Home Health Agency is seeking Rns LVNs and Caregivers for private duty. Great Pay!
Call 888-717-7818
Live In Caregivers Wanted for WLA Home
Looking for experienced caregivers for 6 Bed Board & Care Facility for Elderly.
Contact (310) 489-3951
Contact (310) 489-3951
Caregivers Needed Willing To Sponsor
Live-in Caregivers needed for Beverly Hills board and care home 5-6 days a week. Willing to sponsor. For inquiries call (323) 658-7660
Caregiver for Developmentally Disabled Home
Live in caregiver needed for Developmentally Disabled Facility. Driving preferred, 5 days a week of work. Call Kermit (626) 354-9876
2 Female Caregivers Needed for OC Facility
2 Female Caregivers needed for a board and care home in Anaheim. Will provide vacation and other benefits. Will be trained if without experience. Contact Noel (714) 357-5617.
Caregivers Needed
Immediately hiring male & female caregivers for a live-in position in a board and care facility.
For more information call (626) 335-1995
For more information call (626) 335-1995
Medical Clinic Manager Wanted
Seeking experienced Manager for a Medical Clinic who is bi-lingual (English and Spanish)
If interested fax your resumes at 323-725-6933 or email ebanquite@samg.org
If interested fax your resumes at 323-725-6933 or email ebanquite@samg.org
Hiring Female Caregiver
An assisted living facility with 4 residents in Lancaster,CA is seeking a female caregiver for a live-in position.
For inquiries call (661)435-6582
For inquiries call (661)435-6582
Immediately Hiring Caregivers Male or Female
A board and care facility in Indio,CA are in need of caregivers (male or female) with or without experience for a live-in or live-out position.
Call (760)342-7008 for more info or email mydesertcottage@hotmail.com
Call (760)342-7008 for more info or email mydesertcottage@hotmail.com
Oceanside Facility Seeks Caregiver
Looking for a live in Caregiver for a board and care home in the Oceanside/San Diego area.
Call Art or Christine at (760)505-6499 or (760)791-3955
Call Art or Christine at (760)505-6499 or (760)791-3955
Seeking Live-in Caregivers for OC Home
Currently in need of a Female caregiver for a board and care facility in the Orange County.
For more information call (949)861-8134
For more information call (949)861-8134
Experienced Caregiver Needed
A board and care facility in Glendale is looking for experienced Caregiver (2-3 years experience) for a live-in position with the starting salary of $1400 a month.
For inquiries call (818)344 7885
For inquiries call (818)344 7885
Seeking RNs and LVNs for clinic at LAC-USC Medical
A Los Angeles bases staffing agency is now hiring RNs and LVNs for clinic positions at LAC-USC Medical Center for Full Time 40 hours per week, M-F 8 hour shifts 9:30-6
Call (323) 939-4228 for more information or e-mail losangelescastaffing@maxhealth.com
Call (323) 939-4228 for more information or e-mail losangelescastaffing@maxhealth.com
Recruiting Experienced RNs
Kindred Healthcare is recruiting experienced RNs for a Los Angeles Hospital, to work in Med Surg &/or ICU.
Offering attractive benefits packages for employment, including medical/dental insurance, life insurance, short-term disability, PTO, 401(k), tuition reimbursement and much more for full-time and part-time positions.
For more information contact: (Lori Loop, Sr. Recruiter) at
Lori.Loop@kindredhealthcare.com or apply directly at: jobs.kindredhealthcare.com.
Offering attractive benefits packages for employment, including medical/dental insurance, life insurance, short-term disability, PTO, 401(k), tuition reimbursement and much more for full-time and part-time positions.
For more information contact: (Lori Loop, Sr. Recruiter) at
Lori.Loop@kindredhealthcare.com or apply directly at: jobs.kindredhealthcare.com.
Seeking Female Caregiver
Seeking live-in Female Caregiver at RCFE. The location of the senior care facility is in Tarzana, CA zip code 91356. Full-time job offer for $1500 a month.
Call (818) 943-8385 for more details
Call (818) 943-8385 for more details
Male Caregiver Wanted
Seeking male caregiver for a 6 bed RCFE in Santa Monica. Call Noah at(310) 829-4671
Female Caregiver Needed For Assisted Living Home
a wonderful 6-bed Assisted Living facility in Burbank is seeking a full-time Female caregiver for a live-in position.With or without experience and will be trained. Must have fingerprint clearance, TB test and physical exam.
Please contact (818) 558 5971.
Please contact (818) 558 5971.
Seeking DSP in Hawthorne
We are looking for a responsible Direct Support Staff to support 3 developmentally disabled adults in a residential settinng. This is a Full Time split shift 5AM - 9AM returning 3PM - 8PM. Must have fingerprint clearance with Physical exam / TB test, First Aid/CPR.
With or without DSP I & DSP II but would be a plus. Must still undergo training after hire. Must be able to drive company van and please be insured.
Call Brenda Chandler Monday - Friday 9AM - 5PM at (310) 722 - 7541
With or without DSP I & DSP II but would be a plus. Must still undergo training after hire. Must be able to drive company van and please be insured.
Call Brenda Chandler Monday - Friday 9AM - 5PM at (310) 722 - 7541
Hiring Full Time Psych Techs
Seeking Full-Time Psych Techs Needed for Leading Teaching Hospital in Los Angeles for
All 3 Shifts.
Amazing Benefits such as:
401k w/ matching
Lucrative Referral Bonus
Medical, Dental, and Vision Insurance
If interested please call Rich Kellogg at (866)577-5514!
All 3 Shifts.
Amazing Benefits such as:
401k w/ matching
Lucrative Referral Bonus
Medical, Dental, and Vision Insurance
If interested please call Rich Kellogg at (866)577-5514!
Hiring NCLEX- RN Instructors for Review Center
NCLEX RN Review Center in Torrance is seeking energetic, enthusiastic NCLEX-RN TEST PREPARATION PROGRAM INSTRUCTORS for foreign graduate nurses for passng the RN licence examination.
Must have a teaching background and a Registered Nurse in California. Compensation is$30 - $35 per hour depending on experience.
If interested,Please e-mail a cover letter and resume in .doc or .pdf to positionopen@yahoo.com
Must have a teaching background and a Registered Nurse in California. Compensation is$30 - $35 per hour depending on experience.
If interested,Please e-mail a cover letter and resume in .doc or .pdf to positionopen@yahoo.com
Hiring 2 Caregivers for Assisted Living Facility
Seeking 2 caregivers, males or females in an Wonderful Assisted Living near 3rd St. and Crescent Heights in West Los Angeles near Beverly Center and The Grove. Must have Assisted Living Experience,Clean background,TB test and first aid/CPR training. Call Sophia at (323) 658-7660.
Physical Therapist Assistant Wanted
Seeking California licensed Physical Therapist Assistant for workers compensation clinic.
Bilingual preferred
If interested Please fax or email resumes to (310) 675-3355 or email: sbnd@southbayneurodx.com
Bilingual preferred
If interested Please fax or email resumes to (310) 675-3355 or email: sbnd@southbayneurodx.com
Seeking Nurse Practitioner or Physician's Assistant
Seeking Registered Nurse Practitioner or Physician assistant for Family Medicine practice
Must be able to do PAP tests
Must be good at placing IV's
Must be Available Part-Time or Full-Time
Must have a valid California License
Must have interest in Clinical Research
Experience in research a plus not a must. Located in Fairfax and La Brea (compesation starts at $35 - $ 40 per hour) check out www.impactclinicaltrials.com or email drhazan@impactla.org
Must be able to do PAP tests
Must be good at placing IV's
Must be Available Part-Time or Full-Time
Must have a valid California License
Must have interest in Clinical Research
Experience in research a plus not a must. Located in Fairfax and La Brea (compesation starts at $35 - $ 40 per hour) check out www.impactclinicaltrials.com or email drhazan@impactla.org
OR Nurses Wanted in Los Angeles
Seeking Operating Room RNs for a 13 week assignment, with the option to extend.
Candidate must have at least 3 years experience as an Operating Room
• 8 hour shifts: days, evenings or nights. Shift to be discussed with Manager upon interview
• No Call Required
• 40 hours work week
• Current CA Nursing License
• 3 years as a Registered Nurse in the Operating Room
• Current CPR/BLS
• Live-Scan background check must be completed prior to orientation
Benefits:
• Life and Accidental Death
Insurance
• Day 1 Medical/Dental Insurance
including a Vision Discount Plan
• 401k Savings Plan with company match
• Professional Liability Insurance
• Housing Stipend (if eligiblelease
Call 1-800-978-8555, and ask to speak to Jane or JoAnn in Recruiting .
Candidate must have at least 3 years experience as an Operating Room
Nurse,in a Level 1 Trauma Center .
• 8 hour shifts: days, evenings or nights. Shift to be discussed with Manager upon interview
• No Call Required
• 40 hours work week
• Current CA Nursing License
• 3 years as a Registered Nurse in the Operating Room
• Current CPR/BLS
• Live-Scan background check must be completed prior to orientation
Benefits:
• Life and Accidental Death
Insurance
• Day 1 Medical/Dental Insurance
including a Vision Discount Plan
• 401k Savings Plan with company match
• Professional Liability Insurance
• Housing Stipend (if eligiblelease
Call 1-800-978-8555, and ask to speak to Jane or JoAnn in Recruiting .
Seeking Direct Support Staff
Seeking Direct Care Staff Needed Monday thru Friday. Split-Shift work schedule( 6-9AM, 2-7PM) Must have experience working with Developmentally Disabled clients. Must be patient and caring. Call Robin (424) 221-0298 at Hawaiian House.
Part Time Dental Assistant Jobs
Seeking Part time Dental Assistant to work 3 days a week (Mon, Tue, Wed) .Mmust have prior experience as a dental assistant and a current Xray license/CPR. We are not a clinic and take no HMO or PPO. We provide personalized, quality services and are looking for a qualified, nice person to join our team. We enjoy or job and love our patients. Job is mostly chair-side, with minimal front office duties such as setting up appointments.
Wanted someone who is qualified and will fit in well with our staff. Please call 805 526 7720 and ask for Michelle for further details. Fax (805 526 7119)
Wanted someone who is qualified and will fit in well with our staff. Please call 805 526 7720 and ask for Michelle for further details. Fax (805 526 7119)
Wanted Experienced Medical Biller
A Los Angeles medical billing and consulting company is seeking an experienced Medical Biller.
Looking for these requirements:
• Medical Billing experience PREFERRED
• HS Degree, or equivalent
• Must work independently and quickly
• Must have strong computer skills and comprehension of appropriate software packages, such as MS Office
• Must have excellent communication skills, verbal & written.
• Must have good analytical skills
• Must be highly organized
• Must be knowledgeable of HMO, Medicare, Medi-Cal, PPO, Commercial Insurance billing
Duties include:
• Handling follow-up questions from patients, resolving discrepancies or errors, and ensuring that all billing and accounting records are kept in a safe place.
• Send insurance claims
• Verifies OR procedure codes, CPT codes, & Insurance addresses
• Receives, reviews, and corrects all insurance mail backs.
• Operates; personal computer, adding machine, photocopier, fax machine
• Answers the telephone in a professional and courteous manner, relays telephone and verbal messages promptly and accurately, and refers/transfers telephone calls as appropriate.
• Work on two billing programs; Prime Clinical Systems and Vision Program
• Electronic Billing through MedAvant
When emailing your resume PLEASE specify “Medical Biller” in the subject column! send resumes to; HR.EPT2007@gmail.com
Looking for these requirements:
• Medical Billing experience PREFERRED
• HS Degree, or equivalent
• Must work independently and quickly
• Must have strong computer skills and comprehension of appropriate software packages, such as MS Office
• Must have excellent communication skills, verbal & written.
• Must have good analytical skills
• Must be highly organized
• Must be knowledgeable of HMO, Medicare, Medi-Cal, PPO, Commercial Insurance billing
Duties include:
• Handling follow-up questions from patients, resolving discrepancies or errors, and ensuring that all billing and accounting records are kept in a safe place.
• Send insurance claims
• Verifies OR procedure codes, CPT codes, & Insurance addresses
• Receives, reviews, and corrects all insurance mail backs.
• Operates; personal computer, adding machine, photocopier, fax machine
• Answers the telephone in a professional and courteous manner, relays telephone and verbal messages promptly and accurately, and refers/transfers telephone calls as appropriate.
• Work on two billing programs; Prime Clinical Systems and Vision Program
• Electronic Billing through MedAvant
When emailing your resume PLEASE specify “Medical Biller” in the subject column! send resumes to; HR.EPT2007@gmail.com
Looking For Female Caregiver
Seeking Caregiver for 84 year old female. M-F 9:30-5:30. Must speak/write/read English fluently, possess a valid dr. lic, proof of auto insurance and a car large enough to transport a wheelchair, when folded. Ability to lift up to 50 lbs. Duties include light housekeeping, shopping, transportation to Doctor's appointments, and preparation of most meals.
Send resumes and inquiries to clsy64fem@aol.com When attaching resume, please make sure it is compatible with Word 2003.
Send resumes and inquiries to clsy64fem@aol.com When attaching resume, please make sure it is compatible with Word 2003.
Seeking Caregiver For Male Client
Seeking Female caregiver for 58 year old man with moderate brain injury. Live-in preferred. Must speak English clearly and drive. Email michellegary@verizon.net for details
Looking For Direct Support Professionals
Behavior Center near LAX are seeking caring individuals to provide quality care to adults with developmental disabilities.
Duties Include:
* Assist clients, who require special needs and attention
* Help clients engage in daily activities and social environments
Requirements:
California Drivers License
Fingerprint background check
Must be caring, friendly, and love working with challenged adults
Must be outgoing and energetic
$8-$10 per hour based upon experience
Hours are 9:00am to 3:00pm Monday through Friday. If you are interested please send your resumes to (310) 673-4778
Duties Include:
* Assist clients, who require special needs and attention
* Help clients engage in daily activities and social environments
Requirements:
California Drivers License
Fingerprint background check
Must be caring, friendly, and love working with challenged adults
Must be outgoing and energetic
$8-$10 per hour based upon experience
Hours are 9:00am to 3:00pm Monday through Friday. If you are interested please send your resumes to (310) 673-4778
Per Diem CNAs Wanted
Looking for Certified Nursing Assistants all over Los Angeles area. Call 1-800-978-8555 and ask for Linda Neuman, Sr. Healthcare Recruiter ext. 220, email: lneuman@nipinc.com or Dana Jaramillo, Vice President, Allied Health Operations, ext. 264. Or you can email www.nipinc.com.
1 On 1 Female Caregiver Needed
Seeking female caregiver for a retired male doctor patient (early 80s) , requires some driving for doctor's appointment and grocery shopping light cooking and housekeeping.Experience is a plus.interview will be scheduled immediately if qualified
Application requirements: (MUST HAVE)
1) Physical/TB Test clearance copies, 2) CPR/First Aid certificate, 3) HHA/CNA License is a plus, 4) CA Driver's License, 5) Auto Insurance.
Please call 2137395913 / 2139853039
Application requirements: (MUST HAVE)
1) Physical/TB Test clearance copies, 2) CPR/First Aid certificate, 3) HHA/CNA License is a plus, 4) CA Driver's License, 5) Auto Insurance.
Please call 2137395913 / 2139853039
Seeking Ambulance Critical Care Transport RN
Seeking Ambulance transport RN's in Los Angeles County
Requirements include:
Minimum 2 years of E.R., ICU, flight or previous ambulance transport experience Required; ACLS and PALS Certified.
Apply at www.pacificambulance.com or www.bowersambulance.com
Requirements include:
Minimum 2 years of E.R., ICU, flight or previous ambulance transport experience Required; ACLS and PALS Certified.
Apply at www.pacificambulance.com or www.bowersambulance.com
Seeking Patient Care Secretary
Roze Room Hospice has an opening for a Patient Care Secretary.
Duties include:
1. Maintaining accurate tracking system to review documentation and ensure compliance.
2. Preparing reports and attend Interdisciplinary Team Meetings.
3. Assembling and disassembles active and inactive charts.
4. Assisting with review and processing of daily timesheets.
5. Entering patient care data in program systems.
6. Reliever for receptionist.
Minimum requirement of one year experience working in an office setting. Experience in medical records preferred.
Fax your resume to: 323-936-7573
Duties include:
1. Maintaining accurate tracking system to review documentation and ensure compliance.
2. Preparing reports and attend Interdisciplinary Team Meetings.
3. Assembling and disassembles active and inactive charts.
4. Assisting with review and processing of daily timesheets.
5. Entering patient care data in program systems.
6. Reliever for receptionist.
Minimum requirement of one year experience working in an office setting. Experience in medical records preferred.
Fax your resume to: 323-936-7573
Hiring EMTs & Paramedics
GENTLE CARE TRANSPORT INC is looking for EMT’s and PARAMEDICS. Fax your resumes to 323-663-8765 or email Safariana@hotmail.com. You could also call Artine’ at 323-662-8777.
Great benefits!
Must meet these requirements:
Valid California Driver’s License
EMT certificate
AHA CPR card
Must be able to get LA city DOT license
Must pass pre employment drug testing
Great benefits!
Must meet these requirements:
Valid California Driver’s License
EMT certificate
AHA CPR card
Must be able to get LA city DOT license
Must pass pre employment drug testing
Need Money For Nursing School or College?
New social networking sites are becoming a hit for students and professionals alike. College students and parents especially are struggling so hard to pay for college nowadays . Never worry, there are now places that offer student loans that can be solicited via social networking such as GreenNote (established June 2008) and Virgin Money .
Green Note lets you borrow from someone you know such as friends, relatives and strangers. It now has more than 100,00 growing number of student members. While Virgin Money, from the Virgin group of companies lets lenders and borrowers set their own interest rate, and takes $199 plus $9 per payment for it's student loans.
Green Note lets you borrow from someone you know such as friends, relatives and strangers. It now has more than 100,00 growing number of student members. While Virgin Money, from the Virgin group of companies lets lenders and borrowers set their own interest rate, and takes $199 plus $9 per payment for it's student loans.
Wanted Dental Assistant In West LA Clinic
A private dental office is looking for a part time friendly, organized, and dependable dental assistant. Catering to an average of 8 to 10 patients a day. Must be familiar with some computer skills. Some experience is required.
Duties:
-X-rays (digital)
-chair side assistant
-instrument processing
please e-mail or fax your resume to (310) 820-7060
Duties:
-X-rays (digital)
-chair side assistant
-instrument processing
please e-mail or fax your resume to (310) 820-7060
Cardiology Clinic Now Hiring Nurses
Full time Registered Nurse needed for a 6 physician busy Cardiology clinic.
Excellent benefits. Please fax resume to (818) 774-0458.
Excellent benefits. Please fax resume to (818) 774-0458.
Long Beach Home Health RN Jobs
Home Health Agency located in Long Beach are looking for RNs for part-time or full-time work. Immediate openings in the Long Beach/Los Angeles/North Orange County area. Home Health experience preferred. Give us a call! 562-438-3181, ask for Mike.
Now Hiring Dental Receptionist
High-tech Dental Office in Miracle Mile is looking for a full time receptionist or front desk person.
Duties include: Answering phones, greeting patients, managing patient schedule, verifying insurance, data entry to software management system (Dentrix) and other administrative tasks.
Must possess excellent customer-service skills, be computer literate, an independent worker and team player, have excellent verbal and written communication skills, organized and detail oriented.
Previous dental office experience is a plus. Familiarity with Dentrix preferred, but not required - will train the right person.
Please fax your resumes to (323) 951-0355.
Duties include: Answering phones, greeting patients, managing patient schedule, verifying insurance, data entry to software management system (Dentrix) and other administrative tasks.
Must possess excellent customer-service skills, be computer literate, an independent worker and team player, have excellent verbal and written communication skills, organized and detail oriented.
Previous dental office experience is a plus. Familiarity with Dentrix preferred, but not required - will train the right person.
Please fax your resumes to (323) 951-0355.
Now Hirng Home Health Nurses LVN RN OT & CNA
Seeking experienced (1 yr +) RN, LVN, CHHA, physical therapist, and Occupational therapist for Home Health Agency.
Bilingual English/Spanish Speaking is a MUST! will HIRE IMMEDIATELY!
Call (818) 505 - 0104 or Fax your Resume at (818) 505-0196.
Bilingual English/Spanish Speaking is a MUST! will HIRE IMMEDIATELY!
Call (818) 505 - 0104 or Fax your Resume at (818) 505-0196.
Medical Biller Needed
A Multi-specialty clinic (Physical therapy, Chiropractic Orthopedic and Acupuncture) is seeking full time medical insurance biller that will be able to assist current biller. 2+ years of experience preferred.
Must have good knowledge and understanding EOBs, knowldege of CPT/ICD9 codes, tracking claim status, denials and insurance verfication.
Must be able to communicate with patients and insurance companies. must have good problem solving skills, punctual and a team player.
Be proficient in general computer skills and data entry, charge/payment posting.
$15-$17 / hr, depnding on experience
Email your resumes to Dranaim@yahoo.com
Must have good knowledge and understanding EOBs, knowldege of CPT/ICD9 codes, tracking claim status, denials and insurance verfication.
Must be able to communicate with patients and insurance companies. must have good problem solving skills, punctual and a team player.
Be proficient in general computer skills and data entry, charge/payment posting.
$15-$17 / hr, depnding on experience
Email your resumes to Dranaim@yahoo.com
Become An LVN
Become an LVN today! An accredited LVN school in Pico/Robertson in Los Angeles will start it's program on May 8th. Financial Aid is available!
For inquiries call 310-559-0225
For inquiries call 310-559-0225
Home Health LVNs Needed
TrinityCare Extended Care home health agency, are hiring qualified LVN's for in home shift nursing. salary is $18.00/hr for non-vent & $19.00/hr for vent clients.
Interested applicants should call from M-F 8 AM - 5 PM at (323) 981-4488, or fax your resume with a cover letter to (323) 266-6503 or (323) 981-4499
Interested applicants should call from M-F 8 AM - 5 PM at (323) 981-4488, or fax your resume with a cover letter to (323) 266-6503 or (323) 981-4499
LPN/LVN Nurse Coordinator Wanted
For IPA(Independend Practice Association) and Multi Specialty Medical Group.
Experience preferred. Good Salary and benefits
Email resumes to ealvarez@lacmg.com or Fax in your resumes at (213)384-3588
Experience preferred. Good Salary and benefits
Email resumes to ealvarez@lacmg.com or Fax in your resumes at (213)384-3588
Hiring Home Health LVN/LPN
Seeking Experienced Home Health LVNs/LPNs in the Lancaster Area. Please contact Sharon Garcia 562-926-2872. Email resumes to sharonann1464@yahoo.com.
Healthcare Agency Now Hiring
VisionQwest Healthcare Agency has opening for RNs, LVNs, CNAs, Surg Techs in several facilities in the Los Angeles area.
Qualifications:
1. At least Two Years of Experience
2. Current Licenses and Certifications
3. Current CPA certification (if applicable)
4. Solid Employment Background and References
5. Have legal documentation to show legal right to work in the United States
6. Be able to communicate fluently and act professionally
7. Be able to undergo a criminal background check
Our hourly rate are very competitive. VisionQwest is an EOE employer. Please submit your resume with hourly rate history to L Escobedo, Staffing Coordinator: employment@vqrginc.com
www.vqrginc.com / www.vqreview.com
Qualifications:
1. At least Two Years of Experience
2. Current Licenses and Certifications
3. Current CPA certification (if applicable)
4. Solid Employment Background and References
5. Have legal documentation to show legal right to work in the United States
6. Be able to communicate fluently and act professionally
7. Be able to undergo a criminal background check
Our hourly rate are very competitive. VisionQwest is an EOE employer. Please submit your resume with hourly rate history to L Escobedo, Staffing Coordinator: employment@vqrginc.com
www.vqrginc.com / www.vqreview.com
Hiring Physician's Assistant In LA
Physician's Assisted needed for a clinic near downtown Los Angeles.
Responsibilities include: Conducting physical exams, diagnosis and treatment of illnesses, order and interpret tests, counsel on preventive health care and write prescriptions. May also include administrative services. Bilingual preferred (Spanish)
Please Contact Valerina at 818-399-1718
Responsibilities include: Conducting physical exams, diagnosis and treatment of illnesses, order and interpret tests, counsel on preventive health care and write prescriptions. May also include administrative services. Bilingual preferred (Spanish)
Please Contact Valerina at 818-399-1718
Hiring CNA For Elderly Lady
Seeking Full time CNA in Arcadia, to work for elderly lady. Must have legal documents,back ground check required. If you do not have experience please do not apply $10.00/hour. Call (626) 926-4114 to apply
Seeking Live-In Caregivers
Looking for single person or a couple to work as live-in caregiver(s) for 75 year old husband and wife in Claremont (San Gabriel valley), 2 bed rooms available. Full or part-time job, call 909-568-8022 William or Cheryl at 951-212-1315 call for interview needed asap for posible longterm employment.
Hiring LVN For Urology Clinic
LVN NEEDED FOR UROLOGY TEAM PA. SHOULD HAVE 1 YEAR EXPERIENCE IN HOSPITAL OR MD OFFICE. WORK HOURS ARE 8AM-5PM WITH WEEKENDS OFF. MUST BE WILLING TO WORK AT NORTH LOCATION ON OCCASION TRAVEL TO OTHER OFFICES. SALARY COMMENSURATE WITH EXPERIENCE. GREAT BENEFITS, GREAT DOCS, GREAT STAFF.
CANDIDATE MUST BE VERY DETAIL ORIENTED, ORGANIZED, EFFICIENT AT TASKS, PATIENT ORIENTED, ABLE TO DRAW BLOOD, CATHERTERIZATION, WILLINGNESS TO LEARN, FRIENDLY AND WANT TO WORK AT A PLACE THAT APPRECIATES THOSE QUALITIES.
PLEASE EMAIL OR FAX RESUME TO ADA@UROLOGYTEAM.COM OR 512-231-7059.
CANDIDATE MUST BE VERY DETAIL ORIENTED, ORGANIZED, EFFICIENT AT TASKS, PATIENT ORIENTED, ABLE TO DRAW BLOOD, CATHERTERIZATION, WILLINGNESS TO LEARN, FRIENDLY AND WANT TO WORK AT A PLACE THAT APPRECIATES THOSE QUALITIES.
PLEASE EMAIL OR FAX RESUME TO ADA@UROLOGYTEAM.COM OR 512-231-7059.
Now Hiring CNA PCA HHA RN LVN
CareMinders Home Care is looking for the BEST home health care providers in Travis and Williamson counties in Texas.
email resumes to ilim@careminders.com or fax to us at 800-467-8106.
email resumes to ilim@careminders.com or fax to us at 800-467-8106.
Executive CNA Needed
The Home Option provides non-medical, in-home care for seniors. They are seeeking a Certified Nursing Assistant with a minimum 5 years experience in a clinical or home health setting. Must be proficient in Microsoft Word and Excel.
Email a cover letter, resume, and list of references to thehomeoption01@yahoo.com
Email a cover letter, resume, and list of references to thehomeoption01@yahoo.com
Immediate Hiring Part Time CNAs
Nursing home in Atlanta is looking to immediately hire CNAs. Must have the following: Georgia CNA certification, Current CPR AND First Aid, Current TB skin test or chest x-ray or health department card, Driver's license or State ID, Social security card, Proof of automobile insurance (if you drive).
Fax your resume: (404) 292-0133 or
Email your resume: hr@abhnc.com
Or call during business hours: (404) 377-5600
Fax your resume: (404) 292-0133 or
Email your resume: hr@abhnc.com
Or call during business hours: (404) 377-5600
Wanted Nurse Practitioner In Georgia
Well established Gynecology and Fertility Clinic in the state of Georgia,is looking for a Nurse Practitioner with minimum 5 years experience. Fax in your resumes at: 404-851-1358 or email: MHANAFI@AOL.COM
Seeking CNA for Bedridden Client
A leading home care agency is looking for a CNA who can assist a patient who is bedridden. She is on oxygen and has a G-tube and needs total personal care. The hours are every Friday morning 12am-8am and Saturday morning 12am-8am. We are looking for a CNA who has skills working with a patient who needs total care since she is bedridden. The client has PSP-FTLD and dementia.
Requirements and Qualifications includes:
-CNA License
-Current TB test
-Current CPR/First Aid
-Pass a criminal background check
- Have experience with patients who need total care
To set up an appointment call 310-338-8540 between 8a-4p Monday-Friday
Requirements and Qualifications includes:
-CNA License
-Current TB test
-Current CPR/First Aid
-Pass a criminal background check
- Have experience with patients who need total care
To set up an appointment call 310-338-8540 between 8a-4p Monday-Friday
Recovery Nurse Nedeed
Experienced RN Recovery Room Nurses needed for Throughout Los Angeles. Be a part of the finest nursing registry in So. California. AAA T.L.C. Health Care, Inc., is seeking experienced nurses.
Contact: Jody, Julius or Missy
310-271-1887 or 818-380-6585
or fax your resume to 818-905-9754
or email your resume to Jody@aaatlc.com
AAA T.L.C Health Care, Inc.
16055 Ventura Blvd., #921
Encino, CA 91436
Contact: Jody, Julius or Missy
310-271-1887 or 818-380-6585
or fax your resume to 818-905-9754
or email your resume to Jody@aaatlc.com
AAA T.L.C Health Care, Inc.
16055 Ventura Blvd., #921
Encino, CA 91436
Wanted LVNs In Lancaster
Seeking LVNs for Home Health Agency in Lancaster. If interested, please call Chad or Will at (818) 377-6201
Wanted Medical Assistant & X-Ray Tech
Seeking Full Time bilingual (English-Spanish) Medical Assistant/X-ray Technician for Medical Center located near Lakewood, Commerce and La Mirada.
Must have a minimum one (1) year experience in Industrial Medicine.
Fax your resumes to (562) 531-8035 or e-mail Sandra at sandra@immediatemedical.net
Must have a minimum one (1) year experience in Industrial Medicine.
Fax your resumes to (562) 531-8035 or e-mail Sandra at sandra@immediatemedical.net
CNAs Needed
Wanted CNAs for Healthcare staffing firm. Pays $15/ HR
Requirements:
Current CNA Certificate
CPR
TB/Physical
MMR & Varicella Immunization records
2 professional references
Please submit your resume to acarni@atchealthcare.com or call 800-323-7408. You can also fax resumes to (310) 590-1691
Requirements:
Current CNA Certificate
CPR
TB/Physical
MMR & Varicella Immunization records
2 professional references
Please submit your resume to acarni@atchealthcare.com or call 800-323-7408. You can also fax resumes to (310) 590-1691
Private Duty RNs LVNs CNAs Wanted
Immediate openings for home care private duty RNs, LVNs, CNA/CHHAs to work flexible schedule in the home from 4-24 hours/day. Must have 1 year experience
CALL 818-753-5106 look for Margaret or Rodney
CALL 818-753-5106 look for Margaret or Rodney
IV Nurses Wanted
Now hiring Intravenous infusion nurses around Southern California. If interested, call Call 818 753 5106 and ask for MARYANNE OR VICTORIA ONLY. OR CALL DIRECT ON CELL PHONE TO 818 730 -8490
Looking for CNAs in Southern California
Wanted CNAs for So-Cal job openings (12 hour shifts). Some heavy lifting involved (cases are paraplegic, quadraplegic, brain injured adults) Some pediatric cases for 4-12 hour shifts. With at least 1 year experience required.
Call 818-753-5106 & ask for personnel department.
Call 818-753-5106 & ask for personnel department.
Seeking RN LVN & CNA in Los Angeles
Successful Nursing Registry Company is looking for exceptional RNs, LVNs and CNAs around the Los Angeles Area. Offering excellent pay and excellent benefits such as Medical Insurance, 401K, Dental Insurance & Workers Comp. Live-in or Live-out and driving is a plus although not necessary.
Office located at at the corner of Ventura and Woodley.
Call 310-271-1887 or 818-380-6585 Look for Missy, Michelle, Joyce or Jody
or fax your resume to 818-905-9754 or email resumes to Jody@aaatlc.com
Office located at at the corner of Ventura and Woodley.
Call 310-271-1887 or 818-380-6585 Look for Missy, Michelle, Joyce or Jody
or fax your resume to 818-905-9754 or email resumes to Jody@aaatlc.com
Wanted Surgical Nurse
Seeking a Surgical Nurse to work with a world-renowned plastic surgeon in a beautiful office in Pacific Palisades, CA, with operating room on-site.
Full or part time positions available. Amazing pay and opportunities for advancement. Please email your resume to Kristina@doctor-j.com or call (310) 459-6792.
Full or part time positions available. Amazing pay and opportunities for advancement. Please email your resume to Kristina@doctor-j.com or call (310) 459-6792.
Hospice LVNs Wanted
Established Hospice is looking for well qualified Licensed Vocational Nurses(LVNs). Candidates must have at least one year of vocational nursing experience in an acute care setting, valid Driver’s License and auto insurance, and excellent communication and organizational skills. Experience in a Hospice or Home Health preferred.
Send your resumes to: julia_verdugohospice@yahoo.com
Send your resumes to: julia_verdugohospice@yahoo.com
Seeking GI Nurse
Looking for 1 RN for the GI Lab. experience with ERCP
Monday-Friday 8 hours a day 7:00am-3:30pm 40 hours a week guaranteed.
No weekends
This is an 8 week Assignment
POSITION REQUIREMENTS
Must have ACLS, 3 beds, must be able to conduct procedural sedation, not to many or techs so the nurse needs to be able to work independently. They average 8-28 cases per day and they receive add on's through out the day. Fast pace
Minimum 3 years experience required
Travel experience preferred
Fast-paced environment
Surgery Center Behavior Characteristics: Very diverse setting
The Registered Professional Nurse is responsible for the delivery of patient care, utilizing the nursing process for assessment, planning, implementation and evaluation while meeting competently all safe expectations of a nurse.
POSITION QUALIFICATIONS
Current CA RN license, BLS and ACLS certificate are required. Minimum of one (1) year experience as a GI Lab procedure RN.
Responsibilities
• Schedule and coordinate care and treatment for one gastroenterologist
• Receive Telephone calls, patient and visitors in a friendly manner
• Obtain Medical History over phone or in person
• Make patient appointments
• Assist gastroenterologist with exams
• Assist with endoscopes with diagnostic and therapeutic endoscopic and radiographic procedures
• Administers moderate to deep conscious sedation
• Pre and Post procedure care of patients
• Ability to recognize adverse signs and symptoms quickly
Will be required to pass a criminal background investigation and drug test.
email: john@gno.cc
Monday-Friday 8 hours a day 7:00am-3:30pm 40 hours a week guaranteed.
No weekends
This is an 8 week Assignment
POSITION REQUIREMENTS
Must have ACLS, 3 beds, must be able to conduct procedural sedation, not to many or techs so the nurse needs to be able to work independently. They average 8-28 cases per day and they receive add on's through out the day. Fast pace
Minimum 3 years experience required
Travel experience preferred
Fast-paced environment
Surgery Center Behavior Characteristics: Very diverse setting
The Registered Professional Nurse is responsible for the delivery of patient care, utilizing the nursing process for assessment, planning, implementation and evaluation while meeting competently all safe expectations of a nurse.
POSITION QUALIFICATIONS
Current CA RN license, BLS and ACLS certificate are required. Minimum of one (1) year experience as a GI Lab procedure RN.
Responsibilities
• Schedule and coordinate care and treatment for one gastroenterologist
• Receive Telephone calls, patient and visitors in a friendly manner
• Obtain Medical History over phone or in person
• Make patient appointments
• Assist gastroenterologist with exams
• Assist with endoscopes with diagnostic and therapeutic endoscopic and radiographic procedures
• Administers moderate to deep conscious sedation
• Pre and Post procedure care of patients
• Ability to recognize adverse signs and symptoms quickly
Will be required to pass a criminal background investigation and drug test.
email: john@gno.cc
Wanted Home Health LVN
Nurse Practitioner owned Westside home health agency seeks LVNs with experience in home health.
Call 310 395 4788 starting Monday March 30 after 10 am to make an appointment.
Call 310 395 4788 starting Monday March 30 after 10 am to make an appointment.
CRITICAL CARE & OR NURSING JOBS
Looking for RN's for both Critical Care and OR Departments. These facilities are located in East LA.
If interesed in learning more please fax your resume to 1-800-371-9692.
If interesed in learning more please fax your resume to 1-800-371-9692.
Nursing School Teaching Jobs
SEEKING BACHELORS OF SCIENCE IN NURSING RN, TO TEACH AT THE AMERICAN UNIVERSITY FOR HEALTH SCIENCES (NURSING SCHOOL)
MUST HAVE EXPERIENCE OR SPECIALTIES IN:
Community Health Nursing
Public Health Nursing Expertise
Gerontology
Medical/Surgical Expertise
Pediatric
Women’s Health
or other nurse specialty
The Faculty needs to be current in their knowledge, mature in their dedication, youthful in their educational approach that will bring their enthusiasm, their creativity, and ability to translate clinical/theory/evidence based practice research in an effective utilization of technology to create exceptional nurse graduates.
A Masters Degree, Doctorate, or a PhD from an accredited institution for Faculty position.
Must hold a Current State of California RN License or ability to get State of California RN License.
Recent clinical experience or teaching experience desirable.
If you have had teaching experience at an Associates, Bachelors, Masters, or Doctoral Degree programs it is a plus.
FULL TIME FACULTY
Winter, Spring, Summer, Fall Quarters
$60,000/yr to $105,000/yr
Full Benefits
Benefits Include:
Medical & Dental Coverage
4 weeks vacation per year
Retirement Plan
Send resume and salary history to:
gjohnson@auhs.edu
Alternatively, you may
Fax resume to 562-988-1791
Call (562) 988-2278 to speak with
Pastor Gregory A. Johnson, COO
American University of Health Sciences
1600 E. Hill Street - Building 1
Signal Hill, CA 90755
email: gjohnson@auhs.edu
MUST HAVE EXPERIENCE OR SPECIALTIES IN:
Community Health Nursing
Public Health Nursing Expertise
Gerontology
Medical/Surgical Expertise
Pediatric
Women’s Health
or other nurse specialty
The Faculty needs to be current in their knowledge, mature in their dedication, youthful in their educational approach that will bring their enthusiasm, their creativity, and ability to translate clinical/theory/evidence based practice research in an effective utilization of technology to create exceptional nurse graduates.
A Masters Degree, Doctorate, or a PhD from an accredited institution for Faculty position.
Must hold a Current State of California RN License or ability to get State of California RN License.
Recent clinical experience or teaching experience desirable.
If you have had teaching experience at an Associates, Bachelors, Masters, or Doctoral Degree programs it is a plus.
FULL TIME FACULTY
Winter, Spring, Summer, Fall Quarters
$60,000/yr to $105,000/yr
Full Benefits
Benefits Include:
Medical & Dental Coverage
4 weeks vacation per year
Retirement Plan
Send resume and salary history to:
gjohnson@auhs.edu
Alternatively, you may
Fax resume to 562-988-1791
Call (562) 988-2278 to speak with
Pastor Gregory A. Johnson, COO
American University of Health Sciences
1600 E. Hill Street - Building 1
Signal Hill, CA 90755
email: gjohnson@auhs.edu
RN Wanted for Aesthetic Clinic
LaserAway, LA's leader in laser tattoo removal, laser hair removal as well as injectible aesthetics such as Botox, Restylane and Juve'derm is searching for talented Nurses to join an experienced and well-trained team. Full and part-time positions available. Medical + Dental Benefits. Salary starting at $40 plus bonuses based on performance.
Email resumes at sheckmann@laserawayonline.com
Email resumes at sheckmann@laserawayonline.com
Nursing Jobs In Chicago
Nurses Wanted all shifts, all positions.
Contact:
Chicago Office
HEALTHCARE PERSONNEL, INC
688 N Milwaukee Ave
Chicago, IL 60642
Tel:(312) 942-3000, Fax: 312-942-3003 CALL TODAY AND ASK TO SPEAK WITH A NURSING RECRUITER
Suburban Office
HEALTHCARE PERSONNEL, INC
800 S Milwaukee Ave, Suite 165
Libertyville, IL 60089
Tel: 847-918-8300
View All Jobs Online
http://www.Hcpersonnel.com
APPLY ONLINE
http://www.hcpersonnel.com/apply.aspx
e-mail: nursingjobs@hcpersonnel.com
Contact:
Chicago Office
HEALTHCARE PERSONNEL, INC
688 N Milwaukee Ave
Chicago, IL 60642
Tel:(312) 942-3000, Fax: 312-942-3003 CALL TODAY AND ASK TO SPEAK WITH A NURSING RECRUITER
Suburban Office
HEALTHCARE PERSONNEL, INC
800 S Milwaukee Ave, Suite 165
Libertyville, IL 60089
Tel: 847-918-8300
View All Jobs Online
http://www.Hcpersonnel.com
APPLY ONLINE
http://www.hcpersonnel.com/apply.aspx
e-mail: nursingjobs@hcpersonnel.com
RN Supervisor Jobs In Cicero Illinois
Seeking a Registered Nurse with minimum of two years experience with specialized course work related to adult, geriatric, psychiatric, developmentally disabled individuals, and physical disabilities required. Must have one year supervisory experience.
Check out http://www.seguin.org/employment_positions.php
or call: 708-222-3206
Check out http://www.seguin.org/employment_positions.php
or call: 708-222-3206
California RNs / LVNs Needed
There are several opening for RNs and LVNs for full and part time positions for Vision Quest Healthcare. Please submit your resume to: lescobedo@vqrginc.com or visit www.vqrginc.com.
Home Health Nurse Supervisor/Coordinator Jobs
MUST HAVE HOME HEALTH EXPERIENCE OR SIMILAR RN SUPERVISOR & QA/QI EXPERIENCE.
IMMEDIATE OPENING - CALL 818 730-8490 LOOK FOR MARYANNE SAWOSKI RN BSN DPCS
OR EMAIL : ADMINISTRATOR@CCHOMENURSES.COM OR FAX RESUMES TO 818 753 0014
IMMEDIATE OPENING - CALL 818 730-8490 LOOK FOR MARYANNE SAWOSKI RN BSN DPCS
OR EMAIL : ADMINISTRATOR@CCHOMENURSES.COM OR FAX RESUMES TO 818 753 0014
Registry RN / Surgical Tech Jobs
Staffing Registry are seeking Per Diem Registered Nurses/Surgical Techs in all Los Angeles areas.
No Hospital work this is an Out-patient surgery center.
CPR/ACLS preferred.
Offering:
$45.00/HR for RN's and $30.00/HR for Surgical Techs
email: snshealthcareinc@yahoo.com to apply.
No Hospital work this is an Out-patient surgery center.
CPR/ACLS preferred.
Offering:
$45.00/HR for RN's and $30.00/HR for Surgical Techs
email: snshealthcareinc@yahoo.com to apply.
RN Jobs In Long Beach
Mental Health America of Los Angeles, has four cornerstones- services, training, education and advocacy- to ensure that people with mental illness reach their full place in the community.
MHA Village blends treatment, recovery, family and community support, and self-help to provide all the help adults with mental illness need for self-sufficient, fulfilling lives, A national model, it tailors services to individuals’ mental health, employment, housing, substance abuse recovery, money management and education needs.
POSITION ANNOUNCEMENT
Job Title: Registered Nurse
Location: The Village (Village West), Long Beach
Reports to: Village West
Hours: Monday – Friday 9 a.m. – 5 p.m., flexible work schedule to include some weekends and holidays
Qualifications: RN license required plus 3 – 5 years experience providing psychosocial rehabilitation related services to a disabled population. Must be able to demonstrate the ability to nurture and maintain good community relations on behalf of the organization. Must have good basic English writing skills, good basic computer skills and be highly organized. Must have excellent communication skills. Must be able to have the ability to juggle multiple tasks without losing productivity. Driving with current class C driver’s license, proof of valid automobile insurance, and the ability to be insured by MHA liability insurance are conditions of employment.
How to Apply:
Email Resume to jobs@mhala.org. EOE. Please reference Registered Nurse # 111 in subject line. Please submit cover letter and resume as an attachment in Word Document or PDF format only.
MHA Village blends treatment, recovery, family and community support, and self-help to provide all the help adults with mental illness need for self-sufficient, fulfilling lives, A national model, it tailors services to individuals’ mental health, employment, housing, substance abuse recovery, money management and education needs.
POSITION ANNOUNCEMENT
Job Title: Registered Nurse
Location: The Village (Village West), Long Beach
Reports to: Village West
Hours: Monday – Friday 9 a.m. – 5 p.m., flexible work schedule to include some weekends and holidays
Qualifications: RN license required plus 3 – 5 years experience providing psychosocial rehabilitation related services to a disabled population. Must be able to demonstrate the ability to nurture and maintain good community relations on behalf of the organization. Must have good basic English writing skills, good basic computer skills and be highly organized. Must have excellent communication skills. Must be able to have the ability to juggle multiple tasks without losing productivity. Driving with current class C driver’s license, proof of valid automobile insurance, and the ability to be insured by MHA liability insurance are conditions of employment.
How to Apply:
Email Resume to jobs@mhala.org. EOE. Please reference Registered Nurse # 111 in subject line. Please submit cover letter and resume as an attachment in Word Document or PDF format only.
Spanish/English Speaking CNAs Needed
Bilingual CNAs needed for Advantage Plus Agency.
Qualifications include
• Enjoy caring for people
• Must Speak Fluent English and Spanish
• Minimum 1 year experience
• Passed a criminal background check
• Current TB test
• Have current CPR and 1st Aid certification (we offer a class here if you do not have it)
• Drivers license, car and insurance
Bring to Interview:
• Valid Driver’s License
• Social Security Card
• First Aid CPR Card
• CNA Certificate
• Resume, Reference Letters
Call Rachel at (818) 884-7348
or Email resume to: rachel@advantagepluscaregivers.com
Qualifications include
• Enjoy caring for people
• Must Speak Fluent English and Spanish
• Minimum 1 year experience
• Passed a criminal background check
• Current TB test
• Have current CPR and 1st Aid certification (we offer a class here if you do not have it)
• Drivers license, car and insurance
Bring to Interview:
• Valid Driver’s License
• Social Security Card
• First Aid CPR Card
• CNA Certificate
• Resume, Reference Letters
Call Rachel at (818) 884-7348
or Email resume to: rachel@advantagepluscaregivers.com
LVN Jobs For Assisted Living
Seeking Full Time LVN with experience working in an Assisted Living Community in Agoura Hills,CA. Dementia & Alzheimer's programs. Position requires current CA, LVN license. One year of experience needed.
Job Description includes:
• Medication administration to residents
• Weekly Wellness Check according to resident care plan
• Oversee the direct resident caregivers & med-tech.
• Assist the Director of Resident Care Services with physician orders and follow-up calls
Email your resume to: ahuva@ahseniorretreat.com or fax: (818)991-5525
Job Description includes:
• Medication administration to residents
• Weekly Wellness Check according to resident care plan
• Oversee the direct resident caregivers & med-tech.
• Assist the Director of Resident Care Services with physician orders and follow-up calls
Email your resume to: ahuva@ahseniorretreat.com or fax: (818)991-5525
Per Diem RNs, LVNs, CNAs, HHA and More
Aspen Home Health and Rehab is currently seeking Per Diem RN’s, LVN’s, CHHA’s, PT’s, OT’s, ST’s, and MSW’s in the Santa Clarita and Antelope Valley areas. Fax your resume to Sharlote at 661-729-9700 or e-mail: smoe@aspenhealth.com
Online Tax Services
As a worker in the US it is mandatory to declare your annual income and file for tax returns. It's tax season once more and the deadline of filing for your tax returns is on April 15, 2009. Hiring people to do returns for you costs a lot more than filing it yourselves. Here are some of the most secure and easiest ways of getting those hard earned cash back.
File your taxes online with just a few simple steps and wouldn't cost you a fortune.
Visit the links below and follow the directions on tax filing. These are secure and reliable sites directly from the IRS.
File your taxes online with just a few simple steps and wouldn't cost you a fortune.
Visit the links below and follow the directions on tax filing. These are secure and reliable sites directly from the IRS.
Nurse Practitioner/Nursing Director Jobs
San Fernando Valley based Mission City Community Network, Inc. (MCCN), a Federally Qualified Health Center, is a not-for-profit safety net organization providing Medical, Dental and Mental Health care is looking for a compassionate, mission-oriented Registered Nurse Practitioner.
Qualifications include the following:
1. Graduation from an accredited school of nursing with a Bachelor’s Degree in Nursing.
2. Current California RN license.
3. Current CPR Certification.
4. Graduate of an accredited Master’s degree program as a Nurse Practitioner.
5. Recognized as a Nurse Practitioner by State of California within six (6) months of hire.
6. Minimum of 2 years clinical nursing experience and two years experience as RNP.
7. A minimum of two years of administrative experience is preferred.
Salary Range: RN - $40 - 55 per hour. Fulltime with Benefits after 90 days.
Benefits include: Health, Dental, Vision and Life Insurance. Vacation, Sick and Holiday pay
Please email, FAX or call:
Human Resources Department
Mission City Community Network, Inc.
15206 Parthenia Street
North Hills, CA 91343
Phone:(818) 895-3100 ext 605 and ask for Laura Valenzuela-Barragan
FAX:(818) 892-3982
Email: HR@mccn.org
Qualifications include the following:
1. Graduation from an accredited school of nursing with a Bachelor’s Degree in Nursing.
2. Current California RN license.
3. Current CPR Certification.
4. Graduate of an accredited Master’s degree program as a Nurse Practitioner.
5. Recognized as a Nurse Practitioner by State of California within six (6) months of hire.
6. Minimum of 2 years clinical nursing experience and two years experience as RNP.
7. A minimum of two years of administrative experience is preferred.
Salary Range: RN - $40 - 55 per hour. Fulltime with Benefits after 90 days.
Benefits include: Health, Dental, Vision and Life Insurance. Vacation, Sick and Holiday pay
Please email, FAX or call:
Human Resources Department
Mission City Community Network, Inc.
15206 Parthenia Street
North Hills, CA 91343
Phone:(818) 895-3100 ext 605 and ask for Laura Valenzuela-Barragan
FAX:(818) 892-3982
Email: HR@mccn.org
Blackberry Phones, Iphones & Google Phones On Ebay
Being a nurse also entails communication with patients, doctors and family members. The nursing profession is synonymous with the changing times and Cellular phones are a necessity nowadays. Check your appointment schedules, search and download nursing applications and information with just a few key strokes or touches.
Buy the new blackberry phones which are hooked up to your favorite network today.
Check out the ebay widgets below for amazing cellphone deals:
Buy the new blackberry phones which are hooked up to your favorite network today.
Check out the ebay widgets below for amazing cellphone deals:
Home Health Nurse Jobs
Nurse Practitioner owned home health agency needs RNs for all west LA areas like West Hollywood, Beverly Hills, Westwood, Pacific Palisades and Santa Monica.
Supplement your income working when you want to make home visits.
IV and/or wound experience a huge plus.
Call 310 395 4788 to get started.
Supplement your income working when you want to make home visits.
IV and/or wound experience a huge plus.
Call 310 395 4788 to get started.
LVN & RN Jobs In Los Angeles
Available openings for both full time and per diem RN and LVN staff and supervisory positions within our newly established agency.
RNs
Seeking organized, experienced licensed Registered Nurses with strong planning and evaluation skills. Candidate will be required to complete initial assessments of patients and their families to determine home care needs, initiate the plan of care incorporating therapeutic, preventive and rehabilitative nursing actions.
Responsibilities
• Completion of physical assessments and illness histories with the patient and their family, then utilize this data to determine nursing diagnoses and develop a plan of care.
• Initiate appropriate preventive and rehabilitative nursing procedures and administer medication and treatments as prescribed by the physician.
• Counsel the patient and their family in meeting their needs and provide health care instructions per assessment and plan of care.
• Prepare clinical notes in a timely fashion and report any changes in condition to physician and obtain and receive orders as required.
• Ensure arrangements for equipment and services are made and follow through on receipt.
Requirements
• Bachelor’s Degree in Nursing preferred
• Bilingual a plus
• Current CA Licensure as an RN, CPR certification and a valid driver’s license
• Excellent observation, written and verbal communication skills, and problem solving abilities
• Must be able to pass a skills assessment per a nursing competency checklist
• Minimum 2 years experience in home health care; 1 year supervisory experience a plus
• Proficient in nursing and home care methodologies and best practices
LVNs
Seeking organized, experienced Licensed Vocational Nurses with strong treatment, reporting and documentation skills. Candidate will be required to implement the plan of care as assigned by the RN, and participate in the coordination of home health services.
Responsibilities
• Provide clinical support under the supervision of the RN.
• Implements plan of care initiated by the RN.
• Provides accurate and timely documentation consistent with the plan of care.
• Educate patients and their families on health related issues pertinent to diagnosis and plan of care.
• Assists in the treatment, program planning and implementation, related documentation and communication in conjunction with the RN.
Requirements
• Graduate of an accredited vocational nursing program
• Bilingual a plus
• Current CA Licensure as an LVN, CPR certification and a valid driver’s license
• Excellent observation, written and verbal communication skills, and problem solving abilities
• Must be able to pass a skills assessment per a nursing competency checklist
• Minimum 1 year experience in home health care
Please send your resume with salary requirements to:
Email: humanresources@comprehensivecenter.com
Fax: 310-734-0415
RNs
Seeking organized, experienced licensed Registered Nurses with strong planning and evaluation skills. Candidate will be required to complete initial assessments of patients and their families to determine home care needs, initiate the plan of care incorporating therapeutic, preventive and rehabilitative nursing actions.
Responsibilities
• Completion of physical assessments and illness histories with the patient and their family, then utilize this data to determine nursing diagnoses and develop a plan of care.
• Initiate appropriate preventive and rehabilitative nursing procedures and administer medication and treatments as prescribed by the physician.
• Counsel the patient and their family in meeting their needs and provide health care instructions per assessment and plan of care.
• Prepare clinical notes in a timely fashion and report any changes in condition to physician and obtain and receive orders as required.
• Ensure arrangements for equipment and services are made and follow through on receipt.
Requirements
• Bachelor’s Degree in Nursing preferred
• Bilingual a plus
• Current CA Licensure as an RN, CPR certification and a valid driver’s license
• Excellent observation, written and verbal communication skills, and problem solving abilities
• Must be able to pass a skills assessment per a nursing competency checklist
• Minimum 2 years experience in home health care; 1 year supervisory experience a plus
• Proficient in nursing and home care methodologies and best practices
LVNs
Seeking organized, experienced Licensed Vocational Nurses with strong treatment, reporting and documentation skills. Candidate will be required to implement the plan of care as assigned by the RN, and participate in the coordination of home health services.
Responsibilities
• Provide clinical support under the supervision of the RN.
• Implements plan of care initiated by the RN.
• Provides accurate and timely documentation consistent with the plan of care.
• Educate patients and their families on health related issues pertinent to diagnosis and plan of care.
• Assists in the treatment, program planning and implementation, related documentation and communication in conjunction with the RN.
Requirements
• Graduate of an accredited vocational nursing program
• Bilingual a plus
• Current CA Licensure as an LVN, CPR certification and a valid driver’s license
• Excellent observation, written and verbal communication skills, and problem solving abilities
• Must be able to pass a skills assessment per a nursing competency checklist
• Minimum 1 year experience in home health care
Please send your resume with salary requirements to:
Email: humanresources@comprehensivecenter.com
Fax: 310-734-0415
Seeking Certified Medical Assistant
Seeking full time Certified Medical Assistant urgently needed for Front and Back office in Mid-Wilshire area. With minimum requirements of 2 years experience. Must have excellent communication skills (oral and written), very personable, detail oriented and availability must include Saturdays and holidays.
Please fax resumes to (323)964-1457.
Please fax resumes to (323)964-1457.
Looking For Urgent Care Supervisor LVN (LAX area)
A Busy 24 Hour Urgent Care Clinic near the LAX is looking for License Vocational Nurses (LVN) with strong management experience to supervise staff and admissions.
Must have excellent communication / customer service skills, will be able to manage staff, schedules, and quality control measures.
Qualifications include:
- Minimum 2 years supervising employees
- Licensed LVN
- Urgent Care / Occupational Health experience a plus
Please email resume to ghowell@laxclinic.ne
Must have excellent communication / customer service skills, will be able to manage staff, schedules, and quality control measures.
Qualifications include:
- Minimum 2 years supervising employees
- Licensed LVN
- Urgent Care / Occupational Health experience a plus
Please email resume to ghowell@laxclinic.ne
Looking For Live-In or Live out Caregivers
Home helpers are looking Live-in,Live out or full time or part time caregivers who will provide non-medical care and companionship in-home to the elderly.
To Apply visit www.homehelpers.cc for more information or Call 805 506-9933.These are for Agoura, Westlake Village and Malibu work locations.
To Apply visit www.homehelpers.cc for more information or Call 805 506-9933.These are for Agoura, Westlake Village and Malibu work locations.
Lesion Assesment Mnemonics
Remember the Mnemonics : "ABCDE" in evaluating or assessing a lesion
Asymmetry
Border
Color and
Configuration
Diameter and
Drainage
Evolution or progression of the lesion
Asymmetry
Border
Color and
Configuration
Diameter and
Drainage
Evolution or progression of the lesion
Contact Precautions
In addition to Standard Precautions, Special Organisms Precautions are initiated and maintained to interrupt the transmission of epidemiologically significant microorganisms known to be spread by contact. These precautions are intended to reduce the colony count of bacteria on horizontal surfaces and in the immediate vicinity of the patient.
Special Organism Precautions (SOP) will be instituted on a case-by-case basis at the discretion of the Infection Control staff, Infectious Disease staff and/or Medical or Nursing staff. Instances in which special organism precautions apply are as follows:
• When a patient is colonized and/or infected with multiple drug-resistant organisms, or organisms that are not treatable with the usual antibiotics, i.e., vancomycin-resistant enterococcus (VRE), multi-drug resistant gram-negative rods, etc.
• When a particular organism is identified as being potentially hazardous because of its pathogenicity, virulence, or epidemiologic characteristics. e.g. rotavirus, Salmonella sp., Shigella sp . etc.
• For other organisms, these procedures may be instituted or modified at the discretion of IC staff (e.g. smallpox/vaccinia, Severe Acute Respiratory Syndrome (SARS).
I. POLICY for patients with diseases requiring ONLY the institution of Special
Organism Precautions/Contact Precautions. NOTE: Infection Control will
be notified by phone by Microbiology when a specimen is positive for VRE
or rotavirus. The Microbiology Lab will screen for vancomycin resistance in
enterococcus isolates from in-patients and selected out-patient services.
A. HANDWASHING
Handwashing for at least 10 seconds with an antimicrobial soap, or
alcohol gel use is required:
1. Between patient contacts
2. Following removal of gloves/other protective equipment in the
room.
3. Patients should be instructed in handwashing and the need for
precautions.
B. PERSONAL PROTECTIVE EQUIPMENT
1. Wear gloves for all contact with the patient, the patient's bedside
equipment, and the patient's environment.
a. Change gloves between distinctive tasks (e.g. wound care, perineal
care, suctioning).
b. Gloves must always be removed before leaving the room.
2. Wear a disposable gown for direct contact with the patient or the
environment if the patient is incontinent, or has diarrhea or a
draining wound.
a. Gowns may be worn one time only, then disposed of in the
regular (non-biohazardous) waste.
b. Cloth gowns may be substituted if there is no risk of splash
3. As per Standard Precautions, wear a mask and protective eyewear
when performing procedures that generate aerosols (Standard
Precautions)
C. PATIENT PLACEMENT
1. Place the patient in a private room.
2. Post "Special Organism Precaution" Stop sign on or next
to the door of the patient's room. The name of the infecting organism
may NOT be written on the sign.
3. A negative air pressure room is not required. The door may remain
open.
4. Patients who are currently on isolation precautions for any infection
may not be admitted to the Comfort Care Suites. Any questions
regarding this policy may be addressed to the Department of Hospital
Epidemiology and Infection Control.
5. It is not necessary to place patients on Special Organism Precautions
in a private room while they receive hemodialysis in the Acute
Hemodialysis Unit (AHU). A Special Organism Precautions isolation
sign should be placed at the foot of the patient's bed. Staff should
adhere to all other practices outlined in this policy including
appropriate use of barriers and task oriented use of gloves.
D. ENVIRONMENT
1. Provide the patient with his or her own equipment. The
equipment should not be shared (unless it is disinfected properly)
between patients. Examples include but are not limited to electronic
thermometer, blood pressure cuff, manometer, stethoscope, IV pole,
wheelchair, or gurney. For pediatric patients with stool-borne
pathogens (e.g. VRE, rotavirus, etc.) that require diaper weighing for
I & O measurement, a dedicated scale in the room is required.
2. Nursing staff should use an EPA-APPROVED DETERGENT/
DISINFECTANT to wipe down high touch surfaces once a day.
At a minimum, this cleaning should include bed rails, over bed table,
night stand, as well as the surfaces of electronic equipment,
respiratory therapy equipment, and other items that come in physical
contact with the patient. In critical care units, or units where there is
a high endemic rate of the organism, the wipe down should be
repeated each shift.
3. Quaternary Ammonium Compound (e.g. A456N or 3M Quat) is
currently available for the purposes of disinfection. Cleaning cloths
used in the room should not be used to lean other patients' rooms
and equipment. They should be laundered before reuse or discarded.
4. When the known VRE patient is transferred, please send signage,
supplies and patient dedicated equipment with the patient.
5. Upon discharge the room will be cleaned in accordance with the
PSA Cleaning Procedure. Cupboard supplies that have not been
opened and are intact may be left in the room for future use.
6. Waste disposal, spill management, linen and food trays are handled
in the same way for all patients, regardless of precaution category.
Isolation trays are not required. After patient use, both linen and food
trays are sent directly for cleaning and disinfection.
E. PATIENT TRANSPORT/AMBULATION
1. Nursing will notify Receiving Departments of any patients on
Special Organism Precautions.
2. Patients may walk in hall wearing a clean cover gown if they have
been instructed in handwashing, are continent, and able to cooperate
with procedures.
a. Diapered patients must be supervised when out of the room.
b. Pediatric patients may go to the playroom, the teen room and the
schoolroom with Infection Control/Child Life approval.
3. For patient transport, the following guidelines apply :
a. Wear gloves only if you are physically moving the patient from
the bed or gurney. Wear gloves and a gown only if the patient
is incontinent, or has diarrhea or a draining wound.
b. You must remove the gown and gloves in the room, wash your
hands, and then bring the patient to the receiving unit.
c. After transportation is complete, the gurney or wheelchair must be
wiped with a disinfectant.
4. For staff of procedure/diagnostic areas and practices, the
following guidelines apply:
a. Handwashing for at least 10 seconds with an antimicrobial soap,
or alcohol gel use is required:
1. Between patient contacts,
2. Following removal of gloves/other protective equipment in the
room.
.
b. Personal Protective Equipment
1. Wear gloves for all contact with the patient, the patient's
bedside equipment, and the patient's environment. Change
gloves between distinctive tasks (for example, wound care,
perineal care,suctioning). Gloves must always be removed
before leaving the room.
2. In the patient setting, wear a disposable gown for direct
contact with the patient, if the patient is incontinent, or has
diarrhea or a draining wound.
a. Gowns may be worn one time only, then disposed of in the
regular (non-biohazardous) waste.
b. Cloth gowns may be substituted if there is no risk of splash.
c. As per Standard Precautions, wear a mask and protective
eyewear when performing procedures that generate aerosols
3. Provide the patient with his or her own equipment.
The equipment should not be shared (unless it is
disinfected properly) between patients. Examples include
but are not limited to electronic thermometer, blood
pressure cuff, manometer, stethoscope, IV pole,
wheelchair, or gurney.
4. Staff should use an EPA-APPROVED DETERGENT/
DISINFECTANT to wipe down potentially contaminated
equipment that has been in direct contact with the
patient.
5. Quaternary Ammonium Compound such as A456N, or a
premixed agent such as Cavacide iscurrently available for the
purposes of disinfection. Cleaning cloths used in the room
should not be used to clean other patients' rooms and
equipment.
F. VISITORS/STAFF
1. Traffic should be limited to only essential staff/visitors.
2. All visitors shall be instructed in proper handwashing technique.
Visitors that participate in direct patient care shall be instructed in
gowning and gloving, if the patient is incontinent, diapered, or
has diarrhea or a draining wound.
3. Visitors may be referred to Infection Control or given written
educational material.
G. PATIENT TRANSFER/DISCHARGE
1. For patients being transferred to another facility, Infection Control,
discharge planner or physician shall notify the receiving institution
whenever possible.
2. If requested by Admitting, Medical Records or floor personnel, a list
of patients on SOP will be provided by the Infection Control
Department.
H. DISCONTINUATION OF PRECAUTIONS FOR A PATIENT WITH A
HISTORY OF VRE
1. IC consultation must be obtained prior to VRE screening for the
purpose of discontinuing SOP.
2. The Screening Procedure is as follows:
a. Physician/Nurse/Microbiology staff will call IC department for
approval.
b. Obtain a culture from previous VRE (+) site. If this culture is (-)
proceed to the next step.
c. Obtain three perianal swabs, one week apart. Under certain
circumstances the usual one week interval between cultures may
be altered with IC approval.
d. Culture procedure:
1. Perianal area should be swabbed thoroughly using a dry sterile
swab.
2. Place swab in culture tube without media.
3. Write on requisition "Screen for VRE" and "Infection Control
approved".
e. When three, consecutive perianal swabs are negative, SOP may
be discontinued. Infection Control must be notified.
3. If all three perianal swabs cannot be obtained during the same
admission, the process can be continued in the outpatient setting or
during the patient's next admission. Results from the outpatient
setting or another facility must be documented and made available to
Infection Control.
I. READMISSION OF PATIENTS WITH A HISTORY OF VRE
1. Patients who have culture confirmed VRE will have a
"Alert" placed on their electronic hospital record by the
Infection Control Department. This alert will cause a text message
stating "SPECIAL ORGANISM PRECAUTIONS IF ADMITTED"
2. The person performing the admission procedure for a patient with
this alert should phone the charge nurse of the receiving unit to
relay the following information so that SOP will be initiated by floor
staff:
a. Patient Name
b. Patient medical record number
c. Patient is to be put on Special Organism Precautions upon arrival
on the unit.
3. Once a patient has successfully cleared a VRE infection/colonization
as demonstrated by the above screening procedure, the SOP
“alert” will be removed by Infection Control staff.
4. Quality control checks on the system will be performed periodically
by Infection Control.
II. POLICY: Special Organism Precautions are implemented in a MODIFIED
form for certain diseases transmitted via contact as well as other routes.
A. Patients with suspected or confirmed smallpox, or complications from
the smallpox vaccine (vaccinia) require Special Organism/Contact
Precautions AND Airborne/AFB isolation.
B. Patients with suspected or confirmed Severe Acute Respiratory
Syndrome (SARS) require Special Organism/Contact Precautions AND
Airborne/AFB isolation.
Special Organism Precautions (SOP) will be instituted on a case-by-case basis at the discretion of the Infection Control staff, Infectious Disease staff and/or Medical or Nursing staff. Instances in which special organism precautions apply are as follows:
• When a patient is colonized and/or infected with multiple drug-resistant organisms, or organisms that are not treatable with the usual antibiotics, i.e., vancomycin-resistant enterococcus (VRE), multi-drug resistant gram-negative rods, etc.
• When a particular organism is identified as being potentially hazardous because of its pathogenicity, virulence, or epidemiologic characteristics. e.g. rotavirus, Salmonella sp., Shigella sp . etc.
• For other organisms, these procedures may be instituted or modified at the discretion of IC staff (e.g. smallpox/vaccinia, Severe Acute Respiratory Syndrome (SARS).
I. POLICY for patients with diseases requiring ONLY the institution of Special
Organism Precautions/Contact Precautions. NOTE: Infection Control will
be notified by phone by Microbiology when a specimen is positive for VRE
or rotavirus. The Microbiology Lab will screen for vancomycin resistance in
enterococcus isolates from in-patients and selected out-patient services.
A. HANDWASHING
Handwashing for at least 10 seconds with an antimicrobial soap, or
alcohol gel use is required:
1. Between patient contacts
2. Following removal of gloves/other protective equipment in the
room.
3. Patients should be instructed in handwashing and the need for
precautions.
B. PERSONAL PROTECTIVE EQUIPMENT
1. Wear gloves for all contact with the patient, the patient's bedside
equipment, and the patient's environment.
a. Change gloves between distinctive tasks (e.g. wound care, perineal
care, suctioning).
b. Gloves must always be removed before leaving the room.
2. Wear a disposable gown for direct contact with the patient or the
environment if the patient is incontinent, or has diarrhea or a
draining wound.
a. Gowns may be worn one time only, then disposed of in the
regular (non-biohazardous) waste.
b. Cloth gowns may be substituted if there is no risk of splash
3. As per Standard Precautions, wear a mask and protective eyewear
when performing procedures that generate aerosols (Standard
Precautions)
C. PATIENT PLACEMENT
1. Place the patient in a private room.
2. Post "Special Organism Precaution" Stop sign on or next
to the door of the patient's room. The name of the infecting organism
may NOT be written on the sign.
3. A negative air pressure room is not required. The door may remain
open.
4. Patients who are currently on isolation precautions for any infection
may not be admitted to the Comfort Care Suites. Any questions
regarding this policy may be addressed to the Department of Hospital
Epidemiology and Infection Control.
5. It is not necessary to place patients on Special Organism Precautions
in a private room while they receive hemodialysis in the Acute
Hemodialysis Unit (AHU). A Special Organism Precautions isolation
sign should be placed at the foot of the patient's bed. Staff should
adhere to all other practices outlined in this policy including
appropriate use of barriers and task oriented use of gloves.
D. ENVIRONMENT
1. Provide the patient with his or her own equipment. The
equipment should not be shared (unless it is disinfected properly)
between patients. Examples include but are not limited to electronic
thermometer, blood pressure cuff, manometer, stethoscope, IV pole,
wheelchair, or gurney. For pediatric patients with stool-borne
pathogens (e.g. VRE, rotavirus, etc.) that require diaper weighing for
I & O measurement, a dedicated scale in the room is required.
2. Nursing staff should use an EPA-APPROVED DETERGENT/
DISINFECTANT to wipe down high touch surfaces once a day.
At a minimum, this cleaning should include bed rails, over bed table,
night stand, as well as the surfaces of electronic equipment,
respiratory therapy equipment, and other items that come in physical
contact with the patient. In critical care units, or units where there is
a high endemic rate of the organism, the wipe down should be
repeated each shift.
3. Quaternary Ammonium Compound (e.g. A456N or 3M Quat) is
currently available for the purposes of disinfection. Cleaning cloths
used in the room should not be used to lean other patients' rooms
and equipment. They should be laundered before reuse or discarded.
4. When the known VRE patient is transferred, please send signage,
supplies and patient dedicated equipment with the patient.
5. Upon discharge the room will be cleaned in accordance with the
PSA Cleaning Procedure. Cupboard supplies that have not been
opened and are intact may be left in the room for future use.
6. Waste disposal, spill management, linen and food trays are handled
in the same way for all patients, regardless of precaution category.
Isolation trays are not required. After patient use, both linen and food
trays are sent directly for cleaning and disinfection.
E. PATIENT TRANSPORT/AMBULATION
1. Nursing will notify Receiving Departments of any patients on
Special Organism Precautions.
2. Patients may walk in hall wearing a clean cover gown if they have
been instructed in handwashing, are continent, and able to cooperate
with procedures.
a. Diapered patients must be supervised when out of the room.
b. Pediatric patients may go to the playroom, the teen room and the
schoolroom with Infection Control/Child Life approval.
3. For patient transport, the following guidelines apply :
a. Wear gloves only if you are physically moving the patient from
the bed or gurney. Wear gloves and a gown only if the patient
is incontinent, or has diarrhea or a draining wound.
b. You must remove the gown and gloves in the room, wash your
hands, and then bring the patient to the receiving unit.
c. After transportation is complete, the gurney or wheelchair must be
wiped with a disinfectant.
4. For staff of procedure/diagnostic areas and practices, the
following guidelines apply:
a. Handwashing for at least 10 seconds with an antimicrobial soap,
or alcohol gel use is required:
1. Between patient contacts,
2. Following removal of gloves/other protective equipment in the
room.
.
b. Personal Protective Equipment
1. Wear gloves for all contact with the patient, the patient's
bedside equipment, and the patient's environment. Change
gloves between distinctive tasks (for example, wound care,
perineal care,suctioning). Gloves must always be removed
before leaving the room.
2. In the patient setting, wear a disposable gown for direct
contact with the patient, if the patient is incontinent, or has
diarrhea or a draining wound.
a. Gowns may be worn one time only, then disposed of in the
regular (non-biohazardous) waste.
b. Cloth gowns may be substituted if there is no risk of splash.
c. As per Standard Precautions, wear a mask and protective
eyewear when performing procedures that generate aerosols
3. Provide the patient with his or her own equipment.
The equipment should not be shared (unless it is
disinfected properly) between patients. Examples include
but are not limited to electronic thermometer, blood
pressure cuff, manometer, stethoscope, IV pole,
wheelchair, or gurney.
4. Staff should use an EPA-APPROVED DETERGENT/
DISINFECTANT to wipe down potentially contaminated
equipment that has been in direct contact with the
patient.
5. Quaternary Ammonium Compound such as A456N, or a
premixed agent such as Cavacide iscurrently available for the
purposes of disinfection. Cleaning cloths used in the room
should not be used to clean other patients' rooms and
equipment.
F. VISITORS/STAFF
1. Traffic should be limited to only essential staff/visitors.
2. All visitors shall be instructed in proper handwashing technique.
Visitors that participate in direct patient care shall be instructed in
gowning and gloving, if the patient is incontinent, diapered, or
has diarrhea or a draining wound.
3. Visitors may be referred to Infection Control or given written
educational material.
G. PATIENT TRANSFER/DISCHARGE
1. For patients being transferred to another facility, Infection Control,
discharge planner or physician shall notify the receiving institution
whenever possible.
2. If requested by Admitting, Medical Records or floor personnel, a list
of patients on SOP will be provided by the Infection Control
Department.
H. DISCONTINUATION OF PRECAUTIONS FOR A PATIENT WITH A
HISTORY OF VRE
1. IC consultation must be obtained prior to VRE screening for the
purpose of discontinuing SOP.
2. The Screening Procedure is as follows:
a. Physician/Nurse/Microbiology staff will call IC department for
approval.
b. Obtain a culture from previous VRE (+) site. If this culture is (-)
proceed to the next step.
c. Obtain three perianal swabs, one week apart. Under certain
circumstances the usual one week interval between cultures may
be altered with IC approval.
d. Culture procedure:
1. Perianal area should be swabbed thoroughly using a dry sterile
swab.
2. Place swab in culture tube without media.
3. Write on requisition "Screen for VRE" and "Infection Control
approved".
e. When three, consecutive perianal swabs are negative, SOP may
be discontinued. Infection Control must be notified.
3. If all three perianal swabs cannot be obtained during the same
admission, the process can be continued in the outpatient setting or
during the patient's next admission. Results from the outpatient
setting or another facility must be documented and made available to
Infection Control.
I. READMISSION OF PATIENTS WITH A HISTORY OF VRE
1. Patients who have culture confirmed VRE will have a
"Alert" placed on their electronic hospital record by the
Infection Control Department. This alert will cause a text message
stating "SPECIAL ORGANISM PRECAUTIONS IF ADMITTED"
2. The person performing the admission procedure for a patient with
this alert should phone the charge nurse of the receiving unit to
relay the following information so that SOP will be initiated by floor
staff:
a. Patient Name
b. Patient medical record number
c. Patient is to be put on Special Organism Precautions upon arrival
on the unit.
3. Once a patient has successfully cleared a VRE infection/colonization
as demonstrated by the above screening procedure, the SOP
“alert” will be removed by Infection Control staff.
4. Quality control checks on the system will be performed periodically
by Infection Control.
II. POLICY: Special Organism Precautions are implemented in a MODIFIED
form for certain diseases transmitted via contact as well as other routes.
A. Patients with suspected or confirmed smallpox, or complications from
the smallpox vaccine (vaccinia) require Special Organism/Contact
Precautions AND Airborne/AFB isolation.
B. Patients with suspected or confirmed Severe Acute Respiratory
Syndrome (SARS) require Special Organism/Contact Precautions AND
Airborne/AFB isolation.
Types of Coping Mechanisms
1. Compensation - extra effort in one area to offset real or imagined
lack in another area
Example: Short man becomes assertively verbal and excels in business.
2. Conversion - A mental conflict is expressed through physical symptoms
Example: Woman becomes blind after seeing her husband with another woman.
3. Denial - treating obvious reality factors as though they do not exist because
they are consciously intolerable
Example: Mother refuses to believe her child has been diagnosed with leukemia.
"She just has the flu."
4. Displacement - transferring unacceptable feelings aroused by one object
to another,more acceptable substitute
Example: Adolescent lashes out at parents after not being invited to party.
5. Dissociation - walling off specific areas of the personality from consciousness
Example: Adolescent talks about failing grades as if they belong to
someone else;jokes about them.
6. Fantasy - a conscious distortion of unconscious wishes and need to
obtain satisfaction
Example: A student nurse fails the critical care exam and daydreams about
her heroic role in a cardiac arrest.
7. Fixation - becoming stagnated in a level of emotional development in
which one is comfortable
Example: A sixty year old man who dresses and acts as if he were still
in the 1960's.
8. Identification - subconsciously attributing to oneself qualities of others
Example: Elvis impersonators.
9. Intellectualization - use of thinking, ideas, or intellect to avoid emotions
Example: Parent becomes extremely knowledgeable about child's diabetes.
10. Introjection - incorporating the traits of others
Example: Husband's symptoms mimic wife's before she died.
11. Projection - unconsciously projecting one's own unacceptable qualities
or feelings onto others
Example: Woman who is jealous of another woman's wealth accuses her
of being a gold-digger.
12. Rationalization - justifying behaviors, emotions, motives, considered
intolerable through acceptable excuses
Example: "I didn't get chosen for the team because the coach plays
favorites."
13. Reaction Formation - expressing unacceptable wishes or behavior by
opposite overt behavior
Example: Recovered smoker preaches about the dangers of second
hand smoke.
14. Regression - retreating to an earlier and more comfortable emotional
level of development
Example: Four year old insists on climbing into crib with younger sibling.
15. Repression - unconscious, deliberate forgetting of unacceptable or
painful thoughts,impulses, feelings or acts
Example: Adolescent "forgets" appointment with counselor to discuss
final grades.
16. Sublimation - diversion of unacceptable instinctual drives into personally
and socially acceptable areas.
Example: Young woman who hated school becomes a teacher.
lack in another area
Example: Short man becomes assertively verbal and excels in business.
2. Conversion - A mental conflict is expressed through physical symptoms
Example: Woman becomes blind after seeing her husband with another woman.
3. Denial - treating obvious reality factors as though they do not exist because
they are consciously intolerable
Example: Mother refuses to believe her child has been diagnosed with leukemia.
"She just has the flu."
4. Displacement - transferring unacceptable feelings aroused by one object
to another,more acceptable substitute
Example: Adolescent lashes out at parents after not being invited to party.
5. Dissociation - walling off specific areas of the personality from consciousness
Example: Adolescent talks about failing grades as if they belong to
someone else;jokes about them.
6. Fantasy - a conscious distortion of unconscious wishes and need to
obtain satisfaction
Example: A student nurse fails the critical care exam and daydreams about
her heroic role in a cardiac arrest.
7. Fixation - becoming stagnated in a level of emotional development in
which one is comfortable
Example: A sixty year old man who dresses and acts as if he were still
in the 1960's.
8. Identification - subconsciously attributing to oneself qualities of others
Example: Elvis impersonators.
9. Intellectualization - use of thinking, ideas, or intellect to avoid emotions
Example: Parent becomes extremely knowledgeable about child's diabetes.
10. Introjection - incorporating the traits of others
Example: Husband's symptoms mimic wife's before she died.
11. Projection - unconsciously projecting one's own unacceptable qualities
or feelings onto others
Example: Woman who is jealous of another woman's wealth accuses her
of being a gold-digger.
12. Rationalization - justifying behaviors, emotions, motives, considered
intolerable through acceptable excuses
Example: "I didn't get chosen for the team because the coach plays
favorites."
13. Reaction Formation - expressing unacceptable wishes or behavior by
opposite overt behavior
Example: Recovered smoker preaches about the dangers of second
hand smoke.
14. Regression - retreating to an earlier and more comfortable emotional
level of development
Example: Four year old insists on climbing into crib with younger sibling.
15. Repression - unconscious, deliberate forgetting of unacceptable or
painful thoughts,impulses, feelings or acts
Example: Adolescent "forgets" appointment with counselor to discuss
final grades.
16. Sublimation - diversion of unacceptable instinctual drives into personally
and socially acceptable areas.
Example: Young woman who hated school becomes a teacher.
Airborne Precautions Review
AIRBORNE/AFB PRECAUTIONS
(for M. tuberculosis and SARS (Severe Acute Respiratory Syndrome))
I. POLICY
In addition to Standard Precautions, Airborne/AFB Precautions are required
when a patient is suspected or known to have a disease transmitted by
airborne droplet nuclei. These evaporated droplets contain microorganisms
that remain suspended in the air and can be widely dispersed by air currents
within a room or over a long distance.
This category of precautions includes the following diseases or infections:
tuberculosis (TB), SARS (Severe Acute Respiratory Syndrome) smallpox
and complications from the smallpox vaccine (generalized vaccinia,
erythema mulitforme, progressive vaccinia or eczemavaccinatum) and
Hemorrhagic fevers (Ebola, Lassa, Marburg).
II. HANDWASHING
Strict handwashing after contact with patient or items contaminated with
respiratory secretions is required.
III. PERSONAL PROTECTIVE EQUIPMENT (PPE)
A. Follow Standard Precautions
B. Wear an OSHA approved mask for Tuberculosis, such as the N95
mask/respirator for which you have been fit-tested or PAPR.
C. For patients who require 24-hour in-room observation (e.g., psychiatric or
incarcerated patients), the in-room sitter must use a PAPR or a fit tested
N-95 respirator. If the in-room sitter has been fit tested, they should bring
their own N-95 respirator, or the unit will provide a PAPR.
IV. PATIENT PLACEMENT
A. Place patient in a private room with monitored negative air pressure in
relation to surrounding areas, with a minimum of six (6) air exchanges
per hour.
B. Air from the room must be discharged outdoors or monitored with high
efficiency filtration of room air before circulated to other areas in the
hospital.
1. Use a designated negative pressure room whenever possible.
2. Nursing will notify Management when
precautions are discontinued.
C. The door to the patient's room must remain closed except for entry/exit.
D. Windows must remain closed.
E. Post "AFB/Airborne Precaution" Stop sign on or next to the door
of the patient's room. DO NOT write "Tuberculosis" or "TB" on the sign.
F. Obtain the Respiratory Protection cart from Material Services for
placement outside the patient's room.
G. Patients who are currently on isolation precautions for any infection may
not be admitted to the Comfort Care Suites. Any question regarding this
policy may be addressed to the Department of Hospital Epidemiology
and Infection Control.
V. ENVIRONMENT
Waste disposal, spill management, linen and food trays are handled in the
same way for all patients, regardless of precaution category.
VI. PATIENT TRANSPORT/AMBULATION
A. The patient must be confined to his/her room unless a procedure is
necessary which must be performed at a location outside the room.
B. The receiving department must be notified of the patient's diagnosis.
C. The patient must wear a surgical mask outside of the room when
transported to another department.
D. Patients who are discharged from the hospital but still considered
contagious must be instructed in the need for wearing a surgical mask.
VII. VISITORS
A. Visitors will wear a surgical mask that is secured and snugly fitted.
B. Symptomatic household or other contacts of patient should not
visit until medically cleared. If symptomatic contact must visit, mask
will be donned before entering the hospital and worn continuously while
in the facility.
VIII. DISCONTINUATION OF PRECAUTIONS
The patient room is to be left vacant for one hour if the patient is considered to be infectious and was not covering cough.
NCLEX Review Apgar Scoring
Assess and document APGAR at 1 and 5 minutes
• Appearance
› Pink torso and extremities: Score = 2
› Pink torso, blue extremities: Score = 1
› Blue all over: Score = 0
• Pulse
› >100: Score = 2
› 100: Score = 1
› Absent: Score = 0
• Grimace (irritability)
› Vigorous cry: Score = 2
› Limited cry: Score = 1
› No response to stimulus: Score = 0
• Activity
› Actively moving: Score = 2
› Limited movement: Score = 1
› Flaccid: Score = 0
• Respiratory Effort
› Strong loud cry: Score = 2
› Hypoventilation, irregular: Score = 1
› Absent: Score = 0
Totals*
*8-10: normal; 4-6: moderate depression; 0-3: aggressive resuscitation
• Appearance
› Pink torso and extremities: Score = 2
› Pink torso, blue extremities: Score = 1
› Blue all over: Score = 0
• Pulse
› >100: Score = 2
› 100: Score = 1
› Absent: Score = 0
• Grimace (irritability)
› Vigorous cry: Score = 2
› Limited cry: Score = 1
› No response to stimulus: Score = 0
• Activity
› Actively moving: Score = 2
› Limited movement: Score = 1
› Flaccid: Score = 0
• Respiratory Effort
› Strong loud cry: Score = 2
› Hypoventilation, irregular: Score = 1
› Absent: Score = 0
Totals*
*8-10: normal; 4-6: moderate depression; 0-3: aggressive resuscitation
New CPR Guidelines and Procedures
Watch and learn the new CPR guidelines these are the standard ways in doing the rescue procedure. These are set by the American Heart Association. It is recommended that compressions should be 30 and 2 breaths for adults,infants and children (1 person rescue) and 15 compressions to 2 breaths (2 rescue persons) in infants and children.
Convalescent RN Needed
Looking for morning shift RNs in an established Convalescent Hospital in Glendale, California. New RNs are also welcome. Please send in your resumes via fax at (310) 644-5990 or email: jobs@isocare.com
Watch Grey's Anatomy Season 1-5 Episodes
Grey’s Anatomy revolves around Dr. Meredith Grey, played by Ellen Pompeo, a surgical intern at Seattle Grace Hospital in Seattle, Washington. The characters of the comedy and drama series include a group of surgical interns and the various physicians who serve as mentors to the interns in their professional and personal lives. Featuring a star studded casts that includes Sandra Oh as Dr. Cristina Yang, Katherine Heigl as Dr. Isobel “Izzie” Stevens, Justin Chambers as Dr. Alex Karev, T.R. Knight as Dr. George O’Malley, Patrick Dempsey as Dr. Derek Shepherd, Isaiah Washington as Dr. Preston Burke, and more.
Watch your favorite Grey's Anatomy show from Season 1 - 5 and click on here for the link
Watch your favorite Grey's Anatomy show from Season 1 - 5 and click on here for the link
RN Jobs In Santa Monica California
Functional Medicine Clinic located in Santa Monica looking for a great RN with a holistic view with at least 5 years of experience.
Must have:
Great positive attitude
able to work in a very busy environment
able to work with LASER (palomar)
gyn knowledge is a big plus (pap's, ultrasounds etc..)
able to do injectables (juvaderm)
correspond to patient questions via e-mail or phone.
visit www.thehallcenter.com
E-mail us your resume with your references at melissa@thehallcenter.com
Must have:
Great positive attitude
able to work in a very busy environment
able to work with LASER (palomar)
gyn knowledge is a big plus (pap's, ultrasounds etc..)
able to do injectables (juvaderm)
correspond to patient questions via e-mail or phone.
visit www.thehallcenter.com
E-mail us your resume with your references at melissa@thehallcenter.com
NCLEX-RN Review Crutch Walking
CRUTCH WALKING
A. Four-point sequence
1. Gait is slow but stable
2. Used when client can bear some weight on each leg
3. Technique
a. Move right crutch
b. Move left foot
c. Move left crutch
d. Move right foot
B. Three-point sequence
1. Client cannot bear any weight on one leg
2. The crutches completely support the affected leg
3. Technique
a. Move both crutches with the affected leg forward
b. Move unaffected leg forward
4. Use of mechanical aids to promote mobility
a. Crutches-support; balance feet, and legs during walking
A. keep tips of crutches 12 to 16 inches to side of feet
B. adjust handbars to allow 15 to 30 degrees of elbow flexion
C. use well fitting shoes with nonslip soles
D. use rubber suction tips on crutches
a. inspect weekly
b. replace when worn
E. may be used temporarily or permanently
F. teach client crutch walking
G. Cane-provides stability when walking and relieves pressure on weight-bearing joints
a. adjust cane with handle at level of greater trochanter, elbow flexed at 30 degree angle
b. teach client to hold cane close to body, and hold in hand on stronger side.
c. move cane at same time as the weaker leg.
d. Walker-assists in weight bearing and mobility
A. assists in weight bearing and mobility
B. teach client how to sit, stand and turn
C. Gait belt
a. leather or canvas belt around client's waist with handles
b. safety devices for ambulatory clients who may have some balance problems
5. Prosthetic devices - used to replace a missing body part
6. Brace - support for weakened muscles
A. Four-point sequence
1. Gait is slow but stable
2. Used when client can bear some weight on each leg
3. Technique
a. Move right crutch
b. Move left foot
c. Move left crutch
d. Move right foot
B. Three-point sequence
1. Client cannot bear any weight on one leg
2. The crutches completely support the affected leg
3. Technique
a. Move both crutches with the affected leg forward
b. Move unaffected leg forward
4. Use of mechanical aids to promote mobility
a. Crutches-support; balance feet, and legs during walking
A. keep tips of crutches 12 to 16 inches to side of feet
B. adjust handbars to allow 15 to 30 degrees of elbow flexion
C. use well fitting shoes with nonslip soles
D. use rubber suction tips on crutches
a. inspect weekly
b. replace when worn
E. may be used temporarily or permanently
F. teach client crutch walking
G. Cane-provides stability when walking and relieves pressure on weight-bearing joints
a. adjust cane with handle at level of greater trochanter, elbow flexed at 30 degree angle
b. teach client to hold cane close to body, and hold in hand on stronger side.
c. move cane at same time as the weaker leg.
d. Walker-assists in weight bearing and mobility
A. assists in weight bearing and mobility
B. teach client how to sit, stand and turn
C. Gait belt
a. leather or canvas belt around client's waist with handles
b. safety devices for ambulatory clients who may have some balance problems
5. Prosthetic devices - used to replace a missing body part
6. Brace - support for weakened muscles
CNA Job In Tujunga California
Looking for an experienced CNA (Certified Nursing Assistant) to work for an elderly woman with dementia.
Location: Tijunga, California
Days and Hours: M-F from 2:00 pm to 6:00 pm and Sat & Sun for 4 hours each day.
Job Requirements include:
-Excellent Job References -Clean Background (we verify)
-Reliable Transportation -80% Pass Rate on Competency Exam
-Valid CNA Certificate/License -Speak & Write Fluent English
-Ability to Make Accurate Chart Notes (legibly, and correct spelling a must!)
-Possess Desire to Help our Clients -Be Dependable
Call Debbie at 626-584-8131 to set up an appointment or visit www.pasadena.rightathome.net
Location: Tijunga, California
Days and Hours: M-F from 2:00 pm to 6:00 pm and Sat & Sun for 4 hours each day.
Job Requirements include:
-Excellent Job References -Clean Background (we verify)
-Reliable Transportation -80% Pass Rate on Competency Exam
-Valid CNA Certificate/License -Speak & Write Fluent English
-Ability to Make Accurate Chart Notes (legibly, and correct spelling a must!)
-Possess Desire to Help our Clients -Be Dependable
Call Debbie at 626-584-8131 to set up an appointment or visit www.pasadena.rightathome.net
NCLEX Review Positive Signs of Brain Death
Positive signs of brain death or brain damage
+Unresponsiveness to all stimuli
+Pupillary responses are absent
+All brain functions cease
+No eye movements are noted when cold water is instilled into the ears (caloric test).
+No corneal reflex is present
+No gag reflex is present
+Quick rotation of the patient's head from left to right (doll's eyes test) causes the eyes to remain fixed, suggesting brain death.
+No response to painful stimuli is present
+An apnea test reveals no spontaneous breathing
+EEG shows no brain activity or response
+Unresponsiveness to all stimuli
+Pupillary responses are absent
+All brain functions cease
+No eye movements are noted when cold water is instilled into the ears (caloric test).
+No corneal reflex is present
+No gag reflex is present
+Quick rotation of the patient's head from left to right (doll's eyes test) causes the eyes to remain fixed, suggesting brain death.
+No response to painful stimuli is present
+An apnea test reveals no spontaneous breathing
+EEG shows no brain activity or response
Nursing Delagation Questions For NCLEX-RN
Question 1
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
A) Practical nurse (PN)
B) Registered Nurse (RN)
C) Unlicensed assistive personnel (UAP)
D) Volunteer
Review Information: The correct answer is C: Unlicensed assistive personnel (UAP)
The measurement and recording of vital signs may be delegated to UAP. This falls under the umbrella of routine task with stable clients. Other considerations for delegation of care to UAP would be: Who is capable and is the least expensive worker to do each task?
Question 2
Which client data should the nurse act upon when a home health aide calls the nurse from the client's home to report these items?
A) "The client has complaints of not sleeping well for the past week"
B) "The family wants to discontinue the home meal service, meals on wheels"
C) "The urine in the urinary catheter bag is of a deeper amber, almost brown color"
D) "The partner says the client has slower days every other day"
Review Information: The correct answer is C: "The urine in the urinary catheter bag is of a deeper amber, almost brown color"
Home health aides need to report diverse information to nurses through phone calls and documentation. The nurse who develops the plan of care for a specific client, and supervises the aide, must identify potential danger signs which require immediate action and follow-up. The color of the urine requires follow-up evaluation.
Question 3
A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which staff member should the charge nurse assign the client?
A) Unlicensed assistive personnel (UAP)
B) Senior nursing student
C) PN
D) RN
Review Information: The correct answer is D: RN
The RN is responsible for teaching and assessment associated with discharge and these activities cannot be delegated to the others listed.
Question 4
A practical nurse (PN) from the pediatric unit is assigned to work in a critical care unit. Which client assignment would be appropriate?
A) A client admitted with multiple trauma with a history of a newly implanted pacemaker
B) A new admission with left-sided weakness from a stroke and mild confusion
C) A 53 year-old client diagnosed with cardiac arrest from a suspected myocardial infarction
D) A 35 year-old client in balanced traction admitted 6 days ago after a motor vehicle accident
Review Information: The correct answer is D: A 35 year-old client in balanced traction admitted 6 days ago after a motor vehicle accident
This client is the most stable with a predictable outcome.
Question 5
A client has had a tracheostomy for 2 weeks after a motor vehicle accident. Which task could the RN safely delegate to unlicensed assistive personnel (UAP)?
A) Teach the client how to cough up secretions
B) Changes the tracheostomy trach ties
C) Monitor if client has shortness of breath
D) Perform routine tracheostomy dressing care
Review Information: The correct answer is D: Perform routine tracheostomy dressing care
Unlicensed assistive personnel should be able to perform routine tracheostomy care.
Question 6
An unlicensed assistive personnel (UAP), who usually works in pediatrics is assigned to work on a medical-surgical unit. Which one of the questions by the charge nurse would be most appropriate prior to making delegation decisions?
A) "How long have you been a UAP?”
B) "What type of care did you give in pediatrics?”
C) "Do you have your competency checklist that we can review?”
D) "How comfortable are you to care for adult clients?”
Review Information: The correct answer is C: "Do you have your competency checklist that we can review?”
The UAP must be competent to accept the delegated task. Further assessment of the qualifications of the UAP is important in order to assign the right task.
Question 7
An RN from the women’s health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse?
A) A newly diagnosed client with type 2 diabetes mellitus who is learning foot care
B) A client from a motor vehicle accident with an external fixation device on the leg
C) A client admitted for a barium swallow after a transient ischemic attack
D) A newly admitted client with a diagnosis of pancreatic cancer
Review Information: The correct answer is B: A client from a motor vehicle accident with an external fixation device on the leg
This client is the most stable, requires basic safety measures and has a predictable outcome.
Question 8
The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client’s blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client’s left arm. Which of these statements is most immediately accurate?
A) The RN has no accountability for this situation
B) The RN did not delegate appropriately
C) The UAP is covered by the RN’s license
D) The UAP is responsible for following instructions
Review Information: The correct answer is D: The UAP is responsible for following instructions
The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.
Question 9
The nurse in a same-day surgery unit assigns the unlicensed assistive personnel (UAP) to provide a hernia patient with a lunch tray. Which statement by the nurse is most appropriate?
A) "Tell the family they can bring in a pizza if the patient would prefer that."
B) "Make sure the patient gets at least 2 cartons of milk."
C) "Stop the IV if the patient is able to eat solid food."
D) "Encourage the patient to eat slowly to prevent gas."
Review Information: The correct answer is D: "Encourage the patient to eat slowly to prevent gas."
The professional nurse can delegate tasks with an expected outcome. The UAP is given adequate information about the task and how to promote the best outcome.
Question 10
A staff nurse complains to the nurse manager that an unlicensed assistive personnel (UAP) consistently leaves the work area untidy and does not restock supplies. The best initial response by the nurse manager is which of these statements?
A) "I will arrange for a conference with you and the UAP within the next week"
B) "I can assure you that I will look into the matter"
C) "I would like for you to approach the UAP about the problem the next time it occurs"
D) I will add this concern to the agenda for the next unit meeting
Review Information: The correct answer is C: "I would like for you to approach the UAP about the problem the next time it occurs"
Helping staff manage conflict is part of the manager''s role. It is appropriate to urge the nurse to confront the other staff member to work out problems without a manager''s intervention when possible.
Question 11
The home care nurse has been managing a client for 6 weeks. What is the best method to determine the quality of care provided by a home health care aide assigned to assist with the care of this client?
A) Ask the client and family if they are satisfied with the care given
B) Determine if the home health aide's care is consistent with the plan of care
C) Investigate if the home health aide is prompt and stays an appropriate length of time for care
D) Check the documentation of the aide for appropriateness and comprehensiveness
Review Information: The correct answer is B: Determine if the home health aide''s care is consistent with the plan of care
Although the nurse must complete all of the above responsibilities, evaluation of an adherence to the plan of care is the first priority. The plan of care is based on the reason for referral, provider''s orders, the initial nursing assessment, the client’s responses to the planned interventions, and the client''s and family''s feedback or inquires. The other possible answers represent aspects of accomplishing “B”.
Question 12
The nurse assigns an unlicensed assistive personnel (UAP) to care for a client with a musculoskeletal disorder. The client ambulates with a leg splint. Which task requires supervision of the UAP?
A) Report signs of redness overlying a joint
B) Monitor the client's response to ambulatory activity
C) Encouragement for the independence in self-care
D) Assist the client to transfer from a bed to a chair
Review Information: The correct answer is B: Monitor the client''s response to ambulatory activity
Monitoring the client’s response to interventions requires assessment, a task to be performed by an RN.
Question 13
The care of which of the following clients can the nurse safely delegate to an unlicensed assistive personnel (UAP)?
A) A client with peripheral vascular disease and an ulceration of the lower leg.
B) A pre-operative client awaiting adrenalectomy with a history of asthma
C) An elderly client with hypertension and self-reported non-compliance
D) A new admission with a history of transient ischemic attacks and dizziness
Review Information: The correct answer is A: A client with peripheral vascular disease and an ulceration of the lower leg.
This client is stable with no risk of instability as compared to the other clients. And this client has a chronic condition, needs supportive care.
Question 14
A charge nurse working in a long term care facility is making out assignments. Which assignment made by a registered nurse to an unlicensed assistive personnel (UAP) requires intervention by the supervisor?
A) Provide decubitus ulcer care and apply a dry dressing
B) Bathe and feed a client on bed rest
C) Oral suctioning of an unresponsive elderly client
D) Teaching a family intermittent (bolus) feedings via G-tube before discharge
Review Information: The correct answer is D: Teaching a family intermittent (bolus) feedings via G-tube before discharge. Initial teaching can not be delegated to a UAP or a PN and must be done by RNs.
Question 15
As the RN responsible for a client in isolation, which can be delegated to the practical nurse (PN)?
A) Reinforcement of isolation precautions
B) Assessment of the client's attitude about infection control
C) Evaluation of staffs' compliance with control measures
D) Observation of the client's total environment for risks
Review Information: The correct answer is A: Reinforcement of isolation precautions
PNs and UAPs can reinforce information that was originally given by the RN.
Question 16
When walking past a client’s room, the nurse hears 1 unlicensed assistive personnel (UAP) talking to another UAP. Which statement requires follow-up intervention?
A) "If we work together we can get all of the client care completed."
B) "Since I am late for lunch, would you do this one client's glucose test?"
C) "This client seems confused, we need to watch monitor closely."
D) "I’ll come back and make the bed after I go to the lab."
Review Information: The correct answer is B: "Since I am late for lunch, would you do this one client''s glucose test?"
Only the RN and PN can delegate to UAPs. One UAP can not delegate a task to another UAP. The RN or PN is legally accountable for the nursing care.
Question 17
Which of these clients would be appropriate to assign to a practical nurse (PN)?
A) A trauma victim with multiple lacerations and requires complex dressings
B) An elderly client with cystitis and an indwelling urethral catheter
C) A confused client whose family complains about the nursing care 2 days after surgery
D) A client admitted for possible transient ischemic attack with unstable neurological signs
Review Information: The correct answer is B: An elderly client with cystitis and an indwelling urethral catheter
This is a stable client, with predictable outcome and care and minimal risk for complications.
Question 18
Which of these clients would be most appropriate to assign to a practical nurse (PN)?
A) A trauma victim with quadriplegia and a client 1 day post-op radical neck dissection
B) A client with newly diagnosed type 2 diabetes mellitus and a client with a history of AIDS admitted for pneumonia
C) A client with hemiplegia is fed by a nasogastric tube and client with a left leg amputation in rehabilitation
D) A client with a history of schizophrenia in alcohol withdrawal and a client with chronic renal failure
Review Information: The correct answer is C: A client with hemiplegia is fed by a nasogastric tube and client with a left leg amputation in rehabilitation
This client requires supportive care and interventions within the scope of practice of a PN. This client is stable with little risk of complications or instability.
Question 19
The charge nurse on a cardiac step-down unit makes assignments for the team consisting of a registered nurse (RN), a practical nurse (PN), and an unlicensed assistive personnel (UAP). Which client should be assigned to the PN?
A) A 49 year-old with new onset atrial fibrillation with a rapid ventricular response
B) A 58 year-old hypertensive with possible angina
C) A 35 year-old scheduled for cardiac catheterization
D) A 65 year-old for discharge after angioplasty and stent placement
Review Information: The correct answer is B: A 58 year-old hypertensive with possible angina
This is the most stable client. The clients in options C and D require initial teaching. The client in option A is considered unstable since the dysrhythmia is a new onset.
Question 20
Which task for a client with anemia and confusion could the nurse delegate to the unlicensed assistive personnel (UAP)?
A) Assess and document skin turgor and color changes
B) Test stool for occult blood and urine for glucose and report results
C) Suggest foods high in iron and those easily consumed
D) Report mental status changes and the degree of mental clarity
Review Information: The correct answer is B: Test stool for occult blood and urine for glucose and report results
The UAP can do standard, unchanging procedures that require no decision making.
Question 21
During the interview of a prospective employee who just completed the agency orientation, which approach would be the best for the nurse manager to use to assess competence?
A) "What degree of supervision for basic care do you think you need?"
B) "Let’s review your skills check-list for type and level of skill"
C) "Are you comfortable working independently?"
D) "What client care tasks or assignments do you prefer?"
Review Information: The correct answer is B: "Let’s review your skills check-list for type and level of skill"
The nurse needs to know that the employee has competence in certain tasks. One way to do this is to do mutual review of documented skills.
Question 22
A client is receiving an intravenous (IV) infusion for pain control. When caring for this client, which one of these actions can the RN safely assign to an unlicensed assistive personnel (UAP)?
A) Ask the client the degree of relief and document the client’s response
B) Decrease the set rate on the pump by 2 ml/minute
C) Check the IV site for drainage and loose tape
D) Assist the client with ambulation and a gown change with supervision
Review Information: The correct answer is D: Assist the client with ambulation and a gown change with supervision
When directing the UAP, communicate clearly and specifically what the task is and what should be reported to the nurse. Implementation of routine tasks should be delegated since they do not require independent judgment.
Question 23
Which one of these tasks can be safely delegated to a practical nurse (PN)?
A) Assess the function of a newly created ileostomy
B) Care for a client with a recent complicated double barrel colostomy
C) Provide stoma care for a client with a well functioning ostomy
D) Teach ostomy care to a client and their family members
Review Information: The correct answer is C: Provide stoma care for a client with a well functioning ostomy
The care of a mature stoma and the application of an ostomy appliance may be delegated to a PN. This client has minimal risk of instability of the situation.
Question 24
Which statement by the nurse is appropriate when giving an assignment to an unlicensed assistive personnel (UAP) to help a client ambulate for the first time after a colon resection?
A) "Have the client sit on the side of the bed before helping the client to walk."
B) "If the client is dizzy ask the client to take some slow, deep breaths."
C) "Help the client to walk in the room as often as the client wishes."
D) "When you help the client to walk, ask if any pain occurs."
Review Information: The correct answer is A: "Have the client sit on the side of the bed before helping the client to walk."
This statement gives clear directions to the UAP about the task and is most closely associated with the information provided in the stem that this is the client''s first time out of bed after surgery.
Question 25
Two people call in sick on the medical-surgical unit and no additional help is available. The team consists of an RN, an LPN and an unlicensed assistive personnel (UAP). Which of these activities should the nurse assign to the UAP?
A) Assist with plans for any clients discharged
B) Provide basic hygiene care to all clients on the unit
C) Assess a client after an acute myocardial infarction
D) Gather the vital signs of all clients on the unit
Review Information: The correct answer is B: Provide basic hygiene care to all clients on the unit
Basic client care, which is routine, should be delegated to a UAP since the unit is short on help. The vital signs can be done by the RN and PN as they make rounds since this data is more critical to making decisions about the care of the clients.
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
A) Practical nurse (PN)
B) Registered Nurse (RN)
C) Unlicensed assistive personnel (UAP)
D) Volunteer
Review Information: The correct answer is C: Unlicensed assistive personnel (UAP)
The measurement and recording of vital signs may be delegated to UAP. This falls under the umbrella of routine task with stable clients. Other considerations for delegation of care to UAP would be: Who is capable and is the least expensive worker to do each task?
Question 2
Which client data should the nurse act upon when a home health aide calls the nurse from the client's home to report these items?
A) "The client has complaints of not sleeping well for the past week"
B) "The family wants to discontinue the home meal service, meals on wheels"
C) "The urine in the urinary catheter bag is of a deeper amber, almost brown color"
D) "The partner says the client has slower days every other day"
Review Information: The correct answer is C: "The urine in the urinary catheter bag is of a deeper amber, almost brown color"
Home health aides need to report diverse information to nurses through phone calls and documentation. The nurse who develops the plan of care for a specific client, and supervises the aide, must identify potential danger signs which require immediate action and follow-up. The color of the urine requires follow-up evaluation.
Question 3
A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which staff member should the charge nurse assign the client?
A) Unlicensed assistive personnel (UAP)
B) Senior nursing student
C) PN
D) RN
Review Information: The correct answer is D: RN
The RN is responsible for teaching and assessment associated with discharge and these activities cannot be delegated to the others listed.
Question 4
A practical nurse (PN) from the pediatric unit is assigned to work in a critical care unit. Which client assignment would be appropriate?
A) A client admitted with multiple trauma with a history of a newly implanted pacemaker
B) A new admission with left-sided weakness from a stroke and mild confusion
C) A 53 year-old client diagnosed with cardiac arrest from a suspected myocardial infarction
D) A 35 year-old client in balanced traction admitted 6 days ago after a motor vehicle accident
Review Information: The correct answer is D: A 35 year-old client in balanced traction admitted 6 days ago after a motor vehicle accident
This client is the most stable with a predictable outcome.
Question 5
A client has had a tracheostomy for 2 weeks after a motor vehicle accident. Which task could the RN safely delegate to unlicensed assistive personnel (UAP)?
A) Teach the client how to cough up secretions
B) Changes the tracheostomy trach ties
C) Monitor if client has shortness of breath
D) Perform routine tracheostomy dressing care
Review Information: The correct answer is D: Perform routine tracheostomy dressing care
Unlicensed assistive personnel should be able to perform routine tracheostomy care.
Question 6
An unlicensed assistive personnel (UAP), who usually works in pediatrics is assigned to work on a medical-surgical unit. Which one of the questions by the charge nurse would be most appropriate prior to making delegation decisions?
A) "How long have you been a UAP?”
B) "What type of care did you give in pediatrics?”
C) "Do you have your competency checklist that we can review?”
D) "How comfortable are you to care for adult clients?”
Review Information: The correct answer is C: "Do you have your competency checklist that we can review?”
The UAP must be competent to accept the delegated task. Further assessment of the qualifications of the UAP is important in order to assign the right task.
Question 7
An RN from the women’s health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse?
A) A newly diagnosed client with type 2 diabetes mellitus who is learning foot care
B) A client from a motor vehicle accident with an external fixation device on the leg
C) A client admitted for a barium swallow after a transient ischemic attack
D) A newly admitted client with a diagnosis of pancreatic cancer
Review Information: The correct answer is B: A client from a motor vehicle accident with an external fixation device on the leg
This client is the most stable, requires basic safety measures and has a predictable outcome.
Question 8
The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client’s blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client’s left arm. Which of these statements is most immediately accurate?
A) The RN has no accountability for this situation
B) The RN did not delegate appropriately
C) The UAP is covered by the RN’s license
D) The UAP is responsible for following instructions
Review Information: The correct answer is D: The UAP is responsible for following instructions
The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.
Question 9
The nurse in a same-day surgery unit assigns the unlicensed assistive personnel (UAP) to provide a hernia patient with a lunch tray. Which statement by the nurse is most appropriate?
A) "Tell the family they can bring in a pizza if the patient would prefer that."
B) "Make sure the patient gets at least 2 cartons of milk."
C) "Stop the IV if the patient is able to eat solid food."
D) "Encourage the patient to eat slowly to prevent gas."
Review Information: The correct answer is D: "Encourage the patient to eat slowly to prevent gas."
The professional nurse can delegate tasks with an expected outcome. The UAP is given adequate information about the task and how to promote the best outcome.
Question 10
A staff nurse complains to the nurse manager that an unlicensed assistive personnel (UAP) consistently leaves the work area untidy and does not restock supplies. The best initial response by the nurse manager is which of these statements?
A) "I will arrange for a conference with you and the UAP within the next week"
B) "I can assure you that I will look into the matter"
C) "I would like for you to approach the UAP about the problem the next time it occurs"
D) I will add this concern to the agenda for the next unit meeting
Review Information: The correct answer is C: "I would like for you to approach the UAP about the problem the next time it occurs"
Helping staff manage conflict is part of the manager''s role. It is appropriate to urge the nurse to confront the other staff member to work out problems without a manager''s intervention when possible.
Question 11
The home care nurse has been managing a client for 6 weeks. What is the best method to determine the quality of care provided by a home health care aide assigned to assist with the care of this client?
A) Ask the client and family if they are satisfied with the care given
B) Determine if the home health aide's care is consistent with the plan of care
C) Investigate if the home health aide is prompt and stays an appropriate length of time for care
D) Check the documentation of the aide for appropriateness and comprehensiveness
Review Information: The correct answer is B: Determine if the home health aide''s care is consistent with the plan of care
Although the nurse must complete all of the above responsibilities, evaluation of an adherence to the plan of care is the first priority. The plan of care is based on the reason for referral, provider''s orders, the initial nursing assessment, the client’s responses to the planned interventions, and the client''s and family''s feedback or inquires. The other possible answers represent aspects of accomplishing “B”.
Question 12
The nurse assigns an unlicensed assistive personnel (UAP) to care for a client with a musculoskeletal disorder. The client ambulates with a leg splint. Which task requires supervision of the UAP?
A) Report signs of redness overlying a joint
B) Monitor the client's response to ambulatory activity
C) Encouragement for the independence in self-care
D) Assist the client to transfer from a bed to a chair
Review Information: The correct answer is B: Monitor the client''s response to ambulatory activity
Monitoring the client’s response to interventions requires assessment, a task to be performed by an RN.
Question 13
The care of which of the following clients can the nurse safely delegate to an unlicensed assistive personnel (UAP)?
A) A client with peripheral vascular disease and an ulceration of the lower leg.
B) A pre-operative client awaiting adrenalectomy with a history of asthma
C) An elderly client with hypertension and self-reported non-compliance
D) A new admission with a history of transient ischemic attacks and dizziness
Review Information: The correct answer is A: A client with peripheral vascular disease and an ulceration of the lower leg.
This client is stable with no risk of instability as compared to the other clients. And this client has a chronic condition, needs supportive care.
Question 14
A charge nurse working in a long term care facility is making out assignments. Which assignment made by a registered nurse to an unlicensed assistive personnel (UAP) requires intervention by the supervisor?
A) Provide decubitus ulcer care and apply a dry dressing
B) Bathe and feed a client on bed rest
C) Oral suctioning of an unresponsive elderly client
D) Teaching a family intermittent (bolus) feedings via G-tube before discharge
Review Information: The correct answer is D: Teaching a family intermittent (bolus) feedings via G-tube before discharge. Initial teaching can not be delegated to a UAP or a PN and must be done by RNs.
Question 15
As the RN responsible for a client in isolation, which can be delegated to the practical nurse (PN)?
A) Reinforcement of isolation precautions
B) Assessment of the client's attitude about infection control
C) Evaluation of staffs' compliance with control measures
D) Observation of the client's total environment for risks
Review Information: The correct answer is A: Reinforcement of isolation precautions
PNs and UAPs can reinforce information that was originally given by the RN.
Question 16
When walking past a client’s room, the nurse hears 1 unlicensed assistive personnel (UAP) talking to another UAP. Which statement requires follow-up intervention?
A) "If we work together we can get all of the client care completed."
B) "Since I am late for lunch, would you do this one client's glucose test?"
C) "This client seems confused, we need to watch monitor closely."
D) "I’ll come back and make the bed after I go to the lab."
Review Information: The correct answer is B: "Since I am late for lunch, would you do this one client''s glucose test?"
Only the RN and PN can delegate to UAPs. One UAP can not delegate a task to another UAP. The RN or PN is legally accountable for the nursing care.
Question 17
Which of these clients would be appropriate to assign to a practical nurse (PN)?
A) A trauma victim with multiple lacerations and requires complex dressings
B) An elderly client with cystitis and an indwelling urethral catheter
C) A confused client whose family complains about the nursing care 2 days after surgery
D) A client admitted for possible transient ischemic attack with unstable neurological signs
Review Information: The correct answer is B: An elderly client with cystitis and an indwelling urethral catheter
This is a stable client, with predictable outcome and care and minimal risk for complications.
Question 18
Which of these clients would be most appropriate to assign to a practical nurse (PN)?
A) A trauma victim with quadriplegia and a client 1 day post-op radical neck dissection
B) A client with newly diagnosed type 2 diabetes mellitus and a client with a history of AIDS admitted for pneumonia
C) A client with hemiplegia is fed by a nasogastric tube and client with a left leg amputation in rehabilitation
D) A client with a history of schizophrenia in alcohol withdrawal and a client with chronic renal failure
Review Information: The correct answer is C: A client with hemiplegia is fed by a nasogastric tube and client with a left leg amputation in rehabilitation
This client requires supportive care and interventions within the scope of practice of a PN. This client is stable with little risk of complications or instability.
Question 19
The charge nurse on a cardiac step-down unit makes assignments for the team consisting of a registered nurse (RN), a practical nurse (PN), and an unlicensed assistive personnel (UAP). Which client should be assigned to the PN?
A) A 49 year-old with new onset atrial fibrillation with a rapid ventricular response
B) A 58 year-old hypertensive with possible angina
C) A 35 year-old scheduled for cardiac catheterization
D) A 65 year-old for discharge after angioplasty and stent placement
Review Information: The correct answer is B: A 58 year-old hypertensive with possible angina
This is the most stable client. The clients in options C and D require initial teaching. The client in option A is considered unstable since the dysrhythmia is a new onset.
Question 20
Which task for a client with anemia and confusion could the nurse delegate to the unlicensed assistive personnel (UAP)?
A) Assess and document skin turgor and color changes
B) Test stool for occult blood and urine for glucose and report results
C) Suggest foods high in iron and those easily consumed
D) Report mental status changes and the degree of mental clarity
Review Information: The correct answer is B: Test stool for occult blood and urine for glucose and report results
The UAP can do standard, unchanging procedures that require no decision making.
Question 21
During the interview of a prospective employee who just completed the agency orientation, which approach would be the best for the nurse manager to use to assess competence?
A) "What degree of supervision for basic care do you think you need?"
B) "Let’s review your skills check-list for type and level of skill"
C) "Are you comfortable working independently?"
D) "What client care tasks or assignments do you prefer?"
Review Information: The correct answer is B: "Let’s review your skills check-list for type and level of skill"
The nurse needs to know that the employee has competence in certain tasks. One way to do this is to do mutual review of documented skills.
Question 22
A client is receiving an intravenous (IV) infusion for pain control. When caring for this client, which one of these actions can the RN safely assign to an unlicensed assistive personnel (UAP)?
A) Ask the client the degree of relief and document the client’s response
B) Decrease the set rate on the pump by 2 ml/minute
C) Check the IV site for drainage and loose tape
D) Assist the client with ambulation and a gown change with supervision
Review Information: The correct answer is D: Assist the client with ambulation and a gown change with supervision
When directing the UAP, communicate clearly and specifically what the task is and what should be reported to the nurse. Implementation of routine tasks should be delegated since they do not require independent judgment.
Question 23
Which one of these tasks can be safely delegated to a practical nurse (PN)?
A) Assess the function of a newly created ileostomy
B) Care for a client with a recent complicated double barrel colostomy
C) Provide stoma care for a client with a well functioning ostomy
D) Teach ostomy care to a client and their family members
Review Information: The correct answer is C: Provide stoma care for a client with a well functioning ostomy
The care of a mature stoma and the application of an ostomy appliance may be delegated to a PN. This client has minimal risk of instability of the situation.
Question 24
Which statement by the nurse is appropriate when giving an assignment to an unlicensed assistive personnel (UAP) to help a client ambulate for the first time after a colon resection?
A) "Have the client sit on the side of the bed before helping the client to walk."
B) "If the client is dizzy ask the client to take some slow, deep breaths."
C) "Help the client to walk in the room as often as the client wishes."
D) "When you help the client to walk, ask if any pain occurs."
Review Information: The correct answer is A: "Have the client sit on the side of the bed before helping the client to walk."
This statement gives clear directions to the UAP about the task and is most closely associated with the information provided in the stem that this is the client''s first time out of bed after surgery.
Question 25
Two people call in sick on the medical-surgical unit and no additional help is available. The team consists of an RN, an LPN and an unlicensed assistive personnel (UAP). Which of these activities should the nurse assign to the UAP?
A) Assist with plans for any clients discharged
B) Provide basic hygiene care to all clients on the unit
C) Assess a client after an acute myocardial infarction
D) Gather the vital signs of all clients on the unit
Review Information: The correct answer is B: Provide basic hygiene care to all clients on the unit
Basic client care, which is routine, should be delegated to a UAP since the unit is short on help. The vital signs can be done by the RN and PN as they make rounds since this data is more critical to making decisions about the care of the clients.
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