RN Clinical Nurse (Long Term Care) - Day Shift

54923 Berlin, Wisconsin ThedaCare

Posted 2 days ago

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Job Description

Why ThedaCare?

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness -
  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare


About ThedaCare!

Summary :
The RN Clinical Nurse provides patient-centered, specialized, evidence-based nursing care across the continuum through an interprofessional approach to treatment, research, education, and advocacy. Contributes to the goals of the department by being accountable for the delivery of compassionate and safe care within the scope of practice as defined by the Wisconsin Board of Nursing and ThedaCare policy. Through collaborative practice with members of the care team, is responsible for patient outcomes that meet the high quality of care provided by ThedaCare. Furthers the professional practice of nursing at ThedaCare by promoting a culture of innovation and a commitment to growth and professional development.

Job Description:

Schedule

Flexible Scheduling - 8 or 12 hour shifts!

Part Time and Full Time Opportunities

Weekend Program Options

Here is a message from our Nursing Supervisor at Juliette Manor!



KEY ACCOUNTABILITIES:
  • Utilizes the nursing process, evidence-based practice, and specific competencies to assess the physical condition and nursing needs of patients, and develops a plan of care in a collaborative practice with the patient and interprofessional team.
  • Plans for the care needs of the patient in collaboration with the interprofessional team to provide the highest quality of care and clinical outcomes.
  • Demonstrates clinical expertise in the provision of care in the clinical specialty assigned, and performs all functions of the professional clinical nurse (RN), which are age appropriate, developmentally sensitive, and culturally specific.
  • Identifies ways to improve the patient's experience of care, streamline care processes, and lower costs while promoting quality to improve patient, family, and team member satisfaction.
  • Contributes to a professional environment that encourages mentoring, engagement, and development to retain expert clinicians.
  • Provides consultation and maintains positive relationships with physicians and other interprofessional team members, collaborating to problem solve and improve patient care.
  • Demonstrates, anticipates, and proactively manages risk to prevent crises. 8. Performs skillfully in life threatening emergencies, matching demands and resources during crises situations.
QUALIFICATIONS:
  • Associates Degree in Nursing (ADN) required
  • Bachelors Degree in Nursing (BSN) Preferred
  • Current Wisconsin RN Licensure
  • American Heart Association Healthcare Provider Basic Life Support (BLS)
PHYSICAL DEMANDS:
  • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of Fifty (50) pounds without assistance
  • Job classification is exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
  • Manual dexterity and hand-eye coordination to perform patient care procedures
WORK ENVIRONMENT:
  • Frequent exposure to sharp objects and instruments
  • Occasional exposure to moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals, and risk of electrical shock
  • Occasional high noise level in work environment
  • Standing and/or walking for extended periods of time
  • Transporting, transferring, positioning patients and/or equipment from one location to another; little likelihood for injury if proper body mechanics and procedures are followed
  • Possible exposure to communicable diseases, hazardous materials, and pharmacological agents
  • Occasional contact with aggressive and or combative patients.


Scheduled Weekly Hours:
12Scheduled FTE:
0.3Location:
Juliette Manor - Berlin,WisconsinOvertime Exempt:
No
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Patient Care Technician - PCT

54981 Waupaca, Wisconsin Fresenius Medical Care North America

Posted 16 days ago

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Job Description

**No Dialysis specific experience required! Comprehensive, on-the-job training is provided!**
Clinic Location:
102 Grand Seasons Dr, Suite 7
Waupaca, WI 54981
**PURPOSE AND SCOPE:**
Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).
**DUTIES / ACTIVITIES:**
CUSTOMER SERVICE:
+ Responsible for driving the FMS culture through values and customer service standards.
+ Accountable for outstanding customer service to all external and internal customers.
+ Develops and maintains effective relationships through effective and timely communication.
+ Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
**PRINCIPAL RESPONSIBILITIES AND DUTIES**
PATIENT CARE:
+ Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
+ Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
+ Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
+ Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.
+ Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
+ Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
+ Perform administration of Heparin as delegated or as allowed by state law.
+ Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
+ Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
+ Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.
+ Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
+ Discontinue dialysis treatment according to established procedures,
+ Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
+ Obtain Hemostasis and apply appropriate dressings.
+ Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
+ Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.
+ Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
+ Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.
+ Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
+ Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
+ Report any significant information and/or change in patient condition directly to the nurse supervisor.
+ Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor.
+ Perform and document any intervention for unusual patient status and document patients' response to intervention.
+ Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the nurse supervisor.
+ Obtain all prescribed laboratory testing and prepare specimens for collection.
MAINTENANCE/TECHNICAL:
+ Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
+ Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
+ Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
+ Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
+ Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
CLERICAL & ADMINISTRATIVE:
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application accurately and in a timely manner.
+ Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
+ Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
+ Ensure collection of lab specimens by appropriate lab courier.
OTHER:
+ Perform additional duties as assigned.
**ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):**
Assisting the HT RN:
+ May assist HT RN on Home Visit as directed
+ Reinforces PD / HHD education under supervision of qualified HT RN
+ Schedules and contacts patients regarding appointments
+ Weigh patient and obtain vital signs
+ Collect treatment records and review for completion. Notify RN of incomplete / missing records.
+ Cleaning and prepping treatment room; prep charts
+ Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
+ Clerical duties as assigned (faxing, mailing to physician offices etc.)
+ Obtain home hemo water sampling as directed by the HT RN
+ Set-up of the home hemo machine and PD Cycler.
+ Assist with exit site care when directed by HT RN.
+ Warm dialysate solution when directed by the HT RN
+ Draw dialysate solution for testing as directed by the HT RN
+ Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)
+ Assembles/breaks down charts/thins charts
+ Maintains logs as directed and applicable
+ Inventory of Home Program
+ Maintains par levels of home department supplies
+ Files home patient packing slips/invoices
+ Inventory for Patients
+ Assists patient with supply management and contacting customer service
**PHYSICAL DEMANDS AND WORKING CONDITIONS:**
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
**EDUCATION**
+ Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
+ All appropriate state licensure, education and training (if any) required.
**EXPERIENCE AND REQUIRED SKILLS**
+ Previous patient care experience in a hospital setting or related facility preferred.
+ Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.
**EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity**
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
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Patient Care Associate/NA | ETC

56201 Green Lake, Wisconsin Centra Care

Posted 5 days ago

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Job Description

As a Patient Care Associate/Nursing Assistant in the Emergency Trauma Center, you will find your purpose providing an array of medical services designed to keep adults feeling well and in control of their health! Under the supervision of the RN, the PCA performs various duties assisting staff nurses in the treatment and care of patients in accordance with the established methods and procedures of the hospital and will perform receptionist secretarial support duties while maintaining confidentiality of patient information. Here are some ways you'll serve patients:
  • Critical monitoring, like vital signs and glucose checks - so we can better assess their health
  • Transport them to appointments and procedures - to get them the right care at the right time
  • Interact with them to promote comfort, and express compassion and empathy as they heal
  • Walking - It's one of the most important things we can do for them- and you get to help them do it safely
  • Assist with ADLs (activities of daily living) - these are things we often take for granted that patients may be unable to, or need help doing, themselves. ADLs include bathing, brushing teeth, toileting and more.
  • Manage communication in the patient care area regarding patient care activities and patient location, for patients and families, and refers requests to nursing staff or appropriate hospital personnel
  • Initiate, assemble, and maintain charts for all patients on the assigned unit
  • Transcribe physicians' orders; complete all necessary forms, requisitions, and communications necessary to implement orders
  • Record and chart clinical data and other patient information received from nursing staff and medical staff in addition to maintaining the patient chart in appropriate, functional order as prescribed by Hospital and unit policy
Schedule
  • Part-time, 56 hours every two weeks
  • During the week, rotating 8-hour shifts, 6:45AM to 3:15PM and 11:00PM to 7:00AM
  • Every third weekend, rotating 12-hour shifts, Days and Nights.
  • Rotating Holidays
Pay and Benefits
  • Starting pay begins at $18.43 per hour; exact wage determined by years of related experience
    • Pay range: $8.43 - 24.44 per hour
  • Earn extra pay for working evening, night and weekend shifts!
  • Full-time benefits: Medical, dental, PTO, retirement, employee discounts and more!
Qualifications
  • High School Diploma or GED or equivalent work experience, including ability to read, write, and comprehend medical terminology
  • Certified Nursing Assistant (CNA), preferred.


CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.
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