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Home Health Visiting RN - Tacoma/Pierce County (PRN/Per Diem)

M-F-ROTATION ON BUSINESS DAYS, HOLIDAYS AND WEEKENDS Job Summary: Provides comprehensive skilled nursing care and services to patients in the home setting. Works on an interdisciplinary team to provide care in the home health, palliative care and hospice programs. Accountable for the assessment, development of plan of care, education and consultation related to pain and symptom management as well as adjustment to changes in health status. Plans for the return of patient care to primary Health Care providers as indicated. Essential Responsibilities: Provides nursing interventions requiring substantial and specialized nursing skill, and initiates appropriate preventive and rehabilitative nursing procedures. Follows through the plan of care as developed to: provide appropriate instruction to patient/caregiver about health care, disease management and adjustment to illness; direct and supervise the care and services of LPN and HHA in the home setting; perform treatments; instruct patients/families in self care activities and home safety; and competently perform skills/tasks per plan of care. This includes pain and symptom management in the home. Performs skilled procedures to include injections, dressings, catheter insertion and care, colostomy and tracheotomy, central line IV care and blood draws. Identifies educational needs. Instructs patient according to the plan of care. Provides care and case management with interdisciplinary team. Communicates and collaborates with other interdisplinary team members and with the patient family in planning and implementing care. Records accurate and pertinent data in the electronic medical record in a timely manner, according to documentation guidelines. Adheres to KFHPW infection control, safety, hazardous waste, universal precautions, and CPR standards. Identifies own learning needs, including those related to age-specific populations and participates in educational efforts to meet those needs. Participates in the following: staff orientation; self and colleague/team performance reviews; and activities related to quality care and cost saving measures. Adheres to KFHPW personnel policies and maintains a high standard of professional work habits. Demonstrates an appearance consistent with KFHPW dress code policy. Assesses patient need for care and communicates with other health care providers appropriately and in a timely manner. Collects data relevant to visit throughout the duration of care. Develops and initiates the plan of care based on assessment. Communicates and collaborates with medical doctor(s) to establish plan of care. Evaluates patient response to care through timely assessment, communication and observation. Modifies plan of care through assessment based upon patient and care systems response.

Medical Assistant III; Full-time, Maui Memorial Outpatient Clinic -Medical Office Support

Kaiser Permanente Wailuku, HI

Job Summary: Supports practitioner and clinical team to accomplish proactive patient management as delegated by and under indirect supervision of clinic nursing supervisor, and with direction from charge nurse, staff nurse, or practitioner. Performs variety of technical, clerical, receptionist and patient care duties to assist practitioners and other members of health care team in providing high quality patient care through health care system. Prepares sterile and un-sterile fields and assists practitioner with minor procedures and occasional office-based surgical procedures. Essential Responsibilities: Interacts with patients, families, customers, and other members of health care team in courteous and professional manner. Recognizes needs and concerns of members and employees while maintaining positive working relationships. Obtains, identifies and records vital signs, prevention data, medications, chief complaints and other pertinent information. Demonstrates and applies critical thinking. Observes, records and reports pertinent patient symptoms, reactions, condition changes and information. Immediately identifies and reportsto practitioner all adverse observations, reactions, conditions or emergency situations. Uses data systems to identify and pend orders for prevention and screening services. Provides for physical and emotional comfort, and safety of patient. Accepts orders from practitioner for treatments and procedures conducted in unit within scope of work and competencies. Transcribes patient specific data into electronic system using practitioner generated ICD-9 and CPT codes for purposes of billing, coding, and clinical data reporting and analysis. Anticipates providers needs during patient procedures. Adjusts to changes in procedures, assignments, or workload as directed by provider. Serves as member of health care team. Performs efficiently and remains calm in emergency patient care/clinic situations. Follows established procedures and Informs appropriate persons. Prioritizes care based on acuity of patient. Prepares room and instruments for use during exam or procedure. Assists practitioner with wide variety of patient care procedures and tests. Collects, labels and processes specimens as required by practitioner and in accordance with policies and procedures. Reviews written instructions/educational materials with patient and family regarding preparation and/or follow-up for diagnostic tests, medical procedures, surgeries, and treatments as ordered by practitioner, nurse or nursing supervisor. Coordinates efforts with nursing supervisor, staff and other departments to maintain standards of patient care. Applies and removes dressings and pads as ordered by practitioner; applies as ordered by practitioner and under direct supervision practitioner, and after completion of training and competency requirements. Applies and instructs patients in the use of pre-manufactured splints, braces and other orthotic devices using preprinted instructions. Assists practitioner by setting up sterile and unsterile fields and assisting with routine, minor surgical procedures as delegated by nursing supervisor and/or practitioner, in accordance with established guidelines, policies and procedures, and upon completion of clinical competency requirements. Respects patients rights to privacy, dignity and safety. Provides emotional support to patients as appropriate. Documents patient care interactions and activities following clinic standards, including all findings, instructions and patient responses. Maintains an understanding of insurances, and requirements for authorizations need for procedures and orders. Works hand and hand with clerical team to obain any authorizations required for orders. Works with outside depts and entities to schedule patients for procedures ordered by providers. Ensures equipment is available and in clean, safe and operable condition. Follows appropriate procedures for reporting malfunctions, repairs or replacements within limits of authority. Identifies and reports equipment needing required maintenance or inspection. Maintains and promotes clean, safe and well-equipped environment for patients, family members and staff. Follows departmental and organizational directives to isolate and process contaminated instruments and supplies. Cleans rooms, furniture, instruments and equipment according to established polices and procedures. Reviews, compiles, documents and prepares paper or on-line clinical records for clinical encounters. Retrieves other clinical documentation and records as requested. Retrieves and/or delivers mail for practitioners and healthcare team members. Informs practitioner of diagnostic results to assure expeditious follow up. Notifies practitioner of patient cancellations, postponements, and failures to show. Encourages open channel of communication with co-workers and supervisor. Relays pertinent information to staff members in own department or other departments. Assures information is accurate and complete. Assists patients and/or family members with non-clinical complaints or inquiries, such as customer service, appointment scheduling, etc. Refers clinical related problems or issues requiring higher level intervention to clinic nursing supervisor or designated patient concerns resource personnel. Receives telephone calls. Either takes message or Transfers calls from patients for clinical concerns to practitioner. Provides information to callers on service related questions. Arranges patient appointments based on guidelines specific to severity level and type of procedure. Answers and makes telephone calls regarding prescription refills. Relays normal diagnostic results according to patient specific instructions as ordered by practitioners. Relays messages between caller and practitioner or other member of health care team. Processes referrals as directed. Works in harmony with other depts of the hospital on practitioners schedules as they intersect with other departments and services... Adjusts practitioner schedules to accommodate same day appointments, patient surgeries/procedures, and/or patients schedule. Maintains familiarity with various schedules, clinic procedures, surgeries, coding techniques and preferences unique to individual practitioners. Assists by gathering documents for practitioner notes and orders, and alerting about problems. Transcribes patient specific data into electronic system using practitioner generated ICD-9 and CPT codes for purposes of billing, coding and clinical data reporting and analysis. Directs patient to business office for financial concerns. Assures office, exam rooms and storage area is adequately stocked with supplies. Represents, attends and participates regularly in staff meetings, interdepartmental committees, and other department meetings to address concerns and issues in department/clinic and for improvement of patient care. Uses supplies conservatively to maintain inventory control and contain costs. Orders, inventories and maintains maintenance records/par levels of supplies. Prioritizes and coordinates daily workflow and activities. Participates in projects as requested. Adheres to organizational, departmental and clinic specific standards, policies, procedures, processes, protocols or guidelines. Performs duties in accordance with departmental scope of service and medical assistant scope of work. Demonstrates and applies knowledge, skills and competency in required clinical skills and use of clinical equipment. Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to age groups served. Demonstrates sufficient knowledge, skills, and abilities in area of specialization.

CRNA

Full-time

1 month ago

Chief CRNA - So San Francisco Hospital - Anesthesiology-Inpatient - Full Time Day

Kaiser Permanente South San Francisco, CA

Job Summary: Responsible for managing and coordinating nursing anesthesia services throughout a service area. Provides anesthesia care, meeting all practice standards as defined by professional organizations and departmental expectations. Develops and implements strategy for providing high quality, individualized and efficient anesthesia services in collaboration with the Chief of Anesthesia and other leadership teams. Essential Responsibilities: Manages nursing anesthesia services in a service area assuring that all aspects of patient care comply with the Joint Commission standards, policies, procedures, and state and federal regulations. Coordinates patient care delivery among departments such as pain service, pharmacy, laboratory, Labor & Delivery and perioperative care, etc, where anesthesia services are delivered or ancillary support is required. Provides support for family and member centered care. Provides guidance to staff in meeting the emergent and urgent needs of patients and family where anesthesia services are delivered. Ensures CRNA professional staff complies with state and federal regulations. Monitors staff competencies to ensure patient safety. Plans and coordinates for adequate CRNA staffing according to patient acuity and competencies. Responsible for hiring, terminations, training and performance evaluations of staff. Provides leadership in the ongoing professional education and development of staff. Develops and implements strategic plans with the Chief of Anesthesia to support new processes and procedures. Regularly reviews and updates department policy, and recommends changes in support of delivery of care and ongoing compliance to organizational and regulatory requirements. Represents anesthesia service line in committee workgroups and meetings. Develops performance metrics for performance improvement, service standards and quality goals to ensure anesthesia services and patient care meet high quality standards. Develops and monitors operational budget for payroll and non- payroll expenses, capital planning and resources in collaboration with the Chief of Anesthesia and leadership. Strategizes and establishes effective channels among departments to ensure efficient utilization of supplies and equipment. 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

1 month ago

Certified Registered Nurse Anesthetist (CRNA), Orange County/Anaheim (Full Time)

Kaiser Permanente Anaheim, CA

Job Summary: Under the medical supervision of an Anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators. Essential Responsibilities: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements). Evaluates patients pre-operatively by interviewing and examining patient. Reviews chart for relevant information. In collaboration with the anesthesiologist selects anesthetic for patient based on pre-operative examination. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric. Selects anesthetic for patient based on pre-operative examination. Evaluates patients response to pre-medication. Communicates with surgeon and anesthesiologist regarding special concerns of patient. Checks anesthesia equipment daily and between cases to assure safe operating condition. Prepares drugs for administration. Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof. Monitors the patient intraoperatively. Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability. Evaluates the patients postoperatively (within 24 hours). Precepts student nurse anesthetists. Maintains an accurate accounting of controlled substances in accordance with departmental guidelines. Maintains equipment and supplies as outlined in department policies and procedures. Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements). Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel. May perform other duties within scope of licensure/certification as required.

RN Infusion Center Per Diem Bellevue

Kaiser Permanente Bellevue, WA

Must be proficient in starting IV's and comfortable infusing Chemo. Chemo certification strongly preferred. 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.

Medical Assistant-Primary Care-Full Time-Day-Silverdale

Kaiser Permanente Silverdale, WA

Job Summary: Kaiser Permanente Washington serves over 700,000 members across the state of Washington and is growing! We believe that achieving total health for our members takes teamwork and we are looking for exceptional team members who thrive on delivering an exceptional experience for our members and patients. Kaiser Permanente Washington is recognized as a best place to work that embraces diversity, fosters collaboration, practices mentorship, and believes in a positive, healthy work environment. Our Medical Assistants (MA) play a critical role and are key to our promise on delivering an exceptional patient experience. As an MA at Kaiser Permanente you will be part of a world class care team working with outstanding nurses, physicians, physicians assistants and nurse practitioners to provide the best care possible. Join us in our mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Essential Responsibilities: Collection of selected data about health status of the patient. Determines consumers purpose for visit, concerns and educational/physical needs. Checks and records consumers vital signs. Records pertinent data on the consumers medical record. Recognizes urgent/emergent situations and refers them in a timely fashion to physician or nurse. Participates with other health team members in the development of the nursing care plan. Contributes pertinent information to the nursing plan of care and passes it on to appropriate professional provider. Follows through and implements the nursing plan of care safely and completely according to role and team specifications. Documents accurate information in proper format. Communicates in an attentive and individualized manner in every encounter. Participates in the coordination and facilitation of care for the patient. Cooperates and communicates effectively with other team members in order to accomplish the workload. Recognizes and reports obvious psychosocial, cultural and/or emotional needs. Verifies the patients understanding of the purpose for visit. Instructs and orients patients and family/significant others to the health care team members, the services available, and the means of access to those services. Participates in the orientation of new consumers to KFHPWs policies and procedures. Demonstrates an awareness of the Consumer Bill of Rights and Responsibilities. According to the educational plan determined by the professional provider, provides instruction to the patient and family/significant others. Provides instruction that matches learning needs and the nursing plan of care. Encourages patient compliance with therapeutic and medical regimens. Under the direction of the professional provider, provides the patient with preventive care information that matches his/her age, sex, and health status. Utilizes available health education resources. Reinforces the plan with patient to improve general health status. Accurately documents selected patient history observations and procedures. Adheres to KFHPW documentation standards. Provides each patient a safe, comfortable, and private environment. Provides a safe environment for each patient and adheres to KFHPW safety standards. Adheres to KFHPW infection control policies and procedures. Demonstrates responsibility and accountability for practice, for continued growth and self-evaluation. Identifies own learning needs and participates in educational efforts to meet those needs. Participates in staff orientation and student education activities. Participates with managers in completing the process for self and colleague/team performance reviews. Consistently demonstrates an appearance consistent with current KFHPW dress code policy.

CRNA

Full-time

1 month ago

Assistant Chief CRNA - Santa Rosa Hospital - Anesthesiology - Full Time Day

Kaiser Permanente Larkfield-Wikiup, CA

Job Summary: In conjunction with Chief of Service, supervises staff of certified registered nurse anesthetists. Administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative reports on patient condition, and maintains records of anesthetics administered. Essential Responsibilities: Augments department leadership with assistance in hiring, training and supervision of certified registered nurse anesthetists. Develops schedules, department standards, policies and procedures; establishes and maintains quality of care and service standards. Implements, reinforces and ensures staff is in compliance with The Joint Commission, and other local, state and federal regulations. Assumes a proxy role for day-to-day clinical operations and administrative tasks to maintain department continuity in the absence of the Chief CRNA. Assists in monitoring budgets, resource allocation and department financial performance; identifies and implements strategies to reduce costs and improve quality of care/service. Reviews anesthetic evaluation of patients prior to surgeries and consults with anesthesiologists and/or surgeons as needed. 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. Conducts pre-anesthesia evaluations according to KPs policies and procedures as well as the departmental protocols. Formulates anesthesia plans for proposed operations. 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. Evaluates patients to identify apparent difficulties with airway control. Starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. Develops, implements and evaluates according to departmental protocols, the care regimen of assigned patients and manages the patient care based on pre-anesthesia evaluation. Mixes solutions to required concentrations. 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. Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards. Charts procedures done outside of OR, such as intubation, arterial line placement 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.

Staff Nurse; Full-time, Mixed MedSurg/Tele Unit 2, MMMC

Kaiser Permanente Wailuku, HI

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 task requiring nursing knowledge, judgment, and skills. Administers medications. 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 Maui Health Vision, Model and Values through out their Nursing Practice. Performs other duties and accepts responsibility as assigned within the scope of their practice. May be assigned to another cost center; that may include other work locations on a shift by shift basis to meet patient care requirements.

Medical Assistant III - Temporary Full Time - Travel

Kaiser Permanente Wailuku, HI

Job Summary: Supports practitioner and clinical team to accomplish proactive patient management as delegated by and under indirect supervision of clinic nursing supervisor, and with direction from charge nurse, staff nurse, or practitioner. Performs variety of technical, clerical, receptionist and patient care duties to assist practitioners and other members of health care team in providing high quality patient care through health care system. Prepares sterile and un-sterile fields and assists practitioner with minor procedures and occasional office-based surgical procedures. Essential Responsibilities: Interacts with patients, families, customers, and other members of health care team in courteous and professional manner. Recognizes needs and concerns of members and employees while maintaining positive working relationships. Obtains, identifies and records vital signs, prevention data, medications, chief complaints and other pertinent information. Demonstrates and applies critical thinking. Observes, records and reports pertinent patient symptoms, reactions, condition changes and information. Immediately identifies and reports to RN or practitioner all adverse observations, reactions, conditions or emergency situations. Uses data systems to identify and pend orders for prevention and screening services. Provides for physical and emotional comfort, and safety of patient. Accepts orders from practitioner for treatments and procedures conducted in unit within scope of work and competencies. Transcribes patient specific data into electronic system using the most current practitioner generated ICD and CPT codes for purposes of billing, coding, and clinical data reporting and analysis. Anticipates providers needs during patient procedures. Adjusts to changes in procedures, assignments, or workload as directed by provider. Serves as member of health care team. Performs efficiently and remains calm in emergency patient care/clinic situations. Follows established procedures and Informs appropriate persons. Prioritizes care based on acuity of patient. Prepares room and instruments for use during exam or procedure. Assists practitioner or RN with wide variety of patient care procedures and tests. Collects, labels and processes specimens as required by practitioner and in accordance with policies and procedures. Performs point-of-care laboratory tests as authorized by policy and delegated by nursing supervisor. Reviews written instructions/educational materials with patient and family regarding preparation and/or follow-up for diagnostic tests, medical procedures, surgeries, and treatments as ordered by practitioner, nurse or nursing supervisor. Coordinates efforts with nursing supervisor, staff and other departments to maintain standards of patient care. Applies and removes dressings and pads as ordered by practitioner; applies and removes unna boots as ordered by practitioner and under direct supervision of nurse or practitioner, and after completion of training and competency requirements. Applies and instructs patients in the use of pre-manufactured splints, braces and other orthotic devices using pre-printed instructions. Assists practitioner by setting up sterile and unsterile fields and assisting with routine, minor surgical procedures as delegated by nursing supervisor, nurse and/or practitioner, in accordance with established guidelines, policies and procedures, and upon completion of clinical competency requirements. Respects patients rights to privacy, dignity and safety. Provides emotional support to patients as appropriate. Documents patient care interactions and activities following clinic standards, including all findings, instructions and patient responses. Ensures equipment is available and in clean, safe and operable condition. Follows appropriate procedures for reporting malfunctions, repairs or replacements within limits of authority. Identifies and reports equipment needing required maintenance or inspection. Maintains and promotes clean, safe and well-equipped environment for patients, family members and staff. Follows departmental and organizational directives to isolate and process contaminated instruments and supplies. Cleans rooms, furniture, instruments and equipment according to established polices and procedures. Reviews, compiles, documents and prepares paper or on-line clinical records for clinical encounters. Retrieves other clinical documentation and records as requested. Retrieves and/or delivers mail for practitioners and healthcare team members. Informs practitioner of diagnostic results to assure expeditious follow up. Notifies practitioner of patient cancellations, postponements, and failures to show. Encourages open channel of communication with co-workers and supervisor. Relays pertinent information to staff members in own department or other departments. Assures information is accurate and complete. Assists patients and/or family members with non-clinical complaints or inquiries, such as customer service, appointment scheduling, etc. Refers clinical related problems or issues requiring higher level intervention to clinic nursing supervisor or designated patient concerns resource personnel. Receives telephone calls. Transfers calls from patients for clinical concerns or questions to registered nurse (RN) or practitioner. Provides information to callers on service related questions. Arranges patient appointments based on guidelines specific to severity level and type of procedure. Answers and makes telephone calls regarding prescription refills. Relays normal diagnostic results according to patient specific instructions as ordered by practitioners. Relays messages between caller and practitioner or other member of health care team. Processes referrals as directed. Assists and supports receptionist(s) with daily and procedure/operating room schedules. Prepares and administers monthly calendar and practitioners schedules as they intersect with other departments and services. Identifies and reports problems with accuracy and completeness of appointment data, monthly practitioner and nursing schedules. Reviews, coordinates and documents scheduling corrections and changes. Adjusts practitioner schedules to accommodate same day appointments, patient surgeries/procedures, and/or patients schedule. Maintains familiarity with various schedules, clinic procedures, surgeries, coding techniques and preferences unique to individual practitioners and nursing staff. Assists in meeting organizational standards by gathering documents for practitioner notes and orders, and alerting about problems. Transcribes patient specific data into electronic system using the most current practitioner generated ICD and CPT codes for purposes of billing, coding and clinical data reporting and analysis. Directs patient to business office for financial concerns. Assures office, exam rooms and storage area is adequately stocked with supplies. Represents, attends and participates regularly in staff meetings, interdepartmental committees, and other department meetings to address concerns and issues in department/clinic and for improvement of patient care. Uses supplies conservatively to maintain inventory control and contain costs. Orders, inventories and maintains maintenance records/par levels of supplies. Prioritizes and coordinates daily workflow and activities. Participates in projects as requested. Adheres to organizational, departmental and clinic specific standards, policies, procedures, processes, protocols or guidelines. Performs duties in accordance with departmental scope of service and medical assistant scope of work. Demonstrates and applies knowledge, skills and competency in required clinical skills and use of clinical equipment. Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to age groups served. Demonstrates sufficient knowledge, skills, and abilities in area of specialization.

RN Infusion Center Per Diem Capitol Hill

Kaiser Permanente Seattle, WA

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.

Graduate Registered Nurse Anesthetist (GRNA), San Diego (Full Time)

Kaiser Permanente San Diego, CA

Job Summary: Under the medical supervision of a physician Anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators. Essential Responsibilities: Administers anesthesia to all age groups. Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements). Evaluates patients pre-operatively by interviewing and examining patient. Reviews chart for relevant information. In collaboration with MD selects anesthetic for patient based on pre-operative examination. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric. Selects anesthetic for patient based on pre-operative examination. Evaluates patients response to pre-medication. Communicates with surgeon and physician anesthesiologist regarding special concerns of patient. Checks anesthesia equipment daily and between cases to assure safe operating condition. Prepares drugs for administration. Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof. Monitors the patient intraoperatively. Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability. Evaluates the patients postoperatively (within 24 hours). Maintains an accurate accounting of controlled substances in accordance with departmental guidelines. Maintains equipment and supplies as outlined in department policies and procedures. Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements). Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel. May perform other duties within scope of licensure/certification as required. Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.

Graduate Registered Nurse Anesthetist (GRNA), San Diego (Full Time)

Kaiser Permanente San Diego, CA

Job Summary: Under the medical supervision of a physician Anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators. Essential Responsibilities: Administers anesthesia to all age groups. Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements). Evaluates patients pre-operatively by interviewing and examining patient. Reviews chart for relevant information. In collaboration with MD selects anesthetic for patient based on pre-operative examination. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric. Selects anesthetic for patient based on pre-operative examination. Evaluates patients response to pre-medication. Communicates with surgeon and physician anesthesiologist regarding special concerns of patient. Checks anesthesia equipment daily and between cases to assure safe operating condition. Prepares drugs for administration. Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof. Monitors the patient intraoperatively. Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability. Evaluates the patients postoperatively (within 24 hours). Maintains an accurate accounting of controlled substances in accordance with departmental guidelines. Maintains equipment and supplies as outlined in department policies and procedures. Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements). Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel. May perform other duties within scope of licensure/certification as required. Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.

Level III Staff RN - Clinic - Per Diem - Electrophysiology - Sunset

Kaiser Permanente Los Angeles, CA

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.

Staff Nurse RN - Primary Care Float Pool (Per Diem Silverdale)

Kaiser Permanente Silverdale, WA

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

Per Diem

2 months ago

RN Float Pool Specialty Care Clinics Per Diem Capitol Hill

Kaiser Permanente Seattle, WA

Per Diem Float Pool for Specialty Clinics at our Capitol Hill campus.. Strongly prefer clinic experience, a plus if in specialty areas, i.e., Pulmonology, Cardiology, ENT, General Surgery, Ortho, Gastroenterology, Rheumatology, Urology, Bariatrics, etc. $3.50 hour float pool differential. 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 Specialty Clinic Per Diem Capitol Hill

Kaiser Permanente Seattle, WA

Strongly prefer clinic experience, a plus if in specialty areas, i.e., Pulmonology, Cardiology, ENT, General Surgery, Ortho, Gastroenterology, Rheumatology, Urology, Bariatrics, etc. Also prefer EPIC experience. 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.

LVN

Full-time

3 months ago

LVN Bilingual Spanish - Clairemont Mesa - Occupational Health - Full Time Days

Kaiser Permanente San Diego, CA

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.

NP

Full-time

4 months ago

Nurse Practitioner - Wailuku - Full Time - Chronic Care

Kaiser Permanente Wailuku, HI

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.

Staff Nurse - On Call - Chemo Infusion - Kona

Kaiser Permanente Kailua-Kona, HI

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.

RN

Full-time

7 months ago

Registered Nurse, OR Cardiovascular - 40 hrs. Variable Shift

Kaiser Permanente Happy Valley, OR

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.