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Nurse Practitioner/Physician Assistant

American Family Care, Inc. Birmingham AL, 35202

Responsible for the assessment, diagnosis and treatment of patients through collaboration with a designated physician. Must be...

Posted 2 weeks ago

Job Description Responsible for the assessment, diagnosis and treatment of patients through collaboration with a designated physician. Must be able to work independently. Essential Duties and Responsibilities * Independently assess and treat patients with common acute conditions, illnesses, or minor trauma * Consult with the physician in the health care of patients with chronic illnesses. * Educate patients and/or families about preventive care, positive behaviors, medical issues, and use of prescribed medical treatments and/or medications. * Maintain legible, accurate, and confidential medical records. * Document all medical evaluations, diagnoses, procedures, treatment, outcomes, education, referrals, and consultations * Order diagnostic tests as appropriate. * Prescribe medications within scope of license. * Facilitate evaluation of records by physician(s) according to protocols and receive and implement constructive directives. * Promote preventive and health maintenance care, including annual physicals, positive health behaviors, self-care skills, and use of prescribed medical treatments and medications through education and counseling. * Regular attendance to ensure efficient operations Other Duties and Responsibilities * Assist in patient flow through patient triage and other nursing duties as needed * Other duties and responsibilities as assigned Qualifications * Current certification/licensure as a Family Nurse Practitioner or Advanced Practice Nurse. * A minimum of 4,000 hours (two years) of urgent care/primary care experience. * Ability to learn and utilize Electronic Medical Records system * Ability and willingness to work weekend and holiday work as required * Comfortable seeing patients of all ages. * Flexible, self-motivated individual who is dedicated to quality patient care and customer satisfaction * Excellent communication skills * Works effectively in a team environment. Willing to work with multiple covering physicians in addition to collaborating physician. * Projects a positive image and has a Patients First attitude Physical Demands/Work Environment (optional) While performing the duties of this job, the employee is regularly required to stand and frequently required to walk. The employee is occasionally exposed to fumes or airborne particles. Potential exposure to bloodborne pathogens.

E

Registered Nurse - PRN

Encompass Health Pelham AL, 35124

Encompass Health Rehabilitation Hospital of Shelby Now Hiring Registered Nurses Helping patients regain hope and independenc...

Posted 1 week ago

Encompass Health Rehabilitation Hospital of Shelby Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patients succeed in inpatient rehabilitation by supervising care and treatments provided by team members, leading patient assessments, creating personalized plans of care, communicating progress and targeting patient concerns, offering timely solutions. The Difference The importance of nursing to our rehabilitation hospitals can't be overstated. Comprehensive rehabilitation is planned and administered by a highly specialized and integrated team including physicians, nurses, physical therapists, respiratory therapists, speech therapists, occupational therapists, case managers and others. Rehabilitation nurses are a valuable resource and bring an important perspective to this interdisciplinary approach. Our rehabilitation nurses help the patients regain control of their lives and their independence, treating complex medical issues and redefining how care is provided. The Perks Only the best will do * Comprehensive medical, dental and vision plans * 401(k) * College savings plan * Employee assistance program * Pre-paid legal plan * and much more! The Patients Eighty percent of patients discharged directly home Our registered nursing teams get to know patients over two to four weeks on average, providing care for conditions such as: * Stroke * Spinal cord injury * Brain injury * Neurological disorders * Joint replacement * Amputation * Multiple trauma The Power Advanced tools to support patient progress * Advanced technologies * Evidence-based practice guidelines * Clinical outcomes to assess and improve treatment interventions * National outcomes database * Trained mentors * Internal and external education * Professional treatment teams * Multiple trauma The Basics * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred * One-year experience in inpatient rehabilitation hospital setting preferred Job Code: 100131 License or Certification: * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred Education, Training and Years of Experience: * One year of experience in inpatient hospital setting preferred * Inpatient rehabilitation experience preferred Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer Physical Requirements: * Good visual acuity and ability to communicate * Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 30 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements * Ability to withstand prolonged standing and walking * Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipment Address: 900 Oak Mountain Commons Lane, Pelham 35124 Shift: Day Job Job ID: 1822600

H

Registered Nurse - PRN

Healthsouth Corporation Pelham AL, 35124

Encompass Health Rehabilitation Hospital of Shelby Now Hiring Registered Nurses Helping patients regain hope and independenc...

Posted 1 week ago

Encompass Health Rehabilitation Hospital of Shelby Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patients succeed in inpatient rehabilitation by supervising care and treatments provided by team members, leading patient assessments, creating personalized plans of care, communicating progress and targeting patient concerns, offering timely solutions. The Difference The importance of nursing to our rehabilitation hospitals can't be overstated. Comprehensive rehabilitation is planned and administered by a highly specialized and integrated team including physicians, nurses, physical therapists, respiratory therapists, speech therapists, occupational therapists, case managers and others. Rehabilitation nurses are a valuable resource and bring an important perspective to this interdisciplinary approach. Our rehabilitation nurses help the patients regain control of their lives and their independence, treating complex medical issues and redefining how care is provided. The Perks Only the best will do * Comprehensive medical, dental and vision plans * 401(k) * College savings plan * Employee assistance program * Pre-paid legal plan * and much more! The Patients Eighty percent of patients discharged directly home Our registered nursing teams get to know patients over two to four weeks on average, providing care for conditions such as: * Stroke * Spinal cord injury * Brain injury * Neurological disorders * Joint replacement * Amputation * Multiple trauma The Power Advanced tools to support patient progress * Advanced technologies * Evidence-based practice guidelines * Clinical outcomes to assess and improve treatment interventions * National outcomes database * Trained mentors * Internal and external education * Professional treatment teams * Multiple trauma The Basics * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred * One-year experience in inpatient rehabilitation hospital setting preferred Job Code: 100131 License or Certification: * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred Education, Training and Years of Experience: * One year of experience in inpatient hospital setting preferred * Inpatient rehabilitation experience preferred Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer Physical Requirements: * Good visual acuity and ability to communicate * Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 30 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements * Ability to withstand prolonged standing and walking * Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipment

D

Registered Nurse Educator (Staff Development)

Department Of Veterans Affairs Birmingham AL, 35202

* Videos * Duties HelpDuties Summary Read the announcement before you apply. Focus on the following sections to understand i...

Posted 3 days ago

* Videos * Duties HelpDuties Summary Read the announcement before you apply. Focus on the following sections to understand if you qualify for the position, or not: * Who May Apply * Duties, Responsibilities, Qualifications * How to Apply * Required Documents Learn more about this agency Responsibilities The Simulation (SimLEARN) Educator will execute responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care as it relates to clinical simulation education and training. The selectee will demonstrate performance and leadership to improve the care for Veterans by leading learners. The selectee is responsible for providing advice as appropriate and assistance in the implementation of clinical simulation curricula; coordinates educational program/project activities such as meetings, conferences, information gathering for various aspects of the program/project as appropriate and relates to courses; planning, promoting and developing educational design strategies for clinical simulation programs, and conducting clinical simulation training and education in support of SimLEARN curricula. Leading and organizing delivery of large health care system training and education (especially clinical simulation training) to ensure system wide adherence to established protocols, including system wide documentation of training; Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making, and evaluating outcomes of training; Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities; Systematically evaluating current practice, and assisting SimLEARN staff with formulating plans for the evaluation of outcomes for groups of learners, (patients as needed) and/or health care systems within the scope of the SimLEARN program; and Using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities. Additional duties will include the development and delivery of Patient Care Service staff and education programs. Work Schedule: Monday-Friday (8 hour shift) between the hours of (7am - 5:30pm) with flexibility to evenings, nights, and weekends to meet patient/staff needs. Financial Disclosure Report: Not required Travel Required Not required Supervisory status No Promotion Potential 00 * Job family (Series) 0610 Nurse Similar jobs * Educators, Health * Health Educators * Nurses, Psychiatric * Psychiatric Nurses * Requirements HelpRequirements Conditions of Employment * You must be a U.S. Citizen to apply for this job * Designated and/or random drug testing required * Selective Service Registration is required for males born after 12/31/1959 * You may be required to serve a probationary period * Subject to a background/security investigation * Must be proficient in written and spoken English * Selected applicants will be required to complete an online onboarding process * Must pass pre-employment physical examination Qualifications Basic Requirements: * United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. * Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. * Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: * Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. * Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. * Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. * Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. * Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Satisfactory physical examination as determined by the Employee Health Unit upon appointment only. The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. The VA Medical Center is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. This position requires visual acuity (glasses permitted), keen hearing (hearing aid permitted), clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking (up to 8 hours), standing (up to 8 hours), stooping, sitting, bending (up to 8 hours), pulling, and pushing. Light lifting under 15 lbs. Light carrying 15-44 lbs. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. Use of rapid mental and muscular coordination simultaneously. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. VA facilities must make reasonable accommodation for the physical or mental limitations of an applicant or employee who is a qualified person with a disability unless the accommodation would impose an undue hardship on the department or agency. VA facilities must make reasonable accommodation for the physical or mental limitations of an applicant or employee who is a qualified person with a disability unless the accommodation would impose an undue hardship on the department or agency. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

F

Outpatient Registered Nurse - RN

Fresenius Medical Care Bessemer AL, 35021

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of qu...

Posted 3 days ago

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. 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 FMCNA Quality Enhancement Goals (QEP). Supports the FMCNA's mission, vision, values, and customer service philosophy. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. 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 STAFF RELATED: * Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies * Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants * Assesses daily patient care needs and develops appropriate patient care assignments * Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures * Participates in staff training and orientation of new staff as assigned * Participates in all required staff meetings as scheduled PATIENT RELATED: Education: * Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD) * Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions * Discusses with patient, and records education related to diet/fluid and medication compliance * Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM) * Ensures transplant awareness, modality awareness, and drive catheter reduction * Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid * Dialysis Treatment: * Provides safe and effective delivery of care to patients with ESRD * Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated * Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. * Identifies and communicates patient related issues to Team Leader or physician * Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures * Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures * Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights * Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. * Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier * Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet * Laboratory-related: * Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System * Ensures appropriate preparation of lab requisitions for Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples * Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures * Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material * Ensures that all labs are directed and delivered to appropriate labs * Reports alert/panic and abnormal labs results to appropriate physician * Ensures lab results are forwarded to physicians as requested General duties: * Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments * Maintains overall shift operation in a safe, efficient, and effective manner * Act as a resource for other staff members * Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information * Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient * Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies * Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. * Oversees all documentation of patient information * Maintains facility drug list for all required stock medications * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest * Ensures verification and availability of adequate emergency equipment * Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated * Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. * Maintains appropriate recording of controlled substances as required by law * Assists with the coordination of patient transportation if necessary MAINTENANCE/TECHNICAL: * Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area * Ensures competency in the operation of all dialysis-related equipment safely and effectively * Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately * Ensures that all blood spills are immediately addressed according to FMCNA Blood-borne Pathogen Control Policies MEDICAL RECORDS & DOCUMENTATION: General * Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System * Ensures all appropriate patient related treatment data is entered into the Medical Information System * Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented * Ensures and verify accuracy of Patient Care Technician documentation Daily * Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff * Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises Monthly * Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports * Completes monthly nurses' progress note * Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms) * Reviews transplant status and follows established procedure regarding appropriate action to be taken * Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans * Completes any long-term programs that are due Annually * Completes initial and annual Nursing History and Assessment physical * Ensures completion of Annual Standing Order Review with each physician as required OTHER: * Performs additional duties as assigned. 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 for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. 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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. 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. EDUCATION * Graduate of an accredited School of Nursing. * Current appropriate state licensure * Must meet the practice requirements in the state in which he or she is employed * Education and Training qualifications per UltraCare CAP program requirements. EXPERIENCE AND REQUIRED SKILLS * Minimum of one-year medical-surgical nursing experience preferred * Hemodialysis experience preferred * ICU experience preferred * Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program. * Successfully complete a training course in the theory and practice of hemodialysis * Successfully complete CPR Certification * Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training * Must meet appropriate state requirements (if any) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Share *

F

Outpatient Registered Nurse - RN

Fresenius Medical Care Fairfield AL, 35064

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of qu...

Posted 3 days ago

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. 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 FMCNA Quality Enhancement Goals (QEP). Supports the FMCNA's mission, vision, values, and customer service philosophy. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. 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 STAFF RELATED: * Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies * Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants * Assesses daily patient care needs and develops appropriate patient care assignments * Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures * Participates in staff training and orientation of new staff as assigned * Participates in all required staff meetings as scheduled PATIENT RELATED: Education: * Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD) * Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions * Discusses with patient, and records education related to diet/fluid and medication compliance * Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM) * Ensures transplant awareness, modality awareness, and drive catheter reduction * Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid * Dialysis Treatment: * Provides safe and effective delivery of care to patients with ESRD * Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated * Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. * Identifies and communicates patient related issues to Team Leader or physician * Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures * Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures * Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights * Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. * Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier * Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet * Laboratory-related: * Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System * Ensures appropriate preparation of lab requisitions for Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples * Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures * Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material * Ensures that all labs are directed and delivered to appropriate labs * Reports alert/panic and abnormal labs results to appropriate physician * Ensures lab results are forwarded to physicians as requested General duties: * Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments * Maintains overall shift operation in a safe, efficient, and effective manner * Act as a resource for other staff members * Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information * Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient * Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies * Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. * Oversees all documentation of patient information * Maintains facility drug list for all required stock medications * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest * Ensures verification and availability of adequate emergency equipment * Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated * Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. * Maintains appropriate recording of controlled substances as required by law * Assists with the coordination of patient transportation if necessary MAINTENANCE/TECHNICAL: * Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area * Ensures competency in the operation of all dialysis-related equipment safely and effectively * Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately * Ensures that all blood spills are immediately addressed according to FMCNA Blood-borne Pathogen Control Policies MEDICAL RECORDS & DOCUMENTATION: General * Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System * Ensures all appropriate patient related treatment data is entered into the Medical Information System * Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented * Ensures and verify accuracy of Patient Care Technician documentation Daily * Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff * Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises Monthly * Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports * Completes monthly nurses' progress note * Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms) * Reviews transplant status and follows established procedure regarding appropriate action to be taken * Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans * Completes any long-term programs that are due Annually * Completes initial and annual Nursing History and Assessment physical * Ensures completion of Annual Standing Order Review with each physician as required OTHER: * Performs additional duties as assigned. 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 for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. 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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. 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. EDUCATION * Graduate of an accredited School of Nursing. * Current appropriate state licensure * Must meet the practice requirements in the state in which he or she is employed * Education and Training qualifications per UltraCare CAP program requirements. EXPERIENCE AND REQUIRED SKILLS * Minimum of one-year medical-surgical nursing experience preferred * Hemodialysis experience preferred * ICU experience preferred * Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program. * Successfully complete a training course in the theory and practice of hemodialysis * Successfully complete CPR Certification * Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training * Must meet appropriate state requirements (if any) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Share *

V

Registered Nurse Educator (Staff Development)

Veterans Affairs, Veterans Health Administration Birmingham AL, 35201

Duties Summary Read the announcement before you apply. Focus on the following sections to understand if you qualify for the posi...

Posted 4 days ago

C

Registered Nurse - (Jm26447)

Curo Health Services Alabaster AL, 35007

REGISTERED NURSE PRIMARY FUNCTION The Registered Nurse (RN) will provide direct patient care services to hospice patients and...

Posted 1 week ago

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

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Assistant Mgr Trainee

Wal-Mart Pelham AL, 35124

Position Description * Drives sales in assigned area * Drives the financial performance of assigned area * Ensures compliance wit...

Posted Yesterday

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Per Diem Home Health Registered Nurse (154424)

Gentiva Health Services, Inc. Birmingham AL, 35202

I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that's what our...

Posted 5 days ago

I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that's what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation's leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, delivers compassionate, high-quality care to patients and clients in their homes or places of residence, including non-medical personal assistance, skilled nursing and rehabilitation and hospice and palliative care. Our caregivers focus on each unique patient to deliver the appropriate care and emotional support to our patients and their families. I believe in working for a company that cares as much as I do. We offer a unique employment package that includes: * Unprecedented opportunities for career growth. * Clinical ladder for professional credentialing and advancement. * Innovative specialties with cutting-edge training and development. * Flexible full-time, part-time and PRN positions. I believe my work is my calling. As a Home Health Registered Nurse, you will: * Provide admission, case management, and follow-up skilled nursing visits for home health patients. * Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. * Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation. * Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides and external providers). * Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. * Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. * Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflect current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility. * Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation. * Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care. Required Skills Qualifications * Diploma, Associate or Bachelor Degree in Nursing * Minimum of one year nursing experience preferred * Strong med surg, ICU, ER, acute experience * Home Health experience a plus * Current and unrestricted Registered Nurse licensure * Current CPR certification * Strong organizational and communication skills Required Experience Keywords: ACLS, ANA, Acute care, Admissions Nurse, Admission Nurse, BLS, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management, case manager, critical care, ER, Emergency Room, Healthcare, health care, Homecare, home care, home health, homehealth, hospital, ICU, intensive care unit, MSN, medical, medical care, med surg, med-surg, medicare, Nurse, Nurse Care Manager, Nurse Job, Nurse Jobs, oncology RN, oncology nurse, oncology registered nurse, palliative care nurse, ortho nurse, ortho RN, ortho registered nurse, palliative care RN, palliative care registered nurse, registered nurse, RN Job, RN Jobs, Registered Nurse Job, Registered Nurse Jobs, Nursing, Oasis, PRN, PDM, progressive care nurse, rehab RN, rehab registered nurse, rehab nurse, Registered Nurse, Registered Nurse Case Manager, RN, R.N., RN Case Manager, skilled visit, staff RN, staff nurse, staff registered nurse, step down unit, step-down unit, step down unit RN, tele, telemetry, telemetry nurse, telemetry RN, travel nurse, travel RN, travel registered nurse, visit nurse ~MON~ All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin. To learn more, please contact your local recruiter at (toll free) 855-KND-AT-HOME

Nurse Practitioner/Physician Assistant

Registered Nurse - PRN

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Registered Nurse Educator (Staff Development)

Outpatient Registered Nurse - RN

Outpatient Registered Nurse - RN

Registered Nurse Educator (Staff Development)

Registered Nurse - (Jm26447)

Assistant Mgr Trainee

Per Diem Home Health Registered Nurse (154424)

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Registered Nurse Educator (Staff Development)

Outpatient Registered Nurse - RN

Outpatient Registered Nurse - RN

Registered Nurse Educator (Staff Development)

Registered Nurse - (Jm26447)

Assistant Mgr Trainee

Per Diem Home Health Registered Nurse (154424)

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