emergency department nurse

HiredFirst

<div>Job Title: ARNP &ndash; Emergency Department 
Location: Elma, WA
Overview: 
We&rsquo;re looking for a skilled and confident Advanced Registered Nurse Practitioner (ARNP) to join a fast-paced Emergency Department in Elma, WA. If you thrive in high-acuity settings and enjoy making a real impact, this is a great opportunity to work with a supportive team while delivering top-quality patient care.
Responsibilities:<ul><li>
Assess, diagnose, and treat patients in the Emergency Department</li><li>
Perform procedures and manage acute and chronic conditions</li><li>
Collaborate with physicians, nurses, and support staff</li><li>
Order and interpret diagnostic tests</li><li>
Provide patient education and discharge planning</li><li>
Maintain accurate and timely documentation</li></ul>
Requirements:<ul><li>
Active Washington ARNP license</li><li>
Board certification as a Nurse Practitioner</li><li>
Minimum 3 year of Emergency Department experience preferred</li><li>
Strong clinical judgment and decision-making skills</li><li>
Ability to work in a fast-paced, high-pressure environment</li></ul>
Schedule &amp; Compensation:<ul><li>
Flexible scheduling (day/night shifts available)</li><li>
Competitive pay (based on experience)</li><li>
Additional compensation and incentives may be available</li></ul>
Why Join Us?<ul><li>
Supportive, team-oriented environment</li><li>
Opportunity to work in a critical access setting with diverse cases</li><li>
Make a meaningful impact in a close-knit community</li></ul>
#Workwolf</div>

ARNP – Emergency Department

Tenet Healthcare

<div><h3 class="jobSectionHeader">Overview</h3> 
﻿
Embark on a rewarding career with Metrowest Medical Center - Consolidated hospital. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch. 
 
At Metrowest Medical Center - Consolidated, we understand that our greatest asset is our dedicated team of professionals. That&rsquo;s why we offer more than a job &ndash; we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
<ul>
<li>Medical, dental, vision, and life insurance</li>
<li>401(k) retirement savings plan with employer match</li>
<li>Generous paid time off</li>
<li>Career development and continuing education opportunities</li>
<li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li>
<li>Employee Assistance program, Employee discount program</li>
<li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance</li>
</ul>
Note: Eligibility for benefits may vary by location and is determined by employment status
<h3 class="jobSectionHeader">Job Summary</h3>
Under the direction of the director, assumes a leadership role in the overall functioning of the unit. An experienced Registered Nurse, who in addition to providing direct patient care, is accountable for facilitating an interdisciplinary approach to patient care, patient flow, staffing, resource utilization and problem solving. Assists the director in monitoring and evaluating staff performance based on established standards of care.
<h3 class="jobSectionHeader">
Responsibilities</h3>
<ul><li>Assists staff in applying the nursing process in the management of patients with complex needs</li><li>
Assists in identifying educational needs of the unit staff and works collaboratively with Professional Practice Department.</li><li>
Anticipates and solves patient clinical and customer service needs while addressing long term solutions.</li><li>
Facilitates communication and collaboration with co-workers, other disciplines, and other departments in identifying customer service needs.</li><li>
Coordinates unit based staffing assignments on a shift basis to achieve high quality and cost effective care.</li><li>
Performs related duties as required</li></ul>
<h3 class="jobSectionHeader">Qualifications</h3>
<ul><li>Required:<ul><li>
Education: Associates Degree in Nursing</li><li>
Experience: 3-5 years of Emergency Department Nursing experience</li><li>
Licensure/Certification: Current licensure as a Registered Nurse in the Commonwealth of Massachusetts</li></ul></li><li>
Preferred:<ul><li>
Education: BSN referred</li></ul></li></ul>
<h3 class="jobSectionHeader">Organization Description</h3>
﻿
MetroWest Medical Center has been serving the community since we opened as the first public medical facility in Framingham in 1893. MetroWest Medical Center is comprised of Framingham Union Hospital and Leonard Morse Hospital, a unique behavioral health specialty center located in Natick dedicated to the mental health of our community. At Framingham Union Hospital, youll find comprehensive health care services for the entire family including 24-hour emergency care, advanced cardiac care, high-tech cancer treatments and advanced maternity care including our Special Care Level IIB nursery and high-risk pregnancy care. MetroWest Medical Center was recognized by the Joint Commission with a Gold Seal of Approval, a symbol of quality that reflects our commitment to meeting performance standards and providing safe and effective patient care. Our skilled cardiac team was recognized as one of Healthgrades Americas 100 best hospitals for Coronary Intervention and ranked among the top 5% in the nation for coronary interventional procedures in 2023. At MetroWest Medical Center, you can grow your career skills and be a vital member of our team dedicated to improving the health of our community. Join us!
Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. 
Tenet participates in the E-Verify program. Follow the link below for additional information. 
E-Verify: http://www.uscis.gov/e-verify 
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2503036704</div>
 
<ul><li>Assists staff in applying the nursing process in the management of patients with complex needs</li><li>
Assists in identifying educational needs of the unit staff and works collaboratively with Professional Practice Department.</li><li>
Anticipates and solves patient clinical and customer service needs while addressing long term solutions.</li><li>
Facilitates communication and collaboration with co-workers, other disciplines, and other departments in identifying customer service needs.</li><li>
Coordinates unit based staffing assignments on a shift basis to achieve high quality and cost effective care.</li><li>
Performs related duties as required</li></ul>
 
<ul><li>Required:<ul><li>
Education: Associates Degree in Nursing</li><li>
Experience: 3-5 years of Emergency Department Nursing experience</li><li>
Licensure/Certification: Current licensure as a Registered Nurse in the Commonwealth of Massachusetts</li></ul></li><li>
Preferred:<ul><li>
Education: BSN referred</li></ul></li></ul>

Clinical Coordinator

Stanford Health Care

<div>0.9 FTE Full time Rotating - 12 Hour R2654754 Onsite 107040001 Med Transport Lifeflight Nursing PALO ALTO, 300 Pasteur Dr, California
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. 

Rotating - 12 Hour (United States of America)
Stanford Life Flight is seeking a dynamic and self-motivated registered nurse to join our talented and amazing team. Stanford Life Flight is based at Stanford Hospital, a Level 1 Trauma Center, academic medical center, and world class major quaternary referral site. Our service provides critical care transport within California and beyond. We are a team who values your years of critical care and ED nursing experience. Team members participate in all aspects of operations: safety, education, standards, outreach, quality improvement, and equipment.
This is a Stanford Health Care job.
A Brief Overview
The Clinical Nurse (CN) is an RN who provides hands-on care to patients, practicing in an evidence-based manner, within the Scope of Practice of the California Nursing Practice Act, regulatory requirements, standards of care, and hospital policies. Within that role, the CN performs all steps of the nursing process, including assessing patients; interpreting data; planning, implementing, and evaluating care; coordinating care with other providers; and teaching the patient and family the knowledge and skills needed to manage their care and prevent complications. The CN partners with the patient's family wherever possible, considering all aspects of care, to deliver family centered care. As a professional, monitors the quality of nursing care provided.
The Clinical Nurse is responsible for his/her own professional development, including licensure, Basic Life Support (BLS) certification, and maintaining current knowledge regarding the assigned patient population.
As a member of the nursing profession, the Clinical Nurse contributes to the profession of nursing through such activities as teaching others, sharing expertise In unit or hospital.
Please note: A Nurse who voluntarily agrees to work in a &quot;weekends only&quot; position is not eligible for premium pay under Section 17.2.
Our Clinical Nurse (RN) job classification is represented by the Committee for Recognition of Nursing Achievement (CRONA). CRONA is an independent union for Registered Nurses at Stanford Health Care and Lucile Packard Children's Health Stanford. For more information, please visit the CRONA website at https://www.crona.org/.
NOTE: Advanced Cardiovascular Life Support (ACLS) certification may be required by the cost center in which the position resides. Please check AskHR for a complete listing of those cost centers requiring the ACLS certification.
Locations
Stanford Health Care
What you will do<ul><li>
The Helping Role Establishes Therapeutic Relationships: Creates and maintains a climate conducive to healing through being present to the patient and family, identifying and managing discomforts; providing emotional support and information; guiding the patient and family through phases of illness and recovery/passage to death and in accordance with the patient's goals and culture. Mobilizes the patient's strengths and abilities towards participation in recovery and control over plan of care.</li><li>
Diagnostic and Monitoring Functions: Obtains accurate and relevant assessment data and interprets the data as normal vs abnormal. Determines nursing diagnosis. Monitors and evaluates data as frequently as needed based on stability.</li><li>
Plans and Implements Therapeutic Interventions: Collaborates with the patient, family and members of health care team to develop an individualized plan of care. Implements nursing and medical interventions safely. Evaluates effectiveness of interventions and monitors patient for adverse responses and side effects.</li><li>
Teaching and Coaching, Patient and Staff Teaching: Assesses a patient's and family's learning needs and readiness to learn. Teaches needed information for self-care and illness prevention. Adjusts information and expectations based on responses from patient, developmental levels, physiological and psychological condition, and cultural variations. Teaches other staff members both incidentally and/or through formal roles such as preceptor or super-user.</li><li>
Effective Management of Rapidly Changing Situations: Ability to rapidly grasp problem situations and respond quickly and appropriately. Identifies the need for and activates emergency protocols.</li><li>
Monitors and Ensures Quality Healthcare Practices: Monitors own practices and assists in monitoring others for practices related to patient and employee safety and compliance to standards and policies. Looks for opportunities for continual improvement in patient care and the work environment.</li><li>
Organization and Work Role Functions: Integrates multiple requests and work expectations by setting priorities, delegating tasks appropriately, and seeking assistance as needed.</li><li>
Priorities: Contributes to team building through participation in unit programs and meetings; contributes to positive morale, using constructive and effective conflict resolution skills.</li><li>
Management and Delegation: Learns and utilizes the available technology for communication, documentation, and locating information regarding unusual clinical situations, diagnosis, and treatments. Contributes to the knowledge and skill of other members of the nursing staff through one or more activities such as formal or informal teaching, participation on Shared Governance groups, professional publications and/or presentations.</li><li>
Education: Attains knowledge and competence that reflects current nursing practice. Demonstrates commitment to lifelong learning.</li><li>
Communication: Communicates effectively in a variety of formats in all areas of practice.</li><li>
Leadership: Demonstrates leadership in the professional practice setting and the profession.</li><li>
Professional Practice Evaluation: Evaluates own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations.</li></ul>
Education Qualifications<ul><li>
Bachelor of Science in Nursing (BSN) from an accredited college or university preferred.</li></ul>
Experience Requirements<ul><li>
5 years of Intensive Care and/or Emergency Department experience required</li><li>
Intra Aortic Balloon Pump (IABP) and Extra Corporeal Membrane Oxygenation (ECMO) experience preferred.</li><li>
Rotor-wing air medical experience preferred.</li></ul>
Required Knowledge, Skills and Abilities<ul><li>
Able to communicate effectively in English.</li></ul>
Licenses and Certifications<ul><li>
Current American Heart Association Certification for Basic Life Support for Healthcare Providers .</li><li>
CA-RN (Registered Nurse).</li><li>
Current American Heart Association Certification for Advanced Cardiac Life Support (ACLS) for Healthcare Providers.</li><li>
Current American Heart Association Certification for Pediatric Advanced Life support (PALS) for Healthcare Providers.</li><li>
Neonatal Resuscitation Program (NRP) certification.</li><li>
Transport Provider Advanced Trauma Course (TPATC) preferred.</li><li>
Critical Care Registered Nurse (CCRN) preferred.</li><li>
Certified Flight Registered Nurse (CFRN) preferred.</li><li>
Certified Emergency Room Nurse (CEN) preferred.</li></ul>
Physical Demands and Work Conditions
Physical Demands<ul><li>
Frequent (please list each item under Comments). The work involves considerable exertion such as frequent lifting of 
patients and equipment, bending and stooping, and walking. The work environment involves moderate risks or 
discomforts which require special safety precautions, e.g. working with risk of exposure of contagious disease, 
radiation or infection, working with emotionally disturbed patients. Precautions are routine for nearly all 
situations. The employee might be required to use protective clothing or gear.
</li></ul>Blood Borne Pathogens<ul><li>
Category I - Tasks that involve exposure to blood, body fluids, or tissues</li></ul>
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient &amp; Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford&rsquo;s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family&rsquo;s perspective:
<ul><li>Know Me: Anticipate my needs and status to deliver effective care</li><li>
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health</li><li>
Coordinate for Me: Own the complexity of my care through coordination</li></ul>
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $96.35 - $111.14 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.</div>

Clinical Nurse (RN) - Life Flight - 0.9 FTE, 12-HR, Rotating Shift

Penn Medicine

<div>Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. 
 
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? 
Come join our award-winning ED team!
Penn Presbyterian's ED was recently one of 29 EDs across the country to be recognized by the Emergency Nurses Association (ENA) as a Lantern Award recipient. This award recognizes emergency departments for exemplary professional practice and innovative performance in the areas of leadership, practice, education, advocacy, and research.
Penn Presbyterian's ED specializes in the immediate recognition, evaluation, and treatment of unexpected illnesses or injuries. Open 24 hours a day, seven days a week, the ED is equipped and ready to provide patients with excellent emergency care for all medical and surgical problems. ED nurses work with health care professionals in the surrounding community and from around the world to establish long-term, collaborative relationships. PPMC's ED nurses are committed to being reliable and trustworthy resources for helping provide the most advanced treatment options to meet the needs of patients. They strive to maintain open lines of communication with physicians and their patients to ensure that each patient's care is as seamless as possible. Penn Presbyterian&rsquo;s ED has undergone a complete renovation to better serve its patients and the community. Some of the modifications include: Enlarged patient waiting and registration areas, all private single patient exam rooms, new staff and public entrances on Powelton Avenue, two new resuscitation rooms, a state of the art patient care room dedicated to eye emergencies, a medical imaging suite, an expanded and fully computerized nursing station, computerized charting systems, wireless bedside registration capability, the addition of the trauma service line, and a redesigned front end to expedite patient flow.
Summary: 
<ul><li>
The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model.</li><li>
The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse 2 position description addendum.</li><li>
The Clinical Nurse 2 Colleague exhibits UPHS organizational behavioral competencies which reflect its mission and are embedded in the professional practice competency domains.</li><li>
The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly.</li><li>
The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology/Informatics, and Teamwork (Definitions listed below).</li><li>
The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients.</li><li>
The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies.</li></ul>
Responsibilities: 
<ul><li>
Professional Practice Competency Domains Definitions</li><li>
Continuous Quality Improvement (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable.</li><li>
Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness.</li><li>
Leadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine.</li><li>
Person and Family Centered Care: The nurse recognizes the patient (or the patient&rsquo;s designee) as the source of control and a full partner in providing compassionate and coordinated care based on respect for the patient&rsquo;s preferences, values, and needs.</li><li>
Professionalism: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA&rsquo;s Code of Ethics for Nurses, participation in a professional organization and advancing community outreach.</li><li>
Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance.</li><li>
Technology/Informatics: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum.</li><li>
Teamwork: The nurse effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams</li></ul>
Credentials: 
<ul><li>
Basic Cardiac Life Support (Required)</li><li>
BLS/CPR, as a healthcare provider as per the American Heart Association.</li><li>
Registered Nurse - PA (Required)</li><li>
Pennsylvania RN licensure</li></ul>
Education or Equivalent Experience: 
<ul><li>
Bachelor of Science Nursing (Required)</li><li>
BSN from an accredited school of nursing and More than 15 months relevant professional nursing experience and completion of the Nurse Residency Program, if applicable.</li></ul> 

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. 
 
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.</div>

Clinical Nurse 2- Inpatient FT nights ED - Penn Presbyterian

UF Health

<div>Overview:
<div>
Job Duties</div><div>
An Advanced Practice Provider IV (APP IV) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia.</div><div>
Clinical Area: Provides care primarily in the inpatient and/or critical care, Labor &amp; Delivery and/or emergency department settings; &gt; 50% inpatient hospital-based setting.</div>
Responsibilities:
<div>
Essential Functions</div><ul><li>Performs or assist with procedures of higher complexity in office, inpatient unit, operating room, or emergency department. May perform first assist functions in the operating room setting. Call coverage may be required specific to departmental needs</li><li>May provide education and instruction.</li><li>Monitoring or management of medical/ invasive devices and placement of devices within scope of practice. May manage care of Pre-/ post- operative and pre-/ post- procedure patients.</li><li>Conducts high level evaluation and triage specific to the specialty/ subspecialty including patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, differential diagnoses, ordering of ancillary studies, medical decision making, treatment and stabilization.</li><li>Formulates comprehensive health management plans for patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions.</li><li>Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, quality improvement projects, etc., as appropriate. Participates in professional development opportunities and introduces innovation in practice where applicable.</li><li>Enters pertinent clinical information in the patient&rsquo;s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, My Chart messages, and other EMR communications in accordance with institutional requirements.</li><li>Educates and counsels patients/families regarding their health care, including routine health maintenance.</li><li>Calls and responds to consults, handles discharge planning, and schedules procedures routinely.</li><li>Actively participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers</li><li>May be required to take call coverage</li><li>Additional duties as assigned</li></ul>
Qualifications:
<div>
Experience Requirements</div><div>
2 years Critical Care, Labor &amp; Delivery /ED/OR care settings preferred</div><div>
Education Requirements</div><div>
High School Diploma or GED required</div><div>
Masters Nursing Practitioner required or</div><div>
Masters Physician Assistant program required</div><div>
Certification/Licensure</div><div>
Advanced Practice Registered Nurse(APRN) Licensure required at time of hire or</div><div>
Physician Assistant (PA) Licensure in State of Florida/Georgia required at time of hire</div><div>
Basic Cardiac Life Support (BCLS) required at time of hire</div><div>
Advanced Cardiac Life Support (ACLS) preferred</div><div>
Pediatric Advanced Life Support (PALS) preferred at time of hire</div><div>
New Grads in Orthopedics must acquire DEA within 90 days of hire</div><div>
Travel up to 25%</div><div>
UFJPI is an Equal Opportunity Employer and Drug Free Workplace</div></div>

Advanced Practice Provider IV | Neurology Downtown | Days | Part Time

Children's Hospital of Philadelphia

<div>SHIFT:
Any (United States of America)
Seeking Breakthrough Makers 
 
Children&rsquo;s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. 
 
At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care&mdash;and your career. 
 
CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. 
 
A Brief Overview 
The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care. 
 
The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. Clinical Nurses practice in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site. 
 
What you will do<ul><li>
Clinical Practice</li><li>
Follows the nursing process to deliver safe, compassionate, and culturally effective care.</li><li>
Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated.</li><li>
Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate.</li><li>
Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care.</li><li>
Develops, implements and/or revises the patient&rsquo;s plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team.</li><li>
Care is coordinated across the continuum &ndash; understands and utilizes case management resources.</li><li>
Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes.</li><li>
Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation.</li><li>
Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families.</li><li>
Evaluates and documents the care provided on each assigned shift.</li><li>
Accountable for the rapid adoption and implementation of clinical practice changes into own practice.</li><li>
Communication</li><li>
Documents the evaluation of nursing interventions and outcomes of nursing care utilizing hospital standards, policies and procedures.</li><li>
Consistently follows safe hand-off practices as defined in patient care standards and procedures.</li><li>
Utilizes and exemplifies safety behaviors for error prevention. Identifies potential safety concerns and communicates with unit leadership as appropriate. Enters safety nets when applicable, including good catch/near miss situations.</li><li>
Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate with patients/ families, and colleagues.</li><li>
Encourages patient/family self-advocacy.</li><li>
Collaboration</li><li>
Demonstrates effective teamwork as a member of the interdisciplinary care team, fostering and exemplifying a culture of respect. Recognizes/addresses situations where disrespectful collaboration may impact patient care and/or create non-collaborative relationships. Seeks resources as needed to resolve situations involving incivility and/or disrespect.</li><li>
Actively participates in interdisciplinary patient care rounds and/or meetings and makes recommendations to the plan of care that reflect nursing goals, interventions, and expected outcomes. Revises the plan of care according to the patient care decisions made on rounds.</li><li>
Incorporates evidence based practice into direct clinical care in collaboration with other members of the multidisciplinary team.</li><li>
Develops and implements effective partnerships with members of the ancillary staff; delegates tasks effectively to assure comprehensive nursing care is provided.</li><li>
Develops and sustains professional, well- boundary, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense.</li><li>
Professional Development</li><li>
Models appearance and behaviors that promote a positive image of professional nursing.</li><li>
Expands clinical judgment and critical thinking skills with increased experience</li><li>
o Demonstrates mastery of the principles of Family Centered Care, including dignity and respect, information sharing, participation, and collaboration.</li><li>
Demonstrates understanding of optimal patient/family experiences and incorporates into care delivery. Has a working knowledge of patient/family experience results (NRC Picker) at the unit and organizational level. Participates and/or leads in initiatives to improve satisfaction scores.</li><li>
Practices within a shared decision making environment. Familiar with and participates in Shared Governance council activities at the unit and/or department level. Progresses to leading council activities at the unit and/or department levels.</li><li>
Familiar with Magnet designation and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion.</li><li>
Demonstrates fiscal stewardship:</li><li>
o Manages own time to accomplish direct/indirect care in a cost-effective manner</li><li>
o Conserves unit and organizational resources; assures supplies are not wasted or misused.</li><li>
o Does not incur incidental overtime.</li><li>
o Understands the implications of the cost of staffing decisions.</li><li>
o Identifies observed opportunities for cost savings.</li><li>
Well informed about the Professional Advancement Program (PEAK) and considers the opportunity to participate.</li><li>
Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology.</li><li>
Understands nursing sensitive outcomes and knows how to navigate the nursing scorecard. Participates and/or leads improvement initiatives to improve outcomes.</li><li>
Identifies own learning needs and actively assures learning needs are met.</li><li>
o Seeks out opportunities to meet needs and attends all required programs.</li><li>
o Maintains CEU&rsquo;s for nursing licensure.</li><li>
o Maintains compliance with mandatory education and annual nursing competencies.</li><li>
Recognizes individual preferences regarding an environment of constant change and understands change management. Develops effective methods to cope with and incorporate learning from a fast-paced, ever changing environment.</li><li>
Understands the principles and methodology of quality improvement; progresses to participating in and/or leading QI initiatives at the unit or organizational level.</li><li>
Understands and contributes to the science of nursing:</li><li>
o Develops a sense of inquiry.</li><li>
o Reads articles pertinent to the patient population.</li><li>
o Performs literature reviews.</li><li>
o Develops clinical questions and advances understanding and application of evidence based practice.</li><li>
o Understands the nursing research process and utilizes resources to participate in research projects.</li><li>
Participates in activities that contribute to improving the health of the community.</li></ul>
Education Qualifications<ul><li>
Technical Diploma Nursing Required</li><li>
Bachelor's Degree Nursing Preferred</li></ul>
Experience Qualifications<ul><li>
At least one (1) year RN experience. Required</li><li>
Prior experience in pediatrics or area of specialty Preferred</li></ul>
Skills and Abilities<ul><li>
Computer Competency</li><li>
Basic use of a computer (mouse, keyboard, printer, USB ports).</li><li>
Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).</li><li>
Web browsing, intranet search, document access.</li><li>
Use of shared network file space.</li><li>
Basic use of patient facing technology (e.g. IV pumps, point of care devices, CR monitors).</li><li>
Navigation and use of clinical communication systems.</li><li>
Information Literacy</li><li>
Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.</li><li>
Accesses needed information effectively and efficiently.</li><li>
Evaluates information and its sources critically and appropriately incorporates it into clinical practice.</li><li>
Evaluates outcomes of the use of information.</li><li>
Information Management Literacy</li><li>
Navigation of the electronic health record system.</li><li>
Ability to locate and review specific patient data in various clinical information systems.</li><li>
Effectively uses clinical decision support tools.</li><li>
Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.</li><li>
Ability to collect clinical data using quality improvement tools.</li></ul>
Licenses and Certifications<ul><li>
Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or</li><li>
Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or</li><li>
Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or</li><li>
Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required and</li><li>
Cardiopulmonary Resuscitation (CPR) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required</li></ul> 
To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. 
 
EEO / VEVRAA Federal Contractor | Tobacco Statement
SALARY RANGE:
$47.15 - $56.72 Hourly
Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.
-
At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.</div>

Clinical Nurse, Emergency Department

CHRISTUS Health

<div>Description 
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women&rsquo;s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary:
The Paramedic is a certified and/or licensed paramedic and is part of the hospital&rsquo;s Emergency Department patient care team. Reporting to the ED Nursing Director or Nursing Manager, the Paramedic collaboratively works in a complementary and assistive role with nursing. Under the direct clinical supervision of the licensed physician present in the same area or adjacent area, the paramedic provides assistance and performs procedures, and is authorized to provide advanced life support, administer medications and perform a patient evaluation of signs and symptoms based on their field skill sets. The Paramedic assists the nursing staff in providing patient care in accordance with training, competence and skill. He/she is knowledgeable of and follows all hospital policies and procedures. Consistently assists the patient care team with maintaining a clean, well-organized, adequately stocked and safe patient environment.
Responsibilities:
<ul><li>Completely operates patient monitoring equipment, records, rhythm strips, runs 12 lead EKGs, biomarkers, and glucometer readings under the direction of the licensed physician.</li><li>
Performs phlebotomy, collects laboratory specimens as ordered and inserts saline lock, Foley catheter and nasal gastric tubes under the direction of the licensed physician.</li><li>
Assist in patient care, obtains and documents vital signs, provides patient hygiene, maintains clear and respectful communications with patients, families, and the healthcare team.</li><li>
Maintains a clean and safe environment and manages all assigned supplies and equipment.</li><li>
Demonstrates proficiency in setting up and performing procedures as delegated.</li><li>
Transports patients to radiology and nursing units (except ICU) utilizing appropriate transport and monitoring equipment.</li><li>
It is the responsibility of the Paramedic to comply with the Hospital&rsquo;s defined job description and competencies.</li><li>
Performs other duties as assigned.</li></ul>
Requirements:
Education/Skills
<ul><li>High School Graduate or equivalent required</li><li>
Successfully passed paramedic exam</li></ul>
Experience
<ul><li>One year of experience as a Paramedic in a 9-1-1 or hospital setting required; 3 years preferred.</li></ul>
Licenses, Registrations, or Certifications
<ul><li>Current certification as an EMT-P in the state of Texas</li><li>
Current BLS, ACLS and PALS Certifications</li><li>
NRP within 90 days of hire</li></ul>
Work Schedule: 
7AM - 7PM
Work Type:
Part Time</div>

Paramedic - Emergency Department

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