Registered Nurse – Operating Room / Procedure Room
Summary: RN provides competent and skilled nursing care to patients throughout the three stages of perioperative care by performing the following job responsibilities.
Associate's degree (A. A.) or equivalent from two-year accredited School of Nursing or
Baccalaureate degree (B.S.) from four-year accredited School of Nursing
Current license from State Board of Nursing
Current BCLS certification
Current ACLS certification (to administer Moderate Sedation or PACU position)
Advanced knowledge in critical thinking, and applied critical care nursing practice
Specialized knowledge, skill and abilities in empirical & practical perioperative nursing.
Specific knowledge, skill and abilities in aseptic techniques, use and application of surgical instrumentation and specialty surgical equipment & supplies.
Advanced knowledge in aesthetic practice of nursing. Language Ability: Read, analyze, and interpret and reiterate information from professional journals
Essential Job Responsibilities with demonstrated competency:
Communication of procedures and treatments with patient and significant others to gain cooperation, understanding, and trust and allay apprehension while reaching mutual consent in care approach.
Communicates patient education based on individualized needs of the patient, as requested by Physician and/or facility policy to optimize the patients preparation for surgery and continued care upon discharge.
Directs care of the patient in accordance with physician orders, including astute assessment of patient responses to medical treatment, therapeutic response to prescribed medications, ability to recognize significant conditions and adverse reactions, and effectively communicates patient's condition, progress, and reaction to drugs, treatments, and or significant change in condition with physician, peers & family.
Obtains concurrent vital signs to detect deviations from expected normal values and assesses condition for changing patient status and independently intervenes with appropriate care.
Plans and delivers direct patient care based upon evidence based standards, facility policies, procedures, protocols or processes.
Maintains awareness of specific needs of patient including but not limited to: comfort; pain relief; anxiety relief; cultural and spiritual diversity; age specificity; protection of tissue and nerve damage by proper body positioning while under anesthesia; prevention of surgical site infection; hydration; thermoregulation; hemodynamics; accurate management of specimens; prevention of URO and protection against burns; and plans interventions accordingly.
Verifies patient identification; patients understanding of planned procedure by cross reference to signed consent; correct procedure site, side, & supplies; allergies and special needs before proceeding with planned procedure.
Applies experiential knowledge for making decisions specific to efficiencies and cost containment to optimize work flow and protection of business assets.
Accurately communicates continuum of direct patient care verbally and in writing of initial assessment of baseline medical and surgical history, allergies and physical conditions and re-assessments of treatments, medications administered, and general patient progress.
Prepares operating / procedure rooms with specific equipment, sterile instruments and supplies based on physician preferences and the accumulative knowledge based on experiences to optimize work flow, efficiencies and cost containment strategies.
Consistently performs hand hygiene practices for the prevention of infection.
Concurrently participates in facility quality assessment and performance improvement activities identified by the organization.
Other responsibilities may be assigned by management.
Los Angeles, CA, USA
The Nurse Case Manager may provide daily care coordination, case management, coaching, consultation and intervention to patients with one or more chronic diseases. May also be responsible for identifying said population via provider/clinic referral, utilization management referral, disease registry reporting
mechanisms and patient self-referral. This position may also provide case management to patients who are admitted to the hospital and those patients who may need to be enrolled in ambulatory case management. The case manager will be responsible for identifying (California Children Services) CCS cases, handle transfers, and retro reviews. Works as part of an interdisciplinary care team coordinating social work and mental health counseling, psycho-social support services, in-home support, legal services, skilled nursing, home health, etc. The Nurse Case Manager effectively collaborates with the hospitalist, the hospital nursing personnel, with members of the interdisciplinary care team and with the physician in the clinic.
Skills and Abilities:
1. Excellent customer service skills and ability to resolve complex customer service issues and exercise conflict management.
2. Ability to read, write and speak in a clear, accurate and professional manner; includes active listening skills and understanding medical terminology.
3. Ability to complete basic/intermediate math computations and medical math conversions.
4. Proficient in beginning/intermediate computer skills and typing.
5. Excellent follow through skills, multi-tasking, prioritization and attention to detail.
6. Knowledge of the Case Management Process, Chronic Care Model and Patient-Centered Medical Home Model (PCMH).
7. Must be able to apply critical thinking skills and make sound judgment at all levels throughout the patient’s continuum of care and make necessary referrals on behalf of P/P/C (Patient/Provider/Caregiver).
8. Knowledge of regulatory requirement, health plan contracts, governmental benefits and community resources.
Environmental Conditions Critical to Performance:
1. Works in an office environment, climate controlled through air conditioning.
Education and Experience:
1. Graduation from an accredited nursing program.
2. Current valid License as a Registered Nurse through the California Board of Registered Nursing; Bachelor’s degree in social work, nursing, or another health or human services field with the appropriate licensure preferred.
3. Experience in and willingness to be part of multi-disciplinary team.
4. Experience with physically or mentally impaired adults and/or geriatric population.
5. Three years experience in public health nursing, acute care, case management and/or in-home health care required; minimum of 2 years of managed care experience in case management with focus in inpatient and/or outpatient ambulatory care preferred.
6. Bilingual in English and Spanish preferred.
Los Angeles, CA, USA
This position is responsible for all aspects of the ‘back office’ including nursing care and the supervision of clinical support and nursing staff by overseeing the day-to-day clinical staff activities and ensuring the patient care staff provide high quality, accessible, cost effective care and patient focused services. Additionally, this position will implement and maintain clinical and patient care practice standards, budgets, and staff development.
Bachelor’s degree in Nursing required. Masters degree in nursing, health services, business administration or management preferred.
Current valid license as a registered nurse through the California Board of Registered Nursing required.
Minimum of three years of experience in clinical care management working in an outpatient setting, preferably in a Family Practice environment coupled with experience in the staff supervision, preferably in a Healthcare environment also required.
Must maintain current CPR/First Aid Certificate.
Prior experience with an Electronic Health/Medical (EHR/EMR) system preferred.
Plans, organizes, and oversees staff to provide quality patient care.
Ensures the patient care staff provides the highest quality of care and are in compliance with the Nurse Practice Act, TJC, NCQA, federal, state and local requirements.
Evaluates care and ensures customer satisfaction.
Oversees the department’s daily staffing requirements.
Orients clinical staff to their job responsibilities.
Provides leadership in clinical problem solving by maintaining clinical skill and knowledge necessary to set standard and work in clinical areas of nursing.
Ensures a thorough orientation plan for new staff members and orients clinical staff to their job responsibilities.
Evaluates and schedules inservices/training necessary to keep the staff current.
Ensures department activities and records are in adherence to all licensing and regulatory requirements.
Implements and interprets organizational policies and procedures and applicable standards and regulations.
Functions as Patient Advocate, ensuring that patient concerns are resolved or addressed expeditiously.
Collaborates with physicians, nursing and other health care providers in establishing, implementing, and maintaining patient care and quality service standards to meet members' and internal clients' expectations.
Provide input to budgets and monitors financial performance and identifies and implements strategies to reduce costs and improve quality.
Perform other related duties as assigned.
Los Angeles, CA, USA
This position provides services that help restore function, improve mobility, relieve pain and prevent or limit permanent physical disabilities of patients suffering from injuries or disease as they restore, maintain and promote overall fitness and health.
Physical Therapist license issued by the State of California Physical Therapy Board coupled with a minimum of 1 year of experience working with the frail, elderly and disabled populations required.
Current CPR/First Aid certification also required.
Bilingual English/Spanish/Cantonese/Mandarin preferred.
Assess, plan, prepare and carry out individually designed programs of physical treatment to maintain, improve or restore physical functioning, alleviate pain and prevent physical dysfunction in patients.
Evaluate effects of treatment at various stages and adjust treatments to achieve maximum benefit and to meets the patient's goals and needs.
Administers manual exercises: instructing, encouraging and assisting patients in performing physical activities, functional activities, gait and daily-living activities and in using assistive and all applicable supportive devices.
Administers physical therapy treatments by utilizing physical agent modalities-moist packs/heating pads, cold packs, TENS, EMS, ultrasound machine and traction; directing treatments given by assistants.
Direct or supervise group rehabilitation activities.
Provide information to the patient about the proposed intervention, its material risks and expected benefits and any reasonable alternatives.
Completes assessments and collaborate with physicians, nurses, social workers, and other health care workers to establish an integrated individualized plan of care.
Designs home exercise programs, recommending and/or providing assistive equipment, instructing patients, families, and caregivers in home exercise programs that, if followed, will assures continuation of therapeutic plan following discharge from therapy.
Develops physical therapy assistants and aides by providing information, guidance, training and conducting in-service training programs.
Maintains patient confidence and by keeping information confidential.
Maintains safe and clean working environment by complying with company’s policies and procedures, rules, and regulations.
Protects patients and employees by adhering to infection-control policies and protocols.
Complies with federal, state, and local legal and professional requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions.
Perform all other related duties as assigned.
Orange County, CA, USA
We are seeking experienced LVNs to join a well-established health care organization. You will be responsible for delivering high quality care to assigned patients. This position is part of a registry.
Location: LA county and Orange County
Shifts: Full-time shifts, Part-time shifts, flexible shifts.
Pay Rate: $26.00 to $32.00 /hour
Care for ill, injured, or convalescing patients
Provide basic patient care and treatment
Collaborate with registered nurses to administer prescribed medications
Sterilize and prepare medical tools and equipment
Educate and update patients on medical treatments
Previous experience in nursing or other medical fields
Familiarity with medical tools and equipment
Ability to build rapport with patients
Compassionate and caring demeanor
Excellent written and verbal communication skills
Come join one of the nation’s largest network of community-based primary care clinics and senior care programs. JCHAO-accredited, and strongly focused on wellness, preventative care and eliminating health care disparities.
Responsible for managing nursing and clinical support at clinics. Provides leadership for nursing and clinical support functions. Works collaboratively on clinical operations with the Administrative Leadership Team. Serves as team leader. Develops and implements quality, cost-effective, efficient systems and protocols for standardizing processes of patient care at clinics.
Accredited school of nursing graduate with a current California State Board of Nursing License coupled with a minimum of 1-2 years hospital or clinic related nursing experience required.
Bilingual English/Spanish preferred.