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  • H

    Psychiatric Nurse (Rn)

    HCA Jasper TN, 37347

    RN - Adult Are you interested in working with individuals that may be struggling with behavioral or substance abuse issues? At our Parkridge Valley West campus, we give you the ...

      Posted Today
    4/24/2018 12:00:00 AM 2018-07-23T00:00 RN - Adult Are you interested in working with individuals that may be struggling with behavioral or substance abuse issues? At our Parkridge Valley West campus, we give you the opportunity to make a difference in the lives of others in our inpatient hospital programs. Job Summary: The Registered Nurse provides clinical, therapeutic, and administrative support to the child & adolescent behavioral health program. Responsibilities: * Demonstrates clinical knowledge of psychiatric nursing and maintains the highest quality of comprehensive patient care. * Displays effective communication skills as evidenced by the ability to maintain therapeutic relationships with patients, families, physicians and staff. * Is able to set limits as needed by recognizing potential behavior problems and does so in a caring and consistent manner. * Utilizes knowledge of growth and development, psychopathology, and psychosocial systems. * Has an accurate knowledge of psycho-dynamics and therapeutic processes as demonstrated by effective intervention and resolution of problems as they occur, and communication of the processes to others. * Displays understanding of family dynamics by responding appropriately to family members when needed. * Participate in the initiation of master treatment plan along with other key program staff. * Attend treatment planning meetings and conferences to participate in patient's treatment process and progress. * Participate in discharge planning and referrals. * Utilizes appropriate skills in telephone etiquette when answering the telephone, making sure to record correct messages and pass along to appropriate staff, including patient inquiries. * Demonstrates professional skills and performs the tasks needed to maintain a therapeutic milieu and optimum patient care. Education: Graduate of an accredited school of Nursing. Current Registered Nurse in the state of Tennessee. Behavioral Health experience preferred. Parkridge Valley West, a behavioral health facility with Parkridge Health System, has served the Chattanooga/Jasper area for over 40 years, providing expertise in treating a broad range of mental health and chemical dependency issues for all ages. Parkridge Valley West-Jasper, TN The Parkridge Valley West Campus focuses on treatment of psychiatric and addiction issues in adults. Services include inpatient, outpatient programs and partial hospitalization programs for mental health and/or substance abuse. HCA https://company.livecareer.com/company/hca Jasper TN 37347
  • A

    Registered Nurse - Per Diem

    Amedisys Home Health Services Trenton GA, 30752

    What You Will Do: As a home health nurse with Amedisys, you will provide one on one skilled nursing care and treatment to patients in their home using a comprehensive and patien...

      Posted Yesterday
    4/23/2018 12:00:00 AM 2018-07-22T00:00 What You Will Do: As a home health nurse with Amedisys, you will provide one on one skilled nursing care and treatment to patients in their home using a comprehensive and patient specific care plan, innovative solutions, and a preferred technology for point of care documentation. You will have the opportunity to spend quality time with the patient, in their own home, to promote their health and independence. You will have autonomy in addition to the support and collaboration of a full team of healthcare professionals. * Collaborate with physicians, patients and their families, nurses, therapists, social workers and other members of the patient care team to develop a patient specific care and treatment plan * Cooperatively utilize varied solutions to educate and promote the health and independence of the patient * Assess, monitor, document and report progress of patient's health and condition using required documents, reports and established timelines * Provide supervision and evaluation of aides and licensed practical nurses/licensed vocational nurses Required: * Current and unencumbered license to practice as a Registered Nurse specific to that state the employee is assigned to work by the Company. * Minimum of one (1) year of experience as a registered nurse * Current CPR certification * Valid Driver's License and reliable transportation and agency required liability insurance to complete home visits. Preferred: * Bachelor of Science in Nursing (BSN) degree * Acute care experience as a registered nurse with the adult population in a medical – surgical environment * Previous home health or hospice experience Amedisys Home Health Services https://company.livecareer.com/company/amedisys-home-health-services Trenton GA 30752
  • A

    Licensed Practical Nurse - Part Time

    Amedisys Home Health Services Trenton GA, 30752

    What You Will Do: As a home health nurse with Amedisys, you will provide one on one skilled nursing care and treatment to patients in their home using a comprehensive and patien...

      Posted Yesterday
    4/23/2018 12:00:00 AM 2018-07-22T00:00 What You Will Do: As a home health nurse with Amedisys, you will provide one on one skilled nursing care and treatment to patients in their home using a comprehensive and patient specific care plan, innovative solutions, and a preferred technology for point of care documentation. You will have the opportunity to spend quality time with the patient, in their own home, to promote their health and independence. You will have autonomy in addition to the support and collaboration of a full team of healthcare professionals. * Collaborate with physicians, patients and their families, nurses, therapists, social workers and other members of the patient care team to implement and follow a patient specific care and treatment plan * Cooperatively utilize varied solutions to educate and promote the health and independence of the patient * Assess, monitor, document and report progress of patient's health and condition using required documents such as clinical progress notes using a clinician preferred technology and within established timelines Required: * Current and unencumbered license to practice as a practical/vocational nurse specific to that state the employee is assigned to work. * Minimum of one (1) year of clinical experience as a Licensed Practical Nurse/Licensed Vocational Nurse * Current CPR certification * Valid Driver's License and reliable transportation and agency required liability insurance to complete home visits. Preferred: * Acute care experience as a licensed nurse with the adult population in a medical – surgical environment * Previous home health or hospice experience Amedisys Home Health Services https://company.livecareer.com/company/amedisys-home-health-services Trenton GA 30752
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  • N

    Licensed Practical Nurse (Lpn)

    NHC Homecare Sequatchie TN, 37374

    Definition: The Licensed Practical Nurse (LPN) provides skilled nursing services under the direction of the Registered Nurse. Line of Authority: Registered Nurse, Director...

      Posted 2 days ago
    4/22/2018 12:00:00 AM 2018-07-21T00:00 Definition: The Licensed Practical Nurse (LPN) provides skilled nursing services under the direction of the Registered Nurse. Line of Authority: Registered Nurse, Director of Nursing, Administrator/Director of Services; Regional Administrator; Director of Clinical Services, Vice President, HomeCare Qualifications: * Licensed Practical Nurse in the state where HomeCare agency is located * Graduate of a state approved vocational education program * One year clinical experience is preferred. Performance Requirements: * Ability to read, write, learn, absorb, and follow written orders and keep records in prescribed manner. * Ability to be reaching, bending, squatting and twisting numerous times daily. * Ability to lift 70-80 pounds on occasional basis. * Ability to see and hear adequately in order to respond to auditory and visual requests from patients. * Ability to speak in clear, concise voice in order to communicate adequately. * Ability to carry out fine motor skills with manual dexterity. * Able to perform routine nursing procedures. * Mental acuity high enough to adequately perform job requirements. * Must have reliable personal transportation and be able to drive in inclement weather and variable road conditions. Specific Responsibilities: * Provides skilled nursing services as dictated by the plan of care and documents according to policy/procedures. * Instructs the patient/caregiver in various aspects of patient care and disease management. Documents the patients/caregivers comprehension of and compliance with teaching. * Observes patient response to care/teaching and makes recommendations regarding revision of plan for patient care to the Registered Nurse. * Provides and documents skilled nursing care according to the plan of care/physicians orders, policies/procedures and standards of care. * Records and reports to the Registered Nurse symptoms, vital signs and other observations that may be indicative of care plan reactions and changes. * Follows and teaches infection control and safety policies and procedures. * Participates in on-going care coordination and maintains positive relationships with referral sources, physicians/other clinicians, patients/families, and other partners. * Participates with other nurses in taking weekend, night and holiday calls on a rotating basis, under the direction of a Registered Nurse. * Continually strives to improve nursing care through participation in inservice activities, staff development activities and continuing learning. * Serves on committees as assigned. * Performs other duties as assigned by the RN / DON NHC Homecare https://company.livecareer.com/company/nhc-homecare Sequatchie TN 37374
  • A

    RN Registered Nurse - PRN - Visiting Staff

    Alacare Home Health & Hospice Scottsboro AL, 35768

    Showcase all of your nursing skills! This position offers you the opportunity to use state-of-the-art technology while delivering compassionate, personalized nursing care. Dutie...

      Posted Yesterday
    4/23/2018 12:00:00 AM 2018-07-22T00:00 Showcase all of your nursing skills! This position offers you the opportunity to use state-of-the-art technology while delivering compassionate, personalized nursing care. Duties include: * Patient assessments, including physical, emotional, psychosocial, environmental and educational components * Providing skilled nursing care to home health and hospice patients in their homes * Identifying patient needs and making timely referrals to other disciplines in collaboration with the physician and care manager * Supervising LPNs and home care aides * Providing comprehensive teaching to patients and their caregivers * Timely and appropriate documentation of patient's status RequirementsHome health and hospice nursing is both challenging and rewarding! This job requires a person who can work independently, while never forgetting that home care is a team effort. Other requirements include: * Nursing degree from an accredited school of nursing (Diploma or Associate Degree) * Current Alabama registered nurse license * Comfort in communicating with elderly people who have multiple nursing care needs * Willingness to work in home environments of patients who may have values or standards different from your own * Facilitation of positive nurse-physician relationships * Ability to make evaluations and decisions based on measurable or verifiable criteria * Ability to turn, lift, carry and otherwise transport patient * Ability to communicate effectively, both verbally and in writing * Respecting the patient's privacy and maintaining confidentiality * Current Alabama driver's license and automobile liability insurance * CPR Certification Apply On-lineSend This Job to a Friend Alacare Home Health & Hospice https://company.livecareer.com/company/alacare-home-health-hospice Scottsboro AL 35768
  • C

    Registered Nurse - (Mw23675)

    Curo Health Services Scottsboro AL, 35768

    REGISTERED NURSE PRIMARY FUNCTION The Registered Nurse (RN) will provide direct patient care services to hospice patients and supportive care to the patient’s family; manage a...

      Posted 2 days ago
    4/22/2018 12:00:00 AM 2018-07-21T00:00 REGISTERED NURSE PRIMARY FUNCTION The Registered Nurse (RN) will provide direct patient care services to hospice patients and supportive care to the patient’s family; manage an interdisciplinary group consisting of Licensed Practical/Vocational Nurses, Certified Nursing Assistants and support staff to enhance the quality of hospice care; and, case manages all assigned patient clinical records. JOB RESPONSIBILITIES * Assures the highest quality of care is provided and documented in accordance with the Plan of Care. * Performs the initial and on-going assessment of the patient. * Helps develop and implement the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the Interdisciplinary Group. * Responsible for the education of the patient, family or other caregivers in relation to needs identified on the Plan of Care, including, but not exclusive of, medication administration, dressing changes, oxygen administration, Hospice philosophy and care of the terminally ill patient. * Works closely with other members of the Interdisciplinary Group to provide all-inclusive physical, psychosocial, educational, emotional and spiritual services including bereavement support to the patient and family to achieve the highest quality of care. * Maintains primary control and professional management of each patient and acts as primary liaison between physician, patient/family and hospice team so as to be fully aware and abreast of all clinical issues, staffing and scheduling concerns. * Reports any change in the patient’s condition to both the Attending Physician and Hospice Physician. * Maintains close contact with the patient’s family and/or significant others to provide information, support, and continuity of care. * Maintains an accurate and updated medical record, including all Interdisciplinary notes, Plans of Care, initial and on-going assessments and any other information pertinent to the care of the patient. * Performs on-going review and follow up on assigned patient clinical records to assure quality services are provided, standards of practice are followed, and compliance with policies, procedures and regulatory requirements is met and maintained. * Practices infection control measures and standard precautions. * Makes routine supervisory visits of, and with, all other team members at least monthly. * Monitors scheduling of all staff. * Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process. * Participates in the Curo Quality Assessment and Performance Improvement Program. * Attends staff meetings. * May be requested to participate in agency on-call schedule. * Performs other activities as assigned. * Consistently promotes company’s core values. * Completes required Curo annual training. * This is a safety-sensitive position. STATE-SPECIFIC REQUIREMENTS FOR: Revision Date 2/24/2017 (Covers Delaware, Minnesota, Iowa, Minnesota, Nebraska, New Mexico and Illinois) DELAWARE: requires current state licensure as a registered nurse. ILLINOIS: requires completion of registered professional nurse education program and current state licensure as a registered professional nurse. IOWA: requires that nursing services are planned and provided or supervised by a registered nurse who has a current Iowa license to practice nursing. A registered nurse will develop a nursing plan of care after assessing the patient and family’s nursing needs. A registered nurse may be asked to perform the following additional job duties: * Participate in IDT meetings to develop and amend the plan of care * Document nursing care given and observations made regarding patient, family reactions and * status; * Develop and implement nursing service objectives, policies and procedures; * Develop job descriptions for all nursing personnel; * Establish staff schedules to meet patient and family needs and ensure 24-hour service; * Develop and implement orientation and training programs; * Develop and implement performance evaluation for the nursing staff; * Assign duties to nurses consistent with their education and experience; and * Facilitate periodic meetings of the professional nursing staff to evaluate the nursing care * provided by hospice personnel. MINNESOTA: allows registered nurses to perform the following additional job duties: * Develop nursing interventions to be integrated with the plan of care. * Implement nursing care through the execution of independent nursing interventions. * Implement interventions that are delegated, ordered, or prescribed by a licensed health care provider. * Delegate nursing tasks or assign nursing activities to implement the plan of care. * Provide safe and effective nursing care. * Promote a safe and therapeutic environment. * Advocate for the best interests of individual patients. * Evaluate responses to interventions and the effectiveness of the plan of care. * Collaborate and coordinates with other health care professionals in the management and implementation of care within and across care settings and communities. * Provide health promotion, disease prevention, care coordination, and case finding. * Participate in the development of health care policies, procedures, and systems. * Hold accountability for the quality of care delivered, recognizing the limits of knowledge and experience; address situations beyond the nurse’s competency; and perform to the level of education, knowledge, and skill ordinarily expected of an individual who has completed an approved professional nursing education program. * Design and implement teaching plans based on patient need, and evaluate plan effectiveness. NEBRASKA: registered nurses may perform, but are not limited to, the following job duties: * Assessing human responses to actual or potential health conditions; * Establishing nursing diagnoses; * Establishing goals and outcomes to meet identified health care needs; * Establishing and maintaining a plan of care; * Prescribing nursing interventions to implement the plan of care; * Implementing the plan of care; * Teaching health care practices; * Delegating, directing, or assigning nursing interventions that may be performed by others and that do not conflict with the Nurse Practice Act; * Maintaining safe and effective nursing care rendered directly or indirectly; * Evaluating responses to interventions, including, but not limited to, performing physical and psychological assessments of patients under restraining and seclusion as required by federal law, if the registered nurse has been trained in the use of emergency safety intervention; * Teaching theory and practice of nursing; * Conducting, evaluating, and utilizing nursing research; * Administering, managing, and supervising the practice of nursing; and * Collaborating with other health professionals in the management of health care. NEW MEXICO: requires certification of registration as a registered nurse under the Nursing Practice Act. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. * Education: Registered Nurse * Experience: A minimum of one (1) year experience, either in oncology, long-term care, or hospice or home health. School internships and clinical hours may be considered as experience in individual cases. * Licenses, Certifications and/or Registration: o Current license to practice nursing in the state of requested employment o CPR Certification o Current automobile insurance and valid driver’s license * Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work. * Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, JCAHO, and human resource) management principles * Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team. * Working Conditions: Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials. 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. Reasonable accommodations may be requested by individuals with disabilities to allow them to perform the essential functions. * Express or exchange ideas by means of the spoken word * Must be able to read, write, and comprehend English * Perceive the nature of sounds by the ear * Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus * Endure long periods of driving * Stand, walk and/or sit for extended periods of time * Recurring movement to fingers, hands, wrists, legs and feet. * Occasional bending, kneeling, crouching, reaching, pushing, pulling * Demonstrate manual dexterity * Ambulate on rough surfaces and climb stairs * Lift or move up to 25 lbs when transporting supplies and lift and turn patients in excess of 50 lbs * The ability to work in a constant state of alertness and safe manner. STANDARDS * Maintains high standards of integrity and business ethics. * Abides by company rules, policies and procedures, and applicable laws and regulations. * Conducts self in an honest, ethical manner. * Reports promptly any suspected violation of compliance standards via the open door policy. DIRECTION RECEIVED Reports to the Director of Operations or designee Curo Health Services https://company.livecareer.com/company/curo-health-services Scottsboro AL 35768
  • E

    Registered Nurse (Rn)

    Epic Health Services Flintstone GA, 30725

    Registered Nurse (RN) Aveanna Healthcare, the largest home health care company in the U.S., is hiring compassionate Registered Nurses (RN) to provide skilled nursing care to pat...

      Posted Yesterday
    4/23/2018 12:00:00 AM 2018-07-22T00:00 Registered Nurse (RN) Aveanna Healthcare, the largest home health care company in the U.S., is hiring compassionate Registered Nurses (RN) to provide skilled nursing care to patients in the home setting. We are the hearts of 30,000 caregivers and trusted by over 33,000 families. Qualifications of the Registered Nurse (RN): * Must have good standing license (RN) in the state in which the clinician will practice * Must have at least 6 months of hands on nursing experience * Current CPR certification * Must be willing to provide in home nursing care to infants, children, and adolescents Responsibilities of the Registered Nurse (RN): * One to one patient care in a home environment * Execution of physicians prescribed plan of care and compliant documentation of care provided in system of record * Administration of prescribed medication, treatments and therapies * Patient assessments, coordination of care * Health, promotion, teaching, and training of family members Benefits of the Registered Nurse (RN): * Health, Dental, Vision, and Life Insurance* * 401(k) Savings Plan with Employer Matching* * Easy access to state of the art technology for electronic charting during point of care * 24 Hour 7 Days a Week Team Support for direct clinical and scheduling assistance * Hourly Pay & Weekly Paychecks * Flexible Scheduling (8, 10, and 12 hour shifts; Day/Night/Weekends available) * Holiday Pay and Potential for Overtime * Paid Training & Continuous Professional Development * benefit eligibility is dependent on employment status Epic Health Services https://company.livecareer.com/company/epic-health-services Flintstone GA 30725
  • H

    HCA Nurse Residency- Tristar Division, Parkridge West Hospital

    HCA Jasper TN, 37347

    HCA Nurse Residency Program- Tristar Division Tristar Health is committed to the development and training of the caregivers of the future. Making the transition from student to ...

      Posted 2 weeks ago
    4/4/2018 12:00:00 AM 2018-07-03T00:00 HCA Nurse Residency Program- Tristar Division Tristar Health is committed to the development and training of the caregivers of the future. Making the transition from student to professional nurse requires gaining additional knowledge and expertise in clinical skills, critical thinking and professional role assimilation. How you begin your nursing career is an important decision for you and for the safety of your patients. The HCA Nurse Residency Program is a comprehensive program for new graduate nurses with less than six months of experience. The formalized, competitive residency program is comprised of: * Education and Curriculum * Guided Clinical with Preceptor * Support (Mentoring and Debriefing) * Measurement and Evaluation For more information, visit HCATristarNurseResidency.com Requirements at Time of Application: * Eligible for graduation from a NLN-AC or CCNE Accredited Nursing Program with an Associate or Bachelor of Science Degree in Nursing prior to employment. * Transcript demonstrating a minimum cumulative GPA = 2.5 Education and Licensure Requirements at Time of Hire: * Associate degree in Nursing Required Required * Bachelor of Science in Nursing Preferred * BLS (Basic Life Support) AHA Required * Current, valid State license as a Registered Nurse* * Note:Nurse Resident must present proof of RN licensure prior to start date or attestation to test within seventy-five (75) days of start date. Nurse Residents who are required to retake the exam must schedule the exam within 45 days of their first test date. Nurse Residents must take the NCLEX, pass, and receive RN licensure by the end of the orientation and on boarding phase of the Nurse Residency Program – thirteen (13) weeks from start date. Primary source verification will be completed. HCA https://company.livecareer.com/company/hca Jasper TN 37347
  • C

    Registered Nurse ::: Salaried - (Mw23526)

    Curo Health Services Scottsboro AL, 35768

    REGISTERED NURSE PRIMARY FUNCTION The Registered Nurse (RN) will provide direct patient care services to hospice patients and supportive care to the patient’s family; manage a...

      Posted 3 weeks ago
    4/3/2018 12:00:00 AM 2018-07-02T00:00 REGISTERED NURSE PRIMARY FUNCTION The Registered Nurse (RN) will provide direct patient care services to hospice patients and supportive care to the patient’s family; manage an interdisciplinary group consisting of Licensed Practical/Vocational Nurses, Certified Nursing Assistants and support staff to enhance the quality of hospice care; and, case manages all assigned patient clinical records. JOB RESPONSIBILITIES * Assures the highest quality of care is provided and documented in accordance with the Plan of Care. * Performs the initial and on-going assessment of the patient. * Helps develop and implement the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the Interdisciplinary Group. * Responsible for the education of the patient, family or other caregivers in relation to needs identified on the Plan of Care, including, but not exclusive of, medication administration, dressing changes, oxygen administration, Hospice philosophy and care of the terminally ill patient. * Works closely with other members of the Interdisciplinary Group to provide all-inclusive physical, psychosocial, educational, emotional and spiritual services including bereavement support to the patient and family to achieve the highest quality of care. * Maintains primary control and professional management of each patient and acts as primary liaison between physician, patient/family and hospice team so as to be fully aware and abreast of all clinical issues, staffing and scheduling concerns. * Reports any change in the patient’s condition to both the Attending Physician and Hospice Physician. * Maintains close contact with the patient’s family and/or significant others to provide information, support, and continuity of care. * Maintains an accurate and updated medical record, including all Interdisciplinary notes, Plans of Care, initial and on-going assessments and any other information pertinent to the care of the patient. * Performs on-going review and follow up on assigned patient clinical records to assure quality services are provided, standards of practice are followed, and compliance with policies, procedures and regulatory requirements is met and maintained. * Practices infection control measures and standard precautions. * Makes routine supervisory visits of, and with, all other team members at least monthly. * Monitors scheduling of all staff. * Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process. * Participates in the Curo Quality Assessment and Performance Improvement Program. * Attends staff meetings. * May be requested to participate in agency on-call schedule. * Performs other activities as assigned. * Consistently promotes company’s core values. * Completes required Curo annual training. * This is a safety-sensitive position. STATE-SPECIFIC REQUIREMENTS FOR: Revision Date 2/24/2017 (Covers Delaware, Minnesota, Iowa, Minnesota, Nebraska, New Mexico and Illinois) DELAWARE: requires current state licensure as a registered nurse. ILLINOIS: requires completion of registered professional nurse education program and current state licensure as a registered professional nurse. IOWA: requires that nursing services are planned and provided or supervised by a registered nurse who has a current Iowa license to practice nursing. A registered nurse will develop a nursing plan of care after assessing the patient and family’s nursing needs. A registered nurse may be asked to perform the following additional job duties: * Participate in IDT meetings to develop and amend the plan of care * Document nursing care given and observations made regarding patient, family reactions and * status; * Develop and implement nursing service objectives, policies and procedures; * Develop job descriptions for all nursing personnel; * Establish staff schedules to meet patient and family needs and ensure 24-hour service; * Develop and implement orientation and training programs; * Develop and implement performance evaluation for the nursing staff; * Assign duties to nurses consistent with their education and experience; and * Facilitate periodic meetings of the professional nursing staff to evaluate the nursing care * provided by hospice personnel. MINNESOTA: allows registered nurses to perform the following additional job duties: * Develop nursing interventions to be integrated with the plan of care. * Implement nursing care through the execution of independent nursing interventions. * Implement interventions that are delegated, ordered, or prescribed by a licensed health care provider. * Delegate nursing tasks or assign nursing activities to implement the plan of care. * Provide safe and effective nursing care. * Promote a safe and therapeutic environment. * Advocate for the best interests of individual patients. * Evaluate responses to interventions and the effectiveness of the plan of care. * Collaborate and coordinates with other health care professionals in the management and implementation of care within and across care settings and communities. * Provide health promotion, disease prevention, care coordination, and case finding. * Participate in the development of health care policies, procedures, and systems. * Hold accountability for the quality of care delivered, recognizing the limits of knowledge and experience; address situations beyond the nurse’s competency; and perform to the level of education, knowledge, and skill ordinarily expected of an individual who has completed an approved professional nursing education program. * Design and implement teaching plans based on patient need, and evaluate plan effectiveness. NEBRASKA: registered nurses may perform, but are not limited to, the following job duties: * Assessing human responses to actual or potential health conditions; * Establishing nursing diagnoses; * Establishing goals and outcomes to meet identified health care needs; * Establishing and maintaining a plan of care; * Prescribing nursing interventions to implement the plan of care; * Implementing the plan of care; * Teaching health care practices; * Delegating, directing, or assigning nursing interventions that may be performed by others and that do not conflict with the Nurse Practice Act; * Maintaining safe and effective nursing care rendered directly or indirectly; * Evaluating responses to interventions, including, but not limited to, performing physical and psychological assessments of patients under restraining and seclusion as required by federal law, if the registered nurse has been trained in the use of emergency safety intervention; * Teaching theory and practice of nursing; * Conducting, evaluating, and utilizing nursing research; * Administering, managing, and supervising the practice of nursing; and * Collaborating with other health professionals in the management of health care. NEW MEXICO: requires certification of registration as a registered nurse under the Nursing Practice Act. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. * Education: Registered Nurse * Experience: A minimum of one (1) year experience, either in oncology, long-term care, or hospice or home health. School internships and clinical hours may be considered as experience in individual cases. * Licenses, Certifications and/or Registration: o Current license to practice nursing in the state of requested employment o CPR Certification o Current automobile insurance and valid driver’s license * Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work. * Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, JCAHO, and human resource) management principles * Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team. * Working Conditions: Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials. 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. Reasonable accommodations may be requested by individuals with disabilities to allow them to perform the essential functions. * Express or exchange ideas by means of the spoken word * Must be able to read, write, and comprehend English * Perceive the nature of sounds by the ear * Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus * Endure long periods of driving * Stand, walk and/or sit for extended periods of time * Recurring movement to fingers, hands, wrists, legs and feet. * Occasional bending, kneeling, crouching, reaching, pushing, pulling * Demonstrate manual dexterity * Ambulate on rough surfaces and climb stairs * Lift or move up to 25 lbs when transporting supplies and lift and turn patients in excess of 50 lbs * The ability to work in a constant state of alertness and safe manner. STANDARDS * Maintains high standards of integrity and business ethics. * Abides by company rules, policies and procedures, and applicable laws and regulations. * Conducts self in an honest, ethical manner. * Reports promptly any suspected violation of compliance standards via the open door policy. DIRECTION RECEIVED Reports to the Director of Operations or designee Curo Health Services https://company.livecareer.com/company/curo-health-services Scottsboro AL 35768
  • F

    PCT I

    Fresenius Medical Care Scottsboro AL, 35768

    PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and...

      Posted Yesterday
    4/23/2018 12:00:00 AM 2018-07-22T00:00 PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP). DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: * Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. * Welcome assigned patients and inquire as to their wellbeing since their last treatment. Report any complaints or observations to the nurse supervisor. * Evaluate vascular access for patency and report any unusual findings to nurse supervisor. * Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. * Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. * Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. * Perform administration of Heparin as delegated or as allowed by state law. * Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). * Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. * Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. * Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. * Discontinue dialysis treatment according to established procedures, * Evaluate patient prior to termination of venous access - standing & sitting blood pressure. * Obtain Hemostasis and apply appropriate dressings. * Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. * Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification. * Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. * Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160. * Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. * Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. * Report any significant information and/or change in patient condition directly to the nurse supervisor. * Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor. * Perform and document any intervention for unusual patient status and document patients' response to intervention. * Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the nurse supervisor. * Obtain all prescribed laboratory testing and prepare specimens for collection. MAINTENANCE/TECHNICAL: * Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. * Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. * Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate. * Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). * Initiate Solution Delivery System (SDS) system. * Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. * Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. CLERICAL & ADMINISTRATIVE: * Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. * Enters all treatment data into the designated clinical application accurately and in a timely manner. * Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate. * Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. * Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination. * Collect, label, appropriately prepare and store lab samples according required laboratory specifications. * Ensure collection of lab specimens by appropriate lab courier. OTHER: * Perform additional duties as assigned. ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST): Assisting the HT RN: * May assist HT RN on Home Visit as directed * Reinforces PD / HHD education under supervision of qualified HT RN * Schedules and contacts patients regarding appointments * Weigh patient and obtain vital signs * Collect treatment records and review for completion. Notify RN of incomplete / missing records. * Cleaning and prepping treatment room; prep charts * Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) * Clerical duties as assigned (faxing, mailing to physician offices etc.) * Obtain home hemo water sampling as directed by the HT RN * Set-up of the home hemo machine and PD Cycler. * Assist with exit site care when directed by HT RN. * Warm dialysate solution when directed by the HT RN * Draw dialysate solution for testing as directed by the HT RN * Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review) * Assembles/breaks down charts / thins charts * Maintains logs as directed and applicable * Inventory of Home Program * Maintains par levels of home department supplies * Files home patient packing slips/invoices * Inventory for Patients * Assists patient with supply management and contacting customer service PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. EDUCATION * Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. * All appropriate state licensure, education and training (if any) required. EXPERIENCE AND REQUIRED SKILLS * Previous patient care experience in a hospital setting or related facility preferred. * Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Share * Fresenius Medical Care https://company.livecareer.com/company/fresenius-medical-care Scottsboro AL 35768
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