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RN - OR Circulator - PRN - NO CALL, NO HOLIDAYS, NO WEEKENDS - AVALA Hospital - RH290

apartment AVALA location_onCovington, LA

Summary Responsible for monitoring the procedures in operating rooms during surgery. During operations and other surgical procedures, the circulator assists by acting as an intermediary between the operating room staff and the rest of the hospital. Essential Duties and Responsibilities Performs the surgical preparation on the patients. Checks patient identification and date of birth by armband and verbally. Checks NPO status. Verifies procedure. Checks for patient allergies. Gathers appropriate supplies and equipment. Performs the prep in an aseptic technique. Performs Time Out. Makes an initial assessment of and determines the nursing needs of the patient assigned to their care. Assesses patient’s physical and mental status. Reviews patient’s medical and surgical history. Explains nursing procedures and actions taken to help reduce anxiety. Notifies surgeon and/or anesthesiologist of any pertinent physical or emotional findings. Checks the patient’s medical record for completeness. Checks that consents are accurate with signature, date, and time. Verifies history & physical within 30 days; Update completed with signature, date, and time. Reviews Hand Off form prior to transporting patient to OR. Documents accurately on OR record and Implant record. Assists surgeon with documentation in Electronic Medical Record. Accurately completes Care Plan tailored to meet the patient’s needs. Facilitates a prompt turnover of the operating room. Checks OR board for assignment. Assists other staff members with the cleaning of the operating room. Maintains organized work area. Uses foresight to prepare for upcoming assignment. Secures appropriate supplies and equipment for the next assigned case. Opens up supplies with surgical tech. Ensures safety and comfort of patients. Keep side rails up when transporting patient to and from OR. Provides warm blankets. Ensures that wheels are locked when transferring patient to and from stretcher and OR table. Safely positions patient on the OR table using safety strap and positioning aids. Applies return electrode to clean, dry, shaven (if necessary) muscular area and checks and documents condition post-op. Knowledgeable in the use and troubleshooting of equipment. Maintains DVT prophylaxis with use of SCDs. Accurately observes and monitors the environment of care closely. Aware of potential risks in the environment and reports to appropriate personnel. Communicates equipment malfunctions and reports to appropriate personnel. Performs competently in emergency situations. Remains calm in emergency situations. Can utilize emergency equipment appropriately. Stays up to date on current practices. Maintains preference cards and accurately keys patient charges. Reviews charge sheet during cases for supplies opened. Makes necessary changes to preference cards as needed. Charges for appropriate number of items as needed. Verifies that supplies brought in by outside vendor have been pre-approved. Maintains supplies and orders those that are necessary. Takes initiative in preparing for new surgeon. Rotates stock and checks for expiration dates. Communicates surgeon’s request for a special supply or instrument. Communicates in advance supplies needed for scheduled cases. Participates in hospital wide inventory. Self-directed in completing assignments. Participates in reprocessing program. Assists with orientation of new staff. Other duties as assigned. Charge Nurse Duties Supervises the daily operation of the OR by: Coordinates staff and/or room assignments of procedures for the optimal use of equipment, space, and staff. Assures that needed equipment and supplies are available for all procedures. Ensures procedures begin in timely manner. Communicates with surgeons, anesthesia and, staff to assure consistent operational flow. Coordinates breaks and lunches for all operating room staff. Assists staff to expedite quick turnovers. Observes use and handling of supplies to decrease mishandling and breakage. Assures all equipment and supplies are put away. Supports vender policy and observer policy. Keeps Director abreast of all operational and/or occurrences within the department and participates with problem solving. Assists with orientation and performance evaluations of staff. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards and adheres to policy on “Attire in the Operating Room”. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review and department in-services, as scheduled. Attends monthly staff meetings or reads staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Assists other staff members in performing any duty that enhances the delivery of patient care. Advanced Orthopedic and Spine Certification Requirements (CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter. (CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to: Orientation of Advanced Orthopedic and Spine Certification In compliance with the Program education requirements Completed department specific competencies Regulatory Requirements Graduate of an accredited school of nursing. Current state Registered Nurse licensure in state of Louisiana. Current BLS certification Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 100 pounds.

CMA

Full-time

Medical Assistant - Full-Time - AVALA Spine

apartment AVALA location_onCovington, LA

Travel required to Metairie, Hammond and Slidell Summary Assists with the delivery of care to patients. Works with patient care team to ensure the efficient flow of patients throughout their visit, providing support to them as well as to the supervising physician. Essential Duties and Responsibilities Taking notes during patient visits and documenting them in the electronic health records system. Learning about the medical process and using a team approach with patient documentation. Working with a Physician to complete medical records. Communicating with patients and Physicians professionally. Handling all patient calls, refill request, all clinic duties with in timely matter. Helping electronically prescribe medication for patients. Coordinates physicians procedure schedule by scheduling cases appropriately based on surgeon, case length, and day of week. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards and adheres to dress code policy. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review, department in-services, staff meetings and/or reviews all monthly staff meeting minutes per HealthStream. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Assists other staff members in performing any duty that enhances the delivery of patient care. Regulatory Requirements High school graduate or equivalent Current BLS certification Minimum of six (6) months to one (1) year of related work experience. Pain management experience required. Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling, and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds.

Other

RN - Inpatient - Part-Time NIGHTS - AVALA Hospital - RH20

apartment AVALA location_onCovington, LA

Summary Provides direct and indirect patient care on the Med/Surg unit. Communicates with Physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition, including results of diagnostic studies and symptomology. Able to respond quickly and accurately to changes in condition or response to treatment. Able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities. May also function in the role of Charge Nurse under the supervision of the Director of Inpatient Services. Communicates on behalf of the patient (patient advocate); care provided reflects the mission, ethics and goals of the facility, as well as the focus statement the department. Essential Duties and Responsibilities Monitors and supervises patient care, including diet and physical activities. Communicates appropriately and clearly to departmental charge nurse or director, co-workers, and physicians. Prepare patients for and assists with examinations or treatments or procedures to assist physicians. Performs a head-to-toe assessment on all patients and reassessments as per policy. Able to interpret data about the patient’s status in order to identify the care needed. Adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and families regarding pain management. Perform waived testing (point-of-care testing), draw blood for lab testing as needed, interpret results and take appropriate actions per Clinical Laboratory’s and the patient care unit’s policies and procedures. Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical symptoms and changes, reports changes to surgeon/ physician, and initiates appropriate actions. Knowledge of medications and IV fluids and their correct administration, based on age of the patient and the patient’s clinical condition. Administers medications safely using the five medication rights and reduces the potential for medical errors. Knowledge in maintenance and care of central / PICC line. Knowledge of cardiac monitoring and can identify dysrhythmias, notifies physician of changes, treat appropriately based of facility protocol. Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively. Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Ability to formulate an individualized plan of care, modify patient treatment plans as indicated by patients’ responses and conditions and evaluate overall plan daily for effectiveness. Involves patient/family in plan of care. Keeps abreast of changing techniques in nursing and maintains a high level of expertise in patient care. Ability to be flexible, organized, and function under stressful situations. Assists in emergency nursing procedures necessary for prompt control of changes in patient’s physical condition. Treats patients and their families with respect and dignity, maintains an environment that provides the patient and family feelings of safety and security, practices good guest relations. Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Consults other departments as appropriate to provide for an interdisciplinary approach of meeting patient needs. Ensures completion of documentation, including but not limited to, H/P, consents, handoff communications tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form, and allergies. Practices economical use of equipment and supplies, informs proper authority of discrepancies. Provides education to staff on performance improvement. Ability to provide in-service training for unit staff members, participates in guidance and educational program. Demonstrates ability to perform treatments and provide services to level of licensure. Charge Nurse Responsibilities Updates Table for Inpatient Log Census. Completes Patient Classification Form to assure efficient staffing levels and patient assignments. Verifies that temperature logs completed. Oversee all staff on the Med Surg Unit. Follows protocol for admitting a patient and activation of call team. Initiates emergency response protocol. Effectively communicates pertinent issues with Med/Surg Director. Supervises dietary after hours. Follows up on consults and outstanding orders. Follows protocol for patient transfers. In charge of room assignments, assists with admits and discharges and ensures minimal delays in patient treatment. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards; adheres to dress code policy. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review and department inservices, as scheduled. Attends monthly staff meetings. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Assists other staff members in performing any duty that enhances the delivery of patient care. Critical Care experience preferred. Advanced Orthopedic and Spine Certification Requirements (CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter. (CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to: Orientation of Advanced Orthopedic and Spine Certification. In compliance with the Program education requirements. Completed department specific competencies. Regulatory Requirements Graduate of accredited school of nursing Current state Registered Nurse Licensure, within state of practice Current BLS and ACLS certification PALS certification recommended Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds.

Full-time

RN - Inpatient - FT Days - AVALA Hospital - RH291

apartment AVALA location_onCovington, LA

Summary Provides direct and indirect patient care on the Med/Surg unit. Communicates with Physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition, including results of diagnostic studies and symptomology. Able to respond quickly and accurately to changes in condition or response to treatment. Able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities. May also function in the role of Charge Nurse under the supervision of the Director of Inpatient Services. Communicates on behalf of the patient (patient advocate); care provided reflects the mission, ethics and goals of the facility, as well as the focus statement the department. Essential Duties and Responsibilities Monitors and supervises patient care, including diet and physical activities. Communicates appropriately and clearly to departmental charge nurse or director, co-workers, and physicians. Prepare patients for and assists with examinations or treatments or procedures to assist physicians. Performs a head-to-toe assessment on all patients and reassessments as per policy. Able to interpret data about the patient’s status in order to identify the care needed. Adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and families regarding pain management. Perform waived testing (point-of-care testing), draw blood for lab testing as needed, interpret results and take appropriate actions per Clinical Laboratory’s and the patient care unit’s policies and procedures. Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical symptoms and changes, reports changes to surgeon/ physician, and initiates appropriate actions. Knowledge of medications and IV fluids and their correct administration, based on age of the patient and the patient’s clinical condition. Administers medications safely using the five medication rights and reduces the potential for medical errors. Knowledge in maintenance and care of central / PICC line. Knowledge of cardiac monitoring and can identify dysrhythmias, notifies physician of changes, treat appropriately based of facility protocol. Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively. Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Ability to formulate an individualized plan of care, modify patient treatment plans as indicated by patients’ responses and conditions and evaluate overall plan daily for effectiveness. Involves patient/family in plan of care. Keeps abreast of changing techniques in nursing and maintains a high level of expertise in patient care. Ability to be flexible, organized, and function under stressful situations. Assists in emergency nursing procedures necessary for prompt control of changes in patient’s physical condition. Treats patients and their families with respect and dignity, maintains an environment that provides the patient and family feelings of safety and security, practices good guest relations. Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Consults other departments as appropriate to provide for an interdisciplinary approach of meeting patient needs. Ensures completion of documentation, including but not limited to, H/P, consents, handoff communications tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form, and allergies. Practices economical use of equipment and supplies, informs proper authority of discrepancies. Provides education to staff on performance improvement. Ability to provide in-service training for unit staff members, participates in guidance and educational program. Demonstrates ability to perform treatments and provide services to level of licensure. Charge Nurse Responsibilities Updates Table for Inpatient Log Census. Completes Patient Classification Form to assure efficient staffing levels and patient assignments. Verifies that temperature logs completed. Oversee all staff on the Med Surg Unit. Follows protocol for admitting a patient and activation of call team. Initiates emergency response protocol. Effectively communicates pertinent issues with Med Surg Director. Supervises dietary after hours. Follows up on consults and outstanding orders. Follows protocol for patient transfers. In charge of room assignments, assists with admits and discharges and ensures minimal delays in patient treatment. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards; adheres to dress code policy. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review and department in-services, as scheduled. Attends monthly staff meetings. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Assists other staff members in performing any duty that enhances the delivery of patient care. Critical Care experience preferred. Advanced Orthopedic and Spine Certification Requirements (CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter. (CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to: Orientation of Advanced Orthopedic and Spine Certification In compliance with the Program education requirements Completed department specific competencies Regulatory Requirements Graduate of accredited school of nursing Current state Registered Nurse Licensure, within state of practice Current BLS and ACLS certification PALS certification recommended Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds.

PACU

Full-time

RN - PACU - Full-Time - AVALA Hospital - RH208, RH213, RH235, RH288

apartment AVALA location_onCovington, LA

$2500 sign-on bonus with commitment. Summary Provides direct patient care to all patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Assists with the maintenance of PACU equipment and inventory. Participates in performance improvement activities. Responsible for monitoring patient’s physiological status in the immediate postoperative environment. Communicates with surgeon and anesthesiologist continuously, and as needed, about patient conditions; receives direction for patient management. Intercedes to maintain optimum homeostasis. Is able to respond quickly and accurately to changes in condition or response to treatment. May be required to perform in the charge nurse role. Essential Duties and Responsibilities Able to perform a head-to-toe assessment on all patient populations and reassessments per facility policy. Provides care appropriate to disease condition and age of the patient. Demonstrates knowledge of perioperative factors that alter immediate postoperative phase. Identifies physical symptoms and changes and takes appropriate action in a timely manner. Demonstrates knowledge of airway management and procedures and the ability to use the equipment. Demonstrates ability to assess cardio-respiratory systems for changes and provides appropriate treatment. Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Demonstrates an ability to assist physicians with procedures. Carries out medical/surgical asepsis during treatments and special procedures. Knowledge of medications and their correct administration based on age of patient and clinical condition. Follows the five medication rights and reduces the potential for medication errors. Carries out safety measures to prevent patient from harming him/herself or others. Assesses level of consciousness and promotes activity. Encourages turn, cough, and deep breathe by exercises and position changes. Demonstrates knowledge of anesthetic drugs, actions and side effects. Demonstrates knowledge of arterial lines, spinal and epidural catheters and documents pertinent clinical information per policy. Has knowledge of emergency medications. Demonstrates knowledge of peripheral nerve block procedures and catheters; able to document pertinent clinical information per policy. Ability to formulate an individualized plan of care. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan for effectiveness. Formulates a teaching plan with patient and family based upon identified learning needs and evaluates effectiveness of learning. Interacts professionally with patient/family. Responds appropriately to patient in an emergency or per ACLS or PALS protocol. Communicates effectively and thoroughly the patient’s condition upon transfer from PACU to the receiving unit Registered Nurse. Establishes and maintains effective communication and good working relationships with co-workers and health care team members for the patient’s benefit. Consults other departments as appropriate to provide an interdisciplinary approach to the patient’s needs. Orients new staff as needed. Maintains regulatory agency requirements, hospital and nursing policies, procedures and standards. Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias, and treats appropriately based upon facility protocol. Able to perform 12 lead EKG as indicated. Able to perform waived testing (point-of-care testing) or moderate complexity testing per clinical laboratory guidelines and unit policy and procedure. Able to interpret results of laboratory tests and take appropriate action on test results. Notifies physician of any abnormal lab/test results. Completes specially assigned duties consistently and as schedule allows. Documentation meets current standards and policies. Manages and operates equipment safely and correctly. Treats patients and their families with respect and dignity. Identifies and addresses psychological, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as a liaison between patients, their families and other departments and other healthcare providers. Utilizes initiative; strives to maintain steady level of productivity; self-motivated. Organizes and manages activities reflecting due consideration for the needs of the department and staff. Charge Nurse Responsibilities: Makes daily patient assignments, monitors the daily surgery schedule and daily unit progress, reports changes to involved departments. Supports/oversees unit staff and monitors staffing efficiency. Monitors late and on call schedule. Staff's unit according to nursing standards. Supervises staff to ensure quality of nursing care, delegates’ specific duties and tasks. Monitors daily time sheets. Provides and controls supplies, and equipment needed for successful operation of the department. Directs and delegates control of inventories to ensure proper amounts available. Supervises care and cleanliness of equipment and supplies to ensure good working conditions. Effectively communicates pertinent issues to OR Director. Provides orientation to new staff members. Assists in the evaluation process. Promotes the hospital’s mission, values, and goals. Utilizes initiative, strives to maintain a steady level of productivity, completes assigned projects by due date. Knowledgeable of lab procedures and lab equipment. Participates in QA/PI activities, communicates results to staff. Completes other duties as assigned by Director. Communicates with OR Director regarding issues, conflicts, or operational occurrences in the department and participates with problem solving. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards; adheres to policy dress code policy. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Attends annual review and department in-services, as scheduled. Attends monthly staff meetings or reads staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Assists other staff members in performing any duty that enhances the delivery of patient care. Advanced Orthopedic and Spine Certification Requirements (CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter. (CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to: Orientation of Advanced Orthopedic and Spine Certification In compliance with the Program education requirements Completed department specific competencies Regulatory Requirements Graduate of an accredited school of nursing Current state Registered Nurse licensure in the state of Louisiana Current BLS, ACLS, and PALS certification Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing over 100 pounds.

Full-time

RN - Inpatient - Full-Time Nights - AVALA Hospital - RH34

apartment AVALA location_onCovington, LA

Summary Provides direct and indirect patient care on the Med/Surg unit. Communicates with Physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition, including results of diagnostic studies and symptomology. Able to respond quickly and accurately to changes in condition or response to treatment. Able to perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities. May also function in the role of Charge Nurse under the supervision of the Director of Inpatient Services. Communicates on behalf of the patient (patient advocate); care provided reflects the mission, ethics and goals of the facility, as well as the focus statement the department. Essential Duties and Responsibilities Monitors and supervises patient care, including diet and physical activities. Communicates appropriately and clearly to departmental charge nurse or director, co-workers, and physicians. Prepare patients for and assists with examinations or treatments or procedures to assist physicians. Performs a head-to-toe assessment on all patients and reassessments as per policy. Able to interpret data about the patient’s status in order to identify the care needed. Adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and families regarding pain management. Perform waived testing (point-of-care testing), draw blood for lab testing as needed, interpret results and take appropriate actions per Clinical Laboratory’s and the patient care unit’s policies and procedures. Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical symptoms and changes, reports changes to surgeon/ physician, and initiates appropriate actions. Knowledge of medications and IV fluids and their correct administration, based on age of the patient and the patient’s clinical condition. Administers medications safely using the five medication rights and reduces the potential for medical errors. Knowledge in maintenance and care of central / PICC line. Knowledge of cardiac monitoring and can identify dysrhythmias, notifies physician of changes, treat appropriately based of facility protocol. Able to perform the techniques of cardiopulmonary resuscitation accurately and effectively. Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Ability to formulate an individualized plan of care, modify patient treatment plans as indicated by patients’ responses and conditions and evaluate overall plan daily for effectiveness. Involves patient/family in plan of care. Keeps abreast of changing techniques in nursing and maintains a high level of expertise in patient care. Ability to be flexible, organized, and function under stressful situations. Assists in emergency nursing procedures necessary for prompt control of changes in patient’s physical condition. Treats patients and their families with respect and dignity, maintains an environment that provides the patient and family feelings of safety and security, practices good guest relations. Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Consults other departments as appropriate to provide for an interdisciplinary approach of meeting patient needs. Ensures completion of documentation, including but not limited to, H/P, consents, handoff communications tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form, and allergies. Practices economical use of equipment and supplies, informs proper authority of discrepancies. Provides education to staff on performance improvement. Ability to provide in-service training for unit staff members, participates in guidance and educational program. Demonstrates ability to perform treatments and provide services to level of licensure. Charge Nurse Responsibilities Updates Table for Inpatient Log Census. Completes Patient Classification Form to assure efficient staffing levels and patient assignments. Verifies that temperature logs completed. Oversee all staff on the Med Surg Unit. Follows protocol for admitting a patient and activation of call team. Initiates emergency response protocol. Effectively communicates pertinent issues with Med Surg Director. Supervises dietary after hours. Follows up on consults and outstanding orders. Follows protocol for patient transfers. In charge of room assignments, assists with admits and discharges and ensures minimal delays in patient treatment. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards; adheres to dress code policy. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review and department inservices, as scheduled. Attends monthly staff meetings. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Assists other staff members in performing any duty that enhances the delivery of patient care. Critical Care experience preferred. Advanced Orthopedic and Spine Certification Requirements (CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have eight (8) hours of education specific to the Program scope, initially, and at least annually thereafter. (CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation and exceptional customer service. Within 90 days of hire or, if currently employed, within 90 days of signing the job description, must adhere to: Orientation of Advanced Orthopedic and Spine Certification. In compliance with the Program education requirements. Completed department specific competencies. Regulatory Requirements Graduate of accredited school of nursing Current state Registered Nurse Licensure, within state of practice Current BLS and ACLS certification PALS certification recommended Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds.

Full-time

Patient Access Representative - Full-Time - APN - RO15

apartment AVALA location_onMandeville, LA

Summary Under the supervision of the Practice Manager, the Patient Access Representative is responsible for obtaining accurate patient demographics and insurance information during the patient interview process; the process includes in-person, and phone interviews, corrects information as needed. Processes the registration including obtaining the patients signature on the Authorization for Treatment, Advanced Beneficiary Notice (ABN) and completing the Medicare Secondary Payer (MSP) questionnaire. Scans all necessary documentation into SRS. Collects co-payments, estimated co-insurance and deductibles, which includes phone calls to patients to discuss financial responsibility prior to service as well as collecting at time of service. Answers incoming phone calls and assist caller as needed. And any other duties assigned by the Practice Manager. Essential Duties and Responsibilities Registration Front Desk Able to handle heavy phone volumes, ensures that callers are transferred to the appropriate department and/or person. Answers calls in a timely manner; identifies department and self when answering the telephone. Able to handle all codes and stat calls proficiently. Verifies that patient demographic information is accurate and ensures that insurance cards, consents and other admission documents are complete and in order. Ability to explain required forms to the patient in detail (i.e.: Authorization for Treatment, Advanced Beneficiary Notice (ABN), Medicare Secondary Payer (MSP) questionnaire). Obtains required signatures as needed. As part of the pre-registration process, contacts patient to verify demographic information, insurance information, and MSP questionnaire. Informs patients of estimated balance due and collects monies due at time of service. Demonstrates knowledge of all features and functions of the Patient Accounting areas. Notifies appropriate staff regarding any issues or concerns in a timely manner. Balances daily receipts list to cash, checks, and credit card payments received at the end of each day. Other Duties Functions as back up to concierge. Other duties as assigned. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards and adheres to policies. Completes annual education requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review and department in-services, as scheduled. Attends staff meetings annually, reads and returns all monthly staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Assists other staff members in performing any duty that enhances the delivery of patient care. Regulatory Requirements High school diploma. Two (2) or more years’ experience. Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 20 pounds.

CMA

Full-time

Medical Assistant - Full-Time - APN - RO14

apartment AVALA location_onCovington, LA

Summary Assists physicians in delivering patient care in the ambulatory setting. The MA assists in the delivery of patient care to people of diverse backgrounds and must be able to effectively communicate and assist the patients and their families. Essential Duties and Responsibilities Escort patients to exam rooms, interviews patients, measure vital signs, enter all medical document/records in EMR system, complete all measures needed for meaningful use. Prepares treatment rooms for patient examinations; Assist physician in exam rooms. Assist physicians with all patient care, medication refills, ordering of diagnostic testing. Coordinate continuity of patient care with healthcare organizations and facilities. Answers the phone while maintaining a polite, consistent phone manner using proper telephone etiquette. Return all patient calls and messages and provide feedback and answers to patient/physician/pharmacy calls. Operates computer software and office equipment. Perform other duties as needed to assist coworkers, which may include schedule/reschedule patient appointments, check in/out patients, answering phones, etc. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards and adheres to dress code policy. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review, department in-services, staff meetings and/or reviews all monthly staff meeting minutes per HealthStream. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Assists other staff members in performing any duty that enhances the delivery of patient care. Regulatory Requirements High school graduate or equivalent Current BLS certification Minimum of six (6) months to one (1) year of related work experience. Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 50 pounds.

CRNA

Per Diem

CRNA - PRN - AVALA Surgery Center, Metairie, LA - RA1, RA2

apartment AVALA location_onMetairie, LA

POSITION SUMMARY: The CRNA will administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise. CRNA's will administer anesthesia in four general categories: (1) pre-anesthetic preperation and evaluation (2) anesthesia induction, maintainance and emergence, (3) post-anesthesic care and (4) perianesthetic and clinical support functions. POSITION DUTIES: The CRNA will: administer anesthesia for all types of surgical cases, in every setting in which anesthesia is delivered, in accordance with their expertise, state statutes or regulations, and institutional policies: administer anesthesia and anesthesia-related care in four general categories: (1) pre-anesthetic preparation and evaluation (2) anesthesia induction, maintenance and emergence (3) post-anesthesia care and (4) peri-anesthetic and clinical support functions which may include: general, MAC, regional, or local anesthesia. Selecting, obtaining and administering the anesthetic, adjuvant drugs and fluid necessary to manage the anesthetic, to maintain the patient's physiologic homoestasis and to correct abnormal responses to the anesthesia or surgery. Selecting, applying and inserting appropriate non-invasive and invasive monitioring modalities for collecting and interpreting patient physiological data. Managing a patient's airway and pulmonary status using endotracheal intubation, mechnaical ventilation, pharmacological support, respiratory therapy or extubation. Releasing or discharging patients from a post-anesthesia care area and providing post-anesthesia follow-up evaluation and care related to anesthesia side effects or complications. Ordering, initiating or modifying pain relief therapy, through the utilization of drugs, regional anesthetic techniques, or other accepted pain relief modalities, including epidural analgesia. Responding to emergency situations by providing airway management, administration of emergency fluids or drugs, or using basic or advanced cardiac life support techniques. Provide clinical support services outside of the operating room, including but not limited to radiology, endoscopy, emergency department, invasive labs. Upon request or referral for these services, the CRNA will provide consultation and implementation of respiratory and ventilatory care, identify and manage emergency situations, including the initiation or participation in cardiopulmonary resuscitation that involves airway maintenance, ventilation, tracheal intubation, pharmacologic, cardiopulmonary support, management of blood, fluid, electrolyte and acid-base balance. Additional nurse anesthesia responsibilities which are within the expertise of the individual CRNA, as authorized by Medical Staff and stated in the policy and procedure manuals. Non-clinical responsibilities as applicable : Clinical and didactic teaching, supervision and evaluation of students; interdepartmental liaison, member of departmental committees; research participant. Maintains a positive demeanor, proactively helpful to patients, physicians and staff; r emains flexible and alters/accepts various tasks and assignments as they arise, per the Director’s requests or designee. JOB SPECIFICATIONS: Education: Required: Holds a current state license as a registered nurse in the state of Louisiana and complies with any applicable state statutory and/or regulatory requirements concerning the advanced practice of nursing. Graduate from a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) or its predecessor. License/Certification: Required: Possess certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors; if pending initial certification, evidence of graduation from an approved nurse anesthesia educational program. Current BLS, PALS and ACLS certifications, as applicable. Skills: Demonstrates knowledge of principles of anesthesia practices. Must be able to operate all anesthesia equipment and to recognize equipment malfunction. Must be able to read written directions and to write legibly. Must be able to communicate effectively with students, residents, physicians, patients, visitors and hospital staff. Physical Demands: Heavy physical requirements: exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects.