SUMMARY:

Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.

RESPONSIBILITIES:

• Provides direct patient care.
• Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.
• Evaluates effectiveness of patient care and identifies opportunities for improvement.
• Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.
• Assesses and Provides appropriate teaching based on patient and family needs.
• Participates in unit-based quality improvement and research activities.
• Utilizes all available resources to provide quality, cost effective patient care.
• Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.
• Identifies growth needs and Participates in educational opportunities and professional organizations.
• Serves as a role model/preceptor to new graduate nurses and less experienced personnel.
• Assumes charge nurse responsibility for the patient care unit as delegated.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Baccalaureate in Nursing preferred.

Must have current licensure to practice as a Registered Nurse in the State of Rhode Island. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Visual and aural ability to monitor patient status. Physical ability to assist in lifting and positioning patients. Exposed to patient care environment. Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.

SUPERVISORY RESPONSIBILITIES: None.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

SUMMARY:

Under the general supervision of the Clinic Administrator or Physician, and according to established procedures, provides care to patients and families. Responsible and accountable for the care provided regardless of whether it is provided solely by said nurse or if by the nurse and others under his/her supervision. Implements and coordinates the steps of the nursing process, involves the patient in decision making relative to care and is responsible for making nursing care judgements and acting upon them. Collaborates with Physicians in the management of prescribed medical plan of care. Involves implementation of the physician prescribed regimen, evaluations of patient response to the regimen and communication to the Physician of changes in the patient’s status. Functions under protocol which extend responsibilities for medical management activities. Coordinates the patient plan of care with nurses, Physicians and other member s of the Health Team and agencies within the community, to provide an integrated and comprehensive approach to care delivery. Responsible for participating in educational, quality assurance and research activities. Additionally, the Registered Nurse acts as a consultant, sharing his/her clinical expertise and knowledge with other health care providers and members of the community. Performs clinical management functions specifically delegated by the Clinical Manager. The nurse participates in organizational planning and decision making which affects patient care and Ambulatory Service operations. The Registered Nurse also participates in related nursing, medical and hospital committee activities. Practices within the framework of the philosophy, objectives, policies procedures and standards of the Hospital and his/her specific Ambulatory Service.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

RESPONSIBILITIES:

• Consistently applies the corporate values of respect, honesty and fairness and the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly, geographically accessible and high-value services within the environment of a comprehensive integrated academic health system. Is responsible for knowing and acting in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct.
• Responsible to the Clinical Manager, meets and maintains competence as defined by the clinical service experience and credential requirements, provides nursing care to patients.
• Implements and coordinates the steps of the nursing process assessment, diagnosis, goal setting, prescription, intervention and evaluation.
• Delegates, supervises and coordinates nursing care activities provided by personnel assigned to assist in the provision of nursing care, such as but not limited to Licensed Practical Nurses, Nurses Assistants, Orderlies, and Technicians.
• Implements the prescribed medical regimen, evaluates the patient response to the regimen and advises the physician of changes in the patient’s condition.
• Performs extended functions in accordance with written Rhode Island Hospital protocols and policies.
• Participates in clinic and departmental level collaborative activities such as but not limited to joint case presentations, grand rounds.
• Collaborates on a continuous basis with the patient, family, Physician, nurses and other health team members to integrate, evaluate and ensure continuity of the plan of care.
• Identifies with and makes referrals to health team resources within the hospital and the community and serves as a consultant to others.
• Provides, coordinates and documents teaching for patients and families related to management of the health problem, health promotion and rehabilitation.
• Seeks out and participates in activities leading to self-growth and professional development.
• Updates knowledge of professional, medical and technological developments and participates in the incorporation of these into clinical nursing practice.
• Participates in educational activities commensurate with learning needs and individual ability such as but not limited to conference, seminars and orientation of new staff.
• Works with facility members of affiliated nursing educational programs to integrate clinical proactive for students within the plan patient care management.
• Participates in clinic and departmental quality assurance activities such as but not limited to monitoring and evaluation of care, validation of nursing and ambulatory standards, policies and procedures.
• Participates in related clinical and operational research activities.
• Assumes charge position responsibilities for the clinic as delegated.
• Participates with the Ambulatory Clinical Manager in performance appraisals.Participates on committees and in other organizational activities involving professional practice and patient care standards.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Graduate of an accredited School of Nursing, Bachelor’s Degree in Nursing preferred.Must have current licensure to practice as a Registered Nurse in the State of Rhode Island.Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Exposed to ambulatory patient care environment which includes exposure to communicable diseases, however adherence to infection control policies and procedures minimizes chance of illness or injury.

SUPERVISORY RESPONSIBILITY:

None

Pay Range:

-

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type:

Mon-Saturday 8A-6P as scheduled.

Work Shift:

Day

Driving Required:

No

Union:

United Nurses And Allied Professional

SUMMARY:

Under the general supervision of the Clinic Administrator or Physician, and according to established procedures, provides care to patients and families. Responsible and accountable for the care provided regardless of whether it is provided solely by said nurse or if by the nurse and others under his/her supervision. Implements and coordinates the steps of the nursing process, involves the patient in decision making relative to care and is responsible for making nursing care judgements and acting upon them. Collaborates with Physicians in the management of prescribed medical plan of care. Involves implementation of the physician prescribed regimen, evaluations of patient response to the regimen and communication to the Physician of changes in the patient’s status. Functions under protocol which extend responsibilities for medical management activities. Coordinates the patient plan of care with nurses, Physicians and other member s of the Health Team and agencies within the community, to provide an integrated and comprehensive approach to care delivery. Responsible for participating in educational, quality assurance and research activities. Additionally, the Registered Nurse acts as a consultant, sharing his/her clinical expertise and knowledge with other health care providers and members of the community. Performs clinical management functions specifically delegated by the Clinical Manager. The nurse participates in organizational planning and decision making which affects patient care and Ambulatory Service operations. The Registered Nurse also participates in related nursing, medical and hospital committee activities. Practices within the framework of the philosophy, objectives, policies procedures and standards of the Hospital and his/her specific Ambulatory Service.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

RESPONSIBILITIES:

• Consistently applies the corporate values of respect, honesty and fairness and the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly, geographically accessible and high-value services within the environment of a comprehensive integrated academic health system. Is responsible for knowing and acting in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct.
• Responsible to the Clinical Manager, meets and maintains competence as defined by the clinical service experience and credential requirements, provides nursing care to patients.
• Implements and coordinates the steps of the nursing process assessment, diagnosis, goal setting, prescription, intervention and evaluation.
• Delegates, supervises and coordinates nursing care activities provided by personnel assigned to assist in the provision of nursing care, such as but not limited to Licensed Practical Nurses, Nurses Assistants, Orderlies, and Technicians.
• Implements the prescribed medical regimen, evaluates the patient response to the regimen and advises the physician of changes in the patient’s condition.
• Performs extended functions in accordance with written Rhode Island Hospital protocols and policies.
• Participates in clinic and departmental level collaborative activities such as but not limited to joint case presentations, grand rounds.
• Collaborates on a continuous basis with the patient, family, Physician, nurses and other health team members to integrate, evaluate and ensure continuity of the plan of care.
• Identifies with and makes referrals to health team resources within the hospital and the community and serves as a consultant to others.
• Provides, coordinates and documents teaching for patients and families related to management of the health problem, health promotion and rehabilitation.
• Seeks out and participates in activities leading to self-growth and professional development.
• Updates knowledge of professional, medical and technological developments and participates in the incorporation of these into clinical nursing practice.
• Participates in educational activities commensurate with learning needs and individual ability such as but not limited to conference, seminars and orientation of new staff.
• Works with facility members of affiliated nursing educational programs to integrate clinical proactive for students within the plan patient care management.
• Participates in clinic and departmental quality assurance activities such as but not limited to monitoring and evaluation of care, validation of nursing and ambulatory standards, policies and procedures.
• Participates in related clinical and operational research activities.
• Assumes charge position responsibilities for the clinic as delegated.
• Participates with the Ambulatory Clinical Manager in performance appraisals.Participates on committees and in other organizational activities involving professional practice and patient care standards.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Graduate of an accredited School of Nursing, Bachelor’s Degree in Nursing preferred.Must have current licensure to practice as a Registered Nurse in the State of Rhode Island.Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Exposed to ambulatory patient care environment which includes exposure to communicable diseases, however adherence to infection control policies and procedures minimizes chance of illness or injury.

SUPERVISORY RESPONSIBILITY:

None

Pay Range:

-

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type:

Mon-Saturday 8A-6P as scheduled.

Work Shift:

Day

Driving Required:

No

Union:

United Nurses And Allied Professional

SUMMARY:

Under general supervision, but according to established policies and procedures, performs variety of non-medical duties in support of Surgical Services. Such activities include, but are not limited to, transporting patients to and from Operating Room; picking up and/or delivering supplies, materials, specimens, cultures and the like. Assists in preoperative scrubs; assists in lifting, positioning and supporting patients. Cleans and prepares equipment utilized in surgical procedures; prepares material for sterilization. Assists in cleaning and maintaining the operating rooms. Assembles charge form packets.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES:

Transports patients to and from the surgical suite. Reviews preoperative patient charts in order to ensure that all forms are signed and that all tests are completed; informs appropriate nursing personnel of discrepancy.
Assists in surgical room preparation by ensuring basic supplies are available such as blankets, solutions, and syringes. Cleans furniture and equipment between cases. Obtains necessary supplies and equipment required for specific procedure.
Assists in prepping patients for surgery; assists with preoperative scrubs; lifts and moves and positions patients, supports and holds patients for spinal anesthesia injection and the like.
Routinely inventories, requisitions, receives and stocks supplies in established areas, including sterile linen, instruments, scrub clothes and the like in order to ensure availability to meet anticipated needs.
Picks up supplies and materials for Surgical Services from various areas of the Hospital such as pharmaceuticals, blood and plasma, as well as routine supplies required by the department. Delivers cultures and surgery specimens to designated areas of the Hospital for analysis as appropriate.
Assists in general cleaning and maintenance of the Operating Room such as washing equipment, sorting and stocking supplies, cleaning room, washing stretchers and changing light bulbs and the like.
Cleans, dries, packages and seals a variety of supplies and material to be sterilized, such as washing, assembling and wrapping basin sets for sterilization. Occasionally operates steam/water pressure sterilizers in order to clean and sterilize items.
Assembles patient record packs of charge slips, appropriate for specific surgical procedure, to be completed by others.

MINIMUM QUALIFICATIONS:

BASIC KNOWLEDGE:
High School Diploma or GED preferred.
Ability to recognized changes in patient's condition and report such to nursing personnel.
Ability to perform simple numerical calculations in order to calculate and requisition supplies.
Knowledge of aseptic techniques in order to ensure proper cleaning of rooms, equipment and materials.
Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process.
Ability to read, write and understand English, with ability to perform simple numerical calculations.
EXPERIENCE:
One to three months’ on-the-job training and experience.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:
Physical abilities to transport patients throughout the Hospital, to assist in lifting and positioning patients and to clean and set up equipment.
Works in the Operating Room area and is exposed to odors, bodily fluids, etc. when assisting with patients.
Required to work for extended periods in standing position when assisting with preoperative procedures.
Some exposure to chemical fumes and infectious disease when cleaning equipment and rooms.
Frequent standing, walking, lifting and carrying in order to clean equipment and replenish supplies, transport patients and materials and stock areas.
Hazards of injury are minimized by adherence to established safety precautions.
SUPERVISORY RESPONSIBILITY: None.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

SUMMARY:

Provides clinical patient care assessment, initiation, modifications and weaning of Extracorporeal Membrane Oxygenation (ECMO) also referred to as Extracorporeal Life Support (ECLS) to neonatal, pediatric and adult patient populations in collaboration with a licensed physician with expertise in ECMO.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES:

• Evaluates, assesses and performs prescribed clinical procedures and therapy by order of a licensed medical provider.
• Works under the general supervision of the ECMO Manager, Respiratory Clinical Supervisors and Managers of the Respiratory Care Dept.
• Analyzes and evaluates clinical patient data to determine the appropriate therapy or intervention and offers recommendations on patient care to the medical staff.
• Modifies therapy, as appropriate, based on patient physiology and response by executing the knowledge of understanding the indications, contraindications and the safe and effective use of all hospital approved pharmacological agents and blood products delivered through the ECMO system.
• May accept verbal orders from a physician, nurse practitioners and/or physician’s assistant where appropriate.
• Assists the physician in the initiation of ECMO.
• Assembles, primes and evaluates the acid / base status of the ECMO circuit prior to the start of ECMO.
• Analyzes and evaluates clinical patient data to determine appropriate adjustments to the ECMO system and maintain prescribed parameters for acid-base balance, anticoagulation, circuit pressures, platelets, hematocrit and temperature.
• Participates in bedside rounds to review, discuss and recommend preferred treatment methods for patients.
• Responsible for initiation, delivery and discontinuation of all medications and blood products delivered through the ECMO system.
• Monitors, evaluates and adjusts anticoagulation therapy under direction of the physician.
• Coordinates and accompanies ECMO patients while on intra and inter hospital transport.
• Continuously monitors, assesses and evaluates patients on ECMO to maintain safety.
• Responsible for maintaining up to two ECMO patients simultaneously.
• Provides clinical instruction on the proper use of ECMO equipment, related procedures and management to other health care providers.
• Evaluates, assesses, monitors, maintains and troubleshoots equipment used for the delivery of ECMO.
• Maintains and ensures the availability and functionality of a standby ECMO circuit and all emergency ECMO equipment at the bedside for any circuit emergency.
• Participates in all comprehensive in-house orientation and competency training in ECMO and related procedures.
• When not functioning as an ECMO Specialist functions as a staff respiratory therapist, evaluating and assessing the clinical appropriateness, efficacy and responses to basic and medically complex respiratory care procedures in patients with cardiopulmonary related difficulties.
• Assesses, evaluates and provides complex intensive respiratory care and mechanical ventilation in all patient populations within the acutentensive care areas.
• Provides safe and effective service to the Code Response Team, Rapid Response/Fast Team, and the high risk transport of ECMO patients to / from outlying facilities (LifePact).
• Provide expert care in the use of high frequency ventilation, bronchoscopy assistance, percutaneous tracheostomy procedures, nitric oxide delivery, heliox or other medical gas delivery.
• Participates in approved IRB medical research projects.
• Cleans and restocks pump and equipment cart after discontinuation of ECMO support following all hospital policies regarding infection control and bio-hazard waste procedures when caring for and disposing of circuit components.
• Assembles all components, monitors, evaluates and assesses the SCUF to ECMO interface.
• Participates in departmental quality improvement activities including documenting variances which occur during the administration of ECMO.
• Attends ECMO Staff Meetings for case peer review and in-service education.
• Provides in-service education for other health care professionals.
• Performs periodic practice primes, wet drills and simulation activities.
• Records pertinent data on flow sheets /EMR and writes shift notes.
• Safeguards the privacy of all patients and protect the confidentiality of their health information.

PROFESSIONAL DEVELOPMENT

• Maintains and updates clinical knowledge and skills based on current ECMO and respiratory care education practices.
• Adheres to requirements for all mandatory training and competencies, both departmental and system.
• Identifies specific learning needs/goals and develops a plan to meet them.
• Contributes to relevant committees, professional meetings, continuing education and/or formal academic programs.
• Must participate in ECMO coverage on – call scheduling.
• Participation in routine ECMO competencies and drill, I-Stat recertification

MINIMUM QUALIFICATIONS:

• Active Rhode Island Respiratory Therapy state license.
• Registered by the National Board for Respiratory Care within 6 months of hire.
• Associates degree in Applied Science in Respiratory Therapy (Bachelors preferred)
• One year of critical care experience in respiratory care and mechanical ventilation in all age groups.
• Successful completion of the RIH Respiratory Care Department ECMO training course.

SKILLSBILITIES/COMPETENCIES REQUIRED:

• Must maintain current and active BLS, PALS and ACLS certification. (PALS, ACLS within 6 months) The only acceptable BLS or other life support certifications will be from the American Heart Association.
• Proficiency in advanced respiratory care practices in all age groups
• Knowledge of care and administration of blood and blood products
• Ability to train, orient and mentor new ECMO staff members
• Must maintain minimum pump hours per year (80)
• Will function as Alternate Supervisor and / or ECMO back up as assigned.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

SUMMARY: Provides clinical patient care assessment, initiation, modifications and weaning of Extracorporeal Membrane Oxygenation (ECMO) also referred to as Extracorporeal Life Support (ECLS) to neonatal, pediatric and adult patient populations in collaboration with a licensed physician with expertise in ECMO. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Evaluates, assesses and performs prescribed clinical procedures and therapy by order of a licensed medical provider. Works under the general supervision of the ECMO Manager, Respiratory Clinical Supervisors and Managers of the Respiratory Care Dept. Analyzes and evaluates clinical patient data to determine the appropriate therapy or intervention and offers recommendations on patient care to the medical staff.Modifies therapy, as appropriate, based on patient physiology and response by executing the knowledge of understanding the indications, contraindications and the safe and effective use of all hospital approved pharmacological agents and blood products delivered through the ECMO system. .May accept verbal orders from a physician, nurse practitioners and/or physician’s assistant where appropriate. Assists the physician in the initiation of ECMOAssembles, primes and evaluates the acid / base status of the ECMO circuit prior to the start of ECMO.Analyzes and evaluates clinical patient data to determine appropriate adjustments to the ECMO system and maintain prescribed parameters for acid-base balance, anticoagulation, circuit pressures, platelets, hematocrit and temperature.Participates in bedside rounds to review, discuss and recommend preferred treatment methods for patients.Responsible for initiation, delivery and discontinuation of all medications and blood products delivered through the ECMO system. Monitors, evaluates and adjusts anticoagulation therapy under direction of the physician.Coordinates and accompanies ECMO patients while on intra and inter hospital transport. Continuously monitors, assesses and evaluates patients on ECMO to maintain safety.Responsible for maintaining up to two ECMO patients simultaneously.Provides clinical instruction on the proper use of ECMO equipment, related procedures and management to other health care providers, in addition, Evaluates, assesses, monitors, maintains and troubleshoots equipment used for the delivery of ECMO Maintains and ensures the availability and functionality of a standby ECMO circuit and all emergency ECMO equipment at the bedside for any circuit emergency. Participates in all comprehensive in-house orientation and competency training in ECMO and related procedures.When not functioning as an ECMO Specialist functions as a staff respiratory therapist, evaluating and assessing the clinical appropriateness, efficacy and responses to basic and medically complex respiratory care procedures in patients with cardiopulmonary related difficulties.Assesses, evaluates and provides complex intensive respiratory care and mechanical ventilation in all patient populations within the acutentensive care areas. Provides safe and effective service to the Code Response Team, Rapid Response/Fast Team, and the high risk transport of ECMO patients to / from outlying facilities (LifePact). Provide expert care in the use of high frequency ventilation, bronchoscopy assistance, percutaneous tracheostomy procedures, nitric oxide delivery, heliox or other medical gas delivery.Participates in approved IRB medical research projectsCleans and restocks pump and equipment cart after discontinuation of ECMO support following all hospital policies regarding infection control and bio-hazard waste procedures when caring for and disposing of circuit components. Assembles all components, monitors, evaluates and assesses the SCUF to ECMO interface.Participates in departmental quality improvement activities including documenting variances which occur during the administration of ECMO.Attends ECMO Staff Meetings for case peer review and in-service education. Provides in-service education for other health care professionals.Performs periodic practice primes, wet drills and simulation activities.Records pertinent data on flow sheets /EMR and writes shift notes.Safeguards the privacy of all patients and protect the confidentiality of their health information.PROFESSIONAL DEVELOPMENT:Maintains and updates clinical knowledge and skills based on current ECMO and respiratory care education practices.Adheres to requirements for all mandatory training and competencies, both departmental and system.Identifies specific learning needs/goals and develops a plan to meet them.Contributes to relevant committees, professional meetings, continuing education and/or formal academic programs.Must participate in ECMO coverage on – call schedulingParticipation in routine ECMO competencies and drill, I-Stat recertification MINIMUM QUALIFICATIONS: QUALIFICATIONS:Active Rhode Island Respiratory Therapy state license. Registered by the National Board for Respiratory Care within 6 months of hire.Associates degree in Applied Science in Respiratory Therapy (Bachelors preferred)One year of critical care experience in respiratory care and mechanical ventilation in all age groups.Successful completion of the RIH Respiratory Care Department ECMO training course.SKILLSBILITIES/COMPETENCIES REQUIRED:Must maintain current and active BLS, PALS and ACLS certification. (PALS, ACLS within 6 months) The only acceptable BLS or other life support certifications will be from the American Heart Association.Proficiency in advanced respiratory care practices in all age groupsKnowledge of care and administration of blood and blood productsAbility to train, orient and mentor new ECMO staff membersMust maintain minimum pump hours per year (80)Will function as Alternate Supervisor and / or ECMO back up as assigned.

Pay Range:

$37.57-$61.45

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type:

7 PM to 7:30 AM

Work Shift:

Night

Driving Required:

No

Union:

United Nurses And Allied Professional

SUMMARY: Provides clinical patient care assessment, initiation, modifications and weaning of Extracorporeal Membrane Oxygenation (ECMO) also referred to as Extracorporeal Life Support (ECLS) to neonatal, pediatric and adult patient populations in collaboration with a licensed physician with expertise in ECMO. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Evaluates, assesses and performs prescribed clinical procedures and therapy by order of a licensed medical provider. Works under the general supervision of the ECMO Manager, Respiratory Clinical Supervisors and Managers of the Respiratory Care Dept. Analyzes and evaluates clinical patient data to determine the appropriate therapy or intervention and offers recommendations on patient care to the medical staff.Modifies therapy, as appropriate, based on patient physiology and response by executing the knowledge of understanding the indications, contraindications and the safe and effective use of all hospital approved pharmacological agents and blood products delivered through the ECMO system. .May accept verbal orders from a physician, nurse practitioners and/or physician’s assistant where appropriate. Assists the physician in the initiation of ECMOAssembles, primes and evaluates the acid / base status of the ECMO circuit prior to the start of ECMO.Analyzes and evaluates clinical patient data to determine appropriate adjustments to the ECMO system and maintain prescribed parameters for acid-base balance, anticoagulation, circuit pressures, platelets, hematocrit and temperature.Participates in bedside rounds to review, discuss and recommend preferred treatment methods for patients.Responsible for initiation, delivery and discontinuation of all medications and blood products delivered through the ECMO system. Monitors, evaluates and adjusts anticoagulation therapy under direction of the physician.Coordinates and accompanies ECMO patients while on intra and inter hospital transport. Continuously monitors, assesses and evaluates patients on ECMO to maintain safety.Responsible for maintaining up to two ECMO patients simultaneously.Provides clinical instruction on the proper use of ECMO equipment, related procedures and management to other health care providers, in addition, Evaluates, assesses, monitors, maintains and troubleshoots equipment used for the delivery of ECMO Maintains and ensures the availability and functionality of a standby ECMO circuit and all emergency ECMO equipment at the bedside for any circuit emergency. Participates in all comprehensive in-house orientation and competency training in ECMO and related procedures.When not functioning as an ECMO Specialist functions as a staff respiratory therapist, evaluating and assessing the clinical appropriateness, efficacy and responses to basic and medically complex respiratory care procedures in patients with cardiopulmonary related difficulties.Assesses, evaluates and provides complex intensive respiratory care and mechanical ventilation in all patient populations within the acutentensive care areas. Provides safe and effective service to the Code Response Team, Rapid Response/Fast Team, and the high risk transport of ECMO patients to / from outlying facilities (LifePact). Provide expert care in the use of high frequency ventilation, bronchoscopy assistance, percutaneous tracheostomy procedures, nitric oxide delivery, heliox or other medical gas delivery.Participates in approved IRB medical research projectsCleans and restocks pump and equipment cart after discontinuation of ECMO support following all hospital policies regarding infection control and bio-hazard waste procedures when caring for and disposing of circuit components. Assembles all components, monitors, evaluates and assesses the SCUF to ECMO interface.Participates in departmental quality improvement activities including documenting variances which occur during the administration of ECMO.Attends ECMO Staff Meetings for case peer review and in-service education. Provides in-service education for other health care professionals.Performs periodic practice primes, wet drills and simulation activities.Records pertinent data on flow sheets /EMR and writes shift notes.Safeguards the privacy of all patients and protect the confidentiality of their health information.PROFESSIONAL DEVELOPMENT:Maintains and updates clinical knowledge and skills based on current ECMO and respiratory care education practices.Adheres to requirements for all mandatory training and competencies, both departmental and system.Identifies specific learning needs/goals and develops a plan to meet them.Contributes to relevant committees, professional meetings, continuing education and/or formal academic programs.Must participate in ECMO coverage on – call schedulingParticipation in routine ECMO competencies and drill, I-Stat recertification MINIMUM QUALIFICATIONS: QUALIFICATIONS:Active Rhode Island Respiratory Therapy state license. Registered by the National Board for Respiratory Care within 6 months of hire.Associates degree in Applied Science in Respiratory Therapy (Bachelors preferred)One year of critical care experience in respiratory care and mechanical ventilation in all age groups.Successful completion of the RIH Respiratory Care Department ECMO training course.SKILLSBILITIES/COMPETENCIES REQUIRED:Must maintain current and active BLS, PALS and ACLS certification. (PALS, ACLS within 6 months) The only acceptable BLS or other life support certifications will be from the American Heart Association.Proficiency in advanced respiratory care practices in all age groupsKnowledge of care and administration of blood and blood productsAbility to train, orient and mentor new ECMO staff membersMust maintain minimum pump hours per year (80)Will function as Alternate Supervisor and / or ECMO back up as assigned.

Pay Range:

$37.57-$61.45

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type:

7 PM to 7:30 AM

Work Shift:

Night

Driving Required:

No

Union:

United Nurses And Allied Professional

SUMMARY:

Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

RESPONSIBILITIES:

Provides direct patient care.
Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.
Evaluates effectiveness of patient care and identifies opportunities for improvement.
Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.
Assesses and Provides appropriate teaching based on patient and family needs.
Participates in unit-based quality improvement and research activities.
Utilizes all available resources to provide quality, cost effective patient care.
Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.
Identifies growth needs and Participates in educational opportunities and professional organizations.
Serves as a role model/preceptor to new graduate nurses and less experienced personnel.
Assumes charge nurse responsibility for the patient care unit as delegated.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Baccalaureate in Nursing preferred. Must have current licensure to practice as a Registered Nurse in the State of Rhode Island. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. Receive their NIHSS Certification within 3 months of hire 8 hours of continuing stroke education required annually.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Visual and aural ability to monitor patient status.
Physical ability to assist in lifting and positioning patients.
Exposed to patient care environment.
Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

SUMMARY:

Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Provides direct patient care.

• Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.

• Evaluates effectiveness of patient care and identifies opportunities for improvement.

• Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.

• Assesses and Provides appropriate teaching based on patient and family needs.

• Participates in unit-based quality improvement and research activities.

• Utilizes all available resources to provide quality, cost effective patient care.

• Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.

• Identifies growth needs and Participates in educational opportunities and professional organizations.

• Serves as a role model/preceptor to new graduate nurses and less experienced personnel.

• Assumes charge nurse responsibility for the patient care unit as delegated.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Baccalaureate in Nursing preferred.
Must have current licensure to practice as a Registered Nurse in the State of Rhode Island.
Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Visual and aural ability to monitor patient status.
Physical ability to assist in lifting and positioning patients.
Exposed to patient care environment.
Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.

SUPERVISORY RESPONSIBILITIES:

None.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

SUMMARY:

Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Provides direct patient care.

Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.

Evaluates effectiveness of patient care and identifies opportunities for improvement.

Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.

Assesses and Provides appropriate teaching based on patient and family needs.

Participates in unit-based quality improvement and research activities.

Utilizes all available resources to provide quality, cost effective patient care.

Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.

Identifies growth needs and Participates in educational opportunities and professional organizations.

Serves as a role model/preceptor to new graduate nurses and less experienced personnel.

Assumes charge nurse responsibility for the patient care unit as delegated.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Baccalaureate in Nursing preferred.
Must have current licensure to practice as a Registered Nurse in the State of Rhode Island.
Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Visual and aural ability to monitor patient status.
Physical ability to assist in lifting and positioning patients.
Exposed to patient care environment.
Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.

SUPERVISORY RESPONSIBILITIES:

None.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

SUMMARY:

Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.

RESPONSIBILITIES:

• Provides direct patient care.
• Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.
• Evaluates effectiveness of patient care and identifies opportunities for improvement.
• Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.
• Assesses and Provides appropriate teaching based on patient and family needs.
• Participates in unit-based quality improvement and research activities.
• Utilizes all available resources to provide quality, cost effective patient care.
• Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.
• Identifies growth needs and Participates in educational opportunities and professional organizations.
• Serves as a role model/preceptor to new graduate nurses and less experienced personnel.
• Assumes charge nurse responsibility for the patient care unit as delegated.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Baccalaureate in Nursing preferred. Must have current licensure to practice as a Registered Nurse in the State of Rhode Island. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Visual and aural ability to monitor patient status. Physical ability to assist in lifting and positioning patients. Exposed to patient care environment. Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.

SUPERVISORY RESPONSIBILITIES: None.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

SUMMARY:

Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES:

Provides direct patient care.Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.

Evaluates effectiveness of patient care and identifies opportunities for improvement.

Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.

Assesses and provides appropriate teaching based on patient and family needs.

Participates in unit-based quality improvement and research activities.

Utilizes all available resources to provide quality, cost effective patient care.

Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.

Identifies growth needs and participates in educational opportunities and professional organizations.

Serves as a role model/preceptor to new graduate nurses and less experienced personnel.

Assumes charge nurse responsibility for the patient care unit as delegated.

COMPETENCIES:

Process Level I:

Wanding

Level II:

Personal Belongings confiscated, itemized and secured
Intake process
Processing patients before going into unit
Wanding
Paper scrubs
Hospital socks
Vital signs
Breathalyzer/Blood glucose if needed

Unit Safety:

Suicide precautions
Suicide risk assessment
Safety checks with patient location every 15 minutes
Limiting visitors
Initial and ongoing contraband checks/Environmental checks every 2 hours
Education
D-pod Net Learning Modules
Crisis Prevention Institute (CPI) Training
Competency Testing – Wanding, Safety/Environmental Rounds
BLS

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Baccalaureate in Nursing preferred.

Must have current licensure to practice as a Registered Nurse in the State of Rhode Island.

Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. Receive their NIHSS Certification within 3 months of hire 8 hours of continuing stroke education required annually.

UNIT SPECIFIC JOB REQUIREMENTS:

Current Registered Nurse (RN) license in the State of RI. BSN preferred. Certified Wound Nurse preferred (American Board of Wound Management certification preferred, Certified Wound Specialist (CWS) preferred or Certified Wound, Ostomy and Continence Nurse (CWOCN) preferred.

Minimum two years clinical experience in medical surgical nursing, ambulatory or surgical services in a hospital setting

Previous high volume clinic experience in an outpatient setting preferred

Positive, caring and customer-service-oriented attitude

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Visual and aural ability to monitor patient status. Physical ability to assist in lifting and positioning patients. Exposed to patient care environment. Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.

UNIT SPECIFIC PHYSICAL REQUIREMENTS:

Must have full range of body motion. Must be able to lift a minimum of 50 lbs. Vision abilities required include close vision, distance vision and color vision. Must be able to speak and hear clearly. Must have the ability to stand, sit, walk, bend, lean, and squat for long periods of time without hindrance. Must be able to maintain dexterity when pulling, pushing, and gripping carts and stretchers. Must be physically able to perform CPR. Must perform all physical job duties accurately in a fast-paced environment with frequent interruption.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

SUMMARY:

Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES:

Provides direct patient care. Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel. Evaluates effectiveness of patient care and identifies opportunities for improvement. Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning. Assesses and provides appropriate teaching based on patient and family needs. Participates in unit-based quality improvement and research activities. Utilizes all available resources to provide quality, cost effective patient care. Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate. Identifies growth needs and participates in educational opportunities and professional organizations. Serves as a role model/preceptor to new graduate nurses and less experienced personnel. Assumes charge nurse responsibility for the patient care unit as delegated.

Competencies:

Nurses who are able to show care and compassion for a wide pediatric age range and cultural backgrounds. The ED nurse should be able to determine priority of care based on physical, psychological and social needs as well as factors influencing patient flow through the emergency care system. he ED Nurse should be able to care for patients on cardiac monitors, patients who present with respiratory issues, life threatening medial issues and traumatic injuries. The ED nurse should have the ability to perform focused assessment of chief complaints of each patient in a timely manner. The registered nurse will be able to care for the patient from arrival to admission or facilitate timely discharges. /

Job Requirements: Current Registered Nurse (RN) license in the State of RI. BSN preferred. Certified Wound Nurse preferred (American Board of Wound Management certification preferred, Certified Wound Specialist (CWS) preferred or Certified Wound, Ostomy and Continence Nurse (CWOCN) preferred. Minimum two years clinical experience in medical surgical nursing, ambulatory or surgical services in a hospital setting. Previous high volume clinic experience in an outpatient setting preferred. Positive, caring and customer-service-oriented attitude

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Baccalaureate in Nursing preferred. Must have current licensure to practice as a Registered Nurse in the State of Rhode Island. Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Visual and aural ability to monitor patient status. Physical ability to assist in lifting and positioning patients. Exposed to patient care environment. Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.

UNIT SPECIFIC PHYSICAL REQUIREMENTS:

Must have full range of body motion. Must be able to lift a minimum of 50 lbs. Vision abilities required include close vision, distance vision and color vision. Must be able to speak and hear clearly. Must have the ability to stand, sit, walk, bend, lean, and squat for long periods of time without hindrance. Must be able to maintain dexterity when pulling, pushing, and gripping carts and stretchers. Must be physically able to perform CPR. Must perform all physical job duties accurately in a fast-paced environment with frequent interruption.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

M-F 0700-1600

Pay Range:

Major Responsibilities:

• Prepares and rooms the patient for exam by obtaining vital signs and documenting/updating pertinent health information (i.e. chief complaint, allergies, medications).
• Performs laboratory procedures (i.e. strep test, wound culture, specimen collection, etc.) using principles of aseptic technique and standard precautions / infection control guidelines.
• Assists the physician/provider with procedures and surgeries such as pelvic exams, allergy scratch testing, EMG, cautery, colposcopy, etc.
• Administers medications, under physician/provider orders, including: immunizations, antibiotics, pain medications, vitamins, topical agents, and insulin. With limitations, initiates, maintains and discontinues IV therapy; administering selected fluids with pre-mixed medications.
• Provides basic patient education on the performance of tasks, skills, treatment and self-care. Follows through with necessary procedure or test requests, prescription refills, new appointment times and referrals to other facilities or services. Refers questions to registered nurses and physicians/providers per scope of practice guidelines and relays information back to patient as directed.
• Communicates with physicians and other members of the health care team. Documents and communicates accurate and timely information regarding patient conditions.
• Performs advanced clinical tasks or skills such as removal of sutures and staples, catheterization, audiograms, laboratory procedures (throat/nose culture, drug screen, phlebotomy - butterfly, venous access, heel stick), EKG, spirometry, Holter monitor application, casting, complex wound care, etc., with demonstrated competency and under clinical supervision.
• Organizes and prepares exam rooms, lab and work areas including: cleaning, stocking, ordering supplies, and maintaining equipment. Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.
• Completes routine maintenance and quality monitoring of clinic equipment using appropriate technique when cleaning, sterilizing and caring for instruments and other equipment.
• Participates in patient centered initiatives, care management, performance and quality improvement activities.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Licensure, Registration, and/or Certification Required:

• Licensed Practical Nurse (LPN) license issued by the state in which the team member practices, and
• Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 45 days unless department leader has determined it is not required.

Education Required:

• Completion of an accredited or approved program in Practical Nursing.

Experience Required:

• No experience required.

Knowledge, Skills & Abilities Required:

• Excellent communication (written and verbal) and interpersonal skills; ability to develop rapport and maintain positive, professional relationships with a variety of patients, staff and physicians.
• Excellent organization, prioritization and problem solving skills.
• Proficient computer skills including keyboarding, navigation within a windows operating system, and use of electronic mail with exposure to electronic medical records systems.

Physical Requirements and Working Conditions:

• Must sit, stand, walk, lift, squat, bend, twist, crawl, kneel, climb, and reach above shoulders throughout the workday.
• Must be able to:
• lift up to 50 lbs from floor to waist.
• lift up to 20 lbs over the head.
• carry up to 40 lbs a reasonable distance.
• Must be able to:
• push/pull with 30 lbs of force.
• perform a sliding transfer of 150 lbs with a second person present.
• Will be exposed to the following hazards on a frequent basis: mechanical, electrical, chemical, blood and body fluids. Will be required to wear protective clothing and equipment as needed.
• Must have functional speech, vision, hearing, and touch with ability to use fine-hand manipulation skills.
• Operates all equipment essential to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

SUMMARY:

Under the general supervision of the Nurse Manager (or designee), and within hospital and departmental policies and procedures, the professional registered nurse acts as a patient advocate in the application of the nursing process. All essential functions performed in this position reflect the age specific needs of the patients.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

RESPONSIBILITIES:

• Recognizes and reports deviations from patient or established norms. Identifies deviations from established norms not related to chief patient’s complaints.
• Reports patient’s responses to treatment(s), and documents nursing interventions.
• Provides basic comfort and support according to patient needs.
• Fosters patient(s) and family participation in achieving optimum level of patient’s functioning and performing activities of daily living.
• Sets priorities in individual patient’s assignments. Seeks guidance and resources, when necessary, in management of patient care.
• Identifies and assesses emergency situations.
• Initiates appropriate response and intervention.
• Plans for potential needs during emergency situations.
• Defines nursing diagnosis and expected patient’s outcomes. May modify nursing plan of care based on diagnosis and/or outcomes.
• Documents on appropriate nursing assessment forms.
• Implements nursing interventions and evaluates based on patient’s outcomes. Modifies plan or care, accordingly, including documentation.The Registered Nurse maintains knowledge of contemporary, professional nursing practice within the legal framework of the Rhode Island Nurse Practice Act.
• Attends training and retraining, as needed, to maintain current knowledge of hospital and patient’s care practices and procedures.
• Utilizes established protocols and collaborates with the health team to facilitate therapeutic interventions and attainment of desired patient outcomes.
• Participates in quality improvement processes and risk management activities. Attends unit-based, or hospital meetings to facilitate patient care management.
• Functions in a cooperative and productive manner in the work environment.
• Integrates complete physical assessment with nursing assessment, and records reviews in developing a comprehensive and individualized plan of care.
• Follows all documentation guidelines per policy and procedure.
• Maintains quality assurance, safety, environmental, and infection control in accordance with established hospital department policies, procedures, and objectives.
• Maintains safe environment for patients, visitors, and staff.
• Demonstrates self-direction in maintaining and advancing clinical and professional competency.
• Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.
• Provides functional guidance and direction to LPNs, CNAs, and other licensed personnel, as required.
• May assume shift charge responsibility on an assigned unit. Responsibility includes maintaining an overview of unit activities and delegating work responsibilities with equitable assignments. Makes bed and patient assignments and assigns primary patients to staff.

MINIMUM QUALIFICATIONS:

• Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

• Graduate of an accredited school of nursing, associate’s degree in nursing required, Baccalaureate in nursing preferred.
• Current BLS Certification (American Heart Association)Conformity to the Code of Professional Nurses.
• Understanding of the provisions of the Nurse Practice Act of the state of Rhode Island.
• Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages and sensitivity to cultural diversity in each step of the care process.

EXPERIENCE:

• Registered nurses should develop general proficiency as a staff nurse within three months of employment. For specialty unit, general nursing experience appropriate to the specialty, is preferred.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

• Prolonged standing and walking. Exposure to all patient elements. Repeated bending, squatting, lifting, and stooping

SUPERVISORY RESPONSIBILITY:

• None.

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Daily Hours: 

Driving Required:

SUMMARY:

Summary:
Reports to the Manager or Director of Case Management. Provides coordinated care support to facilitate and expedite patient care services. Participates in daily rounds and collaborates with the clinical healthcare team across the patient care continuum to include preadmission and post hospital discharge. As a member of that team, shares responsibility for the implementation of the discharge plan; ensures efficient and effective delivery of patient care services through the appropriate utilization of healthcare resources. Full time, part time per diem and job share schedules available.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES:

Responsibilities:
Partners with medical staff and other members of the healthcare team in collaboration with the patient/family to facilitate the plan of care for a defined patient population across the continuum of care. Identifies a high-risk patient population within the caseload for care management assessment screening and targets interventions in conjunction with the healthcare team within one business day of patient admission
Participates in daily care rounds to collaborate with members of the patient 's healthcare team as well as to evaluate and facilitate development and implementation of the discharge planning process. Develops the initial patient discharge plan and reviews with patient, family members and other members of the interdisciplinary team. Reassesses the discharge plan daily during collaborative care rounds.
Proactively builds post hospital referrals and sends to the Transition Care Coordinator when indicated to facilitate timely discharge.
Delivers Important Message follow-up notices to all Medicare patients according to CMS regulations. Follows CMS and DOH regulations in relationship to discharge guidelines and patient rights.
Coordinates the length of stay with the physician care team and patient. Ensures team is informed of insurance qualifiers that may affect the discharge plan. Discuss approaching discharge readiness of patients. Identify and assess readmitted patients and complex patients in collaboration with members of the healthcare team to coordinate discharge.
Advocates for the patient and advises the patient regarding financial implications of their discharge plan when coordinating care for the patient. Communicates the discharge plan, including post facilitygency acceptance, to patients, families and all members of the care team.
Documents final discharge disposition in progress notes. Develops appropriate patient care reports to ensure safe patient handovers occur as a patient is transferred from one patient care area to the next. Provides care plan direction for the advancement of a patient care delivery system which supports managed care strategies and decreases readmission risk.
Acts as a change agent by identifying opportunities to improve patient flow and reduce service delays through problem resolution and follow-up.
Demonstrates a fundamental grounding in nursing theory and practice with a clinical background within a defined content area. Remains current on the latest concepts techniques and methods relative to his/her service.
Demonstrates knowledge of federal and state rules and regulations.
Reviews and acts as a change agent by identifying opportunities to improve patient flow and identifies and reduces service delays through problem resolution and follow-up. Identifies and tracks service and discharge patient delays.
Participates in departmental and/or interdepartmental quality improvement activities as requested: i.e. OpX teams weekly long LOS reviews interdisciplinary rounds readmission reviews. Participates in Orienting of New staff as requested.
Participates in ongoing education-related professional activities and affiliations to maintain an advanced level of knowledge of patient care services third party payer and managed care requirements and case management.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.
BASIC KNOWLEDGE:
Graduate of a School of Nursing with current license to practice as a Registered Nurse in the State of Rhode Island.
Bachelor 's Degree Required

Certification in Case Management by a nationally recognized organization preferred.
AHA BLS Provider Required.
EXPERIENCE:
Three years of clinical experience with recent experience in case management, community case management, patient navigation, or discharge planning is strongly preferred.
Strong analytical and interpersonal skills are required to provide guidance to and communicate daily with healthcare professionals, patients and families.
Must exhibit a collaborative approach and method of communication to interact successfully on as daily basis with a wide and diverse population of both health care providers insurers patients and their families.
Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes human development stages and cultural patterns in each step of the care process.
Must be proficient in the use of Microsoft Office software including email and Outlook calendar and have basic keyboarding skills.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:
General hospital environment with occasional stressful conditions associated with patient care. Risk of exposure to blood borne pathogens and disease is minimized and controlled by adherence to Hospital Infection Control policy and procedures.
Must be able to make hospital rounds through various patient care areas either by walking or through some other mobile means. Visual acuity and finger dexterity is needed to review and carry medical records navigate through automated system screens and type on a typical computer terminal keyboard. Lifting of up to 10 lbs. may be necessary to transport items from one care unit to the next.
INDEPENDENT ACTION:
Responds to individual patient-care situations demonstrating knowledge and skills acquired through education certification and work experience.
SUPERVISORY RESPONSIBILITY:
None.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

SUMMARY: Under the general supervision of the Nurse Manager, Lead Nurse of Interventional Radiology, the Medical Director of IR, CT MRI and US, and with the support of the Nursing Directors of Adult Patient services, provides comprehensive nursing care to patients having procedures in Diagnostic Imaging, in accordance with the hospital and department established policies and procedures, and the physician’s orders. All essential functions performed in this position reflect the age specific needs of the patient.All essential functions performed in the position reflect age specific needs of the geriatric, adult, and pediatric patients. Fosters patient and family centered care and nursing services in accordance with the Brown University Health and Rhode Island Hospital mission, vision, and values, with consideration of the life span, including all developmental stages as well as cultural patterns.All essential functions to coordinate quality and safety tracking while maintaining patient confidentiality. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: PRINCIPAL DUTIES AND RESPONSIBILITIES:Clinical:Performs assessments and collection of data by interviewing and record review, and documents on appropriate nursing assessment forms.Provides direct patient care.Prioritizes patient needs and functions as a patient advocate.Assesses and monitors patient condition throughout the pre, peri and post-procedural period (including vital signs, invasive pressure monitoring and recognition of EKG changes) and initiates appropriate nursing intervention.Provides continuity of care for the critically ill patient.Administers conscious sedation and monitors patients in accordance with hospital and departmental standards for procedures in CT, US and VIR.Administers contrast material.Recognizes, documents, and assists in the treatment of contrast reactions.Intervenes in emergency situations.Assesses need for and administers other medications as appropriate.Assists radiologists with procedures and treatments that require professional nursing skills.Demonstrates skill in using special equipment such as monitors, infusion pumps, pacemakers, defibrillators, ventilators, O2 equipment, etc.Documents patient status and nursing interventions.Effectively communicates with radiology nurses, physicians, technologists and other patient care units and caregivers regarding patient status, treatment, and outcome.Demonstrates ability to prioritize nursing responsibility within the department and Pre and Post Procedure Room.Works in collaboration with the IR technologist to prepare the patient, and the room, for the procedure.Takes call according to IR call policy.Performs role of charge nurse and Pre and Post Procedure Room as needed. Performs other related duties as required.Education:Provides health teaching and procedural information to patients and families. Participates in staff education on patient care, safety, infection control, etc.Acts as a resource person for nursing, medical and radiology staff. Assists with the orientation of nurses, students, technologists, and physicians.Other:Maintains departmental data bases as needed to provide data for tracking procedures, complications, outcomes and provides data for maintenance for all ongoing regulatory agency certificationsAssists in review of any safety issues for NIR and VIRRpatients and provides support for reporting and following events in the hospital event reporting system.Assists with quality improvement and risk management programs.Participates in the development and evaluation of policies and procedures in radiology.Participates in performing, documenting, and reviewing patient/complication follow-up.Maintains and enhances professional expertise through appropriate educational opportunities and literature.Practices cost containment.Maintains emergency equipment.Monitors medications including narcotics.Assists with the development and implementation of research projects.Participates in hospital, nursing, and radiology committees.Collaboration: Functions as a member of the radiology team.Acts as a liaison between radiology and nursing units.Interacts with other health care professionals to maintain continuity of quality patient care. MINIMUM QUALIFICATIONS: Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.BASIC KNOWLEDGE:Graduate from an accredited School of Nursing.Must have current licensure to practice as a Registered Nurse in the State of Rhode Island. ACLS &BLS certified.Demonstrated mature judgment, initiative, and proficiency in nursing skills.Able to work without direct supervision.Is knowledgeable in physical assessment, aseptic techniques, IV skills and universal precautions.Demonstrated knowledge and skills necessary to provide care patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process.EXPERIENCE:One year of ICU-level critical care OR two years ER nursing experience with at least one year trauma room experience preferred.WORK ENVIRONMENT AND PHYSICAL REQUIREMENTSome exposure to radiation, but hazards minimized by adherence to established safety precautions.Lifting, pulling, and positioning patients, wearing an eight-to-ten-pound lead apron.Spends majority of time walking or standing. INDEPENDENT ACTION:Performs independently within the department policies and practices. Refers specific complex problems to supervisors where clarification of departmental and hospital policies and procedures may be required.SUPERVISORY RESPONSIBILITY:None

Pay Range:

$35.56-$59.99

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type:

40 hours week 1, 30 hours week 2. 7-:530 or 8-6:30 Call requirement weekdays, weekends, and holidays

Work Shift:

Day

Driving Required:

No

Union:

United Nurses And Allied Professional

SUMMARY: Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Provides direct patient care.Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.Evaluates effectiveness of patient care and identifies opportunities for improvement.Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.Assesses and Provides appropriate teaching based on patient and family needs.Participates in unit-based quality improvement and research activities.Utilizes all available resources to provide quality, cost effective patient care.Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.Identifies growth needs and Participates in educational opportunities and professional organizations.Serves as a role model/preceptor to new graduate nurses and less experienced personnel.Assumes charge nurse responsibility for the patient care unit as delegated. MINIMUM QUALIFICATIONS: Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.BASIC KNOWLEDGE:Baccalaureate in Nursing preferred.Must have current licensure to practice as a Registered Nurse in the State of Rhode Island.Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.Receive their NIHSS Certification within 3 months of hire 8 hours of continuing stroke education required annually.WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Visual and aural ability to monitor patient status.Physical ability to assist in lifting and positioning patients.Exposed to patient care environment.Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.SUPERVISORY RESPONSIBILITIES: None.

Pay Range:

$35.56-$59.99

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type:

7a-7p

Work Shift:

Day

Driving Required:

No

Union:

United Nurses And Allied Professional

SUMMARY: Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Provides direct patient care.Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.Evaluates effectiveness of patient care and identifies opportunities for improvement.Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.Assesses and Provides appropriate teaching based on patient and family needs.Participates in unit-based quality improvement and research activities.Utilizes all available resources to provide quality, cost effective patient care.Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.Identifies growth needs and Participates in educational opportunities and professional organizations.Serves as a role model/preceptor to new graduate nurses and less experienced personnel.Assumes charge nurse responsibility for the patient care unit as delegated. MINIMUM QUALIFICATIONS: Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.BASIC KNOWLEDGE:Baccalaureate in Nursing preferred.Must have current licensure to practice as a Registered Nurse in the State of Rhode Island.Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Visual and aural ability to monitor patient status.Physical ability to assist in lifting and positioning patients.Exposed to patient care environment.Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.SUPERVISORY RESPONSIBILITIES: None.

Pay Range:

$35.56-$59.99

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type:

7a-730pm

Work Shift:

Day

Driving Required:

No

Union:

United Nurses And Allied Professional

Varies

Pay Range:

Major Responsibilities:

• Creates the initial electronic health record that serves as the foundation of the patient medical record that is utilized by all members of the healthcare team. Prevents creation of duplicate medical records that can cause treatment safety issues and billing problems. Follows and ensures compliance with the mandate of the organization’s accrediting bodies to use identifiers to positively identify a patient prior to the delivery of patient care to ensure patient safety. 
• Checks in and registers patients; obtains and verifies complete demographic, guarantor, and insurance information; discusses and collects co-pays and other out-of-pocket patient responsibilities. Obtaining accurate information at the point of registration helps ensure timely payment to the organization and prevents billing issues and patient complaints. Maintains complete confidentiality regarding patient personal/financial information and medical records in accordance with the Health Insurance Portability and Accountability Act (HIPAA). 
• Knows insurance basics and recognizes commercial and government plans. Understands which plans Advocate Health contracts with and when a statement of financial responsibility is needed. Understands and discusses financial information and obligations with patients. Knows how and when to refer patients to Financial Advocates. 
• Has knowledge of which rules, forms and questions must be enforced to make sure Advocate Health remains compliant with government agencies and regulations. Examples are HIPAA, Emergency Medical Treatment and Active Labor Act (EMTALA), Consent for Treatment, Patient Rights and Responsibilities, Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Notice of Privacy Practices, Medicare Secondary Payer Questionnaire (MSPQ), Advanced Beneficiary Notice (ABN). Obtains patient or guarantor signatures as required. 
• May schedule patient appointments: may also coordinate cancellations, reschedules, wait list requests, and recall requests. Provides accurate, detailed information regarding test preparations, patient arrival time, medication/food/beverage consumption guidelines, check-in procedures, directions to facility, etc. 
• Creates a welcoming and professional environment for our patients and visitors by demonstrating extraordinary customer service. Greets patients and visitors and responds to routine requests for information. Answers telephone, screens calls, and takes messages. Offers various assistance to patients to include arranging transportation needs, providing directions, locating a wheelchair, coordinating interpreter services, etc. 
• Monitors and works assigned electronic health record work queues, following the department’s approved process. 

Licensure, Registration, and/or Certification Required:

• ​​None 

Education Required:

• ​​High School Graduate. ​ 

Experience Required:

• None

Knowledge, Skills & Abilities Required:

• Demonstrate the Advocate Health purpose, values and behaviors. 
• Ability to work in a high profile and high stress area, working independently to set and meet deadlines, multitask and prioritize work. Must be able to handle large workloads with many interruptions in a fast-paced environment without direct supervision. 
• Strong attention to detail and accuracy. 
• Excellent customer service skills in a variety of situations. Must have excellent service recovery skills. 
• Demonstrated independent thinking and problem-solving skills, ability to exercise judgment to triage issues and concerns. 
• Excellent communication (written & verbal), customer service and interpersonal skills, ability to effectively communicate with a variety of patients, visitors, staff and physicians in a pleasant professional demeanor. 
• Educate patients on the insurance coverage aspect of their care including managing the discussion for services that will not or may not be paid by their health plan. 
• Interact with physicians and their staff to resolve issues related to patient care. 
• Collect and manage payments including cash payments and follow security related to cash handling. 
• Strong understanding and comfort level with computer systems. Demonstrated technical proficiency including experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, electronic email, Microsoft Office, internet browser and phone technology. 
• Understanding of basic medical and insurance terms and abbreviations typically used in the patient scheduling and registration process. 
• HIPAA-compliant and knowledgeable of applicable state and federal rules/regulations. Ability to handle sensitive and confidential information according to internal policies. 
• General understanding of health insurance: Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations and comply with updates on insurance pre-certification requirements. 
• Excellent organizational skills. 
• Demonstrated ability to effectively act as a resource to other staff. 

Physical Requirements and Working Conditions:

• ​​​This position may require travel, therefore, will be exposed to weather and road conditions. 
• Responds quickly to patient medical status and emergency situations occurring in clerical areas. 
• CPR certification may be required based on service location. 
• Notary training/licensure may be required as appropriate for service line and/or facility. 
• Operates all equipment necessary to perform the job. 
• Exposed to a normal office environment with significant patient and public contact. May be exposed to ill or contagious patients. 
• Must be able to transition from sitting to standing frequently. Must be able to stand and sit for extended periods of time and be physically mobile throughout the workday. 
• Frequently lifts to 10 lbs. and occasionally lifts 20 lbs. or more. Must be able to push/pull up to 50 lbs. with assistance. Occurs when moving equipment, supplies and/or when transporting patients through doorways, ramps and elevators. 
• Escorts patients to nursing units or outpatient departments as necessary. 
• Sensory requirements include vision, hearing and touch. Must also be able to speak clearly. 
• Must be able to use hands with fine motor skills for keyboard data entry. 
• May be asked to work a flexible schedule at times to meet the needs of the department. 

Preferred Job Requirements:

Experience Required:

• ​​ Preferred: experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, electronic email, Microsoft Office, Internet and phone technology. 

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

SUMMARY:

Under the general supervision of the Nurse Manager (or designee), and within hospital and departmental policies and procedures, the professional registered nurse acts as a patient advocate in the application of the nursing process. All essential functions performed in this position reflect the age specific needs of the patients.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES:

Recognizes and reports deviations from patient or established norms. Identifies deviations from established norms not related to chief patient’s complaints.

Reports patient’s responses to treatment(s), and documents nursing interventions.

Provides basic comfort and support according to patient needs. Fosters patient(s) and family participation in achieving optimum level of patient’s functioning and performing activities of daily living.

Sets priorities in individual patient’s assignments.

Seeks guidance and resources, when necessary, in management of patient care.

Identifies and assesses emergency situations. Initiates appropriate response and intervention.

Plans for potential needs during emergency situations.

Defines nursing diagnosis and expected patient’s outcomes.

May modify nursing plan of care based on diagnosis and/or outcomes. Documents on appropriate nursing assessment forms.

Implements nursing interventions and evaluates based on patient’s outcomes. Modifies plan or care, accordingly, including documentation.

The Registered Nurse maintains knowledge of contemporary, professional nursing practice within the legal framework of the Rhode Island Nurse Practice Act.

Attends training and retraining, as needed, to maintain current knowledge of hospital and patient’s care practices and procedures.

Utilizes established protocols and collaborates with the health team to facilitate therapeutic interventions and attainment of desired patient outcomes.

Participates in quality improvement processes and risk management activities. Attends unit-based, or hospital meetings to facilitate patient care management.

Functions in a cooperative and productive manner in the work environment.

Integrates complete physical assessment with nursing assessment, and records reviews in developing a comprehensive and individualized plan of care.

Follows all documentation guidelines per policy and procedure.

Maintains quality assurance, safety, environmental, and infection control in accordance with established hospital department policies, procedures, and objectives.

Maintains safe environment for patients, visitors, and staff.

Demonstrates self-direction in maintaining and advancing clinical and professional competency.

Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.

Provides functional guidance and direction to LPNs, CNAs, and other licensed personnel, as required.

May assume shift charge responsibility on an assigned unit.

Responsibility includes maintaining an overview of unit activities and delegating work responsibilities with equitable assignments.

Makes bed and patient assignments and assigns primary patients to staff.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Graduate of an accredited school of nursing, associate’s degree in nursing required, Baccalaureate in nursing preferred.

Current BLS Certification (American Heart Association)Conformity to the Code of Professional Nurses.

Understanding of the provisions of the Nurse Practice Act of the state of Rhode Island.

Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages and sensitivity to cultural diversity in each step of the care process.

EXPERIENCE:

Registered nurses should develop general proficiency as a staff nurse within three months of employment.

For specialty unit, general nursing experience appropriate to the specialty, is preferred.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Prolonged standing and walking

Exposure to all patient elements

Repeated bending, squatting, lifting, and stooping

SUPERVISORY RESPONSIBILITY:

None.

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Daily Hours: 

Driving Required:

SUMMARY:

The Nurse Practitioner is accountable to facilitate a quality hospital experience and outcome for patients within a cost-effective time frame. The Nurse Practitioner will be responsible to the Medical Director of Patient Services and responsible for overseeing the progress of a specific caseload of patients across the care continuum to include pre-admission and post-discharge when feasible. Acts as an educator, consultant, and liaison to healthcare providers caring for the patients across the care continuum.

RESPONSIBILITIES:

• Demonstrates a fundamental grounding in nursing theory and practice with mastery of knowledge within a defined content area.

• Manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings.

• Provides leadership in the development, validation, implementation, and evaluation of standards, policies, procedures, and critical paths to support the patient care delivery model.

• Oversees care coordination in acute, home care, and ambulatory care settings as feasible.

• Assists the healthcare team to achieve mutually agreed upon healthcare goals by providing necessary support, education and encouragement.

• Demonstrates advanced physical and psychosocial assessment skills and knowledge of family dynamics.

• Provides direct care to patients in acute care, ambulatory care and home care settings.

• Performs advanced practice skills under the supervision of the Medical Director.

• Provides expert consultation for clinical issues promoting increased knowledge and skills for the consultee.

• Participates in the education, clinical research and mentoring of healthcare providers.

• Facilitates patient/family education in area of expertise.

• Annually completes mandatory safety infection control, BLS, and ACLS/PALS.

• Prescriptive privileges per licensure.

MINIMUM QUALIFICATIONS:

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE:

Masters of Science Degree, Graduate of accredited Nurse Practitioner program. Specialty certification required.
Baccalaureate in Nursing
Certified in Basic Cardiac Life Support (BLS).
Demonstrates knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

EXPERIENCE:

Two years related experience as RN in acute care hospital setting and preferred 1-2 years experience as a nurse practitioner.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:
General hospital environment with occasional stressful conditions associated with patient care.

SUPERVISORY RESPONSIBILITIES:
None.

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Daily Hours: 

Driving Required:

SUMMARY:

The Nurse Practitioner/Physician Assistant is accountable to facilitate a quality hospital experience and outcome for patients within a highly specialized team in Neurointerventional Radiology and Vascular Neurology. The Nurse Practitioner/Physician Assistant will be responsible to the Medical Director of Patient Services and responsible for overseeing the progress of a specific caseload of patients across the care continuum. Acts as an educator, consultant, and liaison to healthcare providers caring for the patients across the care continuum. The Advanced Practice provider (APP) hired for the Neurovascular Center (NVC) will be an integral part of the team caring for ischemic and hemorrhagic stroke patients, as well as other cerebrovascular disease. Assists in the care of these patients throughout their hospitalization, including the hyperacute phase. The work performed will primarily be in three locations: The Emergency Department, Stroke Service and in Neurointerventional Radiology.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Demonstrates a fundamental knowledge in the field. Manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings.
• Oversees care coordination in acute, home care, and ambulatory care settings as feasible.
• Assists the healthcare team to achieve mutually agreed upon healthcare goals by providing necessary support, education and encouragement.
• Demonstrates advanced physical and psychosocial assessment skills and knowledge of family dynamics.
• Provides direct care to patients in acute care settings.
• Performs advanced practice skills under the supervision of the Medical Director.
• Provides expert consultation for clinical issues promoting increased knowledge and skills for the consultee.
• Participates in the education, clinical research and mentoring of healthcare providers.
• Facilitates patient/family education in area of expertise.
• Annually completes mandatory safety infection control, BLS, and ACLS/PALS. Prescriptive privileges per licensure.
• Emergency Department – Hyperacute patients- Responds to all code Strokes (in patient and ED), and understands the role of acute revascularization therapies (IV and IA) in the care of these patients.
• Obtains and maintains NIHSS certification- Obtains and maintains certification for Modified Rankin Scores- Communicates and coordinates the hyperacute care of these patients with ED, Neurology &NIR- Obtains consent and performs pre-procedure evaluation if patient is going to NIR- Off hours, begin NIR preparing room for the procedure.
• APP will scrub and participate in the procedure.
• This should include other aspects of the VIR case as listed below.- Assists Neurology resident with admission H& P, orders, if needed.- Assists in hyper-acute MRI process, when indicated.
• Stroke Unit - Ischemic and Hemorrhagic stroke patients on Stroke Unit (and their ED Evaluation).
• Rounds with Vascular neurology team, including performing H& P, daily exams, NIR Service prior to, During and after neurointerventional procedures.
• Assist NIR attending with consent, pre-procedure H& P, discharge summaries, discharge instructions for outpatients, and any other pre-, intra- or post-procedural issues as needed.
• Become proficient at the following aspects of neurointerventional procedures.
• Understand sterile technique.
• Understand radiation safety and using fluoroscopic equipment safely- Preparss notes, discharge summaries and hospital course.
• Acts as resource to Neurology resident with other issues on Stroke service patients as needed, sterile tray, and understand process of preparing wires, catheters, balloons and other devices as indicated.
• Obtain arterial and venous access, including safe placement of sheaths into tortuous anatomy.
• Assist primary operator in interventional cases, including understanding of catheter and wire manipulation in cases.
• Proficiency at arterial and venous access closure, including the use of arterial closure devices.

MINIMUM QUALIFICATIONS:

BASIC KNOWLEDGE:

Masters of Science Degree, Graduate of accredited Nurse Practitioner or Physician Assistant program. Specialty certification required for Nurse Practitioners. Baccalaureate in Nursing Certified in Basic Cardiac Life Support (BLS) and Advanced Cardiac Life Support (ACLS).

EXPERIENCE:

One to two years related experience as an APP in acute care hospital setting and preferred.

INDEPENDENT ACTION:

Performs independently within the department’s policies and practices. Refers specific complex problems to the supervisor when clarification of the departmental policies are required.

SUPERVISORY RESPONSIBILITY:None.

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Daily Hours: 

Driving Required:

The Nurse Clinician, under the general supervision of the Assistant Clinical Manger, and in collaboration with the Nuclear Medicine, Cardiac Non-Invasive Cardiology Attending, and fellows evaluates patients referred for cardiac stress testing according to established guidelines. Nurse Clinician will review patients’ medical history and perform focused cardiovascular assessment prior to testing. Administers exercise and/or pharmacological stress tests in Nuclear Medicine, Cardiac Non-Invasive, and MRI. Provides initial management of arrhythmia or adverse events that may occur during stress testing. Under the supervision of the cardiology fellow and Non-Invasive cardiologist attending, administers moderate sedation and monitors patients undergoing Transesophageal Echocardiogram with or without cardioversion. Monitors patients with Cardiac Implantable Electronic Devices (CIED) in MRI department. Performs other related duties as assigned to meet the ongoing needs of the organization.
 

The Nurse Clinician is expected to embrace Brown Health University (BHU) mission of “Delivering health with care” and successfully role model BHU’s values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another. 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Evaluates patients referred to for stress testing according to standard criteria and guidelines. Identifies indications and contraindications for stress testing. Safety concerns are communicated to Cardiology Attending or Fellow prior to proceeding.

Interviews patient referred for cardiac stress testing. Performs a focused cardiovascular assessment to detect evidence of any of the following conditions such as, but not limited to: Heart Murmur, Congestive Heart Failure, Cervical Bruit, Arrhythmias, Edema, Vascular Insufficiency.

Suggests appropriate stress testing protocol based on patient assessment.

Explains the stress test being performed to patients and obtains consent.

Performs baseline 12 lead ECG interpretation and compares resting ECG to stress ECG tracings. Identifies patterns or ischemia, infarct, and other common ECG abnormalities.

Recognizes life threatening arrhythmias and initiates therapy according to ACLS guidelines. Demonstrates effective interventions of complications when they occur and reports any concerning findings to cardiology team.

Documents nursing assessment and stress testing procedure information in patients’ medical records.

Understands and practices ALARA principles of radiation protection, including the use and exchange of personal dosimeters.

Administers moderate sedation to patients undergoing Transesophageal Echocardiogram, and monitors throughout the procedure into recovery.

Administers Definity and Agitated Saline for “Bubble Studies”, when indicated per Echocardiogram protocol.

Monitor patient with CIED’s and place them in MRI safe mode, by programming the device to non-inhibited or asynchronous settings. Patients are monitored during the procedure and then placed back to previous settings.

BASIC KNOWLEDGE:

Must have current licensure to practice as a Registered Nurse in the state of Rhode Island. Bachelor’s degree preferred but not required.

 Advanced Cardiac Life support and Basic Life support certifications.

Advanced physical assessment skills and strong cardiac background. Able to obtain a comprehensive patient history and perform a focused physical assessment on patients referred for stress testing, to determine safety of administering a cardiac stress test.

Analytical ability to interpret 12 lead ECG, recognize cardiac arrhythmias and intervene appropriately.

Knowledgeable in administration of moderate sedation and monitoring patients during and post sedation after a Transesophageal ECHO with or without cardioversion.

Interpersonal skills to effectively communicate with patients and physicians.

Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

EXPERIENCE:

Minimal three years’ related experience plus additional training preferred.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Physical ability to assist in lifting and positioning patients, frequent walking, standing, pushing patients on stretchers and wheelchairs.

Exposure to low level radiation.

INDEPENDENT ACTION:

Nurse Clinician functions independently within the department’s policies and practices. Refers specific complex problems to supervisor when clarification of departmental policies or procedures are required.

SUPERVISORY RESPONSIBILITY:

None

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union:

The Nurse Clinician, under the general supervision of the Assistant Clinical Manger, and in collaboration with the Nuclear Medicine, Cardiac Non-Invasive Cardiology Attending, and fellows evaluates patients referred for cardiac stress testing according to established guidelines. Nurse Clinician will review patients’ medical history and perform focused cardiovascular assessment prior to testing. Administers exercise and/or pharmacological stress tests in Nuclear Medicine, Cardiac Non-Invasive, and MRI. Provides initial management of arrhythmia or adverse events that may occur during stress testing. Under the supervision of the cardiology fellow and Non-Invasive cardiologist attending, administers moderate sedation and monitors patients undergoing Transesophageal Echocardiogram with or without cardioversion. Monitors patients with Cardiac Implantable Electronic Devices (CIED) in MRI department. Performs other related duties as assigned to meet the ongoing needs of the organization.
 

The Nurse Clinician is expected to embrace Brown Health University (BHU) mission of “Delivering health with care” and successfully role model BHU’s values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another. 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Evaluates patients referred to for stress testing according to standard criteria and guidelines. Identifies indications and contraindications for stress testing. Safety concerns are communicated to Cardiology Attending or Fellow prior to proceeding.

Interviews patient referred for cardiac stress testing. Performs a focused cardiovascular assessment to detect evidence of any of the following conditions such as, but not limited to: Heart Murmur, Congestive Heart Failure, Cervical Bruit, Arrhythmias, Edema, Vascular Insufficiency.

Suggests appropriate stress testing protocol based on patient assessment.

Explains the stress test being performed to patients and obtains consent.

Performs baseline 12 lead ECG interpretation and compares resting ECG to stress ECG tracings. Identifies patterns or ischemia, infarct, and other common ECG abnormalities.

Recognizes life threatening arrhythmias and initiates therapy according to ACLS guidelines. Demonstrates effective interventions of complications when they occur and reports any concerning findings to cardiology team.

Documents nursing assessment and stress testing procedure information in patients’ medical records.

Understands and practices ALARA principles of radiation protection, including the use and exchange of personal dosimeters.

Administers moderate sedation to patients undergoing Transesophageal Echocardiogram, and monitors throughout the procedure into recovery.

Administers Definity and Agitated Saline for “Bubble Studies”, when indicated per Echocardiogram protocol.

Monitor patient with CIED’s and place them in MRI safe mode, by programming the device to non-inhibited or asynchronous settings. Patients are monitored during the procedure and then placed back to previous settings.

BASIC KNOWLEDGE:

Must have current licensure to practice as a Registered Nurse in the state of Rhode Island. Bachelor’s degree preferred but not required.

 Advanced Cardiac Life support and Basic Life support certifications.

Advanced physical assessment skills and strong cardiac background. Able to obtain a comprehensive patient history and perform a focused physical assessment on patients referred for stress testing, to determine safety of administering a cardiac stress test.

Analytical ability to interpret 12 lead ECG, recognize cardiac arrhythmias and intervene appropriately.

Knowledgeable in administration of moderate sedation and monitoring patients during and post sedation after a Transesophageal ECHO with or without cardioversion.

Interpersonal skills to effectively communicate with patients and physicians.

Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

EXPERIENCE:

Minimal three years’ related experience plus additional training preferred.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Physical ability to assist in lifting and positioning patients, frequent walking, standing, pushing patients on stretchers and wheelchairs.

Exposure to low level radiation.

INDEPENDENT ACTION:

Nurse Clinician functions independently within the department’s policies and practices. Refers specific complex problems to supervisor when clarification of departmental policies or procedures are required.

SUPERVISORY RESPONSIBILITY:

None

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Work Type:

Work Shift:

Driving Required:

Union: