MEDICAL SURGE ACUTE 2 12HR, NIGHTS FULL TIME   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.  

- Assists with providing comprehensive nursing care including the following: pre and post operative preparation, positioning of patients, ambulation of patients, dietary needs, including feeding of patients, AM and PM care, Admission, discharge and transfer of patients, care of patient belongings, and other patient care duties. - Reports all unusual incidents to the appropriate person. Reports significant changes in patient’s condition to Charge Nurse. - Assists with patient teaching within the scope of knowledge as directed by the licensed nurse. - Demonstrates the ability to accurately determine patient’s vital signs. Charts appropriate data within the scope of practice. - Utilizes hospital equipment and supplies appropriately. - Consistently uses two patient identifiers when performing any procedure on a patient. - Consistently ensures that all clinical alarms are not turned off or silenced without the RN knowledge. - Is in compliance with information contained within the Infection Control Manual (i.e. OSHA bloodborne pathogen standards, CDC - Guidelines) and demonstrates appropriate use of personal protective equipment (i.e., gloves, masks, goggles) and handwashing techniques - Avoids and prevents injury to self and patients by applying the principles of body mechanics. Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit / facility. - Explains all treatment and procedures thoroughly to patient before they are performed. Involves patient in care and allows patient to have choice and control over situations and environment, as appropriate to condition and situation. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation 3) Use of lifting devices to handle patients safely. - Performs other duties as assigned or required.

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.

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.

- Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations. - A Registered Nurse shall be responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies. - Monitors hemodynamic/cardiac status of patient and correctly interprets the results. - Initiates discharge and family education planning with proper documentation. - Adjusts frequency of assessment as appropriate for patient’s condition and reassess nursing action for effectiveness in achieving desired outcome. - Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies. - Follows hospital policy regarding chest pain, acute MI and pneumonia protocols. - Reviews and implements new orders and keeps physician informed of changes in patients clinical status. Consistently follows protocol regarding telephone/verbal orders and the using of “read back”. - Accurately records and/or process orders in timely manner i.e., ASA administration and EKG for all chest pain patients presenting in ED. - Demonstrates empathy and respect for patients by explaining all procedures providing privacy and allowing patients to express emotional needs. - Initiates, titrates and safely monitors all IV medications and blood components. Consistently uses two patient identifiers when drawing lab, medicating, or performing any procedure on a patient and blood components - Assists physicians with special tests and procedures. - Able to give a thorough, detailed, efficient change of shift report to ensure consistency in the plan of care. - Consistently ensures that all clinical alarms i.e., Cardiac monitor alarms are set with the appropriate parameters for the patient and are audible at all times. - Does not use unacceptable abbreviations in documentation. Documents evidence of nursing care on the patient’s medical record in a legible, concise, timely and complete manner. - Avoids and prevents injury to self and patients by applying the principles of body mechanics. Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility i.e., suction and oxygen immediately available at all bed side. - Ensures Crash cart, defibrillator function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on the cart checklist. - Performs all other duties as assigned or required.

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.

MEDICAL SURGICAL ACUTE 2 12HR, NIGHTS FULL TIME   The Staff RN provides direct care in the medical – surgical setting. Communicates with physicians /Nurse Director/Co – workers, as appropriate about changes in the patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition 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 

- Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations. - A Registered Nurse shall be responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies. - Monitors hemodynamic/cardiac status of patient and correctly interprets the results. - Initiates discharge and family education planning with proper documentation. - Adjusts frequency of assessment as appropriate for patient’s condition and reassess nursing action for effectiveness in achieving desired outcome. - Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies. - Follows hospital policy regarding chest pain, acute MI and pneumonia protocols. - Reviews and implements new orders and keeps physician informed of changes in patients clinical status. Consistently follows protocol regarding telephone/verbal orders and the using of “read back”. - Accurately records and/or process orders in timely manner i.e., ASA administration and EKG for all chest pain patients presenting in ED. - Demonstrates empathy and respect for patients by explaining all procedures providing privacy and allowing patients to express emotional needs. - Initiates, titrates and safely monitors all IV medications and blood components. Consistently uses two patient identifiers when drawing lab, medicating, or performing any procedure on a patient and blood components - Assists physicians with special tests and procedures. - Able to give a thorough, detailed, efficient change of shift report to ensure consistency in the plan of care. - Consistently ensures that all clinical alarms i.e., Cardiac monitor alarms are set with the appropriate parameters for the patient and are audible at all times. - Does not use unacceptable abbreviations in documentation. Documents evidence of nursing care on the patient’s medical record in a legible, concise, timely and complete manner. - Avoids and prevents injury to self and patients by applying the principles of body mechanics. Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility i.e., suction and oxygen immediately available at all bed side. - Ensures Crash cart, defibrillator function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on the cart checklist. - Performs all other duties as assigned or required.

The CNA in the Emergency Department is an certified 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.

The CNA in the Emergency Department is an certified 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.

The CNA in the Emergency Department is an certified 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.

The CNA in the Emergency Department is an certified 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.

The CNA in the Emergency Department is an certified 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.

The CNA in the Emergency Department is an certified 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.

- Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations. - A Registered Nurse shall be responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies. - Monitors hemodynamic/cardiac status of patient and correctly interprets the results. - Initiates discharge and family education planning with proper documentation. - Adjusts frequency of assessment as appropriate for patient’s condition and reassess nursing action for effectiveness in achieving desired outcome. - Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies. - Follows hospital policy regarding chest pain, acute MI and pneumonia protocols. - Reviews and implements new orders and keeps physician informed of changes in patients clinical status. Consistently follows protocol regarding telephone/verbal orders and the using of “read back”. - Accurately records and/or process orders in timely manner i.e., ASA administration and EKG for all chest pain patients presenting in ED. - Demonstrates empathy and respect for patients by explaining all procedures providing privacy and allowing patients to express emotional needs. - Initiates, titrates and safely monitors all IV medications and blood components. Consistently uses two patient identifiers when drawing lab, medicating, or performing any procedure on a patient and blood components - Assists physicians with special tests and procedures. - Able to give a thorough, detailed, efficient change of shift report to ensure consistency in the plan of care. - Consistently ensures that all clinical alarms i.e., Cardiac monitor alarms are set with the appropriate parameters for the patient and are audible at all times. - Does not use unacceptable abbreviations in documentation. Documents evidence of nursing care on the patient’s medical record in a legible, concise, timely and complete manner. - Avoids and prevents injury to self and patients by applying the principles of body mechanics. Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility i.e., suction and oxygen immediately available at all bed side. - Ensures Crash cart, defibrillator function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on the cart checklist. - Performs all other duties as assigned or required.

The Biller / Collector is responsible for the follow-up performed on accounts to ensure payment with delay is received from insurance, patients or other payer.  Communicates clearly and efficiently by phone and in person with the patient, insurance and staff members.  Maintains productivity standards and reports billing issues appropriately.  Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements.  Forwards updated information to responsible staff members for computer changes.  Operates computer to input follow up notes and retrieve collection and patient information.

Conducts a therapeutic recreation program within the hospital to facilitate rehabilitation of the physically and mentally disabled. The Activity Therapist directs patient participation in selected activities such as games, social activities, sports or music to create an atmosphere of sociability, to provide a means of creative expression and to facilitate the learning skills for recreating during hospitalization and after discharge in the community. Creates an environment that allows the patient to explore his/her own potential, cultivate positive morale and minimize distress of illness.

- Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations. - A Registered Nurse shall be responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies. - Assures effective unit operations by prioritizing patient care, problem solving and fostering collaborative working relationships. - Collaborates with physicians and the interdisciplinary team daily to assist with planning, implementation, evaluation and revision of the Plan of Care for each patient. The Plan of Care is discussed with and developed as a result of coordination with the patient/family/significant others, when appropriate. - Responsible for direct data collection and data assessment of the patient’s condition. Supervises indirect data collection of assigned personnel. - Responsible for the comprehensive initial assessment and ongoing reassessment of the patient’s condition, stability and determination of nursing diagnosis. - Collaborates with Therapists/Social Workers to provide optimal and efficient case management by actively participating in case management discussions. - Collaborates with Admissions Coordinator and interdisciplinary team across other departments as necessary to coordinate and expedite admissions, transfers and discharges to provide for efficient patient flow. - Completes medication reconciliation and assists with follow-through with medication orders/refills. - Collaborates with attending Psychiatrist and PCP’s. - Administers injectable medications and conducts blood draws as indicated. - Notifies Program Director immediately of significant problems or unusual incidents and when appropriate takes action to intervene. - Communicate follow-up to Coordinator. - Monitors attendance (including tardiness) and documents/communicates to Director. - When assigned or necessary to provide patient care, performs according to clinical requirements of the RN. - Assesses and recognizes the effects and side effects of medications. - Follows established procedures for safe medication administration. - Functions as an advocate in supporting patients’ rights within the health care system. - Performs all other duties as assigned or required.

BEHAVIORAL HEALTH 12HR, DAYS FULL TIME   Under the direction and supervision of the RN, LVN or Charge RN assist the licensed nursing staff in providing and documenting patient care including assistance with activities of daily living. Supports the unit functions and maintains a safe and clean environment for patients, visitors and co-workers; functions as an integral part of the interdisciplinary care team and communicates pertinent patient information to the supervising RN. Performs some clerical duties as assigned and provides basic nursing care for the adult and geriatric patients. Performs responsibilities within the guidelines of the Nursing Structure Standards, Hospital/Nursing Policy and state regulatory and accrediting requirements.  

To prepare quality food according to established food safety policies in a sanitary environment.

The CNA in the Med/Surg Department is a certified 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.

The PBX Operator / Receptionist is responsible for answering the switchboard and pages overhead, greets and directs people to the appropriate departments. The PBX operator monitors the Hospital alarms and must be aware of the policy and procedures of all hospital emergency codes. Ability to communicate with population served.

- Responsible for the direct data collection and data assessment of the patient’s condition and stability based on psychosocial assessments. - Identifies biophysical, psychosocial environmental, self-care, educational, spiritual and discharge needs of the patient as evidenced in the patient’s medical record. - Responsible for the comprehensive initial assessment and ongoing reassessment of the patient’s condition, stability and determination of psychosocial needs. - Collaborates with other professional disciplines to plan, implement, evaluate and revise the Plan of Care for each patient, as evidenced in the patient’s medical record. The Plan of Care is discussed with and developed as a result of coordination with the patient/family/significant others when appropriate. - Devises Plan of Care using theories, methods and modalities consistent with education and training. - Responsible for management of patient throughout stay, including discharge planning and making collateral contacts with others involved in the patient’s treatment. - Assesses and reports domestic violence, elder, dependant adult and child abuse. - Bases decisions on facts, clinical reasoning and sound judgment and seeks assistance when necessary. - Oversees all pertinent decisions related to behavioral contracts, possible discharges or transfers in absence of Director. - Responsible for the evaluation of the patient’s response to/effectiveness of the implementation of the Plan of Care. - Documents all significant contacts and services provided in the medical record. - Co-facilitates education/group therapy with ancillary personnel. - Facilitates process/education groups and completes requisite documentation. - Provides Alcohol and Drug Screening and Counseling. - Sets patient care priorities appropriately. Assigns personnel to patient care activities for effective utilization of skills and abilities within their job description, scope of practice and level of competency and equalize workloads of assigned personnel. - Participates in clinical record review. - Notifies Charge Nurse/Director/House Supervisor, immediately of significant problems or unusual incidents and when appropriate, takes action to intervene. - Provides crisis intervention and supportive counseling to patients/families. - Conducts support groups for patients/families as indicated. - Provides individual and group supervision to ASWs and MFTIs. - Monitors clinical skills and practice to ensure that interns are practicing within his/her scope of practice and scope of competence. - Monitors and encourages professional growth of interns. - Assists Director in conducting competency assessments and program development tasks. - Resumes a leadership role in absence of Director. - Working knowledge of Interdisciplinary Treatment Planning. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Performs other duties as assigned or required.

- Responsible for the direct data collection and data assessment of the patient’s condition and stability based on psychosocial assessments. - Identifies biophysical, psychosocial environmental, self-care, educational, spiritual and discharge needs of the patient as evidenced in the patient’s medical record. - Responsible for the comprehensive initial assessment and ongoing reassessment of the patient’s condition, stability and determination of psychosocial needs. - Collaborates with other professional disciplines to plan, implement, evaluate and revise the Plan of Care for each patient, as evidenced in the patient’s medical record. The Plan of Care is discussed with and developed as a result of coordination with the patient/family/significant others when appropriate. - Devises Plan of Care using theories, methods and modalities consistent with education and training. - Responsible for management of patient throughout stay, including discharge planning and making collateral contacts with others involved in the patient’s treatment. - Assesses and reports domestic violence, elder, dependant adult and child abuse. - Bases decisions on facts, clinical reasoning and sound judgment and seeks assistance when necessary. - Oversees all pertinent decisions related to behavioral contracts, possible discharges or transfers in absence of Director. - Responsible for the evaluation of the patient’s response to/effectiveness of the implementation of the Plan of Care. - Documents all significant contacts and services provided in the medical record. - Co-facilitates education/group therapy with ancillary personnel. - Facilitates process/education groups and completes requisite documentation. - Provides Alcohol and Drug Screening and Counseling. - Sets patient care priorities appropriately. Assigns personnel to patient care activities for effective utilization of skills and abilities within their job description, scope of practice and level of competency and equalize workloads of assigned personnel. - Participates in clinical record review. Notifies Charge Nurse/Director/House Supervisor, immediately of significant problems or unusual incidents and when appropriate, takes action to intervene. - Provides crisis intervention and supportive counseling to patients/families. - Conducts support groups for patients/families as indicated. - Provides individual and group supervision to ASWs and MFTIs. - Monitors clinical skills and practice to ensure that interns are practicing within his/her scope of practice and scope of competence. - Monitors and encourages professional growth of interns. - Assists Director in conducting competency assessments and program development tasks. - Resumes a leadership role in absence of Director. - Working knowledge of Interdisciplinary Treatment Planning. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Performs other duties as assigned or required.

Financial Counselors are responsible for ensuring that all patient and accounts are financially secure by means of verification of insurance information, authorization of procedures, validating of patient demographics. Financial Counselors are responsible for coordination of patients with appropriate programs as needed. The Financial Counselors are responsible for coordination of collections of payments, deductibles and/or other co-insurance payments while patients are in the office.  

Under the direction and authorization of the medical director and cardiopulmonary director/manager, the RCP I 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.  

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 Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified 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.

- Responsible for the direct data collection and data assessment of the patient’s condition and stability based on psychosocial assessments. - Identifies biophysical, psychosocial environmental, self-care, educational, spiritual and discharge needs of the patient as evidenced in the patient’s medical record. - Responsible for the comprehensive initial assessment and ongoing reassessment of the patient’s condition, stability and determination of psychosocial needs. - Collaborates with other professional disciplines to plan, implement, evaluate and revise the Plan of Care for each patient, as evidenced in the patient’s medical record. The Plan of Care is discussed with and developed as a result of coordination with the patient/family/significant others when appropriate. - Devises Plan of Care using theories, methods and modalities consistent with education and training. - Responsible for management of patient throughout stay, including discharge planning and making collateral contacts with others involved in the patient’s treatment. - Assesses and reports domestic violence, elder, dependant adult and child abuse. - Bases decisions on facts, clinical reasoning and sound judgment and seeks assistance when necessary. - Oversees all pertinent decisions related to behavioral contracts, possible discharges or transfers in absence of Director. - Responsible for the evaluation of the patient’s response to/effectiveness of the implementation of the Plan of Care. - Documents all significant contacts and services provided in the medical record. - Co-facilitates education/group therapy with ancillary personnel. - Facilitates process/education groups and completes requisite documentation. - Provides Alcohol and Drug Screening and Counseling. - Sets patient care priorities appropriately. Assigns personnel to patient care activities for effective utilization of skills and abilities within their job description, scope of practice and level of competency and equalize workloads of assigned personnel. - Participates in clinical record review. - Notifies Charge Nurse/Director/House Supervisor, immediately of significant problems or unusual incidents and when appropriate, takes action to intervene. - Provides crisis intervention and supportive counseling to patients/families. - Conducts support groups for patients/families as indicated. - Provides individual and group supervision to ASWs and MFTIs. - Monitors clinical skills and practice to ensure that interns are practicing within his/her scope of practice and scope of competence. - Monitors and encourages professional growth of interns. - Assists Director in conducting competency assessments and program development tasks. - Resumes a leadership role in absence of Director. - Working knowledge of Interdisciplinary Treatment Planning. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Performs other duties as assigned or required.

- Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations. - A Registered Nurse shall be responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies. - Monitors hemodynamic/cardiac status of patient and correctly interprets the results. - Initiates discharge and family education planning with proper documentation. - Adjusts frequency of assessment as appropriate for patient’s condition and reassess nursing action for effectiveness in achieving desired outcome. - Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies. - Follows hospital policy regarding chest pain, acute MI and pneumonia protocols. - Reviews and implements new orders and keeps physician informed of changes in patients clinical status. Consistently follows protocol regarding telephone/verbal orders and the using of “read back”. - Accurately records and/or process orders in timely manner i.e., ASA administration and EKG for all chest pain patients presenting in ED. - Demonstrates empathy and respect for patients by explaining all procedures providing privacy and allowing patients to express emotional needs. - Initiates, titrates and safely monitors all IV medications and blood components. Consistently uses two patient identifiers when drawing lab, medicating, or performing any procedure on a patient and blood components - Assists physicians with special tests and procedures. - Able to give a thorough, detailed, efficient change of shift report to ensure consistency in the plan of care. - Consistently ensures that all clinical alarms i.e., Cardiac monitor alarms are set with the appropriate parameters for the patient and are audible at all times. - Does not use unacceptable abbreviations in documentation. Documents evidence of nursing care on the patient’s medical record in a legible, concise, timely and complete manner. - Avoids and prevents injury to self and patients by applying the principles of body mechanics. Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility i.e., suction and oxygen immediately available at all bed side. - Ensures Crash cart, defibrillator function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on the cart checklist. - Performs all other duties as assigned or required.

HOUSEKEEPING 8 HR, VARIED FULL TIME   The EVS Tech is responsible for maintaining a high level of cleanliness within the hospital and adjacent buildings, which may require traveling from one facility to another without assistance.  Respond to and initiate communication by phone, handheld radios, pagers etc.  

- Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations. - A Registered Nurse shall be responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies. - Monitors hemodynamic/cardiac status of patient and correctly interprets the results. - Initiates discharge and family education planning with proper documentation. - Adjusts frequency of assessment as appropriate for patient’s condition and reassess nursing action for effectiveness in achieving desired outcome. - Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies. Follows hospital policy regarding chest pain, acute MI and pneumonia protocols. - Reviews and implements new orders and keeps physician informed of changes in patients clinical status. Consistently follows protocol regarding telephone/verbal orders and the using of “read back”. - Accurately records and/or process orders in timely manner i.e., ASA administration and EKG for all chest pain patients presenting in ED. - Demonstrates empathy and respect for patients by explaining all procedures providing privacy and allowing patients to express emotional needs. - Initiates, titrates and safely monitors all IV medications and blood components. - Consistently uses two patient identifiers when drawing lab, medicating, or performing any procedure on a patient and blood components - Assists physicians with special tests and procedures. - Able to give a thorough, detailed, efficient change of shift report to ensure consistency in the plan of care. - Consistently ensures that all clinical alarms i.e., Cardiac monitor alarms are set with the appropriate parameters for the patient and are audible at all times. - Does not use unacceptable abbreviations in documentation. - Documents evidence of nursing care on the patient’s medical record in a legible, concise, timely and complete manner. - Avoids and prevents injury to self and patients by applying the principles of body mechanics. - Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility i.e., suction and oxygen immediately available at all bed side. - Ensures Crash cart, defibrillator function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on the cart checklist. - Performs all other duties as assigned or required.

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 Med/Surg/Telemetry 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.

The Executive Assistant is responsible for the day to day operations of the department on a daily, routine basis. The Executive Assistant works with the Hospital Administrator/CEO, 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.

The Laboratory Assistant will follow the guidelines set by CLIA, and the CA Business and Professions Codes (bpc: 1212, 1269). Unlicensed laboratory personnel ("aides") may not, read, record, result, verify or interpret any laboratory test. Unlicensed laboratory personnel may not perform any test involving the quantitative measurement of specimen or reagent, or perform any mathematical calculation in determining a test result or validity of a test procedure. Unlicensed laboratory personnel may not perform instrument calibration or review quality control results to monitor the performance of the instrument or test procedure. Unlicensed personnel require direct and constant supervision by a CLS or other licensed person identified in bpc: 1269, during the entire time they are assisting in the analytical testing phase. The Laboratory Assistant: 1) performs computer entry, filing, telephone communication and other clerical duties, 2) demonstrates good telephone etiquette and be able to greet patients and other visitors in a polite and friendly manner, 3) possesses good communication skills, 4) demonstrates adequate knowledge of the terminology of tests ordered in the laboratory, 5) demonstrates a good working knowledge of phlebotomy and the equipment used in collecting specimens from newborns to geriatric patients, 6) processes pathology, microbiology, immunology, hematology, coagulation, urinalysis, chemistry, and blood bank specimens, 7) processes specimens for reference laboratory, 8) stocks and orders routine supplies, 9) keeps storage areas, trays, centrifuges, and collection areas clean, 10) processes or places specimens on laboratory instruments in accordance with established policy and procedures, 11) with proper documented training the laboratory assistant may perform, instrument preventive maintenance, troubleshooting, assist in quality control procedures, perform, primary culture inoculations, stain slide preparations, and subculture from liquid media. 11) other tasks or responsibilities may be assigned by the department manager/director, ie monitor, mail, fax, answer phone, inter departmental deliveries. Etc. 12) Assist in Pathology with training and eval. 13) Runner.

- Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations. - A Registered Nurse shall be responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies. - Monitors hemodynamic/cardiac status of patient and correctly interprets the results. - Initiates discharge and family education planning with proper documentation. - Adjusts frequency of assessment as appropriate for patient’s condition and reassess nursing action for effectiveness in achieving desired outcome. - Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies. - Follows hospital policy regarding chest pain, acute MI and pneumonia protocols. - Reviews and implements new orders and keeps physician informed of changes in patients clinical status. Consistently follows protocol regarding telephone/verbal orders and the using of “read back”. - Accurately records and/or process orders in timely manner i.e., ASA administration and EKG for all chest pain patients presenting in ED. - Demonstrates empathy and respect for patients by explaining all procedures providing privacy and allowing patients to express emotional needs. - Initiates, titrates and safely monitors all IV medications and blood components. - Consistently uses two patient identifiers when drawing lab, medicating, or performing any procedure on a patient and blood components Assists physicians with special tests and procedures. - Able to give a thorough, detailed, efficient change of shift report to ensure consistency in the plan of care. - Consistently ensures that all clinical alarms i.e., Cardiac monitor alarms are set with the appropriate parameters for the patient and are audible at all times. - Does not use unacceptable abbreviations in documentation. - Documents evidence of nursing care on the patient’s medical record in a legible, concise, timely and complete manner. - Avoids and prevents injury to self and patients by applying the principles of body mechanics. - Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit/facility i.e., suction and oxygen immediately available at all bed side. - Ensures Crash cart, defibrillator function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on the cart checklist. - Performs all other duties as assigned or required.

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 Med/Surg/Telemetry 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.

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 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 Med/Surg/Telemetry 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.

The Registered Nurse in Hemodialysis 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 Hemodialysis Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients;   They will communicate with the physician about changes in the patient’s clinical condition including hemodynamics, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to Dialysis treatment.  Maintains patient privacy and confidentiality.

- Assists with providing comprehensive nursing care including the following: pre and post operative preparation, positioning of patients, ambulation of patients, dietary needs, including feeding of patients, AM and PM care, Admission, discharge and transfer of patients, care of patient belongings, and other patient care duties. - Reports all unusual incidents to the appropriate person. Reports significant changes in patient’s condition to Charge Nurse. - Assists with patient teaching within the scope of knowledge as directed by the licensed nurse. - Demonstrates the ability to accurately determine patient’s vital signs. Charts appropriate data within the scope of practice. - Utilizes hospital equipment and supplies appropriately. - Consistently uses two patient identifiers when performing any procedure on a patient. - Consistently ensures that all clinical alarms are not turned off or silenced without the RN knowledge. - Is in compliance with information contained within the Infection Control Manual (i.e. OSHA bloodborne pathogen standards, CDC Guidelines) and demonstrates appropriate use of personal protective equipment (i.e., gloves, masks, goggles) and handwashing techniques - Avoids and prevents injury to self and patients by applying the principles of body mechanics. - Maintains a safe environment, functioning with an awareness and application of safety issues identified within the unit / facility. - Explains all treatment and procedures thoroughly to patient before they are performed. - Involves patient in care and allows patient to have choice and control over situations and environment, as appropriate to condition and situation. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation 3) Use of lifting devices to handle patients safely. - Performs other duties as assigned or required.

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.  

The PBX Operator / Receptionist is responsible for answering the switchboard and pages overhead, greets and directs people to the appropriate departments. The PBX operator monitors the Hospital alarms and must be aware of the policy and procedures of all hospital emergency codes. Ability to communicate with population served.

The Unit Secretary is directly accountable to the Director of MST, and indirectly to the Charge Nurse, and / or House Supervisor. The UnitSecretary is an unlicensed person who performs indirect care in the department setting. Facilitates the communication needs of thedepartment. Transcribes physician orders from records (in the absence of CPOE and EMR clinical documentation system) with notation andsignature by nursing staff. Prepares and complies records on the Emergency Room. Orders supplies for the unit, prepares and completeseach patients chart for necessary forms needed on a daily basis. Able to assist nursing staff for duties involving indirect patient care.

- Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations. - A Registered Nurse shall be responsible for the observation and direction of patient lifts, mobilization, and shall participate as needed in patient handling. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation, 3) Use of lifting devices to handle patients safely. - Uses professional judgment and clinical assessment in safe patient handling that are consistent with Safe Patient Handling policies. - Assures effective unit operations by prioritizing patient care, problem solving and fostering collaborative working relationships. - Collaborates with physicians and the interdisciplinary team daily to assist with planning, implementation, evaluation and revision of the Plan of Care for each patient. - The Plan of Care is discussed with and developed as a result of coordination with the patient/family/significant others, when appropriate. - Responsible for direct data collection and data assessment of the patient’s condition. Supervises indirect data collection of assigned personnel. - Responsible for the comprehensive initial assessment and ongoing reassessment of the patient’s condition, stability and determination of nursing diagnosis. - Collaborates with Therapists/Social Workers to provide optimal and efficient case management by actively participating in case management discussions. - Collaborates with Admissions Coordinator and interdisciplinary team across other departments as necessary to coordinate and expedite admissions, transfers and discharges to provide for efficient patient flow. - Completes medication reconciliation and assists with follow-through with medication orders/refills. Collaborates with attending Psychiatrist and PCP’s. - Administers injectable medications and conducts blood draws as indicated. - Notifies Program Director immediately of significant problems or unusual incidents and when appropriate takes action to intervene. Communicate follow-up to Coordinator. - Monitors attendance (including tardiness) and documents/communicates to Director. - When assigned or necessary to provide patient care, performs according to clinical requirements of the RN. - Assesses and recognizes the effects and side effects of medications. - Follows established procedures for safe medication administration. - Functions as an advocate in supporting patients’ rights within the health care system. - Performs all other duties as assigned or required.

- Interviews patients to obtain information regarding food habits and cultural food preferences. - Coordinates with diet clerks to ensure accuracy of diets served. - Applies the principles of growth and development over the life span, assesses, as appropriate, and interprets data, determines patient care requirements and delivers care relative to the patients’ age specific needs. - Reviews information from interdisciplinary screening mechanism to prioritize high risk patients according to policy. - Provides education/nutrition counseling for diet modifications and food-drug interactions to patient, family and caretaker based on need, learning preference and readiness, cultural, ethnic and personal food preferences. - Accurately assesses patient’s nutritional status and determines appropriate nutritional diagnosis based on approved assessment policy. - Assures that assessments are completed in a timely manner. - Establishes nutrition intervention plans that are measurable and appropriate to the assessment. - Provides follow-up (reassessment) to see if recommendations are implemented and effective or suggests changes to the plan of nutritional care. - Documents all interventions, assessments, education and care plans in the medical record according to approved content and format. - Addresses discrepancies in diet orders if not ordered within the guideline of the diet manual. - Contacts physician with any questions or irregularities regarding nutritional care; shows no hesitancy in making contact. - Makes rounds to nursing units to check for any problems, inconsistencies, or patients who are at potential nutritional risk. - Assists in the development of policies and procedures for the clinical area and monitoring of clinical performance indicators for the department. - Performs other duties as assigned or required.

- Assists patients to undress and change into patient gown. - Make patient as comfortable as possible. - Assists patients to the bathroom - Obtains vital signs, weights on all pediatric patients, pulse oximetry and documents information on the patient record. - Places patient on cardiac monitor if necessary. - Places patient on non invasive blood pressure monitor if necessary. - Obtains medical record. - Notifies RN and / or Physician of patient’s condition. - Assists RN with ambulance runs in placement of patients in appropriate bed. - Helps to update family on progress of patient i.e. delays. Arranges patient’s family members to visit at appropriate times. - Performs CPR during codes. - Helps manage assaultive behavior patients and forensic patients. - Applies simple and complex dressings - Performs EKG’s, splinting and transports specimen to the Lab. - Assists RN in transportation of patients admitted to hospital. - Orders and stock special supplies as needed. - Follows EMTALA Regulations. - Assist with the training of new employees. - Ensures that all treatment rooms are stocked with supplies and ready for use. - Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1) - Appropriate use of lifting devices and equipment, 2) Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation 3) Use of lifting devices to handle patients safely. - Performs other duties as assigned or requested.