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Psychiatric Advanced Registered Nurse Practitioner

Under indirect supervision of a Psychiatrist, provides for the mental health care needs of patients through advanced assessment, identification of health states including abnormal conditions, diagnosing, treatment and evaluation.: A Psychiatric Advanced Nurse Practitioner is a registered nurse (RN) who has completed a nurse practitioner educational program and holds national certification as a nurse practitioner from a Board approved certifying body with a specialization in psychiatry. Provides direct clinical services for psychiatric patients according to established protocols and utilizes evidence-based clinical practice standards under the supervision of the supervising physician. Functions independently to perform individual assessments, diagnostic functions, specialized risk assessments, and make critical decisions regarding a wide variety of health situations, including high risk and crisis situations. Obtains patient health histories and completes examinations. Orders, performs and interprets lab and diagnostic imaging studies. Diagnoses and treats acute health problems. Provides health maintenance, screenings and referrals. Provides counseling to promote healthy lifestyles and arranges consultations and referrals. Collaborates with physicians and other health care professionals as needed. Documents examination results, noting pertinent normal and abnormal findings and ensures accuracy of notes on patient medical records. Explains the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient’s family, or staff. Performs approved therapeutic or diagnostic procedures based upon patient’s clinical status. Adjusts nursing care processes as indicated to ensure optimal patient care. Prescribes, manages, and supervises medication treatment for psychiatric conditions. Provides quality assurance review. Maintains established policies and procedures, safety, and infection control standards. This position typically requires a Master’s degree in nursing, licensure as a Registered Nurse, and graduation from an accredited Nurse Practitioner program. Post Master’s advanced training and certification in psychiatry is also required. May serve in a teaching capacity or may supervise clinical and support staff in patient care activities. May diagnose, manage treatment and monitor acute or chronic conditions.

Per Diem Clerk

Compiles and computes freight and passenger charges payable to participating carriers on interline business: examines waybills and ticket sales records to compute number of miles each carrier transported freight or passengers. Computes freight or passenger charges payable to each carrier, using basic rates from rate table and calculating machine. Records results of calculations on special forms. Reviews statements submitted by other companies to determine if portion of charges received is correct. May distribute, to appropriate airlines, revenue from passengers traveling on more than one carrier on through passage and be designated passenger-interline clerk. May compile records of daily freight car rental fees due to other carriers and be designated per diem clerk.

Acute Dialysis Registered Nurse

Plans and provides acute dialysis patient care, related procedures, and treatments. Initiates, monitors, evaluates, and administers acute dialysis procedures and medications needed for the patient. Communicates and documents the necessary patient care plans.: Performs patient assessments, administers medications, and ensures the implementation of physician orders. Analyzes patient data including status of vascular accesses, lab work, and patient assessments and makes recommendations to the Physician. Develops short- and long-term treatment plans involving assessment, planning, implementation, evaluation, and education. Communicates with the Physician and other members of the healthcare team to interpret, adjust, and complete age-specific care for the dialysis patient to achieve treatment outcomes in keeping with established patient care standards. Collaborates with a team of Nurses to plan and deliver dialysis treatments to patients and provide patient education.

Telemetry Registered Nurse

Provides nursing care to telemetry patients in assigned care unit or department. Utilizes the nursing process to assess, plan, implement, and evaluate telemetry patient care.: Demonstrates critical thinking and performance ability and uses clinical judgment in evaluation activities to meet patient care needs of an assigned unit/floor, including establishing priorities. Performs focused interviews to identify specific patient’s needs. Assesses signs and symptoms indicating physiologic and psychosocial changes in the patient's condition. Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses. Documents the patient's plan of care using identified nursing diagnoses, expected patient outcomes, and selected nursing interventions. Identifies and prioritizes actions based upon patient care requirements. Monitors consistency between patient plan of care and actions of medical staff. Performs interventions according to identified priorities, plan of care, hospital or medical facility policies, and patient care outcome standard. Provides a safe, comfortable, and therapeutic patient environment. Initiates and evaluates patient and/or family education. Revises the plan of care according to evaluation, changes in medical plan of care, and effective and/or ineffective nursing interventions. Monitors safety and effectiveness of the environment and equipment. Performs according to nursing standards, and is accountable in managing patient care and assisting others in the management of patient care.

Registered Nurse

Provides general nursing care to patients in hospital, nursing home, infirmary, or similar health care facility. Administers prescribed medications and treatments in accordance with approved nursing techniques. Prepares equipment and aids physician during treatments and examinations of patients. Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient's condition and reaction to drugs, treatments, and significant incidents. Requires RN license.: Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and determines progress of patient. May rotate among various clinical services of institution, such as obstetrics, surgery, orthopedics, outpatient and admitting, pediatrics, psychiatry, and tuberculosis. May prepare rooms, sterile instruments, equipment and supplies, and hand items to Surgeon, Obstetrician, or other medical practitioner. May make beds, bathe, and feed patients. May serve as leader for group of personnel rendering nursing care to number of patients.

Nurse Supervisor Evening or Night

Plans, organizes, and directs activities for the duration of one shift of hospital nursing unit. Observes techniques of, and services rendered by, nursing staff or provides nursing care for patients in unit. Demonstrates techniques for nursing students and/or new personnel to provide training and direction. Requires RN license.: Identifies problem areas in nursing unit, such as understaffing, absenteeism, and wastefulness, and takes corrective action. Monitors use of supplies and equipment to avoid abuses and requisitions supplies. Responds to various departments requesting emergency assistance and assigns staff accordingly during emergencies. Prepares work schedule and assigns duties to nursing staff in unit for efficient use of personnel.

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