Interprets and evaluates provider's order and prescriptions for accuracy, completeness and appropriateness. Performs medication reconciliation and recognizes therapeutic problems including drug interactions, contraindications, improper dosing, and precautions of therapy for a highly specialized patient population. Recognizes actual or potential problems and provides therapeutic recommendations for their resolution.    Monitors medication therapy for response and adverse reactions. Collaborates with providers to ensure safe and appropriate therapy through the use of a Collaborative Drug Therapy Management (CDTM) agreement or Medical Affairs Credentialing & Priviledging. Appropriately reports all adverse drug reactions, drug defects, and medication errors. Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy.  Counsels and trains patients regarding the appropriate use of their medications (i.e., purpose, actions, dosage, side effects, storage, precautions etc.). Participates in drug product selection, counsels providers regarding the selection of non-formulary drugs while offering therapeutic, cost effective alternatives.  Maintains appropriate records as required by law and/or policy. Assists in the development and implementation of the specialty pharmacy services program.  Researches and evaluates professional literature in response to questions and requests and provides drug information to clinic staff.  Assists with devising, developing and operationalizing programs to ensure proper use of medications and continuous quality improvement.  Participates in professional developmental programs to ensure progressive pharmacy practice and actively demonstrates service excellence. 

- Calling prior research subjects to invite to participate in a follow up study. - Obtaining up to date contact information (email or mail address) for research participants. - Briefly summarizing the research study and identifying whether they would prefer email or electronic surveys to complete.

Interprets and evaluates provider's order and prescriptions for accuracy, completeness and appropriateness. Performs medication reconciliation and recognizes therapeutic problems including drug interactions, contraindications, improper dosing, and precautions of therapy for a highly specialized patient population. Recognizes actual or potential problems and provides therapeutic recommendations for their resolution.    Monitors medication therapy for response and adverse reactions. Collaborates with providers to ensure safe and appropriate therapy through the use of a Collaborative Drug Therapy Management (CDTM) agreement or Medical Affairs Credentialing & Priviledging. Appropriately reports all adverse drug reactions, drug defects, and medication errors. Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy.    Counsels and trains patients regarding the appropriate use of their medications (i.e., purpose, actions, dosage, side effects, storage, precautions etc.).   Participates in drug product selection, counsels providers regarding the selection of non-formulary drugs while offering therapeutic, cost effective alternatives.    Maintains appropriate records as required by law and/or policy. Assists in the development and implementation of the specialty pharmacy services program.    Researches and evaluates professional literature in response to questions and requests and provides drug information to clinic staff.    Assists with devising, developing and operationalizing programs to ensure proper use of medications and continuous quality improvement.    Participates in professional developmental programs to ensure progressive pharmacy practice and actively demonstrates service excellence. 

1.Psychosocial Assessment. Engages in case finding and conducts interviews with patients, patients' families, and other appropriate resources to gather information necessary in identifying/ evaluating the psychosocial, cultural, and financial conditions of patients referred by agency staff, community professionals, families or other sources; prepares assessments regarding patient functioning capacity (including behavior, coping abilities, and attitude toward illness, injury disability, or hospitalization) and support systems available for treatment planning; provides in depth consultation to community professionals, agency staff, or other persons seeking guidance in meeting patient needs; may complete daily rounds and conduct chart reviews to determine patient needs or problems on assigned unit; may participate in treatment team meetings with various health care staff, to provide psychosocial assessments which are used in establishing treatment goals or in discharge planning.   2. Patient Services. Refers patient/family to outside resources for assistance (such as financial, vocational, schools, transportation, insurance, housing, medicine) and assists family in gaining access to resources; may develop discharge plans emphasizing continuity of care, appropriate placement and maximum use of appropriate resources; serves as advocate for the patient within the medical setting and the community; maintains knowledge of community resources for patient care; may interact with Medical Social Service Specialists to insure delivery of specific patient-care services. 3. Counseling. Provides short- and long-term counseling to patients and/or their families; provides supportive counseling to reinforce patients' strengths and assist them in dealing with the stress and feelings of grief, fear, and anger associated with serious illness, injury, hospitalization, or disability; counsels patients to assist them in decisions regarding treatment options or decisions on pregnancy-related issues, such as adoption or abortion; conducts group sessions to provide information to patients and their families on treatment methods and what to anticipate on a social, emotional, or physical level from the treatment; may provide psychotherapy to patients and their families such as individual therapy, group therapy, and marital/family therapy; may participate in emergency or on-call situations by providing crisis intervention services to patients and/or their families. 4. Training. Assists in the supervision and evaluation of graduate level social work interns; may assist in training medical residents and other agency staff regarding department activities, programs, services, and social work practices, including the field of medical social work; attends patient care conferences and actively contributes to case reviews; provides in-services to department, unit, or community professionals regarding areas of expertise. 5. Departmental Functions. Contributes to the development and evaluation of new programs to meet identified patient needs; provides community education programs to pertinent social concerns; assumes active role in meetings and supervisory conferences for the purpose of information exchange, education, and enhanced patient care. 6. Documentation. Prepares psychosocial assessments, histories, and treatment recommendations for patients' hospital charts and department records; maintains written record of all social work involvement with patient; prepares accurate and timely statistics on assigned cases. 7. Miscellaneous. Attends conferences and seminars to maintain up-to-date knowledge of social work practices and principles.  

- 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. - Maintain barcode medication integrity by ensuring medications are barcoded before leaving the pharmacy. - Maintain manufacturing logs and documents to ensure compliance with regulatory agencies. - Perform other technician duties as assigned based on operational needs.

- 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. - Maintain barcode medication integrity by ensuring medications are barcoded before leaving the pharmacy. - Maintain manufacturing logs and documents to ensure compliance with regulatory agencies. - Perform other technician duties as assigned based on operational needs.

Now accepting ADN applications! Hiring Bonus and Relocation Package Available.   Working on 10D is more than just a job. Our team is making a difference one patient at at time AND improving healthcare for all. We are a collaborative and dynamic dual specialty unit that support both acute care and research missions at OHSU. Our team values collaboration, curiosity, compassion, and education. If this interests you, we want you on our team!   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.   RN Role Description and Department Specific Requirement Addendums go to the TTP Program webpage:  https://www.ohsu.edu/nursing-careers/transition-practice-ttp-program   Additional information on participating departments can be found on this webpage.

Imaging - Operates multi-slice CT Scanners to perform exams with accuracy and efficiency, using optimal skills and knowledge of equipment. - Demonstrates knowledge and skill to evaluate anatomy and any related pathologies for presentation to the Radiologist. - Demonstrates knowledge and skill in CT physics & Radiation Safety. - Exercises responsible judgment in recognizing and reporting significant situations relating to patient care. - Prepares and instructs the patient for the diagnostic exam using age appropriate communication skills. - Adjusts scanning factors and patient positioning to eliminate or minimize artifacts due to patient habitus, motion, implants, or monitoring equipment.    - Adheres to the ALARA principle while optimizing the exam to obtain the highest image quality with the lowest possible radiation dose to the patient. - Must be able to perform all ranges of exams after completion of technical competencies. Continues to stay current in regards to new CT technology hardware and software upgrades. - Demonstrates specific normal and abnormal cross sectional anatomy/pathology through the use of scan techniques, reconstructions, and 3D post-processing. Documentation - Verifies complete documentation of all pertinent information to provide accurate and timely service to customers. - Verifies imaging order and protocol in the patient’s electronic medical record. - Responsible for correctly identify patients by complying with Imaging dept. Patient Identification Policy. - Labels images completely & accurately with patient demographics, position or other required documentation. - Follows through with all aspects of scanning duties in order to provide efficient and timely completion of examinations with correct data entry, begin and complete with correct billing and verification that images are in PACS. - Technologists prescreen all patients for sensitivity & contraindications to contrast medications used during the imaging exam.  - Implements the correct types of contrast and injection factors on a case-by-case basis.  - Generates a CD or DVD of imaging exams on an as-needed basis. Personal & Patient Care and Safety - Provides for personal and patient care and safety using professional judgment in accordance with written standards to avoid injury to self and others. - Adheres to all established CMS, OHA, & DNV-GL Regulations, and reports errors or unsafe conditions to management and the OHSU Event Reporting (Patient Safety Intelligence). - Follows universal precautions for blood and body fluids, protecting patients and staff. - Explains the procedure to the patient to assure clear answers to their questions and concerns to allay any anxiety and assure patient confidence. - Works in a safe manner by maintaining a clean work environment. - Identifies and reports any issues for ergonomic improvement to management. - Reports injuries to management. - Follows established exam protocol process.

The position is for a Clinical Research Associate in an exercise oncology laboratory to serve as the Project Director for a multi-site, 5-year NIH clinical trial of combined diet + exercise in prostate cancer survivors. The Project Director will work directly with the PIs, Lab Manager, and Intervention Supervisor to execute all aspects of the clinical trial, with particular oversight for recruitment and data collection. This person is responsible for day-to-day project management duties and will be responsible for overseeing elements of the project that may include: participant recruitment and retention, development of study recruitment materials and procedures, regulatory compliance, data quality and management, budget management, progress reporting and dissemination. Day-to-day research responsibilities include overseeing research assistants/student trainees on scheduling of participants for appointments, overseeing collection, entry and quality of data, communicating with study participants as needed, purchasing research supplies, and working in partnership with the members of the study team to maintain scientific quality across all studies. They will also be writing data summaries, project reports, and possibly presenting research findings at scientific meetings. We expect the Clinical Research Associate to work with the team to identify and resolve research issues, develop research ideas, and disseminate results. The ideal candidate is ambitious and eager to contribute to the PI’s program of research, has strong communication skills both within a team environment and with participants, has strong organizational skills, and can demonstrate a commitment to maintaining the integrity and quality of data collection in a research environment. Must be able to work and lead independently, including maintaining oversight of study timelines, benchmarks, milestones, and deliverables.

The position is for a post-doctoral researcher to work on a NIH funded R21 study under the direction of Principal Investigator, Dr. Kerri Winters-Stone. Dr. Winters-Stone’s laboratory is focused on improving the health and well-being of cancer survivors, with a particular emphasis on exercise rehabilitation. The lab uses both observational and interventional approaches to identify cancer treatment related toxicities, with a focus on musculoskeletal health, that drives development and testing of prescriptive exercise programs to improve long term outcomes, such as fall avoidance and survival. We are a busy, high-energy, fast-paced team that is doing research to improve people’s lives and change healthcare, thus, we seek a candidate with similar passions, drive, and work ethic.   Functions/Duties of the position: This postdoctoral researcher will assist the PI with a new NIH grant to build capacity that will fill critical research and practice gaps in cancer, exercise and aging. They will specifically help oversee and manage the R21 study activities that will culminate in publication of new exercise guidelines for older cancer survivors. They will help assist with and run a patient advisory group, under the direction of the Knight Community Outreach and Engagement program; will help run a Delphi study under Dr. Winters-Stone and advisement of the expert working group; conduct a systematic review of literature to inform the guideline development process, and, along with PI Winters-Stone and the investigative team, co-facilitate an expert working group. The postdoctoral researcher will first author the systematic review and will be a co-author on the consensus guidelines. They might also assist with other projects that focus on cancer and aging. We are looking for an individual with substantial clinical research experience, academic training in health sciences including, but not limited to the following areas: exercise oncology, cancer survivorship, gerontology, and/or rehabilitation science, and demonstrated ability to produce scientific papers and presentations. This is an excellent opportunity to gain research experience and build a CV for a competitive academic position. The PI will provide mentorship in development of independent grant submissions.

The Therapeutic Interventional (TI) Clinical Research Assistant (a.k.a. Clinical Research Coordinator) is responsible for the overall management of clinical trials. This may include: - Working with the regulatory management team to complete all regulatory documentation in accordance with their role as required by the OHSU IRB and sponsor - Creation of study trackers and organization tools - Assisting in the verification of patient eligibility - Development of data collection instruments and assistance with regulatory - Data entry - Assurance of conduct of protocol in accordance with applicable NCI and FDA guidelines - Maintenance of study patient records and source documentation - Coordinating orders, scheduling and study drug administration with the clinical team - Supporting clinical care team with completion of research required tests and assessments - Act as liaison between research protocol and clinic staff, pharmacy, and research participants - Ensuring that patient billing is accurate and assisting manager and financial team in verifying appropriate clinical trial billing. Participation in patient consenting - Support and periodic coverage to and across study teams, as delegated by the Clinical Research Manager. This includes, but is not limited to: assisting with maintaining regulatory documents, patient visits and study assessments (e.g., ECGs, vitals, specimen collection, management and shipping, etc.), requesting medical records, and other study related tasks, as needed. The TI Clinical Research Assistant will have direct patient contact, process biological samples, and may perform other non-invasive testing such as ECGs. The TI Clinical Research Assistant will also assist in the continuing education of physicians, residents, interns, nurses and other related personnel with regards to knowledge of clinical trials and activities.   Every Knight Cancer employee is expected to embody our guiding principles: - We act BOLDLY—Breakthroughs require pushing the boundaries of science, exploring new frontiers, and thinking differently. - We SUPPORT each other—Respect leads to trust, which leads to excellence. - We work as a CONNECTED team — We must leverage our collective brain power to conquer cancer because no one individual can do it alone.

Clinical responsibilities: - Conduct six to eight clinic sessions per week with faculty/independently providing diagnostic, therapeutic and procedural services. - Will be required perform the following procedures: otomicroscopy, flexible fiberoptic laryngoscopy, frenolotomy and nasal endoscopy. Previous training preferred in ENT or pediatrics. - Participate on Aerodigestive Pediatric Multi-Disciplinary team - Provide tonsillectomy and adenoidectomy post op appointments via phone; - Provide telemedicine virtual visits and telephone visits. - Collaborate with nursing staff and faculty to triage medical calls from patients and referring offices. Trachs: - Provde trach care; - Teaching trach care classes to families and students; - Nursing education; - Complete trach changes on inpatients during rounds; - Troubleshoot problems; - Ordering trachs for inpatients and special order trachs. Other: - PICC orders - coordinate w/IV nurses and discharge planning - write abx orders; ensure surgery consents and orders are complete. - Participates in the development of clinical pathways/care plans/guidelines/protocols in conjunction with faculty and inpatient nursing leadership. - Provide educational presentations to OHSU surgery medical students, otolaryngology residents and fellows during Grand Rounds and pediatric conferences. - Participate in daily morning rounds with faculty and residents, formulating care plans, charting daily clinical orders and progress notes, supervising and implementing timely discharge of inpatients.

- Implementation of research study activities including survey development, recruitment, conducting qualitative interviews, building REDCap data system, and aid in IRB submission. - Dissemination activities including literature reviews, data analysis, and conference and manuscript preparation. - Facilitate research council and other associated meetings.

Under direct supervision, primarily performs basic research or lab activities similar to a Research Assistant 1 or Lab Aide*.

Project Coordination & Management: - Review project assignments and determine scope and diversity of involvement, training and resources needed, necessary contacts and required activities. - Identify resources and administrative steps needed for project completion. Develop charters, scopes of work and project plans in consultation with project managers and other stakeholders. Gain approval for charters, scopes of work and project plans.  Initiate projects and coordinate steps to ensure participation of staff and stakeholders. - Implement multiple aspects of projects as determined in the project plan. This may include developing client materials, organizing project meetings, collecting information, communicating with project team members and clients, etc. - Monitor project status to ensure progress toward completion and communicate project progress. Identify potential difficulties and determine how to avoid possible risks. Modify project plans and coordinate changes with participants as necessary as unforeseen changes or unexpected developments occur. Document changes to project plans. - Populate and maintain overall project management tools related to assigned projects and resources. Handle project file management systems and project close out according to CEbP practices. - In conjunction with project managers, communicate with resources regarding project plans, timelines and deliverables.  Communication/Customer Service/Marketing Activities:  - Communicate with internal staff and external clients regarding projects, contracts, scopes of work, work breakdown structures, project status, etc. - Coordinate project meetings. Represent the Center in project meetings as needed.  Seek cooperation and input into projects. Help to build consensus among project participants. Document and distribute content of project meetings (agendas, minutes, timelines, changes to project plans). - Maintain secure project documents, and web tools.  - Draft, edit, proofread and distribute communication materials for all projects as required.  - Develop and maintain positive relationships with vendors.  - Collaborate with other Center staff to maintain records, inventory of supplies, equipment and materials. Order supplies for Center and its projects.   - Receive and distribute mail, order office supplies, and schedule meeting spaces. - Coordinate tasks with office manager and complete tasks upon request. - Provide administrative support to the Leadership team.   - Plan, coordinate, organize and prepare schedules, meetings, weekly newsletters, correspondence, travel, seminars and conferences materials for Center projects.

The Fellowship Program Coordinator is responsible for the operational administration of all fellowship programs within the Division. This includes Pulmonary Critical Care (PCC) and Critical Care Medicine (CCM), with a third program in Allergy and Clinical Immunology (ACI) being added in 2023.  This position works closely with the Program Directors, Associate Program Directors, PACCM administrative team as well as the Office of Graduate Medical Education for all aspects from recruitment to graduation for 21 PCCM and CCM Fellows.    Duties Include: - Acts as the technical resource for all systems related to fellowship program education. - Coordinates all aspects of recruitment and on-boarding process (application process, interview coordination, scheduling, rotation schedules, etc.) - Interprets and communicates policies, procedures and requirements to fellows and stakeholders. - Designs and develops program related forms and /or participates in program planning, operational or review meetings. - Conducts review of program operations for compliance, and adherence to standards. - Serves as liasion to the OHSU Office of Graduate Medical Education and ACGME regarding Pulmonary, Critical Care, and Allergy fellows. - Conducts annual ACGME reporting, and manages all data related to programs. - Creates fellow and faculty electronics newsletters and develops online learning resources. - Responsible for ongoing program and education coordination - Conference management/scheduling - Manages on-call schedules for rotations

Hiring Bonus and Relocation Package Available   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.   Working Conditions:  - Ability to lift, bend, stoop, reach, carry, push, pull and walk throughout the work period.   Able to lift 35 lbs independently.  Complies with the safe patient mobilization policy when lifting or positioning dependent patients, including using mechanical lifts and coordinating the assistance of other personnel     - Must be able to use all senses: seeing, hearing, touching, smelling, and speaking. Reasonable accommodations include corrective lenses and/or hearing aids - The work environment carries risk of exposure to human tissue/fluids and radiation - Must be able to deal with competing needs and priorities of internal and external customers, including making correct judgments regarding ensuring safe conditions for patients, families, and other personnel - Use of all hospital approved clinical equipment. Significant use of computers, copiers, multi-line phones, and fax  - Must be able to perform the essential functions of the position with or without accommodation Department Specific Working Conditions: - Ability to stand up to 4 hours without sitting - Ability to tolerate moving throughout entire shift - Fast paced, dynamic admit/recovery environment, with competing priorities and quick turn-over of patients - Must have the ability to apply and maintain manual pressure to femoral arterial and venous access sites for up to 35 minutes - Ability to tolerate a noisy environment - Requires ability to push patient in a stretcher around corners throughout the shift - Requires the ability to ride the Arial tram throughout the day - Requires the flexibility to stay focused and have your assignment changed several times throughout your shift

The Division of Pulmonary & Critical Care Medicine (PCCM) at Oregon Health & Science University (OHSU) is seeking a research scientist who will be responsible for designing and performing experimental protocols that generate publication quality data.   The Research Assistant 2 will be responsible for the following: - Conducting and analyzing scientific research - Preparation of written reports - Maintenance of lab equipment and facilities - Assist in training of staff and interns regarding protocols and procedures This position offers future opportunities for scientific collaboration, primary research, and manuscript authorship.

- Cell culture experiments - Langendorf Heart experiments - Isolated vessel experiments - ELISA, Western Blot, PCR, Immunohistochemistry - Analysis of experimental data for publication and grant submission

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. - Scientist - - Evaluates knowledge of self and others: - Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals. - Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships - - Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery. - - Evaluates patient outcomes against quality goals or benchmarks.   Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.   - Leader - - Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to: - Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion) - The interdisciplinary plan of care - Documenting decision making in the patient’s plan of care and hand-off  communication - - Protects and advocates for patient safety, health and wellbeing: - Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command). - Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice. - - Keeps the patient as the focus  when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care: - Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to.  - Allocates resources based on identified patient and family needs - Speaks up immediately about concerns regarding assigned responsibilities - Practitioner - - Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care.  Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate. - - Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork.  - - Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights. - - Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice. - Knowledge Transfer - - Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care.   Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home.  - - 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 through accurate and timely documentation of the patient’s electronic record. - - Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs).  Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.