Nurse Practitioner: Flexible Schedule and Excellent Source forSupplemental Income! Perform Health Risk Assessments (HRAs)on patients in theirhomes Nurse Practitioners with HRA experience preferred Nurse Practitioners conduct comprehensive in-home health riskassessment to identify all active and chronic disease conditions as well asdetermine all physical, mental and social needs present at the time of thevisit Nurse Practitioners will obtain vital signs, measure BMI, reviewpharmacological therapy and conduct a physical examination Nurse Practitioners educate and counsel patient and family onany conditions identified during assessment and screening procedures. Part time and Flexible: Set your own hours, must be availablefor at least 8-10 weekly hours (visits can be scheduled 7 days a week) Fixed Payment at $130 per in-home screening; mileage and no show reimbursement Each screening takes 1hr. on average and there is no prescribing Malpractice Coverage, paid training, scheduling and EMR systemprovided Requirements: <ul> <li> Must have active Nurse Practitioner state license </li><li> Must have active Nurse Practitioner Board Certification </li><li> Must have valid state driver license and automobile insurance </li><li> Knowledge of clinical standards of care </li><li> Ability to complete and clear a background and credentialing screen </li><li>COVID vaccination NOT required</li></ul><ul> </ul><ul></ul><img src="https://www.jobg8.com/Tracking.aspx?TyjQeh3p4%2fNd%2fI%2fYawPVtwm" width="0" height="0" />

**Nurse Practitioner**

Join our team as a Nurse Practitioner with a flexible schedule and an excellent source for supplemental income!

**Job Description**

- Perform health risk assessments (HRAs) on patients in their homes
- Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions as well as determine all physical, mental, and social needs present at the time of the visit
- Obtain vital signs, measure BMI, review pharmacological therapy, and conduct a physical examination
- Educate and counsel patients and families on any conditions identified during assessment and screening procedures
- Set your own hours, must be available for at least 8-10 weekly hours (visits can be scheduled 7 days a week)
- Fixed payment at $130 per in-home screening; mileage and no-show reimbursement
- Each screening takes 1 hour on average, and there is no prescribing
- Malpractice coverage, paid training, scheduling, and EMR system provided

**Requirements**

- Must have active Nurse Practitioner state license
- Must have active Nurse Practitioner Board Certification
- Must have valid state driver license and automobile insurance
- Knowledge of clinical standards of care
- Ability to complete and clear a background and credentialing screen
- COVID vaccination not required

Family Practice/Primary Care Nurse Practitioner

Job Description & Requirements Occupational Therapist - Acute - (OT - Acute) StartDate: ASAP Available Shifts: 10 D Pay Rate: $2129.80 - $2333.71 Well respected hospital is seeking an OT who is highly motivated and energetic to join the team. Candidates must be willing to support a friendly, positive and professional environment Required Qualifications Occupational Therapist, Acute Experience: 2 years Licenses: OT-OR 2+ YRS EXP OR LICENSE Preferred Qualifications 2+ YRS EXP OR LICENSE About the Facility Serving residents of Sunnyside and Clackamas County, this 233-bed medical center is a member of the esteemed Kaiser Permanente group and offers the same world class healthcare that patients have come to associate with its parent group. The Sunnyside Medical Center is Clackamas County's only heart surgery facility and offers a wide range of services, including cancer treatment, dialysis, psychiatric care, and neonatal care, among others. The hospital originally opened its doors in 1975 and it has grown markedly since then, most recently seeing a $150 million expansion in 2009. Facility Location A suburb of Portland, Oregon's most populous city, Clackamas offers the cultural experiences of the big city and the privacy and low cost of living of a small town. Clackamas boasts no shortage of entertainment and outdoor options within its own city limits, including an aquatic park, a wealth of campgrounds and access to the unspoiled natural beauty of Mt. Hood. Mt. Hood territory offers visitors agritourism, winery and farm tours, as well as extensive camping and hiking options. Clackamas is truly Pacific Northwest living at its finest. Job Benefits Allied travel assignments are typically for 13 weeks and offer generous packages that include: <ul> <li> Competitive pay rates</li> <li> Medical, Dental, Vision</li> <li> 401(k) and Flex Spending</li> <li> Life Insurance</li> <li> Accident and Short-term Disability Coverage</li> <li> Free Continuing Education</li> <li> Competitive Housing Deal</li> <li> Refer a friend and earn extra cash!</li> </ul> About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. occupational therapist, occupational therapy, OT, therapist, patient care, healthcare, health care, acute care occupational therapist, acute occupational therapist, acute, occupational therapy assistant<img src="https://www.jobg8.com/Tracking.aspx?43QUVNYFlvH9IefD9xmb1gb" width="0" height="0" />

**Occupational Therapist - Acute**

Well respected hospital is seeking an Occupational Therapist who is highly motivated and energetic to join the team. Candidates must be willing to support a friendly, positive, and professional environment.

**Job Description**

- Start date: ASAP
- Available shifts: 10 D
- Pay rate: $2129.80 - $2333.71

**Requirements**

- Occupational Therapist, Acute
- Experience: 2 years
- Licenses: OT-OR

**Benefits**

- Competitive pay rates
- Medical, dental, vision
- 401(k) and flex spending
- Life insurance
- Accident and short-term disability coverage
- Free continuing education
- Competitive housing deal
- Refer a friend and earn extra cash!

**Community Overview**

Serving residents of Sunnyside and Clackamas County, this 233-bed medical center is a member of the esteemed Kaiser Permanente group and offers the same world-class healthcare that patients have come to associate with its parent group. The Sunnyside Medical Center is Clackamas County's only heart surgery facility and offers a wide range of services, including cancer treatment, dialysis, psychiatric care, and neonatal care, among others. The hospital originally opened its doors in 1975 and it has grown markedly since then, most recently seeing a $150 million expansion in 2009.

A suburb of Portland, Oregon's most populous city, Clackamas offers the cultural experiences of the big city and the privacy and low cost of living of a small town. Clackamas boasts no shortage of entertainment and outdoor options within its own city limits, including an aquatic park, a wealth of campgrounds, and access to the unspoiled natural beauty of Mt. Hood. Mt. Hood territory offers visitors agritourism, winery and farm tours, as well as extensive camping and hiking options. Clackamas is truly Pacific Northwest living at its finest.

Therapist / Occupational Therapist / Oregon / Occupational Therapist - Acute - (OT - Acute) Job

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: <ul> <li>Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.</li> <li>Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.</li> <li>Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.</li> <li>Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.</li> </ul> Basic Qualifications: Experience <ul> <li>Minimum nine (9) months of RN experience.</li> </ul> <ul><li>Minimum two (2) years recent ICU nursing experience.</li></ul> Education <ul><li>Graduate of an accredited nursing program.</li></ul> License, Certification, Registration <ul><li>Registered Nurse License (Oregon)</li></ul> <ul><li>Basic Life Support required at hire</li></ul> <ul><li>NIH Stroke Scale Certificate within 3 months of hire</li></ul> <ul><li>Advanced Cardiac Life Support</li></ul> Additional Requirements: <ul><li>Computer keyboarding skills.</li></ul> <ul> <li>Drug calculation experience.</li> <li>Experience in Cardiac Rhythm Recognition.</li> </ul> Preferred Qualifications: <ul> <li>Previous health care experience.</li> <li>Bachelors degree in nursing or related field.</li> </ul> <ul> <li>CCRN, SCRN or other certification.</li> <li>Dialysis, SLED or equivalent.</li> </ul><img src="https://www.jobg8.com/Tracking.aspx?n26icLExobXiSJ8Va2mCJAh" width="0" height="0" />

**Registered Nurse**

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing, and evaluating nursing care for patients and coordinating nursing care activities with other health care disciplines.

**Job Description**

- Performs accurate multi-system assessments, including biophysical, psychosocial, environmental, self-care, education needs, and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patients throughout hospitalization. Performs complete discharge assessment.
- Develops an individual nursing plan of care that is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients' condition and scope of practice of other health care providers. Establishes priorities for patient care. Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physician's plan of care. Accurately documents in the EMR. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patients' response to treatment. Participates in unit quality assurance activities.

**Requirements**

- Minimum nine (9) months of RN experience.
- Minimum two (2) years recent ICU nursing experience.
- Graduate of an accredited nursing program.
- Registered Nurse License (Oregon).
- Basic Life Support required at hire.
- NIH Stroke Scale Certificate within 3 months of hire.
- Advanced Cardiac Life Support.

**Additional Requirements**

- Computer keyboarding skills.
- Drug calculation experience.
- Experience in Cardiac Rhythm Recognition.

**Preferred Qualifications**

- Previous health care experience.
- Bachelor's degree in nursing or related field.
- CCRN, SCRN, or other certification.
- Dialysis, SLED, or equivalent.

RN - Intensive Care Float Pool (KSMC / OnCall)

Facility about 45 minutes outside of Portland is seeking a BC Psychiatric Nurse Practitioner for a long term locum tenens position with NO END DATE. The need is for 24-32 hours per week and the provider must be willing to see all ages in this outpatient setting. Mon.-Fri. No weekends and no call. Provider must have a current and clear Oregon license and DEA. For more information, please call Tom Conway at (800)-, Ext. 231. You may also email regarding Job . <img src="https://www.jobg8.com/Tracking.aspx?TyjQeh3p4%2fMIta9pncJKVwm" width="0" height="0" />

**Psychiatric Nurse Practitioner**

A facility about 45 minutes outside of Portland is seeking a BC Psychiatric Nurse Practitioner for a long-term locum tenens position with no end date. The need is for 24-32 hours per week, and the provider must be willing to see all ages in this outpatient setting. The schedule is Monday to Friday, with no weekends and no call.

**Job Description**

- Provide psychiatric care in an outpatient setting
- See patients of all ages

**Requirements**

- Must have a current and clear Oregon license
- Must have a current DEA



Psychiatric Nurse Practitioner

This 13 Chair outpatient dialysis clinic is located at;328 Warner Milne Road Bldg I, Oregon City, OR 97045The clinic runs treatments Monday - Saturday 5am- 5pm PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.</li><li>Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.</li><li>Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.</li><li>Participate in patient care plan meetings.</li><li>Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.</li><li>Train and orient staff as necessary.</li><li>Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.</li><li>Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.</li><li>Maintain overall shift operation in a safe, efficient, and effective matter.</li><li>With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.</li><li>Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.</li><li>Supervise all documentation of patient information.</li><li>Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.</li><li>Assess daily patient care needs and develop and distribute patient care assignments appropriately.</li><li>Assume primary responsibility in an emergency situation.</li><li>Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.</li><li>Monitor and supervise all patient care activity during dialysis and assist as necessary.</li><li>Collaborate with direct patient care team in making decisions to benefit patient care.</li><li>Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.</li><li>Administer medications to patients per physician's orders.</li><li>Act as the subject matter expert and as a resource for staff members.</li><li>Supervise and participate in completion of short and long term care plans.</li><li>Admit new patients according to facility procedure.</li><li>Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.</li><li>Supervise the safe and effective use of all equipment involved in direct patient care.</li><li>Operate all dialysis related and emergency equipment safely and efficiently when needed.</li><li>Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.</li><li>Complete Nurse's Technical Training Program/Water Quality Facility</li><li>Assist with special projects or other duties as assigned by the Facility Administrator</li><li>Assist with the interviewing of potential direct patient care staff</li><li>Promote efficient use of medical supplies.</li><li>Attend and participate in monthly Quality Assurance meetings.</li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>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.<ul><li>Day to day work includes desk and personal computer work and i n teraction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.</li><li>The work environment is characteristic of a health care facility with air temperatu r e control and moderate noise levels. May b e exposed to infectious and con t agious diseases/materials.</li></ul></li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.<ul><li>Travel to regional, Business Unit and Corporate meetings may be required.</li></ul> SUPERVISION: <ul><li> Direc t Patien t Car e Staff , War d Cler k a s assigned. </li></ul> EDUCATION : <ul><li>Graduate of an accredited school of Nursing (R.N.)</li><li>Must be registered and licensed to practice in the applicable State.</li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li>Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.</li><li>Medical/surgical nursing preferred.</li><li>Supervisory or management experience preferred.</li><li>Certified in CPR or successfully complete course in CPR certification.</li></ul> <ul><li>Good communication skills - verbal and written.</li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?n26icLExobXOKv75AUDPTQh" width="0" height="0" />

**Charge Nurse**

This 13 Chair outpatient dialysis clinic is located at 328 Warner Milne Road Bldg I, Oregon City, OR 97045. The clinic runs treatments Monday - Saturday from 5 am to 5 pm.

**Job Description**

- Support FMCNA's mission, vision, core values, and customer service philosophy.
- Adhere to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
- Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.
- Manage daily decisions to ensure continuity of care to maintain patient and staff safety and oversee the delivery of safe effective quality outcomes.
- Provide day-to-day guidance, support, and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation.
- Participate in department staffing and the appropriate hiring, firing, and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.
- Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.
- Approve or disapprove time or personnel schedule changes in the absence of the Facility Administrator ensuring compliance with applicable regulations, policies, and procedures for documenting time of work hours for staff members on assigned shift.
- Participate in patient care plan meetings.
- Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
- Train and orient staff as necessary.
- Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
- Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
- Maintain overall shift operation in a safe, efficient, and effective manner.
- Conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
- Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
- Supervise all documentation of patient information.
- Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
- Assess daily patient care needs and develop and distribute patient care assignments appropriately.
- Assume primary responsibility in an emergency situation.
- Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
- Monitor and supervise all patient care activity during dialysis and assist as necessary.
- Collaborate with direct patient care team in making decisions to benefit patient care.
- Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.
- Administer medications to patients per physician's orders.
- Act as the subject matter expert and as a resource for staff members.
- Supervise and participate in completion of short and long-term care plans.
- Admit new patients according to facility procedure.
- Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet, and medication.
- Supervise the safe and effective use of all equipment involved in direct patient care.
- Operate all dialysis-related and emergency equipment safely and efficiently when needed.
- Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
- Complete Nurse's Technical Training Program/Water Quality Facility.
- Assist with special projects or other duties as assigned by the Facility Administrator.
- Assist with the interviewing of potential direct patient care staff.
- Promote efficient use of medical supplies.
- Attend and participate in monthly Quality Assurance meetings.

**Requirements**

- Graduate of an accredited school of Nursing (R.N.).
- Must be registered and licensed to practice in the applicable State.
- Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
- Medical/surgical nursing preferred.
- Supervisory or management experience preferred.
- Certified in CPR or successfully complete course in CPR certification.
- Good communication skills - verbal and written.

**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.

- Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community.
- 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.

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 accommodation can be made.

Travel to regional, Business Unit, and Corporate meetings may be required.

**Supervision**

Direct Patient Care Staff, Ward Clerk as assigned.

**Additional Information**

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans.

Clinical Coordinator - Charge Registered Nurse - Dialysis

This 13 Chair outpatient dialysis clinic is located at;328 Warner Milne Road Bldg I, Oregon City, OR 97045The clinic runs treatments Monday - Saturday 5am- 5pm PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.</li><li>Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.</li><li>Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.</li><li>Participate in patient care plan meetings.</li><li>Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.</li><li>Train and orient staff as necessary.</li><li>Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.</li><li>Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.</li><li>Maintain overall shift operation in a safe, efficient, and effective matter.</li><li>With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.</li><li>Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.</li><li>Supervise all documentation of patient information.</li><li>Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.</li><li>Assess daily patient care needs and develop and distribute patient care assignments appropriately.</li><li>Assume primary responsibility in an emergency situation.</li><li>Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.</li><li>Monitor and supervise all patient care activity during dialysis and assist as necessary.</li><li>Collaborate with direct patient care team in making decisions to benefit patient care.</li><li>Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.</li><li>Administer medications to patients per physician's orders.</li><li>Act as the subject matter expert and as a resource for staff members.</li><li>Supervise and participate in completion of short and long term care plans.</li><li>Admit new patients according to facility procedure.</li><li>Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.</li><li>Supervise the safe and effective use of all equipment involved in direct patient care.</li><li>Operate all dialysis related and emergency equipment safely and efficiently when needed.</li><li>Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.</li><li>Complete Nurse's Technical Training Program/Water Quality Facility</li><li>Assist with special projects or other duties as assigned by the Facility Administrator</li><li>Assist with the interviewing of potential direct patient care staff</li><li>Promote efficient use of medical supplies.</li><li>Attend and participate in monthly Quality Assurance meetings.</li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>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.<ul><li>Day to day work includes desk and personal computer work and i n teraction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.</li><li>The work environment is characteristic of a health care facility with air temperatu r e control and moderate noise levels. May b e exposed to infectious and con t agious diseases/materials.</li></ul></li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.<ul><li>Travel to regional, Business Unit and Corporate meetings may be required.</li></ul> SUPERVISION: <ul><li> Direc t Patien t Car e Staff , War d Cler k a s assigned. </li></ul> EDUCATION : <ul><li>Graduate of an accredited school of Nursing (R.N.)</li><li>Must be registered and licensed to practice in the applicable State.</li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li>Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.</li><li>Medical/surgical nursing preferred.</li><li>Supervisory or management experience preferred.</li><li>Certified in CPR or successfully complete course in CPR certification.</li></ul> <ul><li>Good communication skills - verbal and written.</li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?cDd2GYUEttCFjfgZ7M7u4Qg" width="0" height="0" />

**Charge Nurse**

This 13 Chair outpatient dialysis clinic is located at 328 Warner Milne Road Bldg I, Oregon City, OR 97045. The clinic runs treatments Monday - Saturday from 5 am to 5 pm.

**Job Description**

- Support FMCNA's mission, vision, core values, and customer service philosophy.
- Adhere to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
- Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.
- Manage daily decisions to ensure continuity of care to maintain patient and staff safety and oversee the delivery of safe effective quality outcomes.
- Provide day-to-day guidance, support, and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation.
- Participate in department staffing and the appropriate hiring, firing, and disciplinary actions. Recommend disciplinary action to the Facility Administrator and initiate as appropriate.
- Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.
- Approve or disapprove time or personnel schedule changes in the absence of the Facility Administrator ensuring compliance with applicable regulations, policies, and procedures for documenting time of work hours for staff members on assigned shift.
- Participate in patient care plan meetings.
- Maintain knowledge in current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
- Train and orient staff as necessary.
- Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
- Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
- Maintain overall shift operation in a safe, efficient, and effective manner.
- Conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
- Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
- Supervise all documentation of patient information.
- Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
- Assess daily patient care needs and develop and distribute patient care assignments appropriately.
- Assume primary responsibility in an emergency situation.
- Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
- Monitor and supervise all patient care activity during dialysis and assist as necessary.
- Collaborate with direct patient care team in making decisions to benefit patient care.
- Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.
- Administer medications to patients per physician's orders.
- Act as the subject matter expert and as a resource for staff members.
- Supervise and participate in completion of short and long-term care plans.
- Admit new patients according to facility procedure.
- Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet, and medication.
- Supervise the safe and effective use of all equipment involved in direct patient care.
- Operate all dialysis-related and emergency equipment safely and efficiently when needed.
- Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
- Complete Nurse's Technical Training Program/Water Quality Facility.
- Assist with special projects or other duties as assigned by the Facility Administrator.
- Assist with the interviewing of potential direct patient care staff.
- Promote efficient use of medical supplies.
- Attend and participate in monthly Quality Assurance meetings.

**Requirements**

- Graduate of an accredited school of Nursing (R.N.).
- Must be registered and licensed to practice in the applicable State.
- Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
- Medical/surgical nursing preferred.
- Supervisory or management experience preferred.
- Certified in CPR or successfully complete course in CPR certification.
- Good communication skills - verbal and written.

**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.

- Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community.
- 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.

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 accommodation can be made.

Travel to regional, Business Unit, and Corporate meetings may be required.

**Supervision**

Direct Patient Care Staff, Ward Clerk as assigned.

**Additional Information**

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans.

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: <ul> <li>Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.</li> <li>Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.</li> <li>Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.</li> <li>Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.</li> </ul> Basic Qualifications: Experience <ul> <li>Minimum nine (9) months of RN experience.</li> </ul> <ul><li>Two (2) years recent (within the last three (3) years) experience in progressive or intermediate care unit.</li></ul> Education <ul><li>Graduate of an accredited nursing program.</li></ul> License, Certification, Registration <ul><li>Registered Nurse License (Oregon)</li></ul> <ul><li>Basic Life Support required at hire</li></ul> <ul><li>Advanced Cardiac Life Support</li></ul> <ul><li>NIH Stroke Scale Certificate within 3 months of hire</li></ul> Additional Requirements: <ul><li>Computer keyboarding skills.</li></ul> Preferred Qualifications: <ul> <li>Previous health care experience.</li> <li>Bachelors degree in nursing or related field.</li> </ul> <ul> <li>Recent experience with respiratory compromised patients, including long term ventilation, tracheostomy, high flow nasal cannula, and BiPAP.</li> <li>PCCN/CCRN Certification.</li> <li>Recent attendance of Rhythm Recognition class or passing grade on Rhythm Recognition test.</li> </ul><img src="https://www.jobg8.com/Tracking.aspx?zm82YlyFqrN9JJf9zFFPCAx" width="0" height="0" />

**Registered Nurse**

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing, and evaluating nursing care for patients and coordinating nursing care activities with other health care disciplines.

**Job Description**

- Performs accurate multi-system assessments, including biophysical, psychosocial, environmental, self-care, education needs, and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patients throughout hospitalization. Performs complete discharge assessment.
- Develops an individual nursing plan of care that is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients' condition and scope of practice of other health care providers. Establishes priorities for patient care. Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physician's plan of care. Accurately documents in the EMR. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patients' response to treatment. Participates in unit quality assurance activities.

**Requirements**

- Minimum nine (9) months of RN experience.
- Two (2) years recent (within the last three (3) years) experience in a progressive or intermediate care unit.
- Graduate of an accredited nursing program.
- Registered Nurse License (Oregon).
- Basic Life Support required at hire.
- Advanced Cardiac Life Support.
- NIH Stroke Scale Certificate within 3 months of hire.
- Computer keyboarding skills.

**Preferred Qualifications**

- Previous health care experience.
- Bachelor's degree in nursing or related field.
- Recent experience with respiratory compromised patients, including long-term ventilation, tracheostomy, high flow nasal cannula, and BiPAP.
- PCCN/CCRN Certification.
- Recent attendance of Rhythm Recognition class or passing grade on Rhythm Recognition test.

RN - Intensive Care Float Pool - KSMC / 24 Hr / Nights

Description: Job Summary: The RN participates as a member of the health care team in delivering quality health care to patients, which supports Kaiser Permanentes mission, vision and values. The RN provides a variety of nursing services both in person and by phone utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/she works under the general direction of the designated supervisor. Essential Responsibilities: <ul> <li>Professional Competencies: Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, convenient and easy and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines.</li> <li>Demonstrates ethical and legal behavior in all professional activities. Acts as an advocate for individuals, groups and communities. Demonstrates accountability for own ethical behavior and for delegated actions. Demonstrates responsible and accountable behavior concerning own work schedule. Understands and supports Kaiser Permanente policies, legal considerations and professional ethics. Adheres to Health Insurance Portability and Accountability Act (HIPAA) and confidentiality policies.</li> <li>Utilizes a critical thinking approach to problem solve and make decisions. Applies analytical reasoning, reflection and rational problem-solving skills, using verifiable information, and clinical judgment, in order to choose among alternative solutions to clinical problems. Fosters and uses innovative thinking to create alternative solutions. Demonstrates the ability to analyze, synthesize and utilize data to provide optimal nursing care.</li> <li>Understands and provides competent care to a diverse population. Uses knowledge of cultural differences to provide nursing care that is sensitive to and consistent with cultural values, beliefs, and customs. Provides culturally sensitive teaching materials to individuals, families and groups.</li> <li>Practices health care team building and leadership skills. Applies leadership skills to facilitate effective team functioning and operations of the module or department. Role models and facilitates change within the health care team to respond to health care and organizational needs. Directs, delegates and monitors quality of care delivered by the health care team and brings deviations to the attention of staff involved and Team Leader. Mentors new staff and assists with orientation and staff development needs. Collaborates with Team Leader and Manager in setting quality standards for nursing care and in the development of policies and procedures. Provides input to Team Leader and Manager about the job performance of other RNs, LPNs and unlicensed personnel in the health care team. Demonstrates commitment to customer service.</li> <li>Participates in population-based care activities: Participates in out reach and in reach activities to meet clinical targets. Effectively identifies needs and provides prevention, early intervention and ongoing health education for panel population, individual patient and family. Assists individuals and groups to learn self-management skills that promote and protect health. Develops teaching plans for individuals and groups related to health promotion and disease prevention.</li> <li>Demonstrates technological literacy in using computerized information systems. Accesses, evaluates and uses data and information from a wide range of resources. Demonstrates effective use of computer-based information and practice management systems for decision support, provision of care, continuous quality improvement and professional development. Provides input to the development of information systems that impact the provision of patient care. Facilitates the members use of health care technologies.</li> <li>Participates in ongoing continuing education activities and shares knowledge with other health care team members. Demonstrates commitment to continuous learning that advances professional nursing practice. Demonstrates ability to identify own learning needs. Actively works to address personal and professional growth needs. Serves as resource, mentor and role model for other members of the health care team.</li> <li>Clinical Competencies: Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. Plans, implements, manages, coordinates and evaluates a plan of care across the care continuum. Facilitates member wellness and function and identifies needs for health care interventions. Utilizes appropriate assessment tools, processes, clinical pathways and guidelines to manage patient care. Integrates theory and research-based knowledge in the provision of direct and indirect nursing care. Performs and modifies therapeutic and preventive nursing measures and administers treatments and medications as authorized by law and determined by the State Board of Nursing. Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment. Performs triage and telephone advice independently and within scope of the Oregon and/or Washington Nurse Practice Acts. Maintains a safe and therapeutic environment for staff, patients and family members. Participates in the research process. Documents the nursing care provided which demonstrates the application of the nursing process and complies with departmental and/or organizational standards.</li> <li>Applies effective oral and written communication skills in interacting with patients, families and members of the health care team. This includes effective negotiation and conflict management skills.</li> <li>Organizational Competencies: Recognizes the impact of systems on health care delivery. Facilitates coordination of care across all settings with particular attention to transitional needs. Functions within interdisciplinary teams in a manner that promotes coordination, mutual respect and timely response to the patients health care needs.</li> <li>Acts as an advocate for individuals and groups with unmet health needs.</li> <li>Applies the knowledge and tools of continuous improvement in clinical practice and the delivery of health care.</li> </ul> Basic Qualifications: Experience <ul> <li>Minimum two (2) years of RN experience in acute care or ambulatory care/clinic setting within the last five (5) years.</li> </ul> <ul><li>Minimum two (2) years of experience circulating in an inpatient or ambulatory surgery operating room in the past 5 years.</li></ul> Education <ul> <li>Graduate of accredited school of nursing.</li> <li>High school diploma or General Education Development (GED) required.</li> </ul> License, Certification, Registration <ul><li>Registered Nurse License (Oregon)</li></ul> <ul><li>Basic Life Support</li></ul> Additional Requirements: <ul> <li>Demonstrates clinical nursing and leadership skills.</li> <li>Able to type 20 words per minute.</li> <li>Demonstrates effective interpersonal, communication and problem-solving skills.</li> <li>Willingness to learn computerized information systems.</li> <li>Demonstrates ability to work within teams and within a dynamic work environment.</li> <li>Customer focused.</li> </ul> Preferred Qualifications: <ul> <li>Previous experience with population care/case management, triage and advice.</li> <li>Current or future bachelors degree in nursing or related field.</li> </ul> <ul> <li>Minimum three (3) to five (5) years of operating room circulating and scrubbing experience</li> <li>(2) years of experience circulating in an inpatient or ambulatory surgery operating room in the past three (3) years.</li> <li>Nurse Operating Room Certificate (US-CNOR) preferred</li> <li>Advanced Cardiac Life Support (US-ACLS) preferred</li> <li>Pre-Op area skills</li> <li>IV start skills</li> </ul><img src="https://www.jobg8.com/Tracking.aspx?fkJRLBjFk8Z8cN%2frfbcdjgq" width="0" height="0" />

**Registered Nurse**

The RN participates as a member of the health care team in delivering quality health care to patients, which supports Kaiser Permanente's mission, vision, and values. The RN provides a variety of nursing services both in person and by phone, utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/she works under the general direction of the designated supervisor.

**Job Description**

- Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, convenient and easy, and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines.
- Demonstrates ethical and legal behavior in all professional activities. Acts as an advocate for individuals, groups, and communities. Demonstrates accountability for own ethical behavior and for delegated actions. Demonstrates responsible and accountable behavior concerning own work schedule. Understands and supports Kaiser Permanente policies, legal considerations, and professional ethics. Adheres to Health Insurance Portability and Accountability Act (HIPAA) and confidentiality policies.
- Utilizes a critical thinking approach to problem solve and make decisions. Applies analytical reasoning, reflection, and rational problem-solving skills, using verifiable information and clinical judgment, in order to choose among alternative solutions to clinical problems. Fosters and uses innovative thinking to create alternative solutions. Demonstrates the ability to analyze, synthesize, and utilize data to provide optimal nursing care.
- Understands and provides competent care to a diverse population. Uses knowledge of cultural differences to provide nursing care that is sensitive to and consistent with cultural values, beliefs, and customs. Provides culturally sensitive teaching materials to individuals, families, and groups.
- Practices health care team building and leadership skills. Applies leadership skills to facilitate effective team functioning and operations of the module or department. Role models and facilitates change within the health care team to respond to health care and organizational needs. Directs, delegates, and monitors quality of care delivered by the health care team and brings deviations to the attention of staff involved and Team Leader. Mentors new staff and assists with orientation and staff development needs. Collaborates with Team Leader and Manager in setting quality standards for nursing care and in the development of policies and procedures. Provides input to Team Leader and Manager about the job performance of other RNs, LPNs, and unlicensed personnel in the health care team. Demonstrates commitment to customer service.
- Participates in population-based care activities: Participates in outreach and in-reach activities to meet clinical targets. Effectively identifies needs and provides prevention, early intervention, and ongoing health education for panel population, individual patients, and families. Assists individuals and groups to learn self-management skills that promote and protect health. Develops teaching plans for individuals and groups related to health promotion and disease prevention.
- Demonstrates technological literacy in using computerized information systems. Accesses, evaluates, and uses data and information from a wide range of resources. Demonstrates effective use of computer-based information and practice management systems for decision support, provision of care, continuous quality improvement, and professional development. Provides input to the development of information systems that impact the provision of patient care. Facilitates the members' use of health care technologies.
- Participates in ongoing continuing education activities and shares knowledge with other health care team members. Demonstrates commitment to continuous learning that advances professional nursing practice. Demonstrates ability to identify own learning needs. Actively works to address personal and professional growth needs. Serves as a resource, mentor, and role model for other members of the health care team.
- Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. Plans, implements, manages, coordinates, and evaluates a plan of care across the care continuum. Facilitates member wellness and function and identifies needs for health care interventions. Utilizes appropriate assessment tools, processes, clinical pathways, and guidelines to manage patient care. Integrates theory and research-based knowledge in the provision of direct and indirect nursing care. Performs and modifies therapeutic and preventive nursing measures and administers treatments and medications as authorized by law and determined by the State Board of Nursing. Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment. Performs triage and telephone advice independently and within scope of the Oregon and/or Washington Nurse Practice Acts. Maintains a safe and therapeutic environment for staff, patients, and family members. Participates in the research process. Documents the nursing care provided which demonstrates the application of the nursing process and complies with departmental and/or organizational standards.
- Applies effective oral and written communication skills in interacting with patients, families, and members of the health care team. This includes effective negotiation and conflict management skills.
- Recognizes the impact of systems on health care delivery. Facilitates coordination of care across all settings with particular attention to transitional needs. Functions within interdisciplinary teams in a manner that promotes coordination, mutual respect, and timely response to the patients' health care needs.
- Acts as an advocate for individuals and groups with unmet health needs.
- Applies the knowledge and tools of continuous improvement in clinical practice and the delivery of health care.

**Requirements**

- Minimum two (2) years of RN experience in acute care or ambulatory care/clinic setting within the last five (5) years.
- Minimum two (2) years of experience circulating in an inpatient or ambulatory surgery operating room in the past five (5) years.
- Graduate of an accredited school of nursing.
- High school diploma or General Education Development (GED) required.
- Registered Nurse License (Oregon).
- Basic Life Support certification.

**Additional Requirements**

- Demonstrates clinical nursing and leadership skills.
- Able to type 20 words per minute.
- Demonstrates effective interpersonal, communication, and problem-solving skills.
- Willingness to learn computerized information systems.
- Demonstrates ability to work within teams and within a dynamic work environment.
- Customer focused.

**Preferred Qualifications**

- Previous experience with population care/case management, triage, and advice.
- Current or future bachelor's degree in nursing or related field.
- Minimum three (3) to five (5) years of operating room circulating and scrubbing experience.
- Nurse Operating Room Certificate (US-CNOR) preferred.
- Advanced Cardiac Life Support (US-ACLS) preferred.
- Pre-Op area skills.
- IV start skills.

RN, Outpatient OR Nurse - Temporary

Description: Relocation Assistance Available Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: <ul> <li>Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.</li> <li>Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.</li> <li>Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.</li> <li>Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.</li> </ul> Basic Qualifications: Experience <ul> <li>Minimum nine (9) months of RN experience.</li> </ul> Education <ul><li>Graduate of an accredited nursing program.</li></ul> License, Certification, Registration <ul><li>Registered Nurse License (Oregon)</li></ul> <ul><li>Basic Life Support</li></ul> Additional Requirements: <ul><li>Computer keyboarding skills.</li></ul> <ul><li> Must pass telemetry test within 6 months of hire or transfer to unit.</li></ul> Preferred Qualifications: <ul> <li>Previous health care experience.</li> <li>Bachelors degree in nursing or related field.</li> </ul> <ul> <li>Recent experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.</li> <li>Experience with insulin drips.</li> <li>Previous telemetry experience</li> <li>Med/Surg certification.</li> <li>Demonstrated clinical judgment with inpatient orthopedic/neuro patients.</li> </ul><img src="https://www.jobg8.com/Tracking.aspx?zm82YlyFqrMfHY38T51K4wx" width="0" height="0" />

**Registered Nurse**

Relocation assistance available. Under general supervision and in collaboration with other members of the health care team, the RN uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing, and evaluating nursing care for patients and coordinating nursing care activities with other health care disciplines.

**Job Description**

- Performs accurate multi-system assessments, including biophysical, psychosocial, environmental, self-care, education needs, and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patients throughout hospitalization. Performs complete discharge assessment.
- Develops an individual nursing plan of care that is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients' condition and scope of practice of other health care providers. Establishes priorities for patient care. Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physician's plan of care. Accurately documents in the EMR. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patients' response to treatment. Participates in unit quality assurance activities.

**Requirements**

- Minimum nine (9) months of RN experience.
- Graduate of an accredited nursing program.
- Registered Nurse License (Oregon).
- Basic Life Support certification.
- Computer keyboarding skills.
- Must pass telemetry test within 6 months of hire or transfer to unit.

**Preferred Qualifications**

- Previous health care experience.
- Bachelor's degree in nursing or related field.
- Recent experience in acute care or skilled nursing, utilizing the nursing process, effective problem-solving, and communication skills.
- Experience with insulin drips.
- Previous telemetry experience.
- Med/Surg certification.
- Demonstrated clinical judgment with inpatient orthopedic/neuro patients.

RN - Med-Surg (MI/Respiratory/Medical & Observation) - KSMC 3N / 36 Hr / Nights

Description: Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities:<ul> <li>Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.</li> <li>Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.</li> <li>Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.</li> <li>Provides population-based care outreach activities to include health maintenance screening as directed by clinician.</li> <li>Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.</li> <li>Other duties as assigned consistent with job description.</li> </ul> Basic Qualifications: Experience <ul><li>N/A</li></ul> Education <ul><li>Graduate of accredited school of nursing.</li></ul> License, Certification, Registration <ul><li>This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.</li></ul> <ul><li>Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hire </li></ul> <ul><li>Practical Nurse License (Oregon) within 6 months of hire</li></ul> <ul><li>Basic Life Support</li></ul> Additional Requirements: <ul> <li>Demonstrated clinical nursing skills.</li> <li>Demonstrated interpersonal and customer service skills (Assessment required for external candidates).</li> <li>Demonstrated communication (written and oral) skills.</li> <li>Demonstrated literacy in using computers and keyboarding.</li> <li>Skills in problem-solving, setting priorities and using good judgment for decisions.</li> <li>Ability to work independently and efficiently under pressure.</li> </ul> Preferred Qualifications: <ul> <li>Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.</li> <li>IV therapy experience or recent certification.</li> <li>Familiarity in documenting in an electronic medical record system.</li> <li>Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.</li> </ul><img src="https://www.jobg8.com/Tracking.aspx?5wC55CPNlFfUbTxigJFW2gu" width="0" height="0" />

**Licensed Practical Nurse**

Participates with the Health Care Team in delivering quality and customer-focused care to patients in a manner that reflects Kaiser Permanente's organizational and nursing mission, vision, and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or online) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPN's scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving, and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPN's professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor.

**Job Description**

- Prepares and organizes patients' office visits for known reasons/procedures by ensuring that all appropriate tests, clinical information (e.g., diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time.
- Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician.
- Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician.
- Utilizes standardized tools (e.g., PST, health maintenance alerts) to identify and address health maintenance/care gaps with patients and alerts clinician on those that require his/her attention.
- Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing, and implements planned nursing and medical interventions as delegated by RN/clinician.
- Contributes to the development, implementation, or modification of the individualized patient's plan of care under the direction of the RN/clinician.
- Prepares patients for actual visits/procedures prior to clinicians' exams during the rooming-in process.
- Assures exam/procedure rooms contain appropriate supplies, equipment, forms, and educational materials that are available and ready for use during visits/procedures.
- Checks equipment to ensure it is in safe working order and cleans rooms after use.
- Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc.
- Utilizes standardized tools to determine patients' level of engagement in self-care as directed by RN.
- Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as SBAR, SOAP, or APIE, KP HealthConnect smart tools, etc.
- Updates demographic/historical clinical data gathered in electronic medical records.

**Requirements**

- Graduate of an accredited school of nursing.
- This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional credentials from the secondary work state(s) are required post-hire.
- Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hire.
- Practical Nurse License (Oregon) within 6 months of hire.
- Basic Life Support certification.

**Additional Requirements**

- Demonstrated clinical nursing skills.
- Demonstrated interpersonal and customer service skills (Assessment required for external candidates).
- Demonstrated communication (written and oral) skills.
- Demonstrated literacy in using computers and keyboarding.
- Skills in problem-solving, setting priorities, and using good judgment for decisions.
- Ability to work independently and efficiently under pressure.

**Preferred Qualifications**

- Two (2+) years of nursing experience in assigned department's clinical area (e.g., Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.
- IV therapy experience or recent certification.
- Familiarity with documenting in an electronic medical record system.
- Current working knowledge and clinical skills in providing routine care, education, and advice in assigned department's clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.