The Facilities Administrative Assistant is responsible for the day to day operations of the dept. on a daily, routine basis. The Facilities Administrative Assistant works with the department director, Administrative team members and department heads to ensure compliance with goals and objectives established by the hospital corporation. Communicate effectively, in writing, verbally, and via telephone, with all levels of personnel and visitors. Input and retrieve computerized data.

Performs security services, including electronic surveillance, systematic manual Security Officers’ rounds, and functions of PBX. Coordinates facility response to various potential problems for patients, employees, and visitors. Follows guidelines and perpetual monitoring techniques, towards establishing a safe workplace for employees and a safe environment of care. Participates in employee awareness and education. Driving as needed for company business. All other duties as assigned.  

The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the medical surgical setting.  

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with the physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

The Nurse Practitioner focuses on providing general care to patients of all ages, with utmost patience, care, compassion and understanding. Perform tasks within their scope of practice which may include conducting tests, recording medical histories, providing treatments, assisting physicians and enhancing public awareness on the importance of health, and prescribing medications.  

The PACU RN is accountable directly to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation for all patients within the PACU scope of services. The Registered Nurse also coordinates the post-operative care of the patient with the surgeon and anesthesiologist, directs and guides other personnel while maintaining standards of care in the PACU. He/She communicates with the physician about changes in the patient�s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Works with other departments and co-workers to provide quality patient care across the continuum, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.

The Pre-Admit Registered Nurse provides direct patient care in the ambulatory and medical/surgical setting. Communicates with physicians, /Surgical Services Director, / House Supervisor /, and co-workers, as appropriate about changes in the patient's clinical condition including results of diagnostics studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Works with other departments and co-workers to provide quality patient care across the continuum, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.

Maintains accurate logs on all equipment in hospital and provides for a safe working environment. Also maintain and repair equipment including, but not limited to, mechanical, HVAC, electrical, plumbing, plant maintenance, and medical gas systems. Driving as needed for company business.

***** This is a Evening Shift****   The laboratory courier performs timely delivery and pick up of laboratory and pathology specimens, reports, and supplies between hospital facilities, medical offices, and other designated patient service centers. Demonstrate excellent customer service to clients, physicians, office and lab personel at all times. Other tasks or responsibilities may be assigned by the department manager/director.

The Patient Care Assistant assists patients with activities of daily living, provides basic nursing care to all patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

Our Geriatric Psych Registered Nurses work with elderly patients that are dealing with difficult Diagnoses. These nurses work collaboratively as part of a professional and medical team focused on restoring the patients’ health by following evidence-based nursing practices, exercising independent judgement, and managing complex health issues.   Our ideal nursing candidate will have the proven ability to exercise patience, flexibility, and careful listening when their efforts are often assessed. This nurse will strive to calm patients when they become agitated, strengthen patients coping skills, and make it a build a therapeutic, meaningful relationship.   Typical nursing duties include identification of needs, individualized care planning, assessing/monitoring physical parameters, and administering medications/intravenous infusions all to help optimize the patient’s recovery to health. The best part is you will be part of a collaborative and supportive Nursing Team!   Sound intriguing… Then you will be thrilled to know we offer a competitive compensation, great benefits, and a very nice sign-on bonus.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care within the Medical/Surgical Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

Responsible for the evaluation, treatment planning and implementation of treatment for patients demonstrating disorders of speech, language, cognition, swallowing and other services prescribed by a physician. Assists in developing and implementing new and ongoing programs beneficial for the enhancement of the department.

The Registered Nurse is directly responsible for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Employee is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

The House Supervisor is a Registered Nurse who assumes administrative responsibility for the management of all department service functions on his/her shift. Makes frequent rounds throughout facility to monitor the delivery of care, oversee the quality of services and direct patient care activities as needed. Directly supervises, provides support to and communicates with all staff house-wide. In the absence of the Hospital Administrative staff, the administrative scope and responsibility is extended to all services within the hospital. Ensures efficient operations and patient flow throughout the hospital. Performs direct patient care, only as needed, within the scope of practice and competence. Ensures all temporary agency personnel are deployed and oriented in compliance with hospital policy. Assist medical staff with scheduling after hour procedures and calling in stand-by call staff members. Enhances the patient/family experience through supportive interactions and explanations of hospital policies as needed.

The Senior Managed Care Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for managed care. This includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure. #LI-BF3

Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/CMS, State and Federal Regulations. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participates in PI/QC activities. Responsible for processing and transmission of images to PACS.

The Operating Room Tech is responsible for the preparation of sterile supplies and instruments for each assigned procedure, maintaining sterile field during case and providing surgeon with sterile supplies and instruments during assigned procedures.

Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/CMS, State and Federal Regulations. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participates in PI/QC activities. Responsible for processing and transmission of images to PACS.

The Pharmacy Intern assists the Pharmacist in the support of the drug distribution systems, including patient counseling and pharmacokinetic calculations, and participates in performance improvement and data collections activities.The Pharmacy Intern is responsible for dosage preparation, preparation of sterile admixture using aseptic technique, floor stock delivery, pre-packaging, billing, receiving, and stocking. Other responsibilities include inventory control, controlled substances distribution, documentation and accountability, assisting in the inspection of medication storage areas throughout the hospital, and maintaining the cleanliness of the department. All responsibilities are performed under the supervision of a licensed Pharmacist according to local board of pharmacy and state regulations. The Pharmacy Intern participates in providing pharmaceutical care for the following age groups: neonates, pediatrics, adolescents, adults, and geriatrics. The Pharmacy Intern performs other tasks as assigned by the Pharmacist.

Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients’ and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.

The Registered Nurse is directly responsible and accountable for the care given to his/her Telemetry assigned patients. He / She communicates with physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

The Patient Account Registrar interviews the patient or his/her representative to obtain patient demographics. This position also secures insurance information, eligibility, benefits and authorizations as applicable. Works closely with all facets of the Admitting department including PBX operator function and reception areas. Must be able to operate a computer to input and retrieve data. Ability to communicate with the population served, utilizing age specific techniques from neonatal, pediatrics, adolescents, young adults, middle adult to geriatrics. Maintain proficiency in medical terminology. Special projects or other assignments may be given with expectations to be completed in a specified timeframe

The Pharmacy Intern assists the Pharmacist in the support of the drug distribution systems, including patient counseling and pharmacokinetic calculations, and participates in performance improvement and data collections activities.The Pharmacy Intern is responsible for dosage preparation, preparation of sterile admixture using aseptic technique, floor stock delivery, pre-packaging, billing, receiving, and stocking. Other responsibilities include inventory control, controlled substances distribution, documentation and accountability, assisting in the inspection of medication storage areas throughout the hospital, and maintaining the cleanliness of the department. All responsibilities are performed under the supervision of a licensed Pharmacist according to local board of pharmacy and state regulations. The Pharmacy Intern participates in providing pharmaceutical care for the following age groups: neonates, pediatrics, adolescents, adults, and geriatrics. The Pharmacy Intern performs other tasks as assigned by the Pharmacist.   Hours can be very flexible for days, evening and or weekend.

Performs security services, including electronic surveillance, and systematic manual Security Officers’ rounds. Coordinates facility response to various potential problems for patients, employees, and visitors. Enforces policy & procedure, ensuring equitable enforcement. Follows guidelines and perpetual monitoring techniques, towards establishing a safe workplace for employees and a safe environment of care. Works with the Environment of Care committee to ensure a multi-disciplinary approach to security and safety. Participates in employee awareness and education. Driving as needed for company business.

Each individual performs those waived, moderate, or highly complex tests authorized by CLIA, Bus. & Prof. Code Section 1204, and must possess a degree of skill commensurate with individuals education, training or experience and technical abilities. Each individual performing the above procedures must: 1) adhere to the laboratorys procedures for the collection, processing, analysis, and reporting of patient test results, 2) follow the laboratorys established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratorys established performance specifications, 3) be capable of identifying problems that may adversely affect test performance and either correct the problem or immediately notify your immediate supervisor, Director, or Medical Director, 4) perform a wide variety of laboratory procedures requiring independent judgment using both manual and automated methods in Hematology, Blood Bank, Chemistry, Urinalysis, Coagulation, Microbiology, Immunology, and any other discipline as introduced into the laboratory, 5) perform and document maintenance €“ daily, weekly, monthly, or as needed on instruments and equipment as appropriate, 6)  review the accuracy of patient results prior to releasing or reporting, 7) recognize age specific differences in expected results for newborns to geriatrics, 8) ensure that the testing of proficiency testing samples are tested in the same manner as patient samples and that collaboration with other laboratories is prohibited prior to the reporting of proficiency testing results to the appropriate agencies, 9) may be required to perform venipuncture or capillary puncture on various age groups from newborn to geriatrics, 10) assist in the development and maintenance of laboratory policies and procedures, 11) adheres to all department and hospital policies and procedures related to safety, infection control, emergency preparedness, and human resources, 12) in the absence of a supervisor, may be assigned/identified as Lead Tech, having responsibility for the section or department during their shift, 13) may be assigned responsibilities related to LIS and/or POCT. 14) other tasks or responsibilities may be assigned by the department manager/director.  

Responsible for the evaluation, treatment planning and implementation of treatment for patients demonstrating disorders of speech, language, cognition, swallowing and other services prescribed by a physician. Assists in developing and implementing new and ongoing programs beneficial for the enhancement of the department.

The Licensed Vocational Nurse/Licensed Psychiatric Technician provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care, and meets the communication needs of the patient and family; Performs under the direction and supervision of a Registered Nurse. Demonstrates knowledge of EMTALA Regulations and triage process in the ER setting.

The Licensed Vocational Nurse/Licensed Psychiatric Technician provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care, and meets the communication needs of the patient and family; Performs under the direction and supervision of a Registered Nurse. Demonstrates knowledge of EMTALA Regulations and triage process in the ER setting.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

We are looking for a reliable LPN (Licensed Practical Nurse) to care for individuals and injured people in a professional and considerate manner, within their scope of practice, and in accordance with State Requirements.  LPN professionals must be first and foremost qualified and compassionate. The ideal candidate will be experienced in providing diverse basic care to those who need it while remaining patient and calm. It is a demanding job but also very rewarding. Licensed Practical Nurses are responsible for managing patient care depending on each patient’s unique needs. Their duties include meeting with patients about past medical history and logging vital signs to create a record that will inform and guide the patient’s care plan. A Licensed Practical Nurse works directly with patients to record their previous medical history and vital signs. They are directly supervised by a Registered Nurse, who collaborates with the Physician to develop a customized care plan for each patient.

The CNA in the Nursing Administration Department is an unlicensed assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

Maintains accurate logs on all equipment in hospital and provides for a safe working environment. Also maintain and repair equipment including, but not limited to, mechanical, HVAC, electrical, plumbing, plant maintenance, and medical gas systems. Driving as needed for company business.

The GI Tech Assist Gastroenterology doctors with various procedures including the most frequent being colonoscopies and esophagogastroduodenoscopies (EGD). Manage set-up of endoscopic equipment, cleanliness of procedure room, assist endoscopy procedures alongside medical professionals. Communicates with physicians, co-workers and/or nursing director, as appropriate about the patient’s clinical condition, including results of diagnostic studies and symptomatology. Can respond quickly and accurately to changes in condition or response to treatment. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Is responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.   #GITECH #Outpatientsurgery #Tech #LI-AM5 

Under the direction and authorization of the medical director and cardiopulmonary director, the RCP II is responsible for performing respiratory therapeutic and pulmonary diagnostic procedures as ordered by the physician. Emphasis will be toward the assessment, planning, implementation and documentation of care, with consideration of age and population specific needs and requirements of the patient. In the absence of a supervisor, may be assigned/identified as Lead RCP, having responsibility for the section or department during their shift.

Under the direction and authorization of the medical director and cardiopulmonary director, the RCP II is responsible for performing respiratory therapeutic and pulmonary diagnostic procedures as ordered by the physician. Emphasis will be toward the assessment, planning, implementation and documentation of care, with consideration of age and population specific needs and requirements of the patient. In the absence of a supervisor, may be assigned/identified as Lead RCP, having responsibility for the section or department during their shift.

The Director of Nursing (DON) organizes and administers areas of clinical and patient care services to attain facility’s objectives established by hospital administration. Hospital-wide programs, policies and procedures are developed to assess, evaluate and meet the needs of the patient. Develops and implements hospital plans for providing nursing care, treatment, and clinical services to those patients requiring care treatment and services.  The DON participates with the management, medical staff and clinical leaders in the facility’s decision-making structures and processes. The DON implements an effective, ongoing program to measure, assess and improve the quality of nursing care, treatment and services delivered to patients.

The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsibility and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assess care and direct staff to make immediate changes in the plan of care.

The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsible and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operation of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment, and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope practice. Continually assess care and direct staff to make immediate changes in the plan of care.

The Operating Room Tech is responsible for the preparation of sterile supplies and instruments for each assigned procedure, maintaining sterile field during case and providing surgeon with sterile supplies and instruments during assigned procedures.

The Patient Account Registrar interviews the patient or his/her representative to obtain patient demographics. This position also secures insurance information, eligibility, benefits and authorizations as applicable. Works closely with all facets of the Admitting department including PBX operator function and reception areas. Must be able to operate a computer to input and retrieve data. Ability to communicate with the population served, utilizing age specific techniques from neonatal, pediatrics, adolescents, young adults, middle adult to geriatrics. Maintain proficiency in medical terminology. Special projects or other assignments may be given with expectations to be completed in a specified timeframe.

Emergency Medical Technician is responsible for the assessment and basic management of medical, trauma and environmental emergencies under the supervision of the staff nurse and / or physician. Assists with patient care based on individual patient needs within the scope of practice; Assists in maintenance of a safe environment and performs under the direction and supervision of the ED Registered Nurse or Charge Nurse.

The Payroll Coordinator is responsible for timely, accurate processing and reconciliation of payroll checks. Effectively interacts with the Human Resources department, managers and group staff regarding payroll issues. Input and retrieve payroll data from the computerized system. The Payroll Coordinator works with timekeeping system to ensure accurate time keeping. Has the ability to communicate with adolescence, adulthood, late adulthood to geriatrics.

Staff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of direct and indirect patient care in the peri-operative setting through the nursing process of assessment, planning, implementation, and evaluation for neonates, pediatrics, adolescents, adults and older adults. The Registered Nurse coordinates the care of the patient with the surgeon and anesthesiologist, directs and guides the OR Technician and other personnel while maintaining standards of professional nursing. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient's clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

Staff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of direct and indirect patient care in the peri-operative setting through the nursing process of assessment, planning, implementation, and evaluation for neonates, pediatrics, adolescents, adults and older adults. The Registered Nurse coordinates the care of the patient with the surgeon and anesthesiologist, directs and guides the OR Technician and other personnel while maintaining standards of professional nursing. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.

The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsible and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operation of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment, and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope practice. Continually assess care and direct staff to make immediate changes in the plan of care.

The Licensed Practical Nurse provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care, and meets the communication needs of the patient and family in a clinic setting.  Rooming patients and follow-up with patients will also be part of this job.   $7,500 Sign-On Bonus also offered! 

Riverview Regional Medical Center is looking for an exceptional full time, night shiftLicensed Practical Nurse (LPN) to join our Med Surg team.  Our LPN duties include, but are not limited to: - provide direct and indirect patient care services which requires technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care - meets the communication needs of the patient and family - performs under the direction and supervision of a Registered Nurse

Riverview Regional Medical Center is looking for an exceptional full time, night shiftLicensed Practical Nurse (LPN) to join our Med Surg team.  Our LPN duties include, but are not limited to: - provide direct and indirect patient care services which requires technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care - meets the communication needs of the patient and family - performs under the direction and supervision of a Registered Nurse