IMAGING:
- Provides quality images with accuracy and efficiency, using optimal skills and knowledge of all equipment.
- Technologists will be trained in all general radiology exams/areas so that they are able to rotate through the department based on workflow needs.
- Utilize the VIP transportation system to arrange for patient delivery.
- Positions patient for diagnostic radiology exams according to department procedures, training, and machine requirements with a high regard for the safety and care of the patient.
- Operates radiology equipment, determines and sets exposure factors, sets technique utilizing all relevant factors to ensure accurate and quality images with minimal and acceptable repeat rates.
- Uses computer image processing, as needed to select, process, optimize and archive images to PACS.
- Completely tracks exams in the Radiology Information system.
- Develops and presents images and related patient information to radiologist for diagnosis.
- Assists with patient transport by moving patients using standard procedures.
- Assists in the training of Radiologic Technology Students, and adheres to dept. policy on supervision of student technologists.
DOCUMENTATION:
- Gathers complete documentation of all pertinent information to provide accurate and timely service to customers.
- Responsible to correctly identify patients by checking their identity per department procedure.
- Reviews patient chart and orders to insure correct examination.
- Labels images completely with demographic, position and other needed documentation. Follows dept policy on the use of anatomical markers.
- Logs activities, gathers charging information and charges exams as required.
- Follows department and hospital procedures and policies.
- Performs quality control and quality assurance, records results and reports variance from normal equipment function.
PERSONAL & PATIENT CARE AND SAFETY:
- Provides for personal and patient care and safety using professional judgment in accordance with written standards so there is no injury to self or others.
- Protects patients and others in the area by using proper machine settings and radiation safety standards.
- Practices universal and blood and body fluid precautions, and sterile practices according to procedures.
- Communicates and uses knowledge of related anatomy and physiology to insure appropriate and effective care to neonate, pediatric, adolescent, adult and geriatric patients.
- Maintains awareness of patient status and takes appropriate actions to meet their needs.
- Explains the procedure to the patient to assure clear answers to their questions and concerns to allay any anxiety and assure patient confidence.
- Reports knowledge of any patient safety concern or occurance to manager and submit occurance to the on-line Patient Safety Net (PSN).
PROFESSIONAL BEHAVIOR:
- Practices professional communications, appearance, conduct, punctuality, attendance and attitude that leads to physician, patient and co-worker respect and confidence.
- Informs and educates patient and/or family of all needed information concerning the exam performed.
- Uses professional judgment and presents a professional image of competency to customer and staff.
- Handles stressful situations in ways that promote positive outcomes.
- Takes personal initiative to maintain current in education (journals, books, inservices seminars, etc.) in all areas assigned.
EFFECTIVE USE OF RESOURCES:
- Effective use of time, people, supplies, safe and attentive work practices.
Works in a safe manner.
- Maintains a safe and clean work environment.
- Promotes cost effectiveness through the proper use and conservation of supplies and equipment.
- Identifies cost saving measures.
- Reports needed repairs or potential hazards to the appropriate department as soon as identified.
- Reports all on-the-job injuries and seeks medical attention as appropriate
INITIATIVE:
- Self-motivation, takes on projects willingly, acts on opportunities to improve, contributes new ideas.
- Takes the initiative to identify and solve problems.
- Supports improvement and innovation in the workplace.
- Demonstrates awareness of and supports OHSU departmental and operating unit goals through participation in continuous quality improvement and departmental activities.
- Promotes professional development and contributes to the professional growth of others.
Be familiar with and comply with OHSU and Diagnostic Imaging department policies and procedures.
Other duties as assigned.
A CRNA is a member of the OHSU Professional Staff practicing in accordance with the respective bylaws. The CRNA shall provide pediatric services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service. The CRNA is expected to comply with scope of practice, other laws, regulations, OHSU policy, and other applicable professional standards of practice.
Clinical Service:
- Provides pediatric anesthesia care within the care team model commensurate with education, licensure, certification, and within limits of experience and expertise.
- In collaboration with and under the direct supervision of a medically directing anesthesiologist:
- Perform pre-anesthetic assessment on all patients.
- Interpretation and treatment of all pertinent lab and assessment data.
- Obtain additional lab data, medical testing and additional consultation as appropriate.
- Develop and implement an anesthetic plan.
- Proper selection and placement of invasive and non-invasive modalities for monitoring and evaluating patients throughout the perioperative period.
- Proper selection and administration of anesthetics, adjuvant drugs, fluids and blood products necessary to manage an anesthetic.
- Verify that all standard and special anesthesia equipment is operational prior to the anesthetic.
- Induction, maintenance and emergence from anesthesia.
- Appropriate transfer of care to the postoperative receiving unit.
- Communicate clinically significant changes in patient condition on surgical intervention to the medically directing anesthesiologist and jointly develop modifications to the anesthesia plan, as indicated.
- In conjunction with other care team members, is responsible for:
- Using all equipment appropriately and in a safe manner.
- Lift, move, and position patients utilizing correct body mechanics
- Promotes best practice in all areas of patient care.
- Facilitate operating room capacity, case flow and minimize case delays.
- Promote infection control and participate in quality and patient safety initiatives.
Scholarly Activities:
- Participates in clinical research projects, as approved by the APOM Vice Chair for Research, conducted throughout the perioperative period.
- Participates in ongoing APOM CQI activities as directed by the Chair or appropriate Vice Chair.
Educational Activities:
- Responsible for the didactic and clinical training of learners, as approved by the APOM Vice Chair for Education and CRNA site director, which may include:
- Paramedic students
- Flight nurses
- Perioperative and ICU nursing staff
- Residents and Fellows from departments outside of anesthesiology
- Registered Student Nurse Anesthetists
- Medical students
- Administrative and support staff
- Active participation in scheduled continuing education opportunities in the Dept APOM.
Administrative Activities:
- May participate in additional departmental or hospital administration as approved by the Chair, supervising Vice Chair, Chief CRNA, or CRNA site director.
Other activities:
- May engage in public service through activities with OHSU and non-University groups as approved by the Chair.
Up to $12,000 Hiring Bonus. Up to $8000 in Relocation also Available.Must begin work by July 1, 2024 to qualify. Free parking at night!
$49.16-$78.18 per hour, based on RN Degree and level of experience
As a Level 1 Trauma Center, we provide the latest evidence-based care to clients across the life span. Our reputation for effective teamwork has only grown stronger. If you're looking to expand your skills and crave variety, consider our wide range of subspecialties: trauma, cardiac, neurology, critical care, acute care and ambulatory. It's all happening in our dynamic Emergency department. Our highly skilled team will support you so that we are always available for Portland's emergencies. Night shift nurses enjoy excellent shift differentials and free parking. You need to experience the best view in the city from our helipad. Join us!
Our emergency nurses understand the importance of their independent scope of practice and engage in dependent scope of practice decision making with the team. Emergency nurses also provide patient and family-centered care for the full spectrum of illnesses.
The ED is responsible for assessing patient needs, planning and coordinating interventions and consultations. Procedures and treatments provided in the ED include but are not limited to: placing venous access, drawing bloodwork, medication, fluid and blood administration, radiography, extremity splinting and reduction, laceration repair, moderate and deep sedation, ultrasonography, intubation, cardioversion, D&C’s, sexual assault exams, cardiopulmonary resuscitation and imminent deliveries. Patient population and diagnoses vary from minor to critical care and include: chest and abdominal pain, extremity injuries and trauma, migraine, overdose, seizure, dehydration, heart failure, respiratory distress, acute stroke, acute STEMI, acute psychosis/psychological emergencies, infection, and sepsis. Patients may frequently present with alcohol or drug abuse history, and complex medical histories. The ED Team works determine if the patient requires admission or discharge with resources and referrals. The nurse-to-patient ratio is 1:1 or 1:5 based on the patients dynamic stability and acuity.
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.
- Live tissue dissection, confocal microscopy, spatial transcriptomics.
- Electrophysiology and data analysis.
- Presentation of their research at multi-PI meetings and research conferences.
- Data analysis and manuscript preparation.
- The SPL demonstrates a strong knowledge base in specialty practices and systems theory and they utilize their specialized knowledge and skill to positively influence outcomes within the following spheres: individual patients and populations, nurses and other multidisciplinary team members and the organization/system.
- They lead programs and initiatives that are congruent with OHSU and Patient Care Services strategic plan and they contribute to the advancement of nursing practice at the unit/system, regional and national levels.
- The SPL partners with the Assistant Nurse Managers, Managers, Professional Practice Leaders and the interdisciplinary care team to ensure the delivery of safe, quality patient care and compliance with administrative and clinical policies and procedures.
- They adhere to regulatory standards, bargaining unit agreements, hospital and clinical standards of performance, and human resource management.
- The SPL implements quality and safety initiatives, engages in process improvement and conducts patient care consultation while role modeling transformational leadership behaviors.
- The SPL ensures a patient care environment that supports a safe, knowledgeable, compassionate, productive, and engaged staff.
- The SPLs decisions and actions are based on ethical principles as outlined by the American Nurses Association.
- The SPL practices in adherence with the American Nurses Association's (ANA) Nursing Administration: Scope and Standards of Practice for Nurse Administrators, the ANA Code of Ethics, the Oregon State Board of Nursing's Practice Act, and within the context of the Nurse Executive Competencies developed by the American Organization of Nurse Executives (AONE).
- The SPL exemplifies the principles of the OHSU Culture of Safety Position Statement by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.
$10K hiring bonus plus relocation package available.
Must start by July 1, 2024 to qualify.
The Nurse Manager (NM) is a Registered Nurse (RN) who is responsible for operational, human resources, quality, and financial management of the Doernbecher Pediatric Hematology/Oncology Clinic and Infusion Center. The NM leads a team of 41 RNs, Medical Assistants (MAs), and Patient Access Specialists (PAS), supervises a $3 million annual budget, 1,200 monthly patient visits, and will partner with the interdisciplinary team to adopt and/or establish organizational and division priorities. The NM will collaboratively develop plans execute on those priorities and achieve the desired outcomes.
The NM ensures a patient care environment that supports a safe, knowledgeable, compassionate, productive, and engaged staff. The NM partners with the interdisciplinary care team to ensure the delivery of safe, quality patient care and compliance with administrative, regulatory and clinical policies and procedures. The NM implements quality and safety initiatives, leads process improvement, ensures adherence to hospital and clinical standards of performance, and human resource management. The NM ensures adherence to regulatory standards, bargaining unit agreements, hospital and clinical standards of performance, and human resource management. The NM creates and sustains a patient care environment that supports a safe, knowledgeable, compassionate, productive, and engaged staff.
Clinical Responsibilities
- Inpatient Responsibilities: Providing inpatient care and follow-up of assigned patients from OR to admission, and through discharge at multiple surgical locations, including OHSU and primarily Hillsboro Medical center with an anticipated ratio of 40% Bariatric patients, 30% Vascular patients, and 30% General Surgery patients Includes, but is not limited to: rounding on a daily basis with the faculty, developing and implementing, in conjunction with faculty physicians, clinical plans of care and/or protocols for inpatients on the Bariatric, Vascular, and General Surgery service with common conditions/diagnoses/procedures; educating the house staff and nursing unit staff on these protocols, with the goal of enhancing quality of care, enhancing quality of patient services, and decreasing length of inpatient stay; participating with hospital/unit staff in evaluating results of these protocols and continually improving effectiveness of same; working actively with hospital and unit staff to rapidly develop and implement discharge plans for inpatients on the Bariatrics, Vascular and General Surgery service and to address length of stay issues; promoting and maintaining health of inpatients on the Bariatric and General Surgery service through the use of ancillary services, educational materials, and counseling of patients and families; providing resident and intern training/education in utilization of plans of care to improve patient services and outcomes of treatment; providing and/or participating in clinical in-service training and staff educational programs for the inpatient service. Following all customer service standards as outlined above.
- Operating Room Responsibilities: Provide operating room and procedural assistance to Bariatric, Vascular and General surgeons as determined by the Division Head or their designee(s). Includes assistance in performing laparoscopic and robotic surgeries to include, bariatric sleeves gastrectomy, gastric bypass, duodenal switch, foregut, colorectal, and vascular procedures.
General Responsibilities
- Teaching: Providing teaching of General Surgery surgical and diagnostic treatments to medical students, interns, residents, inpatient general surgery nursing staff, and other Division support staff on the inpatient and/or outpatient service. Providing and/or participating in clinical in-services and staff educational programs for the outpatient & inpatient General Surgery service.
- Call Coverage: Provide pager coverage on some week nights Monday through Thursday, and OR call coverage on occasional weekends which includes Saturday morning rounds, on a variable rotating basis.
- Practicing medicine as an employee of OHSU at OHSU Hospitals and Clinics (collectively, “Hospital” and, except as otherwise provided in this paragraph 7 of the “Clinician Employment Agreement,” not otherwise), OHSU-affiliates, the Portland VA Medical Center, and community sites
- Maintaining licensure to practice medicine in the state of Oregon and any other jurisdiction where licensure is necessary for a Clinician to perform the professional services contemplated hereunder and to maintain medical staff privileges at the Hospital
- Participating in site-specific tumor boards and multidisciplinary clinics
- Contributing to departmental quality meetings, i.e. chart rounds, M&M, and others
- Educating medical students, residents, medical technologists, and physicists in accordance with the educational mission of the department
- Working towards making significant contributions to the science and understanding of radiation oncology and biology.
- Serving the Department, OHSU, and our specialty through committees, councils and leadership
- Demonstrating a commitment to Diversity, Equity, and Inclusion
- Mentoring students, residents and colleagues
- Complying with the bylaws, resolutions, policies and standards of OHSU and the SoM in effect and as may be amended from time to time, including without limitation:
- any compliance program or policy,
- the OHSU Patient Care policy,
- the OHSU Code of Conduct policy,
- the OHSU Conflict of Interest policies,
- all policies and requirements regarding the preparation and maintenance of medical records and the billing for patient services, and
- OHSU Policy No. 03-30-060
- any additional terms and conditions of employment specifically contained in Exhibit A of the “Clinical Terms and Conditions” agreement
Department leadership and management: Using knowledge of federal, state, local, and
institutional regulations, guidance, and policies and procedures:
- Hire, train, manage, and evaluate Clinical Enterprise Integrity team.
- Direct team activities to ensure department objectives are met. Develop and implement an annual, risk-based work plan related to Clinical Enterprise integrity (as assigned) and the identification of appropriate mitigation of risks, working collaboratively with organizational partners throughout the process.
- Establish and maintain adequate documentation retention practices for work product.
- Perform quality control reviews of work performed.
- Work with team to ensure appropriate and timely close-out of issues and reviews.
- Collaborate with leadership of areas being reviewed; provide recommendations and define management action plans; follow-up on the status of recommendations and determine whether appropriate corrective action has been taken.
- Manage departmental budget.
- Serve on various institutional committees related to Clinical Enterprise integrity.
Policies and procedures: Ensure that requirements (e.g., local, state, and federal regulations and guidance as well as related OHSU policies and procedures) are appropriately described in OHSU policies and procedures.
- Develop and participate in development of policies and procedures with organizational partners and applicable committees, as needed.
- Identify deficiencies and advise on how to achieve compliance with regulatory requirements in an effective, efficient manner.
- Conduct ongoing review of policies and procedures, collaborating with departments to ensure correction and re-education, as necessary.
Training, communication, and advisory services: Identify, develop, and implement training and communication outreach to the OHSU community regarding clinical enterprise integrity.
- Serve as an expert resource for Clinical Enterprise integrity issues to the OHSU community and provide information and responses to inquiries related to regulatory, strategic and operational issues, concerns, and questions.
- Communicate effectively and appropriately to all levels of the organization.
- Facilitate and lead the Clinical Integrity Compliance Committee.
- Provide effective and timely reporting on Clinical Enterprise Integrity activities to senior leadership, various compliance/integrity committees, and the UHS Board of Directors and its subcommittees.
Continuous Quality Improvement: Develop and implement a program of continuous quality improvement for the Clinical Enterprise Integrity team/department.
- Identify weaknesses and deficiencies, and implement solutions to enhance departmental effectiveness to improve support to the OHSU community.
- Develop and monitor program metrics to improve program effectiveness.
- Establish an ethical, Clinical Enterprise integrity audit ready and efficient OHSU.
Other duties as assigned: Including investigations and other special projects.
$49.16 - $78.18 per hour, depending on degree and experience
Hiring Bonus up to $12,000 DOE and Relocation Package Available.
Must start by July 1, 2024 to qualify.
Earn what you are worth without traveling! Float Differential ($9/hr after training) plus Night Differential (12.5%/hr from 7 pm- 7 am).
Free parking at night!
With your ICU clinical expertise, you'll be able to seamlessly integrate into all 4 Adult ICU areas, maintain your device competencies (ECMO, CRRT, IABP, etc), utilize your precepting skills and be a part of our Virtual ICU team! Apply now and find out what sets us apart (and keeps us together). Your critical care skills remain in adult critical care - there is a separate float pool for acute med/surg areas.
Here are some reasons to be excited about living in Portland:
- The Pacific Northwest is an outdoor enthusiast’s playground! We have extraordinary beaches to the West and the wild, scenic, and fun Columbia River Gorge to the East. National forests are everywhere. You can be skiing, beach combing or deep in a forest in 2 hours.
- Portland is quirky, independent, fiercely intelligent, intensively livable and totally down to earth: Just the kind of place you'd like to live.
- It's a great walking and biking city, with plenty of public transportation, a beautiful airport with non-stop flights to loads of international destinations, a population that celebrates the arts, a culture of great food, artisan coffee and neighborhoods full of shops selling handmade clothes, crafts and furniture.
- Take a look at more information about Portland here:https://www.travelportland.com/
This position also comes with great benefits! Some highlights include:
- Comprehensive health care plans. Covered 100% for full-time employees and 88% for dependents
- $25K of term life insurance provided at no cost to the employee
- Two separate above market pension plans to choose from
- Vacation: 192 to 288 hours per year depending on length of service, prorated for part-time.
- Sick Leave: 96 hours per year for full time
- Holidays: up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid.
- Substantial public transportation discounts (Tri-met and C-Tran)
- Tuition Reimbursement program
- Innovative Employee Assistance Program (EAP) including extensive wellness resources
If you would like to learn more, please reach out to the hiring manager, Rachel Rose, at rosera@ohsu.edu. She is very personable and would love to talk with you!
Come be a part of our world-class healthcare team at OHSU!
- Provide full spectrum family medicine care, including obstetrical care.
- Work collaboratively with full and part time faculty to maintain an active practice.
- The Appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service.
- The faculty member will be expected to have a strong commitment to developing the practice into a vibrant clinical and academic operation, which is successful from both a professional and business point of view.
- The faculty member will be expected to participate in continuing education, professional and faculty development and scholarship. Previous work experience in primary care is required.
- The Appointee will directly see patients in their clinic eight half days per week and have two half day’s available for administrative duties/scholarship duties. Expectations for number of patients seen per half day will be commensurate with that of other faculty and with minimum target numbers of 8-10 visits per half day depending on complexity of the patient population.
- The Appointee will be expected to document using the electronic health record and maintain complete and timely patient care documentation consistent with OHSU and Family Medicine policies and procedures.
- Be available for teaching activities including but not limited to resident precepting, student precepting, didactics and more.
- By mutual agreement between the Department and the physician, this position may include Inpatient Care (at OHSU and/or HMC) with call duties being shared with the faculty inpatient call group.
- The Appointee will be expected to participate in seeing patients during expanded access hours in the clinic, including their share of evenings and weekends, and call coverage. The Appointee will be expected to have a strong commitment to developing the practice into a vibrant clinical and academic operation, which is successful from both a professional and business perspective.
The Research Assistant Professor is responsible for the development and management of a research program related to identification and characterization of human monoclonal antibodies against viral pathogens or other closely related immunology-based topics. The research should include a particular focus on the intersection of viral infection and the innate and adaptive immune systems. The individual is expected to develop a research program that will be sustained with external research award support directly to the individual, as well as to research collaborators. The position is responsible for leading or contributing to the publication of manuscripts, progress reports, abstracts, and other project proposals, as well as being responsible for writing grants to continue to develop their own funding. Duties may include overseeing personnel, graduate students and postdoctoral fellows as needed. Contributing to and participating in laboratory meetings to report and discuss experimental results is expected.
This position requires a dedicated, detail-oriented scientist who can apply and adapt previous experience as well as quickly learn new experimental and research methods. The position requires directed efforts in all areas of research, including but not limited to nonhuman primate research, designing and executing research protocols and experiments, analyzing and interpreting data, dissemination of projects and research findings in publications or national meetings. The individual will be required to contribute to multiple projects within the research group conducting studies related to HIV vaccine design, immunology, and pathogenesis studies using nonhuman primate models.
Working directly with primates in a research setting is required. The successful candidate will be required to participate in laboratory experiments to support ongoing research projects by training to work in BSL-2 and BSL-2+ laboratories that requires manipulation of virus and infectious materials. Training to work with biohazard materials and working within biosafety regulations in a laboratory setting is required. BSL-3 training is optional but may be required depending on the specific research program development of the candidate.
Hiring Bonus up to $10,000 DOE and Relocation Package Available. Must begin work by July 1, 2024 to qualify.
$49.16-$78.18 per hour, based on RN Degree and level of experience
This position is designed to be an on-site role. However, Radiation Oncology nursing acknowledges that remote work (aka WFH = work from home) supports wellness and work-life balance. In support of this belief, a registered nurse coordinator (RNC) may be afforded a hybrid work schedule format as a conditional accommodation contingent upon on-site operational and direct patient care needs being appropriately met as a priority, and in a way that remote working does not impart an operational strain or care delivery gap. Working remotely may be approved, denied, or revised by the charge RN, nurse scheduler, or supervisor/manager as needed, and in alignment with established team expectations, organizational policy, and ONA contract parameters.
The Registered Nurse works as a key member of a multi-disciplinary Radiation team and has the primary responsibility for and provides direct and indirect professional nursing care for patients undergoing radiation treatment. The RN serves as a key communication link between the patient, his/her family, and the care team. The RN is a continuous advocate for patients and their families, ensuring that clinical and business systems are customer service focused.
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.
Key Responsibilities & Performance Standards
I. Scientist
A. Evaluates knowledge of self and others:
1. Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge in consultation with peers and colleagues.
2. Evaluates knowledge and nursing practice of peers in relation to professional practice standards and evidence-based knowledge and provides feedback that enhances their growth and development.
B. Identifies complexities within OHSU systems and participates in resolving barriers to effective, efficient, and fiscally responsible care delivery.
C. Evaluates patient outcomes against nurse-sensitive indicators and participates in raising the standard of nursing practice when results are below benchmark.
II. Leader
A. Uses an evidence-based decision making process to determine the patient’s priority goals and care activities:
1. Gathers pertinent information from patient and others to establish relevant data base about the patient and the patient’s condition.
2. Determines changes in the patient’s condition and stability based on clinical parameters, population data, and nursing knowledge and evidence.
3. Uses a population and evidence based approach to determine the patient’s individualized priority goals and care activities in relation to: Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion); and in relation to the interdisciplinary plan of care
4. Evaluates the effectiveness of the plan of care by evaluating the patient’s response, outcomes, and changes in stability and makes recommendations for modifications to the plan of care.
B. Speaks up immediately about concerns regarding assigned responsibilities and available resource.
III. Practitioner
A. Develops a therapeutic relationship with patients and families.
B. Assigns and supervises tasks consistent with other caregivers’ scope of practice or job responsibilities, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork.
C. Implements direct and indirect nursing care consistent with evidence-based practices, healthcare policies and procedures, scope and standards of practice, and Nursing’s Code of Ethics.
IV. Knowledge Transfer
A. Collaborates with the patient/family in developing a teaching plan to meet learning needs. Effectively transfers information about disease, health, treatment plan and recovery to patient, family and documents teaching and plan in the electronic record.
B. Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including accurate and timely documentation in the patient’s electronic record.
C. Effectively transfers knowledge to other members of the team to support the safety of their practice, while maintaining caring and compassionate relationships with all healthcare team members.
Resource rates $56.55-$82.13 per hour, based on experience.
This position is designed to be an on-site role. However, Radiation Oncology nursing acknowledges that remote work (aka WFH = work from home) supports wellness and work-life balance. In support of this belief, a registered nurse coordinator (RNC) may be afforded a hybrid work schedule format as a conditional accommodation contingent upon on-site operational and direct patient care needs being appropriately met as a priority, and in a way that remote working does not impart an operational strain or care delivery gap. Working remotely may be approved, denied, or revised by the charge RN, nurse scheduler, or supervisor/manager as needed, and in alignment with established team expectations, organizational policy, and ONA contract parameters.
The Registered Nurse works as a key member of a multi-disciplinary Radiation team and has the primary responsibility for and provides direct and indirect professional nursing care for patients undergoing radiation treatment. The RN serves as a key communication link between the patient, his/her family, and the care team. The RN is a continuous advocate for patients and their families, ensuring that clinical and business systems are customer service focused.
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.
Key Responsibilities & Performance Standards
- The RN ensures all baseline clinical information, both diagnostic and therapeutic, is gathered together in a systematic fashion prior to the patients visit. S/he works to ensure that new patients are prepared for testing, evaluation and potential outcome of the visits ahead of time.
- The RN assesses patient physical, psychological, social, spiritual, educational, developmental, cultural, and care planning needs. Reviews available information obtained by other health care team members. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.
- Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching.
- The RN documents assessments, planning, implementation and evaluation in the patient record. Ensures that Physician orders that result from patient visits are recorded and executed. S/he also works to ensure that laboratory and other diagnostic findings are available to clinicians in a timely fashion after tests are performed. S/he tracks the post visit flow of information to ensure that plans of care are executed in a timely fashion.
- Assist pharmacist through performance of the following technical support activities:
- Computer order entry of inpatient and outpatient orders.
- Filling unit dose medication orders.
- Select ordered medications from inventory to fill new orders or to provide 24-hours medication for distribution to patient's room.
- Answering telephone, filing, billing / crediting and medication profile maintenance.
- Load and refill medications into automated dispensing cabinet stations.
- Maintain manufacturing logs and document to ensure compliance with regulatory agencies.
- Prioritize labels from new orders to assure that product is delivered to label location at least one hour prior to label due time.
- Organize and restock work areas during and prior to end of shift, and remove expired medication.
- Round to nursing locations; deliver items and remove excess and discontinued oral dosage and injectable dosage units from patients’ bins and refrigerators and return to pharmacy for action.
- Perform Unit Dose functions including:
- Tube medications from pharmacy to hospital and clinic areas.
- Repackage medications for unit dose dispensing.
- Return medications to stock and perform credits.
- Record refrigerator temperature daily.
- Process narcotics for removal from Pharmacy inventory and order replacements as needed.
- Maintain barcode medication integrity by ensuring medications are barcoded before leaving the pharmacy.
- Prepare, mix and compound sterile medications, including chemotherapy.
- Adherence to aseptic procedures when preparing, mixing and compounding sterile hazardous and non-hazardous medications.
- Performs pharmaceutical calculations in verifying dosage for medications to be prepared.
- Cleans and maintains primary and secondary engineering controls (e.g., vertical and laminar flow hoods) and equipment used to compound sterile hazardous and non-hazardous medications (e.g. repeater pump, work surfaces), discarding all non-preserved and/or non-labeled solutions in order to keep work area clean and orderly.
- Assist pharmacist through performance of the following technical support activities:
- Computer order entry of inpatient and outpatient orders.
- Filling unit dose medication orders.
- Select ordered medications from inventory to fill new orders or to provide 24-hours medication for distribution to patient's room.
- Answering telephone, filing, billing / crediting and medication profile maintenance.
- Load and refill medications into automated dispensing cabinet stations.
- Prioritize labels from new orders to assure that product is delivered to label location at least one hour prior to label due time.
- Organize and restock work areas during and prior to end of shift, and remove expired medication.
- Round to nursing locations; deliver items and remove excess and discontinued oral dosage and injectable dosage units from patients’ bins and refrigerators and return to pharmacy for action.
- Perform Unit Dose functions including:
- Tube medications from pharmacy to hospital and clinic areas.
- Repackage medications for unit dose dispensing; maintain and replenish stock for emergency trays and kits.
- Return medications to stock and perform credits.
- Record refrigerator temperature daily.
- Process narcotics for removal from pharmacy inventory and order replacements as needed.
- F. Maintain barcode medication integrity by ensuring medications are barcoded before leaving the pharmacy.
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Verifies insurance eligibility and obtains benefits, referrals/prior authorizations and documents in patient’s file. Updates insurance information on patient’s accounts when applicable.
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Reviews orders and documents treatment approvals and locations in patient’s record (EMR). Monitors all treatment regimens for insurance coverage and appropriateness of indication and forwards to Manager/Formulary Committee for approval as needed.
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Functions as a “point of inquiry” and resource for all work unit staff with questions regarding insurance coverage and where scans and treatments may be done.
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Applies problem solving and negotiating skills in working with insurance companies and referring providers to obtain a successful outcome.
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Performs financial counseling with patients prior to treatment and calculates co-insurance amounts as requested or obtains costs of treatment for ABN preparation.
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Reviews additions to the schedule of same day and next day appointments from outside OHSU providers for insurance and authorizations of medications to infuse in the day treatment clinic.
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Performs research and processes paperwork for financial assistance foundations to help patients pay for specialty drugs.
- Support HB Coding teams as directed by the HB Leadership team Duties
- Reviewing Missing Documentation, Pending Pathology, and Missing Charge statuses for resolution by working with appropriate staff/ departments
- Support coding teams taking meeting minute notes follow up on agenda items
- Email correspondence to medical staff providers regarding missing documentation support
- Manage/build record-keeping systems for HB leadership operational needs
- Assist with HB Coding Help inbox requests by triaging to applicable dept. leads
- Run EPIC reports for leadership to support operational needs
- Utilize a variety of systems to build training documentation for HB coding areas such as PowerPoint, Excel, etc.
- Support External Vendor Dashboard reporting by reviewing applicable charge capture dashboards working with coding staff/leadership to correct/ review charges. Working from system-built data to submit charge review requests to leadership /coding staff
- Data entry using excel spreadsheets to maintain timely filing reports
- Support OP Coding supervisors/Coding Coordinators as PRN support
- Other duties as assigned within the scope of the established class specifications.
This individual will work on two multi-year grants, funded by the National Institute of Nursing Research. This individual will work closely with various research staff and assist with all aspects of the project as needed, including recruitment and enrollment, data collection, data entry, basic database management, and communication with participants, research staff, and clinical staff. The position requires strong skills in verbal and written communication, proven interpersonal and relationship building skills, strategic thinking, organization and time management, and problem-solving. This individual needs to be highly motivated and interested in being a key member of a research team studying the mechanisms of symptoms and physical frailty among adults with heart failure. Familiarity with data management and analysis is preferred. It is expected that this person will be able to work independently with general supervision. The position will be available for at least two years at a minimum of 0.4 FTE with the potential for an additional year.
Computer Information System Development and Support:
The role focuses on creating and maintaining complex computer systems that align with and support the educational objectives, ensuring these systems are effective, up-to-date, and user-friendly. Key responsibilities include:
- Stakeholder Engagement: Regular meetings with high-level operational and academic leaders, and other stakeholders to understand their technical needs for new systems and applications.
- Solution Evaluation and Consultation: Assessing the effectiveness of potential solutions and providing advice on systems for data gathering and usage in analytics and operations.
- New System Creation and Design: Developing new computer application systems to meet the operational requirements of the educational mission, including designing, developing, modifying, and maintaining these systems which will be used to maintain compliance with the standards for university accreditation.
- Maintenance and Modification: Ongoing responsibility for the upkeep of newly developed computer information systems, including updating them as business needs evolve.
- Feature Development and Implementation: Developing, implementing, testing, and documenting changes and updates to existing applications in collaboration with operational leaders and users.
- Documentation and Training: Producing documentation for existing applications and providing necessary training to users.
Data Management and Reporting
The role supports university reporting (governmental and internal) and effectiveness efforts as a data expert within the education mission. The position serves as a resource across the educational mission to integrate data-informed analysis into all aspects of university decision-making. Key responsibilities include:
- Analytical Infrastructure Development: Develop and maintain the analytical infrastructure within the new Office of Institutional Research & Effectiveness for academic reporting. Help build stable institutional systems to reinforce data-use across the university. Interpret researched information and proposes actions to high level educational leaders to achieve the goals of the educational mission.
- Data Extraction and Integration: Extract and combine data from internal and external sources. Transform data by designing and implementing business logic. Utilize statistical, spreadsheet, and database tools, to analyze findings. Apply programming languages and software packages or create new programs to retrieve, edit, and tabulate data from various databases and files.
- Reporting: Oversee and ensure the quality and timely production of regular and ad hoc reports.
- Data Presentation: Display and maintain data through the creation of dynamic dashboards, graphs, and summary tables.
- Review and Consultation on Documents: Review reports, papers, memos, and articles to ensure proper use of data and offer consultation to University Stakeholders.
- Results Analysis and Solution Proposals: Analyzes results, identifies areas needing improvement, and proposes solutions to educational leaders.