. Demonstrates knowledge of and applies safety principles as identified within the institution. Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. Participates in unit and Department Performance Improvement activities as directed. Participates in nursing research activities as requested. Identifies and solves problems effectively. Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests. Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application. Perform other related duties as necessary. Formulates a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes. Identifies patient/family learning needs and implements appropriate measures. Demonstrates sound knowledge base and actions in the care of a designated patient population. Participates regularly in staff development activities for unit and Department of Nursing personnel. Documents patient care and unit activities in a timely, accurate, and concise manner. If no qualified candidate, may be willing to train in the specialty areas listed below. Candidates in training are required to obtain appropriate certifications within 6 months of hire or transfer into unit.
RN ICU Pediatric Full-time
Kaiser Permanente

Staff Nurse II, Pediatric Critical Care Transport , On call, Evening, Oakland

Job Summary: The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members. Essential Responsibilities: Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy. Formulates a goal-directed plan of care when and where appropriate to do so. Implements care in a thorough, skillful, consistent, and continuous manner. Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies. Identifies patient/family learning needs and acts to meet them. Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs. Provides/coordinates care for patients/patient populations. Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs. Delegates appropriately and coordinates duties of health care team members. Evaluates effectiveness of care given by health care team members. Utilizes effective communication methods and skills, following lines of authority, as appropriate. Demonstrates knowledge of and applies safety principles as identified within the institution. Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. Participates in unit and Department Performance Improvement activities as directed. Participates in nursing research activities as requested. Identifies and solves problems effectively. Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests. Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application. Perform other related duties as necessary. Formulates a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes. Identifies patient/family learning needs and implements appropriate measures. Demonstrates sound knowledge base and actions in the care of a designated patient population. Participates regularly in staff development activities for unit and Department of Nursing personnel. Documents patient care and unit activities in a timely, accurate, and concise manner. If no qualified candidate, may be willing to train in the specialty areas listed below. Candidates in training are required to obtain appropriate certifications within 6 months of hire or transfer into unit.
LVN Outpatient Part-time
Kaiser Permanente

Licensed Vocational Nurse (Bilingual)-Otay-Mesa-Family Medicine-Part Time

Job Summary: Under direct supervision of an RN or provider performs routine patient care, excluding administration of IV medications and venipuncture, following established policies, procedures and standards; follows Quality of Service Standards; follows Universal Precautions. Essential Responsibilities: May perform nursing care functions such as vital signs, removal and/or application of dressings for assessment by licensed provider. Cleaning or irrigating wound after providers assessment and instructions, shaving and skin preparation, ear washes, NG insertion & lavage, urinary catheter insertion & irrigation. Reinforce standardized self care procedures as directed by licensed provider. Recognizes and responds to acute emergency situation following established procedures. Orients patients to system policies and practices. Provides appropriate instruction sheets based upon provider direction. Reviews instruction sheet with patient. Administers medications, excluding IV medications, as ordered by provider. Observes and documents patients response to medications and therapy. May perform tuberculin, coccidioidin and histoplasmin skin tests, provides such tests are part of a tuberculosis control program. May perform immunizations provides they are based upon written protocols. Completes necessary arrangements or organizes treatment rooms prior to surgical and/or examination procedures by setting up or laying out instruments, drapes and sponges contained in sterile trays and assembling equipment items as required for particular procedures as directed. May assist licensed provider with patient examinations and treatments by positioning, restraining patients, and assisting as directed. Provides assistance in treatment rooms during minor surgical procedures and/or various diagnostic examinations by positioning and draping. May hold clamps or retractors, sponge vascular areas, and pass instruments as specifically directed by the physician. Assures safety of patient during procedures. May prepare and transport items such as medical equipment and laboratory specimens. May clean and disinfect instruments/equipment according to standardized procedures. Follows Universal Precautions. Reports incidents of failure to follow procedures to Department Administrator or designee. Maintains departmental files, performing duties such as pulling file and assembling forms prior to appointment, and filing returned diagnostic reports as directed. Initiates and/or completes diagnostic rest forms per provider order, telephones prescriptions to pharmacies, relays medical information from physician to patient, and relays information from patient to physician. Charts in patients medical record as indicated. May perform lab tests including urine dip-tests, acetone tests, hemoccult tests, tests to determine. PH, protein, PKU. May perform hearing and vision tests, glaucoma tests and visual acuities. Collects, by non-invasive and invasive techniques, and preserves specimens for testing, including urine, and sputum and stool. Participates in Department Quality Assurance activities. Performs other duties, as required, such as checking patients medical records for incomplete data and relaying message to staff personnel. Note: Specific duties may vary depending on assignment. Note: Bold print indicates the differences between an MAII & LVN.
RN Med-Surg Full-time
Kaiser Permanente

RN Fellowship - Medical/Surgical

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.
RN Outpatient Per Diem
Kaiser Permanente

RN Specialty Care Clinic Per Diem Capitol Hill

Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.
RN OB/GYN Per Diem
Kaiser Permanente

Level III Staff RN - San Marcos - Obstetrics/GYN - Limited 2nd and 3rd Tri - OB ultrasound - Per Diem (0) - 8:30 AM - 5:00 PM

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability. Understands own and team members scope of practice and escalates issues as appropriate. Demonstrates professional, supportive behavior. Champions new ideas. Leads and directs others through the change process. Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution. Mentors, orients, and coaches others in unit specific operations and patient care activities Shares responsibility and authority with subordinates and holds him/her accountable for performance. Demonstrates ability to problem solve with other departments in order to assist member problem resolution. Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan. Ensures plan shows multidisciplinary planning, consultation, and education. Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity. Ensures plan is discussed with patient, family/significant others, and completed in a timely manner. Monitors the patients progress based on the plan. Revises plan on ongoing basis based on patient condition and evaluation of progress. Ensures care meets standards of practice. Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan. Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections. Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge. Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge . Documentation: Charting is accurate, legible, dated, and timed. Documentation reflects nursing process and interventions and evaluations taken. Utilizes computer systems effectively and efficiently for optimal patient care. Clinical Outcomes: Discusses patient findings and progress toward outcomes with physicians and other members of the health care team. Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation. Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving. Workplace Safety: Adherence to LMP Workplace Safety principles and practices. Applies standard precautions; maintains a safe environment for self and others Patient Care Experience: Practices customer service standards as defined by the Service Area, Medical Center, and specified department. Promptly answers call lights, alarms, and patient requests. Makes appropriate referrals and facilitates the customers ability to utilize resources. Maintains and protects patient confidentiality Ensures clean, orderly, and functional work environment. Treats all families of patients with courtesy, respect, kindness and compassion. Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs. Gives patients information in a way they can understand and ensures comprehension. Provides a patient care experience that exceeds members expectations. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members. Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of an annual education plan. Keeps self informed of activities on the unit and makes recommendations for change. Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Supports a collaborative Labor-Management Partnership environment through unit based teams. Fiscal Responsibility Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that needs simplification or correction. Utilizes payroll and non-payroll resources to their maximum potential.
CRNA Full-time
Kaiser Permanente

CRNA Exempt - Modesto (40hrs)

Job Summary: Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order. Essential Responsibilities: Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons. Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy. Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards. Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients. Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gains concurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. and evaluates and manages the patient, according to departmental policy. Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite. Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary. Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc. Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards. Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order. Charts details of procedures done on progress notes. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
CRNA Full-time
Kaiser Permanente

CRNA Exempt- Modesto - Full Time

Job Summary: Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order. Essential Responsibilities: Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons. Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy. Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards. Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients. Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gains concurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. and evaluates and manages the patient, according to departmental policy. Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite. Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary. Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc. Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards. Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order. Charts details of procedures done on progress notes. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
RN OB/GYN Full-time
Kaiser Permanente

Certified Nurse Midwife- Fresno Sequoia Hospital - Obstetrics/Gynecology (36 hrs) Day

Job Summary: Independently manages the care of low-risk women during antepartum, intrapartum and postpartum periods. Co-manages higher risk patients when determined appropriate by CNM and MD. Provides standard maternity care and counseling to women, adhering to the standards of the American College of Nurse Midwives, procedures and instructions regulated by the State Nurse Practice Act and The Permanente Medical Group. Essential Responsibilities: ANTEPARTUM Evaluates patients general and obstetrical health status Determines pregnancy status, duration of gestation, presentation, and position of fetus, fetal heart rate, and determines whether all statistics are within normal limits. Obtains an accurate medical, obstetrical, gynecological and social history and an account of the course of the present pregnancy. Observes signs of the members general and obstetrical health status. Performs all appropriate physical examinations appropriate to CNM care needed, including the pap smear, breast examination, and pelvic examination. Records all findings of examinations, histories and significant observations on patients chart. Consults with appropriate MD regarding any abnormal findings. Orders appropriate lab and medical imaging studies as needed. Institutes preventative measures and detects abnormal conditions. Obtains consultation and assistance from ancillary services as needed. Teaches, counsels, and guides individual members regarding their individual health care. Teaches antepartum classes as needed in individual facilities. Evaluates maternal general health status and well being. INTRAPARTUM Performs medical screening exam to diagnose labor. Independently manages the care of low risk women during labor and delivery, under the supervision of a physician. Co-manages higher risk patients when determined appropriate by CNM and MD. Performs facility specific standardized procedures. Evaluates patient for appropriate pain management. Includes requesting epidural for women in labor. POSTPARTUM Provides health supervision, care, teaches family planning, and prescribes contraception to women during the postpartum period. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Secondary Functions: Schedule varies
Kaiser Permanente

Nurse Manager, Postpartum FT

Job Summary: Plans, develops, and implements provisions of quality nursing care for efficient operation of 24-hour, 7-days-a-week unit. Serves as manager, practitioner, educator, mentor, and consultant. Guides nursing leadership toward excellence in practice. Serves as role model. Supervises assigned staff. Essential Responsibilities: Responds to patient/family complaints. Fulfills role of advocate for patients and families. Monitors and coordinates patient care provided by nursing on 24-hour basis. Provides nursing consultation to unit staff, peers, other hospital personnel, adjunct staff and nursing students and instructors. Responds to unit emergencies. Directs staff in crisis situation. Fulfills role of nursing staff advocate. Listens to staff concerns. Responds in clear, calm, consistent and timely manner. Ensures staff development. Coordinates unit in-services to meet identified core and unit focused competencies. Schedules and assigns staff in accordance with patient care, budget guidelines, and current unit acuities. Promotes effective use of resources. Attends and participates in nursing department and other assigned meetings. Develops and implements plans/projects to improve operational efficiency and effectiveness. Monitors and reports status and progress to supervisor. Monitors and evaluates quality and appropriateness of patient care, quality control items and patient satisfaction. Maintains safe environment. Tracks status of identified problems or areas of non-compliance to ensure effectiveness of corrective action. Serves as resource, technical expert/spokesperson in area of specialization assuring provision of safe patient care. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit. Provides direct patient care on an as needed basis. Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed. Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice. Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate. Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.
Surgical Tech Full-time
Kaiser Permanente

Surgical Technologist II - On Call Days - Downey Med Ctr - OR

Job Summary: Under the direct supervision of a Registered Nurse or physician and in accordance with the legal scope of competency and within established standards of care, policies and procedures: assists the physician during surgical procedures by performing scrub duties. Essential Responsibilities: The Certified Surgical Technician demonstrates proficiency by exhibiting the following skills, competencies, and behaviors. Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Demonstrates a professional, supportive attitude. Identifies and supports new ideas. Utilizes effective communication strategies, including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution in collaboration with the Registered Nurse. Prioritizes work assignments appropriately to ensure completion of patient care activities and notifies Registered Nurse if unable to complete assignments. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Correctly identifies patient and scheduled procedure. Performs patient care activities, within the scope of competency, considering age-related needs of the patient as assigned. Reports unusual findings to the Registered Nurse. Collects data and provides information in a timely manner to the registered Nurse which may assist within the revision of the plan of care. Discharge barriers are discussed with the Registered Nurse and intervention taken as directed. Clinical Outcomes: Applies standard precautions; keeps a safe environment for self and others. Observes patient/family conditions and reports to Registered Nurse sudden changes or unusual findings. Demonstrates competencies during the probationary period and ongoing by completion of departmental competency validation. Transports patients, equipment, supplies, and specimens throughout the medical center utilizing proper body mechanics. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing and improving. Assembles and ensures all equipment/supplies/instruments are appropriate, available, calibrated, and adjusted, in working order, sterilized per protocol and organized for upcoming procedure. Sets up and organizes room. Performs scrub role (e.g., anticipates surgeons needs, pass instruments, cut sutures, hold retractors, obtain/process tissue samples) according to standard. Assists physician within scope of competency. Assists with transfer, transport, and stabilization of patient within the scope of competency. Cleans instruments, containers, and equipment according to established guidelines and reassembles packs, prepares for sterilization and/or returns to Central Processing. Operates sterilization equipment. Operates equipment safely and reports defective equipment upon discovery. Cleans, lubricates, and performs preventive maintenance. Utilizes computer systems effectively and efficiently. Customer Service: Practices customer service standards as defined by the Service Area, Medical Center, and specific department. Anticipates the customers desires, takes proactive steps to meet those needs by listening and taking responsibility within scope to ensure issues are resolved. Assists members who are less than satisfied with their experience by listening and taking responsibility within their scope to ensure that the issue is resolved. Promptly answers call lights, alarms, and patient requests. Under the direction of the Registered Nurse, gives patients and their significant others the information needed within their scope of competency. Maintains and protects patient confidentiality. Assures a clean, orderly and functional work environment. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Assists others unfamiliar to the department. Attends all mandatory meetings and inservices, a minimum of 50% of staff meetings, and actively participates in other departmental professional development (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of annual educational plan. Keeps self-informed of activities on the unit and makes recommendation for change. Adheres to Regional Attendance Policy. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Minimizes personal phone call time. Supports a collaborative labor-management partnership environment. Fiscal Responsibility: Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that need simplification or correction. Utilizes payroll and non- payroll resources to their maximum potential.
Surgical Tech Temporary
Kaiser Permanente

Surgical Technologist II - On Call Evenings - Downey Med Ctr- OR

Job Summary: Under the direct supervision of a Registered Nurse or physician and in accordance with the legal scope of competency and within established standards of care, policies and procedures: assists the physician during surgical procedures by performing scrub duties. Essential Responsibilities: The Certified Surgical Technician demonstrates proficiency by exhibiting the following skills, competencies, and behaviors. Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Demonstrates a professional, supportive attitude. Identifies and supports new ideas. Utilizes effective communication strategies, including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution in collaboration with the Registered Nurse. Prioritizes work assignments appropriately to ensure completion of patient care activities and notifies Registered Nurse if unable to complete assignments. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Correctly identifies patient and scheduled procedure. Performs patient care activities, within the scope of competency, considering age-related needs of the patient as assigned. Reports unusual findings to the Registered Nurse. Collects data and provides information in a timely manner to the registered Nurse which may assist within the revision of the plan of care. Discharge barriers are discussed with the Registered Nurse and intervention taken as directed. Clinical Outcomes: Applies standard precautions; keeps a safe environment for self and others. Observes patient/family conditions and reports to Registered Nurse sudden changes or unusual findings. Demonstrates competencies during the probationary period and ongoing by completion of departmental competency validation. Transports patients, equipment, supplies, and specimens throughout the medical center utilizing proper body mechanics. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing and improving. Assembles and ensures all equipment/supplies/instruments are appropriate, available, calibrated, and adjusted, in working order, sterilized per protocol and organized for upcoming procedure. Sets up and organizes room. Performs scrub role (e.g., anticipates surgeons needs, pass instruments, cut sutures, hold retractors, obtain/process tissue samples) according to standard. Assists physician within scope of competency. Assists with transfer, transport, and stabilization of patient within the scope of competency. Cleans instruments, containers, and equipment according to established guidelines and reassembles packs, prepares for sterilization and/or returns to Central Processing. Operates sterilization equipment. Operates equipment safely and reports defective equipment upon discovery. Cleans, lubricates, and performs preventive maintenance. Utilizes computer systems effectively and efficiently. Customer Service: Practices customer service standards as defined by the Service Area, Medical Center, and specific department. Anticipates the customers desires, takes proactive steps to meet those needs by listening and taking responsibility within scope to ensure issues are resolved. Assists members who are less than satisfied with their experience by listening and taking responsibility within their scope to ensure that the issue is resolved. Promptly answers call lights, alarms, and patient requests. Under the direction of the Registered Nurse, gives patients and their significant others the information needed within their scope of competency. Maintains and protects patient confidentiality. Assures a clean, orderly and functional work environment. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Assists others unfamiliar to the department. Attends all mandatory meetings and inservices, a minimum of 50% of staff meetings, and actively participates in other departmental professional development (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of annual educational plan. Keeps self-informed of activities on the unit and makes recommendation for change. Adheres to Regional Attendance Policy. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Minimizes personal phone call time. Supports a collaborative labor-management partnership environment. Fiscal Responsibility: Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that need simplification or correction. Utilizes payroll and non- payroll resources to their maximum potential.
Surgical Tech Temporary
Kaiser Permanente

Surgical Technologist II - On Call Evening - Downey Med Ctr - OR

Job Summary: Under the direct supervision of a Registered Nurse or physician and in accordance with the legal scope of competency and within established standards of care, policies and procedures: assists the physician during surgical procedures by performing scrub duties. Essential Responsibilities: The Certified Surgical Technician demonstrates proficiency by exhibiting the following skills, competencies, and behaviors. Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Demonstrates a professional, supportive attitude. Identifies and supports new ideas. Utilizes effective communication strategies, including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution in collaboration with the Registered Nurse. Prioritizes work assignments appropriately to ensure completion of patient care activities and notifies Registered Nurse if unable to complete assignments. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Correctly identifies patient and scheduled procedure. Performs patient care activities, within the scope of competency, considering age-related needs of the patient as assigned. Reports unusual findings to the Registered Nurse. Collects data and provides information in a timely manner to the registered Nurse which may assist within the revision of the plan of care. Discharge barriers are discussed with the Registered Nurse and intervention taken as directed. Clinical Outcomes: Applies standard precautions; keeps a safe environment for self and others. Observes patient/family conditions and reports to Registered Nurse sudden changes or unusual findings. Demonstrates competencies during the probationary period and ongoing by completion of departmental competency validation. Transports patients, equipment, supplies, and specimens throughout the medical center utilizing proper body mechanics. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing and improving. Assembles and ensures all equipment/supplies/instruments are appropriate, available, calibrated, and adjusted, in working order, sterilized per protocol and organized for upcoming procedure. Sets up and organizes room. Performs scrub role (e.g., anticipates surgeons needs, pass instruments, cut sutures, hold retractors, obtain/process tissue samples) according to standard. Assists physician within scope of competency. Assists with transfer, transport, and stabilization of patient within the scope of competency. Cleans instruments, containers, and equipment according to established guidelines and reassembles packs, prepares for sterilization and/or returns to Central Processing. Operates sterilization equipment. Operates equipment safely and reports defective equipment upon discovery. Cleans, lubricates, and performs preventive maintenance. Utilizes computer systems effectively and efficiently. Customer Service: Practices customer service standards as defined by the Service Area, Medical Center, and specific department. Anticipates the customers desires, takes proactive steps to meet those needs by listening and taking responsibility within scope to ensure issues are resolved. Assists members who are less than satisfied with their experience by listening and taking responsibility within their scope to ensure that the issue is resolved. Promptly answers call lights, alarms, and patient requests. Under the direction of the Registered Nurse, gives patients and their significant others the information needed within their scope of competency. Maintains and protects patient confidentiality. Assures a clean, orderly and functional work environment. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Assists others unfamiliar to the department. Attends all mandatory meetings and inservices, a minimum of 50% of staff meetings, and actively participates in other departmental professional development (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of annual educational plan. Keeps self-informed of activities on the unit and makes recommendation for change. Adheres to Regional Attendance Policy. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Minimizes personal phone call time. Supports a collaborative labor-management partnership environment. Fiscal Responsibility: Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that need simplification or correction. Utilizes payroll and non- payroll resources to their maximum potential.
RN ER Full-time
Kaiser Permanente

Staff Nurse II - Emergency Department - San Jose Various Shifts and Schedules

An All-Inclusive Opportunity! To optimize your experience applying to a job at Kaiser Permanente we have created a unique and easy all-inclusive process to apply for all open career opportunities in this specific nursing specialty for this Medical Center relevant to your work experience and interests. This position has been created to source and attract external candidates for current and future positions that remain unfilled within the organization. If you are a current employee, please visit the careers website for a complete listing of available positions. So, what is next? An on-demand interview process has been designed with you in mind; quick, easy, and lends flexibility to meet your busy schedule. We have a team of managers dedicated to review on the spot submissions for an expedited hiring experience. See what it’s all about, submit your interest today! Job Summary: The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members. Participates in patient/ family teaching and provides leadership in working cooperatively with members of the health care team to maintain standards of professional nursing practice in the clinical setting. Essential Responsibilities: Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy. Formulates a goal-directed plan of care when and where appropriate to do so. Implements care in a thorough, skillful, consistent, and continuous manner. Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies. Identifies patient/family learning needs and acts to meet them. Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs. Provides/coordinates care for patients/patient populations. Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs. Delegates appropriately and coordinates duties of health care team members. Evaluates effectiveness of care given by health care team members. Utilizes effective communication methods and skills, following lines of authority, as appropriate. Demonstrates knowledge of and applies safety principles as identified within the institution. Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. Participates in unit and Department Performance Improvement activities as directed. Participates in nursing research activities as requested. Identifies and solves problems effectively. Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests. Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application. Perform other related duties as necessary. Formulates a goal-directed plan of care in collaboration with the health care team. Identifies patient/family learning needs and implements appropriate measures. Provision of competent Emergency nursing care, for all ages, acuities and conditions in the population the facility serves. Documents patient care and unit activities in a timely, accurate, and concise manner. MSE reflecting sound clinical knowledge and judgment, and consistent with Standardized Procedure and State/ Federal regulations. Requires dependable attendance to scheduled shifts and required staff development Works within scope of practice, including standardized procedures, and communicates clearly with all members of healthcare team. Completes duties with regard to safety practices and policies, including infection control, workplace safety, and management of aggressive behaviors. Provision of care is consistent with EMTALA, Nurse Practice Act, Title 22 and other applicable regulations, including patient confidentiality and risk management. Proficiencies in emergency responses such as resuscitation/ codes, hazmat response, and emergency childbirth. Proficient in the use of computers in documentation, tracking, conveying information Teamwork with all internal and external departments and agencies involved in the provision of care. Medication administration and management including titrating infusions and pediatric medications Maintains all required licenses, certifications and professional development/ continuing education requirements per department and facility standards.
NP Outpatient Per Diem
Kaiser Permanente

Physician Assistant / Nurse Practitioner - Primary Care Float Pool

SIGN ON BONUS ELIGIBLE POSITION! UFCW Local 7 - $58.51 - $66.76 -May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums:https://www.lmpartnership.org/local-contracts. Job Summary: APN: Practices professional nursing by the performance of both independent nursing and delegated medical functions in accordance with accepted practice standards. Utilizes specialized knowledge, judgment, and skills involving the application of biological, physical, social, and behavioral science principles. Functions include patient advocacy and the initiation and performance of nursing care and advanced clinical skills to evaluate, diagnose, and treat human disease, pain, injury, physical or mental conditions, health maintenance and promotion, supportive and restorative care. PA: Practices medicine as delegated by and under the supervision of a physician in accordance with accepted practice standards. Utilizes specialized knowledge, judgment, and skills involving the application of biological, physical, social, and behavioral science principles. Functions include patient advocacy and the initiation and performance of medical care to evaluate, diagnose, and treat human disease, pain, injury, physical or mental conditions, health maintenance and promotion, supportive and restorative care. Essential Responsibilities: DATA COLLECTION Obtains a pertinent medical history, performs an appropriate physical examination, and reviews relevant laboratory or radiologic (or other) studies to assess the patients' medical, physical, psychological, and relevant socio-economic status. Will have full access to patient medical records and other information pertinent to those patients under his/her care. ASSESSMENT Formulates an accurate and appropriate diagnosis based on elicited data and includes differential diagnoses as appropriate. TREATMENT PLANNING Develops and implements treatment plans that are aligned with the practice preferences of the Collaborating/Supervising Physician(s) including orders for medication and/or other treatment modalities, the need for additional testing, consultation to other providers, and follow-up provisions. Provides care with attention to safety, efficiency, and cost effectiveness. Plans are appropriately prioritized and adapted to the patient and circumstance. PROCEDURAL CONSIDERATIONS Performs procedures within the limits of their expertise and in accordance with the State Regulations and Organizational Policies. PATIENT EDUCATION AND COUNSELING Educates and counsels patients and their families regarding their treatment plan, including disease prevention and health promotion. Promotes the availability of culturally sensitive health and resource information that is evidence-based, patient centered and enables informed choice. DOCUMENTATION Documents all examination data, diagnostic impressions, appropriate codes, and other patient care activities in the medical record, including the name(s) of any consulted physicians or other providers. OTHER TASKS Observes the principles and techniques of Universal Precautions. Conducts telephonic and virtual encounters as appropriate. Manages assigned in-basket tasks. Takes necessary and appropriate actions in emergency situations. Performs other clinical/administrative duties as directed. VALUE STATEMENTS Makes the patient the primary focus of their actions; develops and sustains productive and compassionate patient relationships. Leads the health care team by influence, innovation, and by modeling integrated effective patient care and exemplary service. Promotes and maintains a physically safe and confidential environment for care. Collaborates with all members of the health care team. Knows their personal limitations and when to seek advice and/or consultation from other members of the health care team Understands and acknowledges the impact of personal values and cultural differences on the patient-provider relationship. PROFESSIONAL EXPECTATIONS Assumes responsibility for maintaining clinical competence through participation in continuing education and other activities. Maintains professional certification and active licensure. Participates in quality assurance activities including the Peer Review process. Participates in the training and/or mentoring of new employees, colleagues, and students. Has the quality of their care evaluated by the Collaborating/Supervising Physician(s) as stipulated by State and/or KFHP/CPMG policies. Evaluates personal performance and establishes annual goals aligned with KFHP regional expectations. Maintains a working knowledge of, and complies with relevant (Federal, State, and/or Organizational) laws, rules, and policies, including licensure and certification. Educates and promotes the roles of the APN/PA to patients and members of the health care team.
NP Full-time
Kaiser Permanente

Nurse Practitioner - Medicare Wellness

Job Summary: Provides direct nursing care by utilizing advanced scientific knowledge, nursing theory and skills to assess, plan, and implement appropriate health and nursing care to patients, in addition to performing registered nursing functions. Provides indirect nursing care. Plans, guides, evaluates, and directs nursing care given by other personnel associated with the health care team. Teaches and counsels individuals or groups. Utilizes theories and skills to increase communication and knowledge among all members of health care team. Serves as a consultant and resource of advanced nursing knowledge and skills to those involved directly or indirectly in patient care. Participates in joint and periodic evaluation of services rendered. Essential Responsibilities: Evaluates physical and psychosocial health status of the patient through a comprehensive health history and physical examination, using skills of observation, inspection, palpation, percussion, and auscultation, and using or ordering diagnostic instruments or procedures that are basic to nursing evaluation of physical signs and symptoms. Assesses normal and abnormal findings from history, physical examination, and diagnostic reports. Diagnoses patients health status and health care issues. Oversees and directs nursing, medical and clerical personnel in provision of patient care. Plans, implements, and evaluates care. Consults with patient, support systems, and members of health care team to provide for acute and ongoing health care or referral of patient. Manages plan of care prescribed for patient. Initiates and maintains accurate records, appropriate legal documents, and other health and nursing care reports. Develops individualized teaching plans with patient based on overt and covert health needs. Counsels individuals, families, and groups about health and illness and promotion of health maintenance. Recognizes, develops, and implements professional and community educational programs related to health care. Participates in periodic and joint evaluation of services rendered. Conducts research and analyzes health needs of individuals and populations and designs programs which target at-risk groups and cultural and environmental factors which foster health and prevent illness. Participates in policy analysis and development of new policy initiatives in the area of practice specialty. Contributes to development, maintenance, and change of health care delivery systems to improve quality of health care services and consumer access to services. Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice. Performs other duties and accepts responsibility as assigned. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
CRNA Full-time
Kaiser Permanente

CRNA - Walnut Creek - Full-time

$53,000 + sign-on bonus eligible! Job Summary: Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order. Essential Responsibilities: Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons. Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy. Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards. Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients. Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gains concurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. and evaluates and manages the patient, according to departmental policy. Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite. Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary. Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc. Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards. Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order. Charts details of procedures done on progress notes. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
RN Mother-Baby Full-time
Kaiser Permanente

Staff RN - Post Partum/Downey

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability. Understands own and team members scope of practice and escalates issues as appropriate. Demonstrates professional, supportive behavior. Champions new ideas. Leads and directs others through the change process. Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution. Mentors, orients, and coaches others in unit specific operations and patient care activities Shares responsibility and authority with subordinates and holds him/her accountable for performance. Demonstrates ability to problem solve with other departments in order to assist member problem resolution. Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan. Ensures plan shows multidisciplinary planning, consultation, and education. Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity. Ensures plan is discussed with patient, family/significant others, and completed in a timely manner. Monitors the patients progress based on the plan. Revises plan on ongoing basis based on patient condition and evaluation of progress. Ensures care meets standards of practice. Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan. Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections. Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge. Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge . Documentation: Charting is accurate, legible, dated, and timed. Documentation reflects nursing process and interventions and evaluations taken. Utilizes computer systems effectively and efficiently for optimal patient care. Clinical Outcomes: Discusses patient findings and progress toward outcomes with physicians and other members of the health care team. Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation. Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving. Workplace Safety: Adherence to LMP Workplace Safety principles and practices. Applies standard precautions; maintains a safe environment for self and others Patient Care Experience: Practices customer service standards as defined by the Service Area, Medical Center, and specified department. Promptly answers call lights, alarms, and patient requests. Makes appropriate referrals and facilitates the customers ability to utilize resources. Maintains and protects patient confidentiality Ensures clean, orderly, and functional work environment. Treats all families of patients with courtesy, respect, kindness and compassion. Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs. Gives patients information in a way they can understand and ensures comprehension. Provides a patient care experience that exceeds members expectations. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members. Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of an annual education plan. Keeps self informed of activities on the unit and makes recommendations for change. Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Supports a collaborative Labor-Management Partnership environment through unit based teams. Fiscal Responsibility Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that needs simplification or correction. Utilizes payroll and non-payroll resources to their maximum potential.
LPN Full-time
Kaiser Permanente

LPN

Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Licensed Practical Nurse I (LPN I) I practices nursing as defined by the Georgia Board of Nursing standards of practice for Licensed Practical Nurses and by organizational policies, procedures, and guidelines. The LPN I, under the supervision of the Registered Nurse or Physician, provides direct and indirect nursing care to patients and families to promote or restore health and to prevent illness and injury. Educates patients and families and assists with coordination of care. Collaborates with members of the Health Care Team (HCT) and leaders to ensure the delivery of high-quality care that meets defined standards that optimizes health and wellness. Essential Responsibilities: Prepares patient for office visit by reviewing history, collecting relevant clinical information (e.g. height, weight, vision, or hearing screen), measuring vital signs, and documenting in the medical record. Completes POE and addresses care gaps during the patient encounter. Prepares room and equipment for procedure and assist the practitioner as needed. Initiates interventions and document response to treatment according to established workflows and guidelines. Participates in emergency care as directed by practitioner or registered nurse. Educates patients and provides preparation materials for diagnostic studies according to guidelines. Schedules appointments for patients with lab, radiology, or specialty consultations as ordered by practitioner. Monitors electronic messaging and emails (department InBasket) related to patient or provider requests and manages the messages within scope of practice. Participates in departmental or regional quality improvement activities and initiatives. Engages patients, families, and caregivers in the coordination of care. Resolves patient concerns promptly. Provides departmental orientation and training of new team members on standard work, policies, and procedures. Participates in the supervision of unlicensed personnel in the delivery of patient care. May perform other duties as assigned.
LPN Full-time
Kaiser Permanente

Licensed Practical Nurse II

Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Licensed Practical Nurse II (LPN II) practices nursing as defined by the Georgia Board of Nursing standards of practice for Licensed Practical Nurses and by organizational policies, procedures, and guidelines. The LPN II, under the supervision of the Registered Nurse or Physician, provides direct and indirect nursing care to patients and families that prevents illness or injury, including complex procedures that restores health. Educates patients and families and assists with coordination of care. Collaborates with members of the Health Care Team (HCT) and leaders to ensure the delivery of high-quality care that meets defined standards that optimizes health and wellness. Essential Responsibilities: Prepares patient for office visit by reviewing history, collecting relevant clinical information (e.g. height, weight, vision, or hearing screen), measuring vital signs, and documenting in the medical record. Completes POE and addresses care gaps during the patient encounter. Prepares room and equipment for procedure and assists the practitioner as needed. Initiates interventions and document response to treatment according to established workflows and guidelines. Participates in emergency care as directed by practitioner or registered nurse. Educates patients and provides preparation materials for diagnostic studies according to guidelines. Schedules appointments for patients with lab, radiology, or specialty consultations as ordered by practitioner. Monitors electronic messaging and emails (department InBasket) related to patient or provider requests and manages the messages within scope of practice. Participates in departmental or regional quality improvement activities and initiatives. Engages patients, families, and caregivers in the coordination of care. Resolves patient concerns promptly. Provides departmental orientation and training to new team members on standard work, policies, and procedures. Participates in the supervision of unlicensed personnel in the delivery of patient care. Demonstrates the ability to be self-directed and act independently to manage and prioritize multiple projects and tasks. Ensures timely coordination of pre- and post-procedural appointments, consultations, and encounters inside and outside of Kaiser Permanente. Assists practitioner with procedures and provides post-procedural care and education per provider instructions and in accordance with scope of practice. Performs complex procedures independently, under the supervision of a Physician and in accordance with scope of practice. Leads one or more projects annually to improve access, clinical performance, and/or care experience. May perform other duties as assigned.
RN Infusion Full-time
Kaiser Permanente

Staff Nurse - On Call - Chemo Infusion - Kona

This position is a Hawaii Nurses and Healthcare Professionals Bargaining Unit represented position. Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any nursing task requiring nursing knowledge, judgment, and skill. Administers medications. As appropriate, may administer intradermal local anesthetic for IV placement. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the KP Vision, Model and Values through out their Nursing Practice. Performs administrative and other duties and accepts responsibility as assigned. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
Kaiser Permanente

RN Hospital Float Between ED and Med Surg Tele Per Diem Days Capitol Hill

Floats between ED/UC and Med Surg Telemetry. 12 hour day shifts. Strongly prefer ED experience. American Heart Association BLS and ACLS required upon hire. PALS within 6 months from start. Please include your WA State and/or Multistate Compact RN license, BLS, ACLS and PALS numbers with issue and expiration dates in your application. Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. The Urgent Care RN will provide care in a fast-paced, high-acuity environment that acts similarly to a free-standing emergency department. Patient populations will include all ages, from neonates to geriatrics. Care will also include a large variety of chief complaints ranging from neurological, cardiac, and minor injury or illness. Ability to quickly prioritize and use critical thinking and clinical judgement to provide emergent and urgent care. Ability to work collaboratively with providers and other Urgent Care staff to provide high-quality patient care. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.
Kaiser Permanente

RN Hospital Float Between ED & Med Surg Tele Per Diem Nights Capitol Hill

Floats between ED/UC and Med Surg Telemetry. 12 hour night shifts. Strongly prefer ED experience. American Heart Association BLS and ACLS required upon hire.PALS within 6 months from start. Please include your WA State and/or Multistate Compact RN license, BLS, ACLS and PALS numbers with issue and expiration dates in your application. Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. The Urgent Care RN will provide care in a fast-paced, high-acuity environment that acts similarly to a free-standing emergency department. Patient populations will include all ages, from neonates to geriatrics. Care will also include a large variety of chief complaints ranging from neurological, cardiac, and minor injury or illness. Ability to quickly prioritize and use critical thinking and clinical judgement to provide emergent and urgent care. Ability to work collaboratively with providers and other Urgent Care staff to provide high-quality patient care. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.
Kaiser Permanente

RN Inpatient Float Between ED and Med Surg Tele Per Diem 12 Hour Night Capitol Hill

Floats between ED/UC and Med Surg Telemetry. 12 hour day shifts. Strongly prefer ED experience. American Heart Association BLS and ACLS required upon hire.PALS within 6 months from start. Please include your WA State and/or Multistate Compact RN license, BLS, ACLS and PALS numbers with issue and expiration dates in your application. Job Summary: Provide nursing care to a defined group of patients, adhering to Kaiser Foundation Health Plan of Washington ambulatory Nursing Care Standards, the Nursing Code of Ethics and Kaiser Foundation Health Plan of Washington policies. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care delivery system. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. The Registered Nurse is an integral member of the Health Care team, overseeing and participating in patient assessment and the formulation and implementation of the care plan. The Urgent Care RN will provide care in a fast-paced, high-acuity environment that acts similarly to a free-standing emergency department. Patient populations will include all ages, from neonates to geriatrics. Care will also include a large variety of chief complaints ranging from neurological, cardiac, and minor injury or illness. Ability to quickly prioritize and use critical thinking and clinical judgement to provide emergent and urgent care. Ability to work collaboratively with providers and other Urgent Care staff to provide high-quality patient care. Essential Responsibilities: Using the nursing process, provides ongoing assessment of the nursing care needs of a defined group of patients. Uses nursing diagnosis to describe this assessment. Develops a written plan of care for patient care needs. Assists patients and families/significant others in developing health care goals which are part of the individualized plan of care. Determines priorities of patient care based on essential patient needs and available resources. Provides nursing interventions safely and competently. Provides the patient and family/significant others with information preceding interventions. Provides telephone consultation to patients and family/significant others Provides ongoing evaluation of the patients response to care. Anticipates and recognizes changes in the patients status and need for nursing care. Modifies the individual plan of care in collaboration with the health care team. Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing, planning, implementing and evaluating care to meet the needs of those populations served. Demonstrates effective communication skills with those specific age populations served. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric). Collaborates, communicates and coordinates with other health care team members in planning and implementing care. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Cooperates and communicates effectively with other team members in order to accomplish the workload. Communicates recognition of the patients and family/significant others psychosocial, cultural and emotional needs in each nurse-patient interaction. Orients patients and family/significant others to the role of the professional nurse and other health care team members, the nursing services available, and the means of access to those services. Reinforces orientation to the Consumer Bill of Rights and Responsibilities. Identifies the patients educational needs as part of the nursing assessment. Develops an educational component for each nursing care plan. Provides teaching/counseling congruent with patients and family/significant others learning needs and the medical plan of care. Encourages patient compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with patient to develop a plan to improve general health status. Implements physical and psychological preventive measures. Promotes patient self-care responsibility for meeting their own health needs. Adheres to KFHPW documentation standards. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control standards and guidelines, including the guidelines for reporting communicable diseases. Identifies own learning needs and participates in continued education programs to meet those needs. Participates in staff orientation and student education activities. Collaborates with managers in completing the process for self and colleague/team performance reviews. Assures quality of care through development, implementation and evaluation of professional nursing standards and participation in multidisciplinary quality assurance activities. Participates in professional activities. Participates in nursing research and incorporates research findings into nursing practice. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.