When unit is full, LPN will work with RNs with highest acuity or will be paired with an RN who has a heavy patient load. When the UNL has patients, the LPN will be paired with the UNL to assist with the UNL patient load. LPN tasks may include oral meds, IV piggyback meds, trach care, dressing changes, documentation on assessments and care plans after the RN has completed the first assessment and initiated the care plan.Passes all medications, hangs IV piggybacks and fluids, excluding IV Push medsCharts assessments on assigned patients, given that an RN has charted the initial assessment.Charts on care plans, which the RN has opened. As needed will have RN open new care plansCommunicates with physicians/APPs to receive orders and coordinate care for patient.Complete dressing changes as neededComplete trach care as neededInsert and care for NG tube and feedings through NG tubeCare for and change ostomyReinforce education and discharge instructions

As a member of the interdisciplinary team, contributes professional nursing knowledge and skills in the provision and management of care to patients through the application of the nursing process.CLINICAL EXCELLENCE FOCUS: Promotes the use of evidence based practice through the nursing process, protocols and procedures.Under the supervision of an RN, assesses patient's status through interview, observation and physical assessment of actual problems and outcomesAssists the RN in the development of an individualized plan of care using a collaborative approach with the patient/family and health care team.Uses appropriate interventions identified in the plan of care to achieve expected patient outcomesSystematically evaluates and documents patient's progress toward expected outcomes/goals on an ongoing basis throughout the shiftModifies plan of care based on evaluationCompletes required documentation as appropriate, including patient chart and event reportsDemonstrates professional accountability for own practice as evidenced through seeking resources and continuing self-developmentDemonstrates technical knowledge of equipment and troubleshoots when problems ariseAcquires and maintains current knowledge and skills in evidence based nursing practicePromotes the professional development of self and team membersShares clinical knowledge through informal teaching and in response to the learning needs of others.WORK ENVIRONMENT & CULTURE FOCUS: Participates in interdisciplinary care of the patient through collaboration with team members and utilizes additional resources when necessary.Analyzes clinical situations in a systematic way and acts to obtain resources or correct problems to meet or exceed expected outcomes or patient needsRecognizes need for assistance and utilizes resources, including physician and nurse to nurse (UAT) consultation in a timely mannerDemonstrates ownership and persistence to ensure problem is resolved in best way possible.Able to assume assignment of non-complex and some complex patient management with some turnover in assignmentConsistently prioritizes work based on changes in patient condition, changes in assignment and unanticipated interruptionsIdentifies and utilizes team resources to solve identified problems or needsCollaborates with the health care team in the organization of tasks and activities for the patient's care from admission to discharge according to the plan of care and to meet identified expected outcomesWorks with other team members in delegating tasks and activities appropriatelyProvides goal-focused shift reportAdvocates with physicians on patient's behalf when necessaryUtilizes communication and teamwork strategies aimed at promoting high team performance and achieving optimal patient outcomes and unit productivityChooses an appropriate and meaningful communication style when interacting with others; gives and accepts constructive feedback to/from peers.PATIENT EDUCATION FOCUS: Adapts teaching strategies appropriately to meet the patient's/family's age specific needs.Adapts teaching strategies based on patient's response, readiness to learn and level of comprehensionTakes cultural, age-specific, gender, and developmental factors into consideration when teaching patients about procedures, illness, hospital experience, etc.Ensures patient safety in the hospital environment by following policy/procedures and adhering to National Patient Safety GoalsConsults appropriate resources within the hospital to provide specialized educationUtilizes SVI patient education system and other resources for patients and family membersPERFORMANCE IMPROVEMENT FOCUS: Actively participates in data collection, analysis, problem solving and gives input on process improvements and patient satisfaction.Assures that the care provided is consistent with standards of care, evidence based practices, national patient safety goals, core measures and other quality initiatives undertaken by the unit/hospitalWorks with interdisciplinary team in identifying opportunities for improvement in patient care and patient/family satisfactionActively promotes and achieves customer satisfaction

As a member of the interdisciplinary team, contributes professional nursing knowledge and skills in the provision and management of care to patients through the application of the nursing process.Under the supervision of an RN, assesses patient's status through interview, observation and physical assessment of actual problems and outcomes.Assists the RN in the development of an individualized plan of care using a collaborative approach with the patient/family and health care team.Uses appropriate interventions identified in the plan of care to achieve expected patient outcomes.Systematically evaluates and documents patient's progress toward expected outcomes/goals on an ongoing basis throughout the shift.Modifies plan of care based on evaluation.Completes required documentation as appropriate, including patient chart and event reports.Analyzes clinical situations in a systematic way and acts to obtain resources or correct problems to meet or exceed expected outcomes or patient needs.Recognizes need for assistance and utilizes resources, including physician and nurse to nurse (UAT) consultation in a timely manner.Able to assume assignment of non-complex and some complex patient management with some turnover in assignment.Consistently prioritizes work based on changes in patient condition, changes in assignment and unanticipated interruptions.Identifies and utilizes team resources to solve identified problems or needs.Collaborates with the health care team in the organization of tasks and activities for the patient's care from admission to discharge according to the plan of care and to meet identified expected outcomes.

The Clinical Care Attendant is responsible for assisting the Physician, Nurse Practitioner, and Physician Assistant (collectively "Provider") with front office and back office duties in the outpatient management of patients on a rotating basis. This position is a vital part of the office team that cares for patients in the clinic setting working under the direction of a Provider and working closely with the Provider, other clinical staff, and direct patient care. Additionally, the Clinical Care Attendant is responsible for a variety of clerical and clinical functions within a clinic setting requiring knowledge and integration of available standards, resources, and data; discretion; good judgment; diplomacy; decision making; and a strong customer service attitude. Acting as the patient advocate, the Clinical Care Attendant has continuous contact with Providers, patients, patient families/ significant others, community agencies, and patient care staff and management.Clinical Excellence/Patient Care* Perform and/or assist clinical procedures consistent with training and licensure under supervision of Provider in exam suite. Greet and welcome patients immediately upon arrival to the clinic. Escort back to exam suite. Complete patient registration and associated paperwork or assist in on-line registration as needed, based on patient need, ability and desire. Escort and check out upon completion of visit and assist patient with completion of patient satisfaction survey if needed at the time of check out.* Obtain patients review of systems and history, measure vital signs, including but not limited to weight, blood pressure, pulse, temperature, and complete all necessary documentation in patient's chart and consistent with clinical protocol. * Offer patient convenience items (water, coffee, tea, warm blankets, etc.), to ensure patient is comfortable in exam suite and/or lobby. * Follow symptom initiated protocols in place for clinic operation. Perform labs as ordered/instructed either by protocols or provider direction.* If clinic offers Aidarex, offer this option to patients and perform administration of prescription as directed by provider. * Review after visit summary and provide instructions to patient as instructed by Provider.* Call all patients back 48-72 hours post clinic visit to perform mandatory follow up phone call. * Consistent with Carle Health policy and as directed by Provider call patient with results reporting in a professional and courteous manner consistent with training and licensure. * Keep exam rooms stocked with adequate medical supplies, maintain instruments, and sterilize as required. * Take, relay, and process messages from patient, Provider, pharmacy consistent with training and licensure. * Consistent with Carle Health policy maintain all logs and required checks (e.g., refrigerator temperatures, emergency medications, expired medications, oxygen, cold sterilization fluid change, etc.).Employee Development* Maintain Carle Health and department policies, procedures and objectives; performs functions other than described due to extenuating circumstances.* May serve other departments as assigned.* Be aware of what is happening in clinic/department and the organization by attending clinic/department meetings, reading emails and regularly checking information on the organization's intranet site.* Maintain regular and consistent attendance at work.* Maintain compliance with CLIA, OSHA, Safety and Risk Management guidelines.* Maintain compliance with Personnel policies and procedures.* Monitor environmental conditions in order to secure protected health information.* Behave in a manner consistent with all Corporate Compliance and HIPAA policies and procedures.* Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.* Perform all duties consistent with training and licensure.* Perform other duties as requested by Clinic Manager to facilitate the smooth and effective operations of the office.

Under the direction of a health care provider, Clinical Nurse LPN, is responsible for the delivery of patient care that promotes the safety and well-being of our patients.Clinical Excellence/Patient Care* Assist provider and other clinical staff with obtaining basic vital information preparing patient for examination, treatment and minor surgical procedures.* Demonstrates competence in the clinical skills necessary to carry out assigned job duties.* May be required to draw and collect blood and other samples from patients and prepare specimens for laboratory analysis.* Administer vaccines and ordered medications by oral, IM,SQ or ID routes.* Place urinary catheters per protocol. * Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or requisitions needed for referrals or lab testing, including appropriate CPT/ICD-9 coding. * Responsible for tracking system for follow-up appointments related to office visits, laboratory tests and procedures to regularly follow patients monitoring disease status. * Provide appropriate and timely documentation in the patient's electronic health record using standardized workflows and processes.Development and Patient Education* Be aware of what is happening in clinic/department and the organization by attending clinic/department meetings, reading emails and regularly checking information on the organization's intranet site.* Maintain compliance with CLIA, OSHA, Safety and Risk Management guidelines.* Maintain compliance and behave in a manner consistent with all policies and procedures, including but not limited to Compliance, HIPAA and personnel workplace rules.* Behave in a manner consistent with all Compliance and HIPAA policies and procedures.* Maintain regular and consistent attendance at work.* Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations. * Provide education to patients and families using the Teach-back method per protocols and guidelines.* Balance team and individual responsibilities; be open and objective to other's views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests. * Perform other duties as requested by Clinic Administrator to facilitate the smooth and effective operations of the office.

***Sign on Bonus $2500 External applicants only***Position Highlights: 9A Medical- SurgicalNumber of beds on unit: 24 private bedsPatient population (age, diagnosis, specifics about unit): Medical-surgical, unit that serves patients admitted for illness, surgery, testing for various diagnoses. The unit serves patients typically above 17 years of age.Nurse to Patient ratio: 1:5 (occasionally 1:6)Department culture and resources: 9A is a fast-paced unit with medically complex patients. The nurses and HCTs on the unit work collaboratively with the providers, patient families, therapists, and pharmacists to provide safe and quality care. The success of patient care is strongly rooted in teamwork and communication. The unit leadership focuses on reinforcing teamwork and individual growth through employee engagement and various opportunities within the organization.Frequent nursing skills/equipment used: Nursing assessments, medication administration, collaboration with multiple disciplines, and the ability to communicate patient care needs with the care team. Hands-on skills such as IV insertion, foley insertion, tracheostomy care, using plum pump for fluid and medication administration, administering tube feeding, wound care and wound vacs, and ostomy bag care. BLS (within 30 days of hire). When unit is full, LPN will work with RNs with highest acuity or will be paired with an RN who has a heavy patient load. When the UNL has patients, the LPN will be paired with the UNL to assist with the UNL patient load. LPN tasks may include oral meds, IV piggyback meds, trach care, dressing changes, documentation on assessments and care plans after the RN has completed the first assessment and initiated the care plan.Passes all medications, hangs IV piggybacks and fluids, excluding IV Push meds.Charts assessments on assigned patients, given that an RN has charted the initial assessment.Charts on care plans, which the RN has opened. As needed will have RN open new care plans.Communicates with physicians/APPs to receive orders and coordinate care for patient.Complete dressing changes as needed.Complete trach care as needed.Insert and care for NG tube and feedings through NG tube.Care for and change ostomy.Reinforce education and discharge instructions.