March 2010 Critical Care Show



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Acute Respiratory Distress Syndrome
Acute Respiratory Distress Syndrome: This session is designed to familiarize participants with management and support of the patient with Acute Lung Injury (ALI) and Acute Respiratory Distress Syndrome (ARDS). Discussion will include pathophysiology in ALI/ARDS as well as current support strategies such as conventional and advanced mechanical ventilation, positioning and pharmacologic therapy. Objectives: 1. Participants will be able to describe the pathophysiologic changes at the alveolar level that prevent normal ventilation and gas exchange. 2. Participants will be able to describe the two principles of lung protective ventilation strategies 3. Participants will be able to describe the non-ventilation support strategies used in ARDS Questions: • Is there a difference in complexity and outcome in ARDS patients depending on the type of injury to the lung? • What are the basic strategies when ventilating a patient with ARDS? • Is any mode of ventilation shown to be superior in ventilating patients with ARDS? • What is the role of pulmonary vasodilators in management of the patient with ARDS? • Why is mortality lower in ARDS patients today then when it was discovered 30 years ago? • Are steroids helpful in ARDS? • Is prone positioning still beneficial?
Cardiac Dysrhythmias Made Easy:

Cardiac rhythms are now being monitored across the continuum of care in many different patient settings. Yet sometimes it's difficult to differentiate similar rhythms or identify infrequently seen but potentially life threatening dysrhythmias. This session will focus on significant rhythms and their implications for nurses. You'll learn simple techniques to help identify dysrhythmias and nursing implications associated with each will be presented. The session is appropriate for nurses in all practice settings.

Learner Outcomes:

  • Discuss the electrophysiology of the cardiac conduction system.
  • Identify common dysrhythmias and the nursing implication for each.
  • Identify lethal dysrhythmias and the nursing implications for each.


  • Fluid Balance and Resuscitation
    Fluid Balance and Resuscitation: “Fluid Balance and Resuscitation (Burn and Trauma Patients)” Fluid resuscitation is at the cornerstone of management of the burn and trauma patient. Trauma patients who have sustained massive injury and hemorrhage must receive fluid replacement to prevent hypovolemia and ensuing shock. For the burn patient, fluid resuscitation is critical throughout the first 24 hours after the injury is sustained to prevent hypovolemia and ensure adequate tissue perfusion. Delayed or inadequate fluid resuscitation results in suboptimal tissue perfusion, which can lead to multisystem organ failure and death. Overresuscitation can be more problematic than underresuscitation and has been associated with the development of abdominal compartment syndrome, compartment syndrome of the extremities, airway obstruction, and pulmonary edema. The term fluid creep is used to describe the tendency to give too much fluid and can result from the hemodynamic consequence of opioid creep. Experts in the field agree that fluid resuscitation is a priority. The advanced practice nurse (APN) can play a vital role in implementing strategies to ensure optimal resuscitation in the burn and trauma patient. Through collaboration, the APN in both the burn center and the emergency department must make certain that the educational needs of the staff are addressed and be diligent in providing significant education, essential tools, and assistance to the staff nurses in an effort to promote best-practice and evidence-based care. Questions: What are the advantages of administering lactated Ringers when considerable amounts of fluid are needed during resuscitation? How does the administration of opioid analgesics affect the resuscitative efforts of the burn or trauma patient? What are the deleterious effects of over-resuscitation or fluid creep? While utilizing the Parkland Formula, what is the most common error made by clinicians when calculating fluid needs of the burn patient?
    Managing Alcohol Withdrawal Syndrome

    Over 10 million Americans have a problem with alcohol dependency and 40% of hospitalized patients are at risk for alcohol withdrawal syndrome (AWS). This session will focus on the risk factors and signs and symptoms for acute AWS. Learn how to manage your patient's withdrawal symptoms and keep yourself and the patient safe throughout the process.

    Learner Outcomes:

  • Identify the etiology and pathophysiology of alcohol withdrawal syndrome.
  • Screen patients and identify appropriate diagnostic studies for patients at risk for AWS.
  • Recognize and manage symptoms of AWS using pharmacologic and nonpharmacologic therapies.


  • Strategies for Reducing Overcrowding the Emergency Department
    Description: This online session will focus on factors that contribute to ED overcrowding using a cardiac conceptual model for ED operations. Equating preload to the volume of patients coming into the ED, afterload as the resistance to flow out of the ED, and contractility and the essential work performance of staff in the ED, pathologic issues that can negatively impact ED function and outcomes will be discussed. Strategies that ED leaders can employ to effectively treat these issues will be offered. Questions: 1. What are key factors that lead to ED overcrowding conditions? 2. What ED metrics can be used to identify specific causes of crowding? 3. How can ED and hospital leaders collaborate to address ED overcrowding effectively? 4. What are short and long-term strategies that can have a positive impact on reducing crowding?
    Summer Emergencies: Lightning, Spiders, & Snakes, Oh My!

    Summer's almost here- and so are the thunderstorms, bugs and hot, humid weather. As people emerge to enjoy outdoor pursuits, be prepared- some of the most innocuous activities have unexpected risks, including lightning strike, snake and insect bites, and heat-related illnesses. This presentation will describe immediate life-saving interventions and offer common-sense prevention strategies for nurses to incorporate into their own lifestyle and health teaching opportunities.

    Learner Outcomes:


    Ask the Experts Live Q&A
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    Optimiziming
    Christine Kessler
    MN, CS, ANP, BC-ADM, Nurse Practitioner, Diabetes Institute, Dept. of Endocrinology & Metabolic Medicine, Walter Reed Army Medical Center, Washington DC
    Anne Dabrow Woods
    : Anne Dabrow Woods, RN, CRNP, ANP, BC, MSN, Director, Journal Strategy & Development, WKH/ LWW; Nurse Practitioner, Critical Care, Chester County Hospital, West Chester, PA, Wolters Kluwer Health/Lippincott Williams & Wilkins, Ambler, PA. Anne Woods is the Director of Journal Strategy and Development for the medical, nursing, and international journals for Wolters Kluwer Health, Lippincott Williams & Wilkins. She has over 25 years of experience in healthcare. Anne earned her BSN from West Chester University and her MSN from LaSalle University. She has worked extensively in critical care as a staff nurse, educator, and manager and she continues to work part-time as a nurse practitioner in critical care. Anne is also adjunct faculty for Immaculata University and is on the board of directors of the Nursing2009 Foundation. Please welcome Anne Woods.
    AnneMarie Palatnik
    AnneMarie Palatnik has been a cardiovascular nurse for more than 20 years. She has been a cardiovascular clinical nurse specialist for almost 15 years. Currently AnneMarie is the Coordinator of Continuing Education for Virtua Health in Marlton. NJ. She has her own consulting business where she participates in educational opportunities with professional organizations, pharmaceutical companies, and publishing companies. AnneMarie has spoken nationally on a variety of cardiac topics and she has also published several articles on a variety of cardiac topics. She has just accepted a position as Editor-in Chief of the Nursing 2008 Critical Care Journal. And in her spare time AnneMarie enjoys coaching her daughters softball team.
    Barbara Pope
    Barbara Popeis proud to say that she is an adult learner, becoming a nurse when in her early 40's. She received her diploma in nursing from Chestnut Hill Hospital School of Nursing, her BSN from LaSalle University, and her MSN from Widener University. She is the Critical Care Clinical Educator at Albert Einstein Medical Center, in Phila. She is a past president and former Education Chair of the Southeastern Pennsylvania Chapter of the American Association of Critical-Care Nurses. She has received the Kappa Delta chapter, Sigma Theta Tau Excellence in Education award; the SePa Chapter AACN’s highest award, the Patsy Whitner award for service to chapter; and the Pennsylvania Nightingale award for excellence in nursing education.
    Cindy Zaletel

    Cynthia is currently a Clinical Nurse Specialist in the Emergency Department at Advocate Good Samaritan Hospital.

    Previous Degrees:

    Lewis University, January 1999, BSN
    Joliet Junior College, May 1996, Associate in Science

    Loyola University Chicago, Marcella Niehoff School of Nursing Program Specialty:

    Acute Care Clinical Nurse Specialist

    Professional Work Experience:

    Loyola University Medical Center, Burn Center 01/1999-8/2007
    Staff Nurse 01/1999-01/2006
    Nursing Staff Educator 01/2006-08/2007

    Provena St. Joseph Medical Center 08/07-06/2008
    Assistant Patient Care Manager, Critical Care

    Advocate Good Samaritan Hospital, Emergency Department, 06/2008-present
    Nurse Educator 06/2008-08/2009
    Clinical Nurse Specialist 08/2009-present

    Certifications:
    APN/CNS 2009
    CCNS 2009
    Trauma Nurse Specialist (TNS) 2004
    CCRN 2002


    John J. Gallagher, MSN, RN, CCNS, CCRN
    John Gallagher is the Clinical Nurse Specialist for Surgical Critical Care at the Hospital of the University of Pennsylvania in Philadelphia. He received his MSN at LaSalle University in Philadelphia. He has practiced in a variety of critical care settings including Trauma Resuscitation and Trauma ICU, Emergency Department, General ICU and Pulmonary Step-down unit. Additionally, John is a Registered Respiratory Therapist and has practiced as a Paramedic in the state of Pennsylvania. He is a member of the SePA Chapter of AACN, as well as the Society of Critical Care Medicine Nursing Section, and is a past-President of the Pennsylvania Trauma Nurse Advisory Council. His areas of clinical interest include ALI/ARDS, mechanical ventilation, sepsis and endpoints of resuscitation. Please join me in welcoming John!
    Linda Laskowski-Jones
    Linda Laskowski-Jones, RN, MS, ACNS-BC, CCRN, CEN, Vice President: Emergency, Trauma & Aeromedical Services, Christiana Care Health System, Newark, DE Linda Laskowski Jones is the Vice President of Emergency, Trauma & Aeromedical Services at Christiana Care Health System in Delaware. She received her Bachelors and Master's degrees in nursing from the University of Delaware. She has 26 years of clinical practice, education and leadership experience. Linda is on the Editorial Boards of the Journal of Trauma Nursing, and Accident & Emergency Nursing, and the Editorial Advisory Board for Nursing. She is a highly published author. In 2007, she received the Sigma Theta Tau International Award for Excellence in Nursing Practice. As a 20-year National Ski Patrol member at Pennsylvanias Blue Mountain Ski Area, she was recognized for excellence in emergency care and given the Purple Merit Star, the highest meritorious service award for saving a human life. She is pursuing a Wilderness Medicine Fellowship through the Wilderness Medical Society.
    Penny S. Brooke APRN, MS, JD
    Penny S. Brooke APRN, MS, JD is both a child psychiatric nurse specialist and an attorney. Penny is a Professor and the Director of Outreach (Internation & Service-learning programs) at the University of Utah College of Nursing in Salt Lake City, Utah. Penny is active in the American Association of Nurse Attorneys and is a member of The National Association of College and University Attorneys. Penny serves on the Intermountain Healthcare board of directors as well as the Uban Region Hospitals Board for Intermountain .She is also on the American Hospital Associations' Committee on Governance and the AHA Region 8 Governing Board. Additionally, Penny is active in the Utah Hospital Association (UHA) and currently chairs the Quality Committees for both UHA and the Intermountain Hospitals.
    Thomas S. Ahrens, RN, DNS CCNS FAAN
    Thomas S. Ahrens, RN, DNS CCNS FAANis a Research Scientist at Barnes Jewish Hospital in St. Louis He has extensively published, including 5 books and over 100 papers. He has lectured both nationally and internationally on critical care topics. Dr. Ahrens is actively involved in technology application, particularly in terms of hemodynamic monitoring and capnography. He has been widely published in the application of technology to clinical practice. He organized a multi-center study that illustrated how end tidal CO2 could accurately predict survival following cardiac arrests. His book “Hemodynamic waveform analysis” is considered by many to be the finest clinical guide to the topic. His book “Essentials of Oxygenation” was an American Journal of Nursing Book of the Year. He was awarded the 1999 Presidential Citation by the Society of Critical Care Medicine and in 2004 was inducted into the American Academy of Nursing. He is a strong advocate for hospitalized families. He has published a research paper that demonstrated how improving communication with high risk patient families can improve both outcome and costs control. He has helped design communication programs to aid clinicians and published how nursing can lead the way to better matching patient/family wishes with the plan of care. In 2006 he was selected as an Edge Runner by the Academy, which is designated “for those people who are developing innovative solutions that eventually become mainstream solutions”, for his work with families of hospitalized patients. From 2006-2008 he was AACN’s representative to the Surviving Sepsis Campaign. In 2008 he was award the “Flame of Excellence” award from the American Association of Critical Care Nurses for sustained and influential work in critical care.
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    Exhibitor Package
    BMT Clinical Program Coordinator
    Requisition #3027
    Los Angeles, CA

    Cedars-Sinai Medical Center's Bone Marrow Transplant (BMT) Department has an immediate opening for a Clinical Program Coordinator, RN who will be responsible for the planning and coordination of all aspects of care for BMT transplant patients throughout the continuum of services – from initial referral to follow-up care. Serves as the primary coordinator for the interdisciplinary team, including: physicians, nurses, social workers, dietitians, pharmacists, financial analysts, case managers, and support staff. Develops, coordinates, implements, and evaluates educational programs/projects for patients, personnel, and the community. Collects/documents data to meet clinical, financial, and regulatory requirements. Participates in the development of guidelines, protocols, pathways, and other performance improvement activities. Participates in research activities. Serves as a patient advocate throughout the transplant process. Represents the Medical Center at regional and national meetings/conferences. The Clinical Program Coordinator provides nursing care consistent with Nursing Standards of Care/Practice, maintains competency skills including the ability to provide care to special patient populations and patient with diverse cultural backgrounds.

    Requires:

    Current CA RN license
    BLS
    BSN
    5 years acute RN experience to include a minimum of 2 years recent experience in hematological/oncological malignancies, including bone marrow/stem cell transplant experience.

    Prefer:

    One year of management experience

    For more information talk with one of recruiters or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/ and type in requisition #3027.

    EOE
    Clinical Nurse, Outpatient Clinics
    Requisition 2843
    Los Angeles, CA
    Cedars-Sinai Medical Center has immediate 8hr day Opportunities for CN III's - Career Float, to work in various outpatient specialty areas. The CN III assume responsibility and accountability for the application of the nursing process and the delivery of patient care and consistently demonstrate professional skills and abilities, utilizes his/her knowledge base and proficient skills to direct and supervise the clinical performance of others in the role of collegial consultant and resource person. Demonstrates motivation and creativity and serves as a catalyst for effective changes within the Nursing at the unit service line and institutional levels. Applies clinical knowledge regarding standard pattern of care to consolidate interventions for time and cost savings.

    Requirements:

    Valid California Registered Nurse License
    BCLS and ACLS certified
    5 years or more acute care experience

    Prefer:

    BSN
    Outpatient experience
    Experience in two or more nursing specialty areas
    Specialty Certification

    For more information speak with one of our recruiters or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/ and type in requisition #2843

    EOE
    Clinical Nurse, Psychiatry
    Requisition #971
    3 years
    BSN
    Los Angeles, CA

    Exercise your leadership skills and still enjoy direct patient care. Act as a collegial consultant and resource, directing and supervising clinical performance of the Nursing Team, and acting as a change agent within the unit. Provide appropriate assessment, intervention and evaluation of patients.

    Requirements:

    BSN
    A valid California Registered Nurse License.

    Prefer:

    3+ years’ recent supervisory experience
    Minimum 3 years experience in specialty area
    Certification in psychiatry
    Current Basic Life Support Certification
    Current Fire Class Card
    Current CPI Card

    For more information talk with one of our recruiters or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/ and type in requisition #971.

    EOE
    Critical Care Clinical Nurse Specialist
    Requisition #2437
    MSN
    Los Angeles, CA

    Cedars-Sinai Medical Center has an immediate opening for a Clinical Nurse Specialist (CNS) to provide leadership, consultation, education and patient care management expertise for the adult critical care patient population. The Clinical Nurse Specialist is an expert clinical practitioner providing guidance, direction and assistance to the health care team in maintaining optimum quality of nursing care. This care is consistent with Nursing Standards of Care/Practice, the Plan for Provision of Nursing Care, The Plan for Provision of Patient Care, CSMC Code of Conduct, the Performance Improvement Plan, the Patient Education Plan and Professional Organization Standards.

    Requirements:

    Current CA RN license
    ACLS
    BLS
    MSN
    Minimum of 5 years experience as critical care CNS
    Must be CNS certified by the CA BRN and have national certification

    Prefer:

    Critical care specialty certification

    For more information talk with one of our recruiters or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/ and reference Requisition #2437.

    EOE
    Director of Nursing
    Negotiable
    Director
    5 - 10 years
    BSN
    San Antonio Texas

    The Methodist Healthcare System brings together 15 of San Antonio's most respected health care facilities to employ more than 6,000 people. Nearly 2,000 physicians are associated with the Methodist Healthcare System. And almost 1,400 of them have full admitting privileges at our facilities. Since we provide about 38% of the health care needs of San Antonio, we are taking a leading role in our community's second largest industry.

     Director of Nursing, Methodist Healthcare System

    The Director of Nursing participates in formulating organization policy, develops and/or reviews procedures essential to the achievement of objectives and the ability to make recommendations to Senior Management.

     Ability to use planning, research, foresight and facility goals and needs to analyze and make decisions with out delay while involving appropriate parties.

    Develops, directs and insures the implementation of department services that promote optimum health care delivery and customer service. 

    Promote and continually educate employees on concept of excellent service for all customers of the hospital, to include patients, visitors, physicians and employees. 

    Accountable for creating a system which fosters participation and collaboration in planning, implementing and evaluating standards to insure safe, efficient and therapeutically effective health care.

    Maintains employee satisfaction score at goal of divison/corporate level.

     

    Bachelor's Degree

    RN Licensure

    CPR Cetification

    Must have 4 years or more of Director experience

    Strong communication, organizational, interpersonal and customer service skills required

    Able to work in a fast-paced environment

    Knowledge in the guidelines and requirements of applicable Regulatory agencies such as JCAHO, AHCA, OSHA

     


    Job Posting
    Test
    Nurse Manager
    Day Nurse Manager
    3 - 5 years
    BSN req. Master's preferred
    Houston, Texas
    BSN prepared - Master's and certification strongly preferred. Seeking experienced nursing leader with a minimum of 3 - 5 years acute care inpatient experience. The ideal candidate will have exposure to performance evaluations, scheduling, budgets, preceptorships, coaching for quality outcomes and are in touch with National Benchmarks for improving the patient care experience. This position is in the Neurosurgery Dept.
    Nursing Manager, Emergency Department
    Requisition #1773
    Los Angeles, CA
    Nursing Manager, Emergency Department
    Cedars-Sinai Medical Center
    Los Angeles, CA

    Discover the difference a great medical center
    can make in your career!

    Cedars-Sinai Medical Center Emergency Department, a Level I designated Trauma Center servicing over 80,000 patients per year, has an opportunity of a life time to join the dynamic management team. We have a current opening for a Nursing Manager which offers unprecedented opportunities for an inspirational leader to assume high-level accountability. We’re looking for a seasoned professional with emergency department management experience and the interpersonal skills to build consensus and engage a multidisciplinary team.

    We require a CA RN license, preferably with certification in field of practice, with 5 years management experience. Idea candidate will have a Bachelor’s in Nursing and Masters Degree. Ideally, you are a born leader who can promote collaboration and teamwork across organizational boundaries.

    Cedars-Sinai provides a compensation/benefits package that includes relocation assistance, work/life balance programs and comprehensive medical and life coverage. We also offer a choice of enhanced retirement plans that were created directly in response to employee input—just one example of how we value the opinions of our staff.

    To apply, speak with one of our recruiters or call:

    Please call Thea Bruzdzinski at: (310) 423-6320
    E-mail to: Bruzdzinski@cshs.org
    Mail to: Cedars-Sinai Medical Center
    8700 Beverly Blvd. PACT., Suite 700
    Los Angeles, CA 90048
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/ and reference Requisition #1773.


    Cedars-Sinai Medical Center welcomes and encourages diversity in the workplace. AA/EOE



    Registered Nurse
    P922
    Professional
    1-2 years:Recent ER Experience
    BSN or ADN with BS/BA
    Houston, Texas
    The registered nurse utilizes knowledge and skills of basic nursing process to care for and provide safe, quality nursing care to patients. Completes admission assessment within unit designated appropriate time frame. Performs ongoing assessment and documentation to provide accurate and current information on the patient condition. Identifies and prioritizes need for immediate patient intervention. Contributes to and follows plan of care. Manages patient caseload by setting priorities, organizing activities and utilizing available resources. Participates in quality management activities. Accountable for own on-going professional growth and development. Communicates patient needs and progress to other health care providers as needed to ensure coordination of care. Utilizes Service Plus Key Principles (Maintains or Enhances Self-Esteem, listens and responds with empathy and asks for ideas and/or offers suggestions) and Service Plus Steps (Acknowledges the person, clarifies the situation, meets or exceeds the need and confirms satisfaction) to enhance patient/customer satisfaction. Employee actively participates in making recommendations for improving working relationships in the department/unit. Demonstrates the components of the ICARE values statement. Practices all components of the safety program. Reports all accidents promptly and corrects minor safety hazards. Communicates with peers and management regarding any hazards identified in the workplace.

    JOB QUALIFICATIONS/REQUIREMENTS

    Registered nurse with current Texas license.

    BSN or ADN with a Bachelor's Degree in some other discipline required.

    Must be willing to commit to minimum hour and holiday requirement for position, if applicable. Must be able to communicate effectively in English.

    1-2 years of recent ER experince.
    Registered Nurse – GI Endoscopy
    Requisition #2030
    minimum 18 months NP/RN experi
    Los Angeles, CA
    Registered Nurse – GI Endoscopy

    Cedars-Sinai Health System’s GI Endoscopy Lab has newly created opportunities
    for highly skilled GI RNs who are meticulous in their practice, and eager to be involved
    in an expanding clinical and technical specialty.

    About Us
    Physicians who pioneered gastrointestinal endoscopy, and are experts in
    virtually every analytical procedure and treatment for digestive diseases
    and disorders, lead our Comprehensive Care for Digestive diseases area. We
    were the first in the world to use the Capsule Endoscopy technique (also
    referred to as Small Bowl Endoscopy, Capsule Enteroscopy or Wireless
    Endoscopy), and to use Confocal Laser Scanning Microscopy (magnifying images
    up to a thousand times for immediate diagnoses).

    About You
    Ideally, you are a BSN prepared RN, CGRN with experience in interventional
    endoscopy, which includes double and single balloon anthroscopy, EUS, and
    ERCP. What sets you apart is the desire to work – hands-on - with eminent
    physicians and a highly specialized staff in one of the busiest and most
    acute facilities in the country. For you, there’s nothing more exciting than
    working with cutting edge equipment and state-of-the-art technology in an
    environment where you can capitalize on your critical thinking skills,
    computer proficiency and accountability.

    About Status

    You’ll be proud to work in one of the highest ranking divisions in the
    medical center, rated as #8 in our specialty by U.S.News & World Report, and
    attend our annual International Pancreatic and Biliary Diseases Symposium –
    the largest in the world. This is a great Lab with a business plan that
    includes expanded services and future growth. These are the opportunities of
    a lifetime if a career in endoscopy is your goal.

    Requires:

    A valid California Registered Nurse License.
    A valid BCLS, ACLS and PALS.

    Experience:

    Meets clinical criteria and protocol for Clinical Nurse III (minimum 18 months NP/RN experience).
    Meets specialty specific clinical competencies for assigned area.

    For more information talk with one of our recruiters or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/
    and reference Requisition #2030.

    EOE

    Registered Nurse Educator - Ambulatory Care
    Requisition #352
    BSN, Master's degree
    Los Angeles, CA

    Cedars-Sinai Medical Center's Ambulatory Care Administration has an immediate opening for a Nursing Education Program Coordinator to lead the development, coordination, implementation and evaluation of ambulatory care education programs for patients, nursing personnel and the community. You will work with Clinical Nurse Specialists and Service Line Managers to provide education consistent with Nursing Standards of Care/Practice, Title XXII, The Joint Commission, the Plan for Provision of Nursing Care, the Plan for Provision of Patient Care, CSMC Code of Conduct, and Performance Improvement Plan, the Patient Education Plan, professional organization standards, and all regulatory requirements. Ultimately, you will work to ensure that staff maintains competency skills in their areas of responsibility. Additional responsibilities include ensuring that staff are able to effectively interact with people of diverse cultural backgrounds and identify the ability of the adolescent, adult and geriatric patient to follow directions/instructions and give consent.

    Requirements:

    Current California RN license
    BLS
    BSN
    Masters Degree
    Prior teaching experience

    Prefer:

    Relevant experience and certification in an ambulatory care practice setting.

    For information contact our Recruiter or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/
    and type in Requitision #352

    EOE
    Registered Nurse PRN/ FLEX
    P079
    Staff
    Two years hospital experience
    License Texas RN
    Sugar Land, TX
    The Registered Nurses employed to work on an assigned patient care unit. He/she functions within the policies and procedures governing nursing practice at Methodist network hospitals and demonstrated knowledge and skills to provide care for assigned patient population.
    1. Completes and documents data needed for a physical/psychosocial assessment to define patient problems or needs within appropriate time frames.

    2. Contributes to the development and maintenance of the patient's nursing care plan and involves patient, as well as family/significant other when appropriate, in care, goal-setting, and decision making process.

    3. Communicates patient needs and progress to other members of the health care team to ensure coordination of care and interdisciplinary collaboration.

    4. Assists with and documents patient teaching, discharge instructions, and distribution of teaching materials.

    5. Provides nursing care as outlined in the nursing care and medical plans of care, and documents observations and interventions in accordance with hospital policies and procedures.

    6. Functions as a team leader, and/or relief charge nurse, manages assigned case load by setting priorities, organizing activities, delegating, supervising and utilizing resources.

    7. Performs all skills identified on the Basic RN Competency Skills Checklist in accordance with hospital policies and procedures.

    8. Seeks guidance as needed when performing nursing skills by utilizing resource persons, policy and procedure manuals or other references on standards of care.

    9. Demonstrates an understanding and commitment to maintaining an environment that assures all customers, all individuals, are treated with dignity and respect. Employee actively participates in making recommendations for improving working relationships in the department/unit.

    10. Follows all safety rules while on the job. Reports all accidents promptly and corrects minor safety hazards. Communicates with peers and management regarding any hazards identified in the workplace.


    Experience - External:
    1. Current licensure to practice as a Registered Nurse in the State of Texas.
    2. Two years of hospital experience in specialty area required.
    3. Must be able to communicate effectively in English.
    4. Must pass Basic EKG test. (ICU and telemetry)
    5. Must pass FHT (L&D)



    Registered Nurse, Critical Care
    Negotiable
    Staff
    2 years
    ADN or BSN
    San Antonio Texas

    The Methodist Healthcare System brings together 15 of San Antonio's most respected health care facilities to employ more than 6,000 people. Nearly 2,000 physicians are associated with the Methodist Healthcare System. And almost 1,400 of them have full admitting privileges at our facilities. Since we provide about 38% of the health care needs of San Antonio, we are taking a leading role in our community's second largest industry.


    Registered Nurse, Critical Care (multiple locations)


    General Statement of Duties: The Advanced Registered Nurse utilizes the nursing process to independently deliver nursing care to patients to achieve quality outcomes. Communicates effectively with good interpersonal skills with the health care team. Role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates strong team work and adaptability and is seen as a resource person to the health care team. Consistently utilizes critical thinking skills, scientific judgment, and leadership in providing holistic patient care. This position is accountable for the quality of nursing care services delivered by self or others who are under his/her direction. Demonstrates proficient technical skills and operational knowledge of equipment. Job responsibilities fall within the 5 pillars that encompass Methodist Excellence, the service excellence model: Finance, Growth, Service, People, Quality/Safety. Essential Job Functions: 1. Completes thorough patient assessments. Documents the patient's response to illness, the use of coping mechanisms, emotional needs and assessment / reassessment of pain. Analyzes assessment data in determining patient problems/nursing diagnoses. 2. Incorporates family into plan of care and documents a plan of care that is individualized for each patient. Identifies individual goals and readiness to learn. Collaborates with physicians and caregivers on establishing realistic outcome goals. 3. Maintains current knowledge to assure a safe working environment and demonstrating practical application of all policies and procedures relative to safety and infection control. This includes using: personal protective wear, good hand hygiene, and adhering to sharps safety procedures. 4. Maintains an orderly, efficient and timely flow of patients. 5. Administers medications and treatments safely using 2 patient identifiers and the 7 rights of medication administration. Recognizes and reports errors and unusual occurrences and analyzes contributing factors. 6. Prioritizes tasks and adjusts priorities when necessary. Serves as a resource to nursing personnel in implementing nursing care based on patient's needs, staff competencies, licensure and circumstantial/procedural complexities Minimum Education and Experience: Education: High school graduate or equivalent required. Graduate of a nursing program: diploma, associate or baccalaureate degree. Minimum License and Certificates Required: Valid and Current Texas License - Registered Nurse Experience: Must have at least 2 years of experience on an ICU or intermediate care unit. Must be able to work in a fast pace environment.


    Registered Nurse, Emergency Department
    Negotiable
    Staff
    2 years
    ADN or BSN
    San Antonio Texas

    The Methodist Healthcare System brings together 15 of San Antonio's most respected health care facilities to employ more than 6,000 people. Nearly 2,000 physicians are associated with the Methodist Healthcare System. And almost 1,400 of them have full admitting privileges at our facilities. Since we provide about 38% of the health care needs of San Antonio, we are taking a leading role in our community's second largest industry.

     

    Registered Nurse, Emergency Department (multiple locations)

     

    General Statement of Duties:

    The Advanced Registered Nurse utilizes the nursing process to independently deliver nursing care to patients to achieve quality outcomes. Communicates effectively with good interpersonal skills with the health care team. Role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates strong team work and adaptability and is seen as a resource person to the health care team. Consistently utilizes critical thinking skills, scientific judgment, and leadership in providing holistic patient care. This position is accountable for the quality of nursing care services delivered by self or others who are under his/her direction. Demonstrates proficient technical skills and operational knowledge of equipment. Job responsibilities fall within the 5 pillars that encompass Methodist Excellence, the service excellence model: Finance, Growth, Service, People, Quality/Safety.

     

    Essential Job Functions:

     

    1. Completes thorough patient assessments. Documents the patient's response to illness, the use of coping mechanisms, emotional needs and assessment / reassessment of pain. Analyzes assessment data in determining patient problems/nursing diagnoses.

    2. Incorporates family into plan of care and documents a plan of care that is individualized for each patient. Identifies individual goals and readiness to learn. Collaborates with physicians and caregivers on establishing realistic outcome goals.

    3. Maintains current knowledge to assure a safe working environment and demonstrating practical application of all policies and procedures relative to safety and infection control. This includes using: personal protective wear, good hand hygiene, and adhering to sharps safety procedures.

    4. Maintains an orderly, efficient and timely flow of patients.

    5. Administers medications and treatments safely using 2 patient identifiers and the 7 rights of medication administration. Recognizes and reports errors and unusual occurrences and analyzes contributing factors.

    6. Prioritizes tasks and adjusts priorities when necessary. Serves as a resource to nursing personnel in implementing nursing care based on patient's needs, staff competencies, licensure and circumstantial/procedural complexities

    Minimum Education and Experience:

     

    Education: High school graduate or equivalent required. Graduate of a nursing program: diploma, associate or baccalaureate degree.

    Minimum License and Certificates Required: Valid and Current Texas License - Registered Nurse

    Experience: Must have at least 2 years of Emergency experience with experience in Adult and Pediatric populations.  Must be able to work in a fast pace environment.

     

    Methodist Healthcare System has 6 Emergency locations including a Children’s Emergency Department.

     

     

     

     

     

     


    Research Nurses
    5-8 years research nursing exp
    Los Angeles, CA
    Research Nurses

    Cedars-Sinai Health System, has immediate openings for Research Nurses in various areas (pediatrics, . The Research Nurse will be responsible for training, managing, and supervising the clinical research team, nursing and research personnel and support staff. In addition, to recruiting study participants and/or overseeing the recruitment of study participants while working collaboratively with the PI on data collection and reporting.

    Requires:

    CA RN license, Bachelor of Science and Certified Clinical Research Coordinator (CCRC).

    Prefer:

    Master of Science degree
    Minimum of three years of clinical nursing experience (ICU, CCU, MICU)
    5-8 years research nursing experience or 7-10 years clinical research nursing experience and previous clinical research nurse management experience preferred.

    For more information speak with one of our recruiters or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/
    and type in Key Word Research Nurses.

    EOE

    RN
    12 hour afternoon
    full time
    1-2 years RN acure care
    Associates, Diploma, BSN
    Oakwood Annapolis Hospital
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN - ICU
    Experienced
    3-5 years ICU experience
    ADN or BSN
    Baytown, TX.
    EDUCATION REQUIREMENTS
    ADN
    BSN preferred.


    EXPERIENCE REQUIREMENTS
    Minimum three to five years experience required.
    Different specialties may require additional experience.


    CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED
    Current license to practice as an RN in the State of Texas.
    Basic CPR.
    Specialty certification preferred or with plan to pursue within one year.


    SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
    Must be able to write and speak effectively in English.
    RN Charge Nurse, Outpatient Spine Center
    Requisition #302
    5 years experience
    CA RN license, BSN
    Los Angeles, CA
    RN Charge Nurse, Outpatient Spine Center

    Cedars-Sinai Health System Outpatient Spine Center has an opening for a Charge Nurse (CN IV). As the Charge Nurse the responsibilities will include triage of new patient referrals, liaison with the community, including facilitating efficiently/effectively the pre-operative process, program development, orientation of new staff members and education and clinical care as needed.

    Requires:

    CA RN license, BSN and 5 years experience acute care setting

    Prefer:

    Three years in specialty area

    For more information speak with one of our recruiters or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/
    and type in Requisition #302.

    EOE

    RN- Critical Care Float
    1-3 yr recent critical care
    ADN, Diploma, BSN
    Oakwood Heritage
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN Emergency part time day/rotation
    1-3 years acute care
    ADN, Diploma, BSN
    Oakwood Heritage
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN ICU full time night
    1-3 yr acute care
    ADN, Diploma, BSN
    Oakwood Heritage
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN- OR full/part time evening
    1-3 yr OR exp required
    ADN, Diploma, BSN
    Oakwood Hospital
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN- OR/PACU
    Minimum of 1 to 2 years
    Grad from school of nursing
    Gainesville, Florida
    Successful and expanding, our OR and PACU have openings for experienced Perioperative RN's. A minimum of 1 to 2 years of experience is required as well as a current Florida RN license. Services provided for patients include Open Heart, Vascular, Urology, general Surgery, Plastics, Retinal, Ortho, Neuro and some dental surgeries.
    RN- tele full/part time (5S)
    1-3 yr Critical Care exp req
    ADN, Diploma, BSN
    Oakwood Hospital
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN, Charge Nurse – Outpatient Cedars-Sinai, Outpatient Orthopaedic Center
    requisition #2080
    Los Angeles, CA
    RN, Charge Nurse – Outpatient Cedars-Sinai, Outpatient Orthopaedic Center

    Immediate opening for a Charge Nurse reporting to the Clinic Manager to supervise staff Nurses, Ortho Tech's and Clinical Partners, provide direct patient care and manage the patient flow in the very busy clinic. The clinic has 13 physicians and sees approximately 80-150 patients daily.

    The Orthopaedic Center at Cedars-Sinai Medical Center is a department where teaching and research are a top priority while working with over 10 different orthopedic subspecialties including, Orthopaedic Oncology, Foot and Ankle, and offering one of the few Dance Medicine Centers in the country.

    CA RN license, BSN, ACLS and BLS required. 5 years or more experience in acute
    care setting, 3 years in specialty (Pediatric Orthopaedic and general orthopaedic)
    and supervisor experience preferred.

    For more information speak with one of our recruiters or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/
    and type in requisition #2080.

    EOE


    RN, Supervisor - AOD (Administrator on Duty)
    Requisition 2840
    Bachelor's degree
    Los Angeles, CA

    The Nursing Supervisor acts in a leadership role as the Administrator or Duty (AOD). He/she coordinates staffing on a house-wide basis to support the expectations and philosophy of Cedars-Sinai Health Systems (CSHS) to provide quality patient care. In addition, the Nursing Supervisor provides personnel counseling emergency situations. The Nursing Supervisor guides nursing staff in the provision of nursing care consistent with Nursing Standards of Care/Practice.

    Requires:

    A Valid California Registered Nursing License
    Bachelor's degree (preferably in Nursing)
    Minimum of two (2) years clinical experience
    Minimum of two (2) years management experience
    Full command (verbal and written) of the English Language
    Must be able to work in a fast paced environment with multiple priorities

    For more information, talk with a recruiter or apply on line:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/ and type in requisition #2840.

    EOE
    RN-Emergency full/part time
    ADN, Diploma, BSN
    Oakwood Hospital and Medical
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN-Emergency Full/part time night
    Oakwood Annapolis
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN-Emergency Services
    Minimum of 1 to 2 years
    Grad from school of nursing
    Gainesville, Florida
    Successful and expanding, our Emergency Room has openings for experienced ER, RN's. A minimum of 1 to 2 years of experience is required as well as a current Florida RN license. Full service ED for all ages and presentations
    RN-ICU full/part time night
    Oakwood Annapolis
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN-ICU full/part-time
    ADN, Diploma, BSN
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    RN-ICU/PCU
    Minimum of 1 year
    Grad from school of nursing
    Gainesville, Florida
    Successful and expanding, our ICU and PCU have openings for experienced Critical Care RN's. A minimum of 1 to 2 years of experience is required as well as a current Florida RN license. Services provided for patients include CABG, ventilator, IABP, neuro and surgical.
    RN-Med/Surg/Telemetry
    Minimum of 1 to 2 years
    Grad from school of nursing
    Gainesville, Florida
    Successful and expanding, our Med/Surg/Cardiac floor has openings for experienced Telemetry RN's. A minimum of 1 to 2 years of experience is required as well as a current Florida RN license. Services provided include cardiology, congestive heart failure, COPD, Cardiopulmonary, CV
    RN-Medical/Surgical
    Minimum of 1 to 2 years
    Grad for school of nursing
    Gainesville, Florida
    Successful and expanding, our Medical and Surgical floors are looking for experienced RN's. Med/Surg services include: General Med/Surg, GYN/Renal, Oncology, Neuro and Surgical. Minimum of 1 to 2 years experience required as well as current Florida RN license.
    RNs – Charge - Clinical Nurse IV
    Los Angeles, CA
    RNs – Charge - Clinical Nurse IV

    Cedars-Sinai Health System has immediate openings for Charge Nurses.

    The Registered Nurse, Clinical Nurse IV, as an expert professional practitioner, assumes responsibility and accountability for the expert application of the nursing process and the delivery of patient care. Consistently demonstrates professional skills and abilities, utilizes knowledge base and exemplary leadership and educational skills to direct and supervise the clinical performance of others in the role of collegial consultant and resource person. Demonstrates motivation and creativity and serves as a catalyst for effective changes within Nursing at the unit, service line and institutional levels. The Clinical Nurse IV performs within the scope of responsibility, duties and accountability at the facility department and position levels including knowledge of practice of the clinical/technical skills necessary to the position consistent with the Nurse Practice Act. Nursing Job duties are to meet the Nurse Practice Act, Title 22, Joint Commission, and The Plan for Provision of Nursing Care and The Plan for Provision of Care to Patients, and other regulatory requirements.

    Requires:

    BSN
    BCLS
    ACLS

    Prefer:
    Certification in Med/Surg, Oncology and chemotherapy or other specialty area.

    For more information speak with one of our recruiters or apply on line at:
    https://www.cedars-sinaimedicalcenter.apply2jobs.com/index.cfm?fuseaction=mExternal.returnToResults&CurrentPage=2

    EOE

    Staff RN
    Oakwood Annapolis
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    Staff RN- ICU part time evenings
    Oakwood Annapolis
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    Staff RN part time night
    Annapolis
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    Staff RN- Step down full/part time
    ADN, Diploma, BSN
    Oakwood Hospital and Medical
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    Staff RN-Emergency Full/part-time evening
    Oakwood Hospital
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    Staff RN-full time night
    ADN, Diploma, BSN
    Under general direction, provides direct care to patients utilizing the nursing process. Guides and supervises nursing personnel, collaborates with other health care professionals, and coordinates ancillary staff. Functions within the framework of the policies and procedures of the Hospital and demonstrates professional growth and accountability.
    Wellness RN/Freeport TX
    P922
    Professional
    3 years
    RN/BSN Preferred
    Freeport, TX
    POSITION LOCATED IN FREEPORT,TX
    Performs nursing duties for the Methodist Wellness Services. Provides preventive and non-emergent health care for corporate employees

    Experience - External:
    EDUCATION REQUIREMENTS
    Licensed Registered Nurse (Texas); BSN preferred


    EXPERIENCE REQUIREMENTS
    Minimum of three years nursing experience.


    CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED
    Licensed Registered Nurse (Texas); CPR Certified


    SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
    1. Knowledge of travel health information relating to international diseases and preventive immunizations preferred.
    2. Audiometric (CAOHC), Spirometry (PFT), CPR and First Aid certified preferred.
    3. Phlebotomy skills required.
    4. Good verbal and written communication skills.



    Critical Care