The Laboratory Animal Husbandry Technician 1 provides for the basic care and husbandry needs of a large variety of laboratory research animals including but not limited to fish, amphibians, birds and a wide range of rodent and non-rodent mammalian species. Works as a member of a highly interdependent team using a professional approach in providing direct animal care. The technician is most often the first line of defense in spotting animal health and environmental problems. This is the first level of a three level series. It is distinguished from the Laboratory Animal Technician 2 & 3 by requiring close supervision, intensified training and a lower level of independent decision making skills.
Responsibilities include:
- Transports supplies and equipment needed to support the health and wellbeing of laboratory animals. Changes cages and accessory equipment as needed as well as on a predetermined schedule. Feed, water species including but not limited to fish, amphibians, birds and a wide range of rodent and non-rodent mammalian species as required by the departmental, USDA and NIH standards. Exercises USDA maintained species as required by regulation or as directed by departmental veterinary staff.
- Observes animals for health and wellbeing. Reports physical or behavioral abnormalities promptly in writing. Records observations in the clinical record. Administers medications and treatments to animals as instructed by the veterinary staff. Monitors the environment in animal areas for changes or potential hazards to animals and experimental protocol. Reports any changes to supervisor.
- Maintains and sanitizes animal rooms and support areas. Includes sweeping, mopping, scrubbing, washing and disinfecting floors, walls ceilings, sinks and other equipment. Handle feed and bedding appropriately. Rotates oldest material to be used first. Maintains clean supply of feed and bedding in animal room containers and label appropriately.
- Maintains records as required by DCM standard operating procedure and federal regulation or guidelines. Keeps accurate census records for billing purposes.
This position is funded by a collaborative grant from the Alliance for Early Cancer Detection with researchers from the University of Cambridge to study the biology of clonal hematopoiesis (CH), a pre-leukemic condition which occurs in up to 20% of the aging population. The goal of this work is to identify new treatment approaches for individuals with high-risk CH that might serve as the basis for a preventative strategy. These studies will include high-throughput drug screening; in vitro validation of candidate drugs in cell lines with CH mutations and in vivo validation in CH mouse models. As many CH mutations act via alterations in the epigenome, single cell and high sensitivity epigenetic studies will also be performed.
Additional duties will include molecular biology and biochemistry research techniques, flow cytometry, NGS library preparation, mammalian tissue culture, small animal handling, data analysis, and other laboratory techniques. We are particularly interested in candidates who are adept with molecular genomic techniques and mouse leukemia models. Applicants will need to possess strong organizational and communication skills as well as the ability to work independently. Some weekend work is required.
Salary will be commensurate with experience. We are looking for an enthusiastic individual who is capable and willing to make maximum use of excellent facilities and a productive environment.
Duties will include:
1. 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
2. Highly specialized lab-based research
3. Data analytics
4. Manuscript and Grant preparation
We are looking to hire a Senior Research Assistant to support our ongoing projects investigating the epigenetic basis of myeloid malignancies. This position will involve working closely with graduate students and post-doctoral fellows on projects aimed at defining new oncogenic mechanisms in these diseases as well as defining new treatment approaches. Job duties will involve conducting cell culture and mouse model experiments in these areas of investigation as well as mouse colony and general laboratory maintenance responsibilities. Applicants will need to possess strong organizational and communication skills as well as the ability to work independently. Some weekend work is required.
Bachelor’s degree and laboratory experience in molecular/cellular biology, biochemistry, chemistry, cancer biology or a related field is preferred. Salary will be commensurate with experience. We are looking for an enthusiastic individual who is capable and willing to make maximum use of excellent facilities and a productive environment.
Duties will include:
1. 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
2. Molecular and cellular biology assays, flow cytometry, mammalian cell culture, biochemistry assays, utilization of in-vivo models and associated techniques, cell isolation and DNA/RNA purification from bacterial cultures, mammalian cell cultures, in-vivo models and patient samples.
3. Collect, record, organize and verify the accuracy of data; keep detailed and accurate laboratory records; tabulate data, perform calculations, prepare charts, graphs and reports. May use software applications to assemble, manipulate, format and/or perform statistical analysis of data. May assist with preparation of figures, tables and reports for publications and grants. Perform preliminary interpretation of results to determine whether they are consistent with experimental goals.
4. Operate a variety of instruments and scientific equipment, including quality control and maintenance. May order chemicals, reagents, and other laboratory supplies or prepare chemical solutions.
5. Read literature applicable to research areas as required and actively participate in laboratory meetings and planning sessions. May be asked to present data to group in a seminar format, and/or at scientific meetings.
Technical duties in surgical dermatology include providing histology services for Mohs Micrographic Surgical patient and Dermatopathology Lab.
This includes:
- cryostat and microtome set up and staining solution preparation
- preparation of frozen and formalin fixed paraffin embedded sections including
- orienting specimen, mounting, embedding, cutting and staining of tissue specimens, processing with hematoxylin and eosin stains and bone/cartilage preparation.
- Special staining including IHC of FFPE and frozen sections.
- assigns Mohs surgery number for each patient and tumor treated.
- maintains monitoring equipment including refrigeration logs, microscope and equipment maintenance and cleaning of equipment as per OHSU Safety guidelines.
- orders supplies and equipment for laboratory and maintains adequate stock of necessary supplies.
- practices safe laboratory practices and precautions per laboratory manuals and safety and infection control guidelines.
- laboratory instrumentation/equipment set up and reagent preparation.
- gross description, dissection, and orientation of patient tissue, appropriate to facilitate optimal diagnostic quality of tissue slide production.
- transcribes grossing data into specimen case in LIS.
- in addition, utilizes custom techniques, as described by laboratory management, to provide a high-quality product meeting the diagnostic needs of the reading dermatopathologists.
- assures information fidelity throughout the entire laboratory process, correlating all paperwork with associated patient specimen(s).
- organizes, labels, and files slides, blocks, and paperwork.
- general cleaning of laboratory
- communicates any issues to manager and coworkers in a timely and appropriate manner.
- other duties as assigned by supervisor.
Preparation of tissue specimens for immunofluorescence per manual protocol including proper handling of biopsy specimens, specimen washing, appropriate orientation of specimens and sections.
- Control slide preparation according to protocol.
- Maintains proper documentation including DIF control sheet, positive DIF control log, incident reports when indicated, corrective action forms as needed and all other documentation as per protocol in manual.
- Communicates with and mails handling solutions to requesting referring physicians.
- Registration and Accessioning.
- Act as registration point by gathering and/or verifying patient information including demographics, insurance coverage and financial status.
- Confirm patient eligibility for health care coverage and clarify any managed care arrangements.
- Use Lab Information System as pivot point for distribution of demographic, referral, clinical, and pathology-resulting data to multiple sources, including OHSU Medical Group and referring physicians.
- Transcribe from dictation or written word in to a variety of hospital and departmental applications, verifies correct ICD10 and CPT codes for billing.
Maintains proper documentation in laboratory including proper logs of all incoming and outgoing specimens including mailing slides back to referring physicians and outside laboratories
- Responsible for quality assurance projects as per Manager and laboratory director
- Maintains records and adheres to OSHA/CLIA/Joint Commission guidelines
- Organises, labels, and files slides, blocks, and paperwork.
Works within the Laboratory Information System to track laboratory materials and data related to individual cases
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.
Doernbecher Children’s Hospital (DCH) Operating Room, a unit of OHSU’s Perioperative Services Division and OHSU’s Women’s and Children’s Division, is located on the 8th floor of DCH. DCH is opened 24/7 and maintains 7 operating rooms and 2 procedure rooms that primarily address the surgical needs of both inpatient and outpatient pediatric and young adults with congenital conditions ages neonate to 25. Surgical procedure on 25 and above may also be performed. Service lines can include Cardiac/ Thoracic, General Surgery, Gynecology, Oral maxillofacial surgery, Dental, Neurosurgery, Orthopedic, Spine, Otolaryngology, Plastic Surgery, Transplant, Urology, Vascular Surgery, Robotic, Gastrointestinal, and Trauma. Surgical procedures on adults 18 years of age and above are also performed if the procedure requires specialized equipment found only at this location.
Department Specific Requirements: DCH inter-operative staff work as integral part of an interdisciplinary care team to provide individualized family centered care for the pediatric and adult congenital patients in the perioperative setting. We provide care for ambulatory, inpatient, and urgent/emergent surgeries. The RN is responsible for assessing and providing direct patient care in both the circulating and scrub roles. The RN provides care consistent with ANA standards, OSBN nurse practice act laws, AORN recommendations, and current evidence based practices.
The appointee will work with another Advanced Practice Provider, Nurse Coordinator, and research associates along with physician supervisors as an integral member of the team-based approach to complex valvular heart disease care.
Responsibilities will include
- Evaluation and consultative management of outpatient clinic initial consultation.
- Evaluation and consultative management of inpatient consultations.
- Inpatient pre and post procedural care and management.
- Outpatient valvular heart disease and post procedural cardiac care.
- Coordination and management of care through industry and investigator-initiated research trials along with team of research associates.
- Management of pre-clinic screening to include safety and management of contrast computed tomography scans, transesophageal echocardiograms and cardiac stress testing.
- Coordination of patient care with outside agencies and community providers. Assures and optimizes patient and family self-management.
- Provides back up and oversight to Complex Valve Coordinator.
- Provides clinical context and insight for research associates for clinical trials management.
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.
- Shared and collaborative infusion space.
- Ability to alternate between various work sites, depending on the practices’ space allocation, division of daily work activities, etc.
- Rotate into other assignments (conditional based on appropriate training) such as OLC, triage and charge nurse
The Health Unit Coordinator (HUC) is part of the health care team and utilizes her/his knowledge and skills to support and enhance safety, patient experience, communications, and efficiency on nursing units. The HUC, under the direct supervision of the Nurse Manager or Charge Nurse, performs general non-clinical duties and specific services necessary to expedite the efficient functioning of the nursing unit consistent with the philosophy, goals, policies and procedures in the nursing department and OHSU.
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.
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.
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.
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.
Department Summary:
The Dynamic Endocrine Testing Unit (DETU) is dedicated to providing exceptional care and teaching to patients aged 18 years and older. The DETU is focused on three main areas: injections, endocrinology testing, and injection teaching. Testing services include a variety of procedures such as Cortisol stimulation, Glucagon stimulation, Insulin Tolerance, Glucose tolerance, Water deprivation, Desmopressin stimulation, and Saline Challenge tests. Injections administered include Octreotide LAR(Sandostatin), Lanreotide (Somatuline), Pasireotide (Signifor), Thyrotropin (Thyrogen), and Levothyroxine. The DETU also offers IM and SQ injection teaching appointments for diabetes/endocrinology patients.
- Performs Medical Review on patient referrals requiring clinical input prior to the date of service
- Works collaboratively with RN’s in specialty clinics, streamlining the approach to patient care in an efficient and consistent manner
- Receives, coordinates, and answers all inbound electronic and telephone communications from both internal and external providers and patients related to the DETU
- Uses clinic specific protocols and job aids as tools to supplement RN’s critical thinking and decision making
- Collaborates with OHSU Endocrinology teams, Pituitary Care Center, and Thyroid and Parathyroid Center in addition to numerous regional external providers to assess needs of urgent patients and develop optimum plan of care as related to DETU services
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.
Medical Record Review:
- Reviews record of each patient encounter, enters pertinent patient data, diagnosis(es) and procedures (s) into the abstracting software and encoder. The duties involve reading and understanding complex medical data from various medical specialties, translating data into ICD-10-CM and CPT codes.
- Enters and/or verifies patient identification information; enters ICD-10-CM diagnosis(es) and procedure(s) codes as well as CPT/HCPCS codes; assigns DRG using Encoder & Abstracting software.
- Utilizes ICD-10-CM, CPT codebook and Coding Clinic references to verify code specificity and follow ICD-10-CM Official Guidelines for Coding and Reporting and AMA Official Guidelines for CPT.
- Utilizes reference journals and training seminars to learn about and understand changing medical technology, new diseases, new treatments, new drugs, and experimental procedures used in clinics, hospitals, and research facilities.
Administrative Support:
May provide a variety of general administrative support such as answering phones, filing, providing customer service for coding/DRG/CPT/ICD 10 information.
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.
I. Scientist
a. Evaluates knowledge of self and others:
i. 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.
ii. Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships
b. Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery.
c. 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.
II. Leader
a. Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to:
i. Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion)
ii. The interdisciplinary plan of care
iii. Documenting decision making in the patient’s plan of care and hand-off communication
b. Protects and advocates for patient safety, health and wellbeing:
i. 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).
ii. 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.
c. Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care:
i. 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.
ii. Allocates resources based on identified patient and family needs
iii. Speaks up immediately about concerns regarding assigned responsibilities
III. Practitioner
a. 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.
b. Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork.
c. Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights.
d. Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice.
IV. Knowledge Transfer
a. 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.
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 through accurate and timely documentation of the patient’s electronic record.
c. 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.
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.
I. Scientist
a. Evaluates knowledge of self and others:
i. 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.
ii. Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships
b. Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery.
c. 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.
II. Leader
a. Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to:
i. Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion)
ii. The interdisciplinary plan of care
iii. Documenting decision making in the patient’s plan of care and hand-off communication
b. Protects and advocates for patient safety, health and wellbeing:
i. 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).
ii. 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.
c. Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care:
i. 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.
ii. Allocates resources based on identified patient and family needs
iii. Speaks up immediately about concerns regarding assigned responsibilities
III. Practitioner
a. 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.
b. Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork.
c. Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights.
d. Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice.
IV. Knowledge Transfer
a. 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.
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 through accurate and timely documentation of the patient’s electronic record.
c. 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.
Provides a safe therapeutic environment
- Ensures the safety and welfare of patients and fellow employees
- Utilizes proper posture, sound body mechanics and principles for safe patient handling
- Considers the needs of patients, employees, medical staff, volunteers, vendors and members of the community in an informative, courteous and compassionate manner
- Maintains general good physical and mental health and self-care in order not to jeopardize the health and safety of self and others in the hospital
- Maintains a clean, safe and orderly environment for the patients, family and staff. Includes, but is not limited to: maintaining supplies, equipment and forms, notifying appropriate personnel when cleaning or repair of equipment is needed, following infection control policies
Professionalism
- Maintains current knowledge of professional practice responsibilities and relevant national and state laws and issues which affect their practice
- Participates in departmental staff meetings, huddles and in-service education programs
- Displays mature, empathetic and effective professional relationships by exhibiting compassion, integrity and concern for others
- Conducts oneself in an ethical and legal manner, upholding the AOTA Code of Ethics, OHSU, federal privacy policies, and state statues/OAR’s specific to discipline
- Adapts to changing and demanding environments
Service
- Demonstrates excellent customer service and communication skills in all interactions with patients and family, including both telephone and face-to-face situations
- Demonstrates active listening skills and supportive, professional behavior at all times, to patients, families and staff
- Addresses complaints and problems promptly and courteously, involving management when indicated
- Communicates with patients and families, other healthcare team members, in a timely and cost-efficient, courteous manner
Evaluation and Caseload Management
- Prioritizes patients care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation
- Evaluates patients to determine appropriateness of referral
- Identifies rehab potential, establishes treatment goals specific to the scope of acute care rehabilitation, including functional outcomes, quantitative measures and target dates
- Develops treatment plans to achieve identified goals
- Documents evaluations in patient’s medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria
- Enters accurate codes for services performed and bills time in patient care accurately
- Provides consultation in a time-efficient manner for patients, specific to care area; requesting orders and/or providing guidance to the patient’s team regarding activity or prevention of complications
Provides skilled rehabilitation treatment
- Prioritizes care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation
- Performs and documents skilled patient care activities, including direct treatment and caregiver/patient/family education
- Monitors and adjusts treatment plans specific to patient progress
- Fabricates and adjusts splints to meet patient needs
- Communicates patient needs and promotes carryover of strategies, precautions, etc. with nursing and other caregivers
- Updates recommendations to team regarding continuing rehabilitation needs and plan as patient’s condition and situations warrant
- Directs, supports and provides supervision as required for aides and volunteers
- Develops and enhances patient care program and patient outcomes in specialty area
- Documents treatment and other patient contacts in patient’s medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria
Care Coordination
- Collaborates with patient, family, and medical team in multidisciplinary patient rounds, ensuring a common level of understanding of the patient’s rehabilitation needs, and providing recommendations for rehab after discharge
- Requests patient/family conferences as appropriate, and participates in conferences representing department, heightens awareness of and advocates for rehab needs of patient
- Enhances patient safety both during and after hospitalization by assisting the team in problem-solving, including but not limited to vision, ADL, and cognition impairments
- Provides feedback and educates physicians, fellows, residents, and other health care providers about rehabilitation (including but not limited to medical necessity for skilled rehabilitation services and appropriate referrals and expectations for rehab outcome and intensity at various levels of care)
Clinical Education
- Provides evidence-based clinical instruction experiences and supervision for OT students
- Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives
- Provides regular feedback and completes evaluations on schedule
- Participates in the supervision and training for students from other disciplines
Performance Improvement and Professional Development
- Assists in department quality improvement. Independently maintains an organized schedule, solves schedule conflicts through peer collaboration and informs supervisor when adequate patient coverage in not available
- Identifies and pursues continuing education opportunities; applies and shares new knowledge
- Takes responsibility for special projects and assignments, and additional caseload when needed
- Completes 2 hours (or specific DNV requirement) specific continuing education, including but not limited to, attendance in continuing education courses, grand rounds, departmental competencies. Ref: DNV standard CR.4
Department Operations
- Ensures scheduler/manager has ongoing, current availability for scheduling
- Responds in a timely manner to scheduling requests
- Meets or exceeds departmental efficiency standards
Provides a safe therapeutic environment
- Ensures the safety and welfare of patients and fellow employees
- Utilizes proper posture, sound body mechanics and principles for safe patient handling
- Considers the needs of patients, employees, medical staff, volunteers, vendors and members of the community in an informative, courteous and compassionate manner
- Maintains general good physical and mental health and self-care in order not to jeopardize the health and safety of self and others in the hospital
- Maintains a clean, safe and orderly environment for the patients, family and staff. Includes, but is not limited to: maintaining supplies, equipment and forms, notifying appropriate personnel when cleaning or repair of equipment is needed, following infection control policies
Professionalism
- Maintains current knowledge of professional practice responsibilities and relevant national and state laws and issues which affect their practice
- Participates in departmental staff meetings, huddles and in-service education programs
- Displays mature, empathetic and effective professional relationships by exhibiting compassion, integrity and concern for others
- Conducts oneself in an ethical and legal manner, upholding the AOTA Code of Ethics, OHSU, federal privacy policies, and state statues/OAR’s specific to discipline
- Adapts to changing and demanding environments
Service
- Demonstrates excellent customer service and communication skills in all interactions with patients and family, including both telephone and face-to-face situations
- Demonstrates active listening skills and supportive, professional behavior at all times, to patients, families and staff
- Addresses complaints and problems promptly and courteously, involving management when indicated
- Communicates with patients and families, other healthcare team members, in a timely and cost-efficient, courteous manner
Evaluation and Caseload Management
- Prioritizes patients care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation
- Evaluates patients to determine appropriateness of referral
- Identifies rehab potential, establishes treatment goals specific to the scope of acute care rehabilitation, including functional outcomes, quantitative measures and target dates
- Develops treatment plans to achieve identified goals
- Documents evaluations in patient’s medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria
- Enters accurate codes for services performed and bills time in patient care accurately
- Provides consultation in a time-efficient manner for patients, specific to care area; requesting orders and/or providing guidance to the patient’s team regarding activity or prevention of complications
Provides skilled rehabilitation treatment
- Prioritizes care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation
- Performs and documents skilled patient care activities, including direct treatment and caregiver/patient/family education
- Monitors and adjusts treatment plans specific to patient progress
- Fabricates and adjusts splints to meet patient needs
- Communicates patient needs and promotes carryover of strategies, precautions, etc. with nursing and other caregivers
- Updates recommendations to team regarding continuing rehabilitation needs and plan as patient’s condition and situations warrant
- Directs, supports and provides supervision as required for aides and volunteers
- Develops and enhances patient care program and patient outcomes in specialty area
- Documents treatment and other patient contacts in patient’s medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria
Care Coordination
- Collaborates with patient, family, and medical team in multidisciplinary patient rounds, ensuring a common level of understanding of the patient’s rehabilitation needs, and providing recommendations for rehab after discharge
- Requests patient/family conferences as appropriate, and participates in conferences representing department, heightens awareness of and advocates for rehab needs of patient
- Enhances patient safety both during and after hospitalization by assisting the team in problem-solving, including but not limited to vision, ADL, and cognition impairments
- Provides feedback and educates physicians, fellows, residents, and other health care providers about rehabilitation (including but not limited to medical necessity for skilled rehabilitation services and appropriate referrals and expectations for rehab outcome and intensity at various levels of care)
Clinical Education
- Provides evidence-based clinical instruction experiences and supervision for OT students
- Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives
- Provides regular feedback and completes evaluations on schedule
- Participates in the supervision and training for students from other disciplines
Performance Improvement and Professional Development
- Assists in department quality improvement. Independently maintains an organized schedule, solves schedule conflicts through peer collaboration and informs supervisor when adequate patient coverage in not available
- Identifies and pursues continuing education opportunities; applies and shares new knowledge
- Takes responsibility for special projects and assignments, and additional caseload when needed
- Completes 2 hours (or specific DNV requirement) specific continuing education, including but not limited to, attendance in continuing education courses, grand rounds, departmental competencies. Ref: DNV standard CR.4
Department Operations
- Ensures scheduler/manager has ongoing, current availability for scheduling
- Responds in a timely manner to scheduling requests
- Meets or exceeds departmental efficiency standards
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 American Nurses Association (ANA) Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, 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, Learning Culture, and an Engaged Informed Culture.
Department Specific Responsibilities
- The ONN thoroughly reviews clinical information (records, diagnostic test results, etc.) submitted with the referral reviewing for urgency, other needed tests, potential eligibility for clinical trial and to identify which physician/s best suited for consult. The ONN summarizes this interaction which via a signed navigation assessment note in Epic which serves as a thorough hand off to the physician and clinical team/s that will consult and/or follow the patient. Additional documentation or communications may be required as determined by the team such as e-mail or in clinic visit with the patient.
- Conducts a patient assessment interview to identify patient’s understanding of condition, barriers to care, social determinants of health, preferred learning style, family support, and any current symptoms. Arranges for first outpatient consult, or if patient’s acuity requires it, works with clinical team to arrange for direct admit and diagnostic work up in hospital (i.e., bone marrow biopsy).
- The ONN tracks data on each referral in order to capture information on the population served and to follow metrics for volume, access, referral sources, diagnostic work up requirements, subsequent needs after consult.
- The ONN may meet with new patients in clinic or on the inpatient unit as determined by the specialty team.
- The ONN may follow the patient through the diagnostic work up and also assist with transitions of care for the patient between treatment modalities. This is particularly true in specialties with multi-disciplinary clinics.
- The ONN ensures that when hospitalization is required; those patients and their family members understand prior to admission, what they can expect during the pre-hospitalization, hospital stay and post discharge period. The ONN coordinates with RN Coordinator and the care coordination team and inpatient team on the admission and discharge plan.
The CVICU team provides tertiary care to critically ill patients with cardiovascular disease while the NSICU team treats critically ill patients with neurological injuries. Care in both ICUs follows evidence-based guidelines and clinical pathways developed by the multidisciplinary team. This posistion is a dual appointment with .50 FTE occuring in the CVICU and .50 FTE occuring in the NSICU.The APP faculty is expected to work a fair share of weekday, night and weekend shifts. If desired, the APP faculty may choose a night shift-only assignment after an appropriate orientation period.
Clinical responsibilities:
- Assessment and treatment of ICU patients under the direction of critical care trained physician faculty, including performance of basic ICU procedures.
- Rounding on ICU patients with physician faculty, fellows and residents and developing and implementing clinical plans of care.
- Consultation with specialty care providers when appropriate.
- Communication with patients and families about medical conditions, treatment plans, and progress.
- Working with hospital and unit staff to develop and implement discharge plans for patients in the ICU, and promote patient health through education and counseling.
- Timely and accurate documentation in the electronic medical record.
- Collaboration with other members of the multidisciplinary and interprofessional care team to ensure optimal patient care and continuously improve quality of care.
- Adherence to best practice protocols and policies
- Delivery of care compliant with the regulations and guidelines by the relevant regulatory bodies.
- Treating all patients and co-workers with dignity and respect in alignment with the OHSU Code of Conduct.
- Supporting a safe and welcoming environment where all can contribute and prosper.
Education and Quality Improvement:
- Orientation and education of trainees and nursing staff on the care standards and protocols in both ICUs.
- Education of nursing staff, fellows, residents and medical students in formal and informal settings.
- Participation in all relevant conferences and team meetings.
- Collaboration with multidisciplinary and interprofessional care team members to establish or revise clinical pathways and patient education materials.
Academic and professional development through attendance and/or participation at national/regional conferences is encouraged. The APP faculty may participate in a program of scholarly research activity directed toward improved understanding of the causes, detection, and treatment of diseases.