Vighter Medical Group
We specialize in healthcare staffing, medical support services, and the application of technology in related fields. Whether clients require healthcare professionals to fill clinical vacancies throughout the US or highly customized special operations tactical medical support in austere environments abroad, Vighter is there to help.

Vighter was founded on the principles of agility, customer service, and dedication to mission success. We are highly responsive to client requests and excel in dynamic environments. Our customer service approach caters not only to clients, but is also focused internally to support all of our great employees working around the world. Vighter’s dedication to overcome obstacles and achieve mission success flows throughout the organization. We are committed to exceeding our client’s expectations whenever and wherever services are required.

Our streamlined procedures to recruit quality applicants and swiftly process them through our candidate pipeline are the results of a multi-year investment into continuous improvement. The incorporation of technology allows us to execute large-scale recruiting and hiring campaigns, which fills vacancies more efficiently than ever before. Certifications such as ISO 9001 and The Joint Commission’s Healthcare Staffing Services accreditation provide clients with significant reassurances that we maintain an unwavering commitment to quality.
Feb 15, 2019
Position Description: Title: Primary Care Physician (MD or DO) Location: Washington, PA Job Summary : Vighter is recruiting a Primary Care Physician for a 4-month travel assignment with likelihood of extensions. All work will be performed in the state of Ohio. Work performed will be in an outpatient setting at a Military Treatment Facility from Monday to Friday from 8am to 5pm. Primary care physicians provide regular medical care for their patients. They treat generally healthy patients that come in as needed for management of illnesses, injuries, or long-term non-severe conditions. The primary care physician is the first point of contact for many patients and as a result must be able to diagnose a wide range of illnesses and injuries. Primary care physicians are also responsible for preventative care for their patients, including regular exams and blood work as indicated. Reports to : Project Manager Principle Accountabilities: Work with the primary healthcare team to provide adult and geriatric patients with primary medical care services within the standard of care for Internal Medicine patients Typical patient load of 15 per day Order laboratory and radiology tests and refer patients to specialists when appropriate and called for Analyze reports, test results, medical records and examinations to diagnose condition of patients and propose treatment options Prescribe pharmaceuticals, other medications, and treatment regimens to treat identified and documented medical conditions Discuss potential side effects of medication/treatment with patients and ensure that all allergy information is up-to-date before prescribing medication/treatment Provide advice to patients for lifestyle and diet changes that may improve their health or help to treat the health issue they are experiencing Adhere to departmental policies, procedures and objectives, ongoing quality improvement objectives and safety, environmental, and infection control standards Maintain patient confidentiality and comply with all federal and state health information privacy laws Record complete, timely and legible medical records There will not be any on-call or weekend duties associated with this position Qualifications : Board Certified or Board Eligible as a Primary Care Physician License in any U.S. State accepted at all Federal Facilities Must have sufficient technological abilities with computers to operate software, Microsoft Outlook, PowerPoint, Excel, and Word Must be able to obtain VETPRO credentialing status with Veterans Administration (VA) which can take 3-5 weeks to complete Must have BLS certification (basic life support) Must have ACLS certification (advanced cardiac life support) Must have DEA number (drug enforcement agency) Must be a US Citizen Experience: Must have prior experience working with Veterans Administration (VA) within the last 2 years. Compensation: 1099 Status Travel/accommodations paid for Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be willing to work over time if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award Qualifications
Vighter Medical Group Pittsburgh, PA, USA Full-Time
Feb 08, 2019
Position Description: Title: Registered Nurse Pediatric Intensive Care Unit Location: Walter Reed Army Medical Center Bethesda, MD Schedule: Full-time, 36 hours/week max, Day/Night shift available, Day-6:45am to 7:30pm, Night-6:45pm to 07:30am. Federal Holidays will be considered work days. Job Summary : Vighter is recruiting Registered Nurses to perform work at the Walter Reed Army Medical Center in Bethesda, Maryland. The Registered Nurse collaborates with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. Nurses effectively interact with patient and significant others, while maintaining the standard of professional nursing. The Pediatric Intensive Care Unit Registered Nurse specializes in delivering care to pediatric patients. Their duties include evaluating patients conditions, administering treatment, and providing constant support during recovery. Reports to : Project Manager Principle Accountabilities: The RN shall maintain current knowledge of, and conducts all duties in accordance with the Nursing Procedure Manual, Command Instructions, DoD Directives, Joint Commission and other regulatory requirements The RN shall provide care within ethical and legal boundaries. The RN shall ensure compliance with standard of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment MTF and IAW JC guidelines. The RN shall plan appropriate nursing care set forth by the MTF, and IAW JC guidelines. The RN shall have the ability to react to any emergency situation, (e.g. cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma, psychiatric reaction, etc.). The RN shall demonstrate the ability to recognize adverse signs and symptoms and reacts quickly and appropriately in emergency situations. The RN shall serve as member of resuscitation team. The RN shall demonstrate proper preparation of patients for treatments and procedures, to include surgical interventions. The RN shall render professional intensive nursing care to critically ill pediatric patients with medical and/or surgical conditions within the Pediatric Intensive Care Unit (PICU). The RN shall provide proper care and evaluation of post-procedural patients. The RN shall continually assess condition of patients for potential or life-threatening crises. The RN shall identify and address deviation from baseline vital signs, assessments, and lab tests. The RN shall distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). The RN shall document, report, and follow through on abnormal findings with physicians/nurses. The RN shall demonstrate understanding and follow the safe operation of medical equipment used for patient care as identified in the equipment user manual or similar documentation in workspace. The RN shall operate and monitor the performance of sophisticated equipment used in the care of critically ill patients, including but not limited to: mechanical ventilation, hemodynamic monitoring equipment, cardiac monitors, etc. Interpret and respond to complex technological data generated by such equipment. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall operate defibrillators, EKG machines, and cardiac monitor. The RN shall care for patients with central venous catheters, arterial lines and mechanical ventilators. The RN shall demonstrate ability to effectively communicate plans, action, and collaborate with a diverse healthcare team for the benefit of the patient, family and organization. The RN shall effectively educate patients and families regarding involvement in the plan of care, promotion of self-care, management of symptoms, and follow-up care. The RN shall formulate a teaching plan based upon identified learning needs and evaluates effectiveness of learning. The RN shall obtain and document patient and pertinent family history. The RN shall interact professionally with patient/family and involve patient/family in the formation of plan of care. The RN shall instruct patient and/or families on preventative health care and follow-up care. The RN shall identify and address psychological, cultural, and ethnic needs of patients and family. The RN shall recover both stable and unstable pediatric patients from general and regional anesthesia and deep sedation. The RN shall assume responsibility for completion of competency assessments and required certifications at designated time intervals. The RN shall be knowledgeable in administrative requirements for the documentation of patient's condition, progress and acknowledgement of teaching, and follow up care. The RN shall document all aspects of care reflective of the nursing process, and reviews documentation of subordinates, making appropriate recommendations as needed. The RN shall assess patients, identify problems, and formulate a plan of care based on judgment to formulate outcome goals based on patient and family needs. The RN shall coordinate a continuum of patient care and facilitate the achievement of optimal outcomes in relation to care, quality, and cost effectiveness. The RN shall demonstrate the ability to obtain, assess, and report critical lab or diagnostic results to patients physician in a timely manner. The RN shall continually assess patient conditions, nursing needs, and apply the nursing process to develop an individualized plan of care in compliance with the Command, Joint Commission, and professional standards of care. The RN shall demonstrate excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements. The RN shall perform documentation duties on unit and in patient record which are timely, accurate, and concise. The RN shall demonstrate good time management skills. The RN shall demonstrate the ability to act on all medical and therapeutic orders in a timely manner. The RN shall demonstrate and adhere to peri-operative, infection control and safety policies and procedures. The RN shall demonstrate knowledge of discharge planning in support of continuum of care. The RN shall make appropriate referrals to meet short and long term goals in preparation for patient discharge. The RN shall consult other services as appropriate to provide for an interdisciplinary approach to the patients needs. The RN shall consult other departments as appropriate to collaborate in patient care and performance improvement activities. The RN shall demonstrate knowledge of medications and their correct administration based on age of the patient and the patients clinical condition. The RN shall administer a wide variety of rapid-acting, highly potent medications (direct intravenous and other routes) according to unit policies, procedures and protocols. The RN shall use a broad knowledge of drugs and intravenous therapy, including properties, indications, dosage/rates and side effects. Closely monitor and document patient response, and adjust therapy accordingly. The RN shall have knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. The RN shall be knowledgeable and observant in recognizing signs of abuse/neglect, takes appropriate action following Walter Reed National Military Medical Center Bethesda policies/guidelines. The RN shall demonstrate an understanding of diagnosis and treatment regimens in relation to the medical plan of care. The RN shall ensure prompt and accurate implementation of physician orders for quality outcomes. The RN shall demonstrate the ability to perform treatments and provide services within scope of practice. The RN shall demonstrate an ability to be flexible, organized, and function under stressful situations, adjusts to the uneven workflow and changing priorities of the unit. The RN shall recognize and responds to patients in emergency and physically distressful situations as appropriate. Document events accordingly. The RN shall assist the privileged providers with examinations, treatments, and procedures. The RN shall provide psychological and social support and/or makes appropriate referral for patients. The RN shall be competent in IV insertion, IV therapy, venipuncture, and administration of blood/blood products and other competencies as defined by the assigned unit. The RN are responsible for compliance with infection control guidelines and practices universal precautions. The RN shall communicate knowledge formally and informally to meet needs of patients and family. The RN shall greet patients, families, and visitors in a kind professional manner. The RN shall assess patient for emotional and social impact of illness and hospitalization. The RN shall assess and recognize cultural beliefs about illness and health care of ethnic groups that are significantly represented. The RN shall maintain patient and familys rights (confidentiality, privacy, safety, security, and decision making), and provides appropriate information and instruction. The RN shall use interpersonal communication skills in order to exchange information in a clear and accurate manner with: internal and external customers, volunteers, and physicians. The RN shall conduct and provide effective patient/family training sessions through clear instruction and training in a manner that ensures their understanding. The RN shall provide and document feedback to others in a constructive, helpful manner. The RN shall accurately document into the patients Electronic Healthcare Record. The RN shall effectively plan work, considering time, supplies, support required from other individuals and departments. The RN shall complete job responsibilities within required timeframe, according to established schedules or workflow requirements. The RN shall review and assess information before making decisions and solving problems. The RN shall use proper judgment and knowledge of established practices and procedures when addressing problems or issues the patient is having. The RN shall display ability to involve family in decision-making related to the nursing process and plan of care. The RN shall assist in the communication of new or modified hospital policies and procedures to personnel thoroughly and promptly. The RN shall identify needs for clinical staff development and collaborates with the supervisor in planning to meet these needs. The RN shall provide written evaluation to the supervisor for nurses under this contract. The RN shall perform routine unit duties independently without specific instruction. The RN shall receive, understand, and as necessary act on patient status from nurse on previous shift. The RN shall demonstrate understanding and follow the general procedures for safe work performance, including: general safety procedures; identification, handling, and storage of hazardous materials; physical security; and reporting of incidents. The RN shall ensure confidentiality of patients records and respects confidentiality by using discretion in discussion of patient information. The RN shall maintain computer ADP/data security by safeguarding password and locking workstation when unattended (removing CAC). The RN shall act as advocate for providing safe delivery of patient care. The RN shall complete appropriate skills /competency checklists and appropriate training materials. The RN shall keep current in continuing education programs for the improvement of patient care and maintains current nursing practice by attending seminars, programs, or workshops for continuing education and by reviewing pertinent literature. The RN will participate in unit collateral duties assigned. The RN shall participate in orienting and training other contractor personnel assigned on this contract. The contracted RNs may act as a preceptor and provide written and verbal feedback progress to member and management. The RN shall participate in the orientation, training, and evaluation of duty performance of newly assigned personnel to this contract as required. The RN shall participate in scheduled meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. The RN shall demonstrate knowledge of the principles of growth and development to the patient population served: Infants, Children, Adolescent. The RN shall assess, coordinate, facilitate, evaluate, and deliver care for infant, children, and adolescent patients using the nursing process. The RN shall use the nursing process as a basis for professional practice. The RN shall be required to float to the Inpatient Pediatric Ward during times of low census and according to staffing needs. The RN shall provide coverage when warranted for medical transports to retrieve critically ill children from other health care facilities for the purpose of receiving care at Walter Reed National Military Medical Center Bethesda. The RN shall complete orientation and competency verification programs in accordance with unit guidelines (see attachment #2). The RN shall display an ability to evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, and/or technology. The RN shall serve and participate in committees, functions and other meetings as required. The RN shall provide relevant and timely information, and assists with decision-making and process improvement. The RN shall support, participate, and communicate performance improvement processes commensurate with position, communicating ideas for improvement to the Chain of Command. The RN shall participate in customer service initiatives and medical readiness activities designed to enhance health services as required. The RN shall report to the Nurse Manager. The RN shall take direction from charge nurse and house supervisor as required in maintaining a safe environment for the staff and patient(s). Essential personnel: The contractor RNs shall be designated as essential and required to work in an emergency due to mobilization requirements, natural disasters, inclement weather, or in the event of an unforeseen emergency anytime during the day or night, including weekends and holidays. Work Schedule: Qualifications : Degree/Education: Nurses shall have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty. Licensure/Registration: Valid license in at least one (1) state territory or commonwealth of the US. Board Certification. Certifications in addition to Basic Life Support: In addition to BLS, Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Cardiac Life Support (PALS) required to work on the Intensive Care Unit (ICU). Other Qualifications: Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers. Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The contract RN shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: infants, children, adolescent, adults, and geriatric (>65). Possess knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments related to prevention, and detection of illnesses in adults, is desirable. Be knowledgeable in professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate. Possess knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records. Be a U.S. citizen. Experience: Registered Nurse with a minimum of one-year experience within the preceding 3 years in pediatric intensive care unit. Will consider applicants with a combined minimum of 2 years neonatal ICU/pediatric ICU experience and ability to pass a written PICU competency. Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award
Vighter Medical Group Bethesda, MD, USA Full-Time
Feb 08, 2019
Position Description: Title: Registered Nurse Pediatric Intensive Care Unit Location: Walter Reed Army Medical Center Bethesda, MD Schedule: Full-time, 36 hours/week max, Day/Night shift available, Day-6:45am to 7:30pm, Night-6:45pm to 07:30am. Federal Holidays will be considered work days. Job Summary : Vighter is recruiting Registered Nurses to perform work at the Walter Reed Army Medical Center in Bethesda, Maryland. The Registered Nurse collaborates with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. Nurses effectively interact with patient and significant others, while maintaining the standard of professional nursing. The Pediatric Intensive Care Unit Registered Nurse specializes in delivering care to pediatric patients. Their duties include evaluating patients conditions, administering treatment, and providing constant support during recovery. Reports to : Project Manager Principle Accountabilities: The RN shall maintain current knowledge of, and conducts all duties in accordance with the Nursing Procedure Manual, Command Instructions, DoD Directives, Joint Commission and other regulatory requirements The RN shall provide care within ethical and legal boundaries. The RN shall ensure compliance with standard of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment MTF and IAW JC guidelines. The RN shall plan appropriate nursing care set forth by the MTF, and IAW JC guidelines. The RN shall have the ability to react to any emergency situation, (e.g. cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma, psychiatric reaction, etc.). The RN shall demonstrate the ability to recognize adverse signs and symptoms and reacts quickly and appropriately in emergency situations. The RN shall serve as member of resuscitation team. The RN shall demonstrate proper preparation of patients for treatments and procedures, to include surgical interventions. The RN shall render professional intensive nursing care to critically ill pediatric patients with medical and/or surgical conditions within the Pediatric Intensive Care Unit (PICU). The RN shall provide proper care and evaluation of post-procedural patients. The RN shall continually assess condition of patients for potential or life-threatening crises. The RN shall identify and address deviation from baseline vital signs, assessments, and lab tests. The RN shall distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). The RN shall document, report, and follow through on abnormal findings with physicians/nurses. The RN shall demonstrate understanding and follow the safe operation of medical equipment used for patient care as identified in the equipment user manual or similar documentation in workspace. The RN shall operate and monitor the performance of sophisticated equipment used in the care of critically ill patients, including but not limited to: mechanical ventilation, hemodynamic monitoring equipment, cardiac monitors, etc. Interpret and respond to complex technological data generated by such equipment. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall operate defibrillators, EKG machines, and cardiac monitor. The RN shall care for patients with central venous catheters, arterial lines and mechanical ventilators. The RN shall demonstrate ability to effectively communicate plans, action, and collaborate with a diverse healthcare team for the benefit of the patient, family and organization. The RN shall effectively educate patients and families regarding involvement in the plan of care, promotion of self-care, management of symptoms, and follow-up care. The RN shall formulate a teaching plan based upon identified learning needs and evaluates effectiveness of learning. The RN shall obtain and document patient and pertinent family history. The RN shall interact professionally with patient/family and involve patient/family in the formation of plan of care. The RN shall instruct patient and/or families on preventative health care and follow-up care. The RN shall identify and address psychological, cultural, and ethnic needs of patients and family. The RN shall recover both stable and unstable pediatric patients from general and regional anesthesia and deep sedation. The RN shall assume responsibility for completion of competency assessments and required certifications at designated time intervals. The RN shall be knowledgeable in administrative requirements for the documentation of patient's condition, progress and acknowledgement of teaching, and follow up care. The RN shall document all aspects of care reflective of the nursing process, and reviews documentation of subordinates, making appropriate recommendations as needed. The RN shall assess patients, identify problems, and formulate a plan of care based on judgment to formulate outcome goals based on patient and family needs. The RN shall coordinate a continuum of patient care and facilitate the achievement of optimal outcomes in relation to care, quality, and cost effectiveness. The RN shall demonstrate the ability to obtain, assess, and report critical lab or diagnostic results to patients physician in a timely manner. The RN shall continually assess patient conditions, nursing needs, and apply the nursing process to develop an individualized plan of care in compliance with the Command, Joint Commission, and professional standards of care. The RN shall demonstrate excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements. The RN shall perform documentation duties on unit and in patient record which are timely, accurate, and concise. The RN shall demonstrate good time management skills. The RN shall demonstrate the ability to act on all medical and therapeutic orders in a timely manner. The RN shall demonstrate and adhere to peri-operative, infection control and safety policies and procedures. The RN shall demonstrate knowledge of discharge planning in support of continuum of care. The RN shall make appropriate referrals to meet short and long term goals in preparation for patient discharge. The RN shall consult other services as appropriate to provide for an interdisciplinary approach to the patients needs. The RN shall consult other departments as appropriate to collaborate in patient care and performance improvement activities. The RN shall demonstrate knowledge of medications and their correct administration based on age of the patient and the patients clinical condition. The RN shall administer a wide variety of rapid-acting, highly potent medications (direct intravenous and other routes) according to unit policies, procedures and protocols. The RN shall use a broad knowledge of drugs and intravenous therapy, including properties, indications, dosage/rates and side effects. Closely monitor and document patient response, and adjust therapy accordingly. The RN shall have knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. The RN shall be knowledgeable and observant in recognizing signs of abuse/neglect, takes appropriate action following Walter Reed National Military Medical Center Bethesda policies/guidelines. The RN shall demonstrate an understanding of diagnosis and treatment regimens in relation to the medical plan of care. The RN shall ensure prompt and accurate implementation of physician orders for quality outcomes. The RN shall demonstrate the ability to perform treatments and provide services within scope of practice. The RN shall demonstrate an ability to be flexible, organized, and function under stressful situations, adjusts to the uneven workflow and changing priorities of the unit. The RN shall recognize and responds to patients in emergency and physically distressful situations as appropriate. Document events accordingly. The RN shall assist the privileged providers with examinations, treatments, and procedures. The RN shall provide psychological and social support and/or makes appropriate referral for patients. The RN shall be competent in IV insertion, IV therapy, venipuncture, and administration of blood/blood products and other competencies as defined by the assigned unit. The RN are responsible for compliance with infection control guidelines and practices universal precautions. The RN shall communicate knowledge formally and informally to meet needs of patients and family. The RN shall greet patients, families, and visitors in a kind professional manner. The RN shall assess patient for emotional and social impact of illness and hospitalization. The RN shall assess and recognize cultural beliefs about illness and health care of ethnic groups that are significantly represented. The RN shall maintain patient and familys rights (confidentiality, privacy, safety, security, and decision making), and provides appropriate information and instruction. The RN shall use interpersonal communication skills in order to exchange information in a clear and accurate manner with: internal and external customers, volunteers, and physicians. The RN shall conduct and provide effective patient/family training sessions through clear instruction and training in a manner that ensures their understanding. The RN shall provide and document feedback to others in a constructive, helpful manner. The RN shall accurately document into the patients Electronic Healthcare Record. The RN shall effectively plan work, considering time, supplies, support required from other individuals and departments. The RN shall complete job responsibilities within required timeframe, according to established schedules or workflow requirements. The RN shall review and assess information before making decisions and solving problems. The RN shall use proper judgment and knowledge of established practices and procedures when addressing problems or issues the patient is having. The RN shall display ability to involve family in decision-making related to the nursing process and plan of care. The RN shall assist in the communication of new or modified hospital policies and procedures to personnel thoroughly and promptly. The RN shall identify needs for clinical staff development and collaborates with the supervisor in planning to meet these needs. The RN shall provide written evaluation to the supervisor for nurses under this contract. The RN shall perform routine unit duties independently without specific instruction. The RN shall receive, understand, and as necessary act on patient status from nurse on previous shift. The RN shall demonstrate understanding and follow the general procedures for safe work performance, including: general safety procedures; identification, handling, and storage of hazardous materials; physical security; and reporting of incidents. The RN shall ensure confidentiality of patients records and respects confidentiality by using discretion in discussion of patient information. The RN shall maintain computer ADP/data security by safeguarding password and locking workstation when unattended (removing CAC). The RN shall act as advocate for providing safe delivery of patient care. The RN shall complete appropriate skills /competency checklists and appropriate training materials. The RN shall keep current in continuing education programs for the improvement of patient care and maintains current nursing practice by attending seminars, programs, or workshops for continuing education and by reviewing pertinent literature. The RN will participate in unit collateral duties assigned. The RN shall participate in orienting and training other contractor personnel assigned on this contract. The contracted RNs may act as a preceptor and provide written and verbal feedback progress to member and management. The RN shall participate in the orientation, training, and evaluation of duty performance of newly assigned personnel to this contract as required. The RN shall participate in scheduled meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. The RN shall demonstrate knowledge of the principles of growth and development to the patient population served: Infants, Children, Adolescent. The RN shall assess, coordinate, facilitate, evaluate, and deliver care for infant, children, and adolescent patients using the nursing process. The RN shall use the nursing process as a basis for professional practice. The RN shall be required to float to the Inpatient Pediatric Ward during times of low census and according to staffing needs. The RN shall provide coverage when warranted for medical transports to retrieve critically ill children from other health care facilities for the purpose of receiving care at Walter Reed National Military Medical Center Bethesda. The RN shall complete orientation and competency verification programs in accordance with unit guidelines (see attachment #2). The RN shall display an ability to evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, and/or technology. The RN shall serve and participate in committees, functions and other meetings as required. The RN shall provide relevant and timely information, and assists with decision-making and process improvement. The RN shall support, participate, and communicate performance improvement processes commensurate with position, communicating ideas for improvement to the Chain of Command. The RN shall participate in customer service initiatives and medical readiness activities designed to enhance health services as required. The RN shall report to the Nurse Manager. The RN shall take direction from charge nurse and house supervisor as required in maintaining a safe environment for the staff and patient(s). Essential personnel: The contractor RNs shall be designated as essential and required to work in an emergency due to mobilization requirements, natural disasters, inclement weather, or in the event of an unforeseen emergency anytime during the day or night, including weekends and holidays. Work Schedule: Qualifications : Degree/Education: Nurses shall have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty. Licensure/Registration: Valid license in at least one (1) state territory or commonwealth of the US. Board Certification. Certifications in addition to Basic Life Support: In addition to BLS, Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Cardiac Life Support (PALS) required to work on the Intensive Care Unit (ICU). Other Qualifications: Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers. Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The contract RN shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: infants, children, adolescent, adults, and geriatric (>65). Possess knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments related to prevention, and detection of illnesses in adults, is desirable. Be knowledgeable in professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate. Possess knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records. Be a U.S. citizen. Experience: Registered Nurse with a minimum of one-year experience within the preceding 3 years in pediatric intensive care unit. Will consider applicants with a combined minimum of 2 years neonatal ICU/pediatric ICU experience and ability to pass a written PICU competency. Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award
Vighter Medical Group Alexandria, VA, USA Full-Time
Feb 08, 2019
Position Description: Title: Registered Nurse Pediatric Intensive Care Unit Location: Walter Reed Army Medical Center Bethesda, MD Schedule: Full-time, 36 hours/week max, Day/Night shift available, Day-6:45am to 7:30pm, Night-6:45pm to 07:30am. Federal Holidays will be considered work days. Job Summary : Vighter is recruiting Registered Nurses to perform work at the Walter Reed Army Medical Center in Bethesda, Maryland. The Registered Nurse collaborates with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. Nurses effectively interact with patient and significant others, while maintaining the standard of professional nursing. The Pediatric Intensive Care Unit Registered Nurse specializes in delivering care to pediatric patients. Their duties include evaluating patients conditions, administering treatment, and providing constant support during recovery. Reports to : Project Manager Principle Accountabilities: The RN shall maintain current knowledge of, and conducts all duties in accordance with the Nursing Procedure Manual, Command Instructions, DoD Directives, Joint Commission and other regulatory requirements The RN shall provide care within ethical and legal boundaries. The RN shall ensure compliance with standard of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment MTF and IAW JC guidelines. The RN shall plan appropriate nursing care set forth by the MTF, and IAW JC guidelines. The RN shall have the ability to react to any emergency situation, (e.g. cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma, psychiatric reaction, etc.). The RN shall demonstrate the ability to recognize adverse signs and symptoms and reacts quickly and appropriately in emergency situations. The RN shall serve as member of resuscitation team. The RN shall demonstrate proper preparation of patients for treatments and procedures, to include surgical interventions. The RN shall render professional intensive nursing care to critically ill pediatric patients with medical and/or surgical conditions within the Pediatric Intensive Care Unit (PICU). The RN shall provide proper care and evaluation of post-procedural patients. The RN shall continually assess condition of patients for potential or life-threatening crises. The RN shall identify and address deviation from baseline vital signs, assessments, and lab tests. The RN shall distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). The RN shall document, report, and follow through on abnormal findings with physicians/nurses. The RN shall demonstrate understanding and follow the safe operation of medical equipment used for patient care as identified in the equipment user manual or similar documentation in workspace. The RN shall operate and monitor the performance of sophisticated equipment used in the care of critically ill patients, including but not limited to: mechanical ventilation, hemodynamic monitoring equipment, cardiac monitors, etc. Interpret and respond to complex technological data generated by such equipment. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall operate defibrillators, EKG machines, and cardiac monitor. The RN shall care for patients with central venous catheters, arterial lines and mechanical ventilators. The RN shall demonstrate ability to effectively communicate plans, action, and collaborate with a diverse healthcare team for the benefit of the patient, family and organization. The RN shall effectively educate patients and families regarding involvement in the plan of care, promotion of self-care, management of symptoms, and follow-up care. The RN shall formulate a teaching plan based upon identified learning needs and evaluates effectiveness of learning. The RN shall obtain and document patient and pertinent family history. The RN shall interact professionally with patient/family and involve patient/family in the formation of plan of care. The RN shall instruct patient and/or families on preventative health care and follow-up care. The RN shall identify and address psychological, cultural, and ethnic needs of patients and family. The RN shall recover both stable and unstable pediatric patients from general and regional anesthesia and deep sedation. The RN shall assume responsibility for completion of competency assessments and required certifications at designated time intervals. The RN shall be knowledgeable in administrative requirements for the documentation of patient's condition, progress and acknowledgement of teaching, and follow up care. The RN shall document all aspects of care reflective of the nursing process, and reviews documentation of subordinates, making appropriate recommendations as needed. The RN shall assess patients, identify problems, and formulate a plan of care based on judgment to formulate outcome goals based on patient and family needs. The RN shall coordinate a continuum of patient care and facilitate the achievement of optimal outcomes in relation to care, quality, and cost effectiveness. The RN shall demonstrate the ability to obtain, assess, and report critical lab or diagnostic results to patients physician in a timely manner. The RN shall continually assess patient conditions, nursing needs, and apply the nursing process to develop an individualized plan of care in compliance with the Command, Joint Commission, and professional standards of care. The RN shall demonstrate excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements. The RN shall perform documentation duties on unit and in patient record which are timely, accurate, and concise. The RN shall demonstrate good time management skills. The RN shall demonstrate the ability to act on all medical and therapeutic orders in a timely manner. The RN shall demonstrate and adhere to peri-operative, infection control and safety policies and procedures. The RN shall demonstrate knowledge of discharge planning in support of continuum of care. The RN shall make appropriate referrals to meet short and long term goals in preparation for patient discharge. The RN shall consult other services as appropriate to provide for an interdisciplinary approach to the patients needs. The RN shall consult other departments as appropriate to collaborate in patient care and performance improvement activities. The RN shall demonstrate knowledge of medications and their correct administration based on age of the patient and the patients clinical condition. The RN shall administer a wide variety of rapid-acting, highly potent medications (direct intravenous and other routes) according to unit policies, procedures and protocols. The RN shall use a broad knowledge of drugs and intravenous therapy, including properties, indications, dosage/rates and side effects. Closely monitor and document patient response, and adjust therapy accordingly. The RN shall have knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. The RN shall be knowledgeable and observant in recognizing signs of abuse/neglect, takes appropriate action following Walter Reed National Military Medical Center Bethesda policies/guidelines. The RN shall demonstrate an understanding of diagnosis and treatment regimens in relation to the medical plan of care. The RN shall ensure prompt and accurate implementation of physician orders for quality outcomes. The RN shall demonstrate the ability to perform treatments and provide services within scope of practice. The RN shall demonstrate an ability to be flexible, organized, and function under stressful situations, adjusts to the uneven workflow and changing priorities of the unit. The RN shall recognize and responds to patients in emergency and physically distressful situations as appropriate. Document events accordingly. The RN shall assist the privileged providers with examinations, treatments, and procedures. The RN shall provide psychological and social support and/or makes appropriate referral for patients. The RN shall be competent in IV insertion, IV therapy, venipuncture, and administration of blood/blood products and other competencies as defined by the assigned unit. The RN are responsible for compliance with infection control guidelines and practices universal precautions. The RN shall communicate knowledge formally and informally to meet needs of patients and family. The RN shall greet patients, families, and visitors in a kind professional manner. The RN shall assess patient for emotional and social impact of illness and hospitalization. The RN shall assess and recognize cultural beliefs about illness and health care of ethnic groups that are significantly represented. The RN shall maintain patient and familys rights (confidentiality, privacy, safety, security, and decision making), and provides appropriate information and instruction. The RN shall use interpersonal communication skills in order to exchange information in a clear and accurate manner with: internal and external customers, volunteers, and physicians. The RN shall conduct and provide effective patient/family training sessions through clear instruction and training in a manner that ensures their understanding. The RN shall provide and document feedback to others in a constructive, helpful manner. The RN shall accurately document into the patients Electronic Healthcare Record. The RN shall effectively plan work, considering time, supplies, support required from other individuals and departments. The RN shall complete job responsibilities within required timeframe, according to established schedules or workflow requirements. The RN shall review and assess information before making decisions and solving problems. The RN shall use proper judgment and knowledge of established practices and procedures when addressing problems or issues the patient is having. The RN shall display ability to involve family in decision-making related to the nursing process and plan of care. The RN shall assist in the communication of new or modified hospital policies and procedures to personnel thoroughly and promptly. The RN shall identify needs for clinical staff development and collaborates with the supervisor in planning to meet these needs. The RN shall provide written evaluation to the supervisor for nurses under this contract. The RN shall perform routine unit duties independently without specific instruction. The RN shall receive, understand, and as necessary act on patient status from nurse on previous shift. The RN shall demonstrate understanding and follow the general procedures for safe work performance, including: general safety procedures; identification, handling, and storage of hazardous materials; physical security; and reporting of incidents. The RN shall ensure confidentiality of patients records and respects confidentiality by using discretion in discussion of patient information. The RN shall maintain computer ADP/data security by safeguarding password and locking workstation when unattended (removing CAC). The RN shall act as advocate for providing safe delivery of patient care. The RN shall complete appropriate skills /competency checklists and appropriate training materials. The RN shall keep current in continuing education programs for the improvement of patient care and maintains current nursing practice by attending seminars, programs, or workshops for continuing education and by reviewing pertinent literature. The RN will participate in unit collateral duties assigned. The RN shall participate in orienting and training other contractor personnel assigned on this contract. The contracted RNs may act as a preceptor and provide written and verbal feedback progress to member and management. The RN shall participate in the orientation, training, and evaluation of duty performance of newly assigned personnel to this contract as required. The RN shall participate in scheduled meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. The RN shall demonstrate knowledge of the principles of growth and development to the patient population served: Infants, Children, Adolescent. The RN shall assess, coordinate, facilitate, evaluate, and deliver care for infant, children, and adolescent patients using the nursing process. The RN shall use the nursing process as a basis for professional practice. The RN shall be required to float to the Inpatient Pediatric Ward during times of low census and according to staffing needs. The RN shall provide coverage when warranted for medical transports to retrieve critically ill children from other health care facilities for the purpose of receiving care at Walter Reed National Military Medical Center Bethesda. The RN shall complete orientation and competency verification programs in accordance with unit guidelines (see attachment #2). The RN shall display an ability to evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, and/or technology. The RN shall serve and participate in committees, functions and other meetings as required. The RN shall provide relevant and timely information, and assists with decision-making and process improvement. The RN shall support, participate, and communicate performance improvement processes commensurate with position, communicating ideas for improvement to the Chain of Command. The RN shall participate in customer service initiatives and medical readiness activities designed to enhance health services as required. The RN shall report to the Nurse Manager. The RN shall take direction from charge nurse and house supervisor as required in maintaining a safe environment for the staff and patient(s). Essential personnel: The contractor RNs shall be designated as essential and required to work in an emergency due to mobilization requirements, natural disasters, inclement weather, or in the event of an unforeseen emergency anytime during the day or night, including weekends and holidays. Work Schedule: Qualifications : Degree/Education: Nurses shall have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty. Licensure/Registration: Valid license in at least one (1) state territory or commonwealth of the US. Board Certification. Certifications in addition to Basic Life Support: In addition to BLS, Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Cardiac Life Support (PALS) required to work on the Intensive Care Unit (ICU). Other Qualifications: Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers. Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The contract RN shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: infants, children, adolescent, adults, and geriatric (>65). Possess knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments related to prevention, and detection of illnesses in adults, is desirable. Be knowledgeable in professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate. Possess knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records. Be a U.S. citizen. Experience: Registered Nurse with a minimum of one-year experience within the preceding 3 years in pediatric intensive care unit. Will consider applicants with a combined minimum of 2 years neonatal ICU/pediatric ICU experience and ability to pass a written PICU competency. Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award
Vighter Medical Group S Washington St, Seattle, WA, USA Full-Time
Feb 08, 2019
Position Description: Title: Registered Nurse Pediatric Intensive Care Unit Location: Walter Reed Army Medical Center Bethesda, MD Schedule: Full-time, 36 hours/week max, Day/Night shift available, Day-6:45am to 7:30pm, Night-6:45pm to 07:30am. Federal Holidays will be considered work days. Job Summary : Vighter is recruiting Registered Nurses to perform work at the Walter Reed Army Medical Center in Bethesda, Maryland. The Registered Nurse collaborates with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. Nurses effectively interact with patient and significant others, while maintaining the standard of professional nursing. The Pediatric Intensive Care Unit Registered Nurse specializes in delivering care to pediatric patients. Their duties include evaluating patients conditions, administering treatment, and providing constant support during recovery. Reports to : Project Manager Principle Accountabilities: The RN shall maintain current knowledge of, and conducts all duties in accordance with the Nursing Procedure Manual, Command Instructions, DoD Directives, Joint Commission and other regulatory requirements The RN shall provide care within ethical and legal boundaries. The RN shall ensure compliance with standard of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment MTF and IAW JC guidelines. The RN shall plan appropriate nursing care set forth by the MTF, and IAW JC guidelines. The RN shall have the ability to react to any emergency situation, (e.g. cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma, psychiatric reaction, etc.). The RN shall demonstrate the ability to recognize adverse signs and symptoms and reacts quickly and appropriately in emergency situations. The RN shall serve as member of resuscitation team. The RN shall demonstrate proper preparation of patients for treatments and procedures, to include surgical interventions. The RN shall render professional intensive nursing care to critically ill pediatric patients with medical and/or surgical conditions within the Pediatric Intensive Care Unit (PICU). The RN shall provide proper care and evaluation of post-procedural patients. The RN shall continually assess condition of patients for potential or life-threatening crises. The RN shall identify and address deviation from baseline vital signs, assessments, and lab tests. The RN shall distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). The RN shall document, report, and follow through on abnormal findings with physicians/nurses. The RN shall demonstrate understanding and follow the safe operation of medical equipment used for patient care as identified in the equipment user manual or similar documentation in workspace. The RN shall operate and monitor the performance of sophisticated equipment used in the care of critically ill patients, including but not limited to: mechanical ventilation, hemodynamic monitoring equipment, cardiac monitors, etc. Interpret and respond to complex technological data generated by such equipment. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall operate defibrillators, EKG machines, and cardiac monitor. The RN shall care for patients with central venous catheters, arterial lines and mechanical ventilators. The RN shall demonstrate ability to effectively communicate plans, action, and collaborate with a diverse healthcare team for the benefit of the patient, family and organization. The RN shall effectively educate patients and families regarding involvement in the plan of care, promotion of self-care, management of symptoms, and follow-up care. The RN shall formulate a teaching plan based upon identified learning needs and evaluates effectiveness of learning. The RN shall obtain and document patient and pertinent family history. The RN shall interact professionally with patient/family and involve patient/family in the formation of plan of care. The RN shall instruct patient and/or families on preventative health care and follow-up care. The RN shall identify and address psychological, cultural, and ethnic needs of patients and family. The RN shall recover both stable and unstable pediatric patients from general and regional anesthesia and deep sedation. The RN shall assume responsibility for completion of competency assessments and required certifications at designated time intervals. The RN shall be knowledgeable in administrative requirements for the documentation of patient's condition, progress and acknowledgement of teaching, and follow up care. The RN shall document all aspects of care reflective of the nursing process, and reviews documentation of subordinates, making appropriate recommendations as needed. The RN shall assess patients, identify problems, and formulate a plan of care based on judgment to formulate outcome goals based on patient and family needs. The RN shall coordinate a continuum of patient care and facilitate the achievement of optimal outcomes in relation to care, quality, and cost effectiveness. The RN shall demonstrate the ability to obtain, assess, and report critical lab or diagnostic results to patients physician in a timely manner. The RN shall continually assess patient conditions, nursing needs, and apply the nursing process to develop an individualized plan of care in compliance with the Command, Joint Commission, and professional standards of care. The RN shall demonstrate excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements. The RN shall perform documentation duties on unit and in patient record which are timely, accurate, and concise. The RN shall demonstrate good time management skills. The RN shall demonstrate the ability to act on all medical and therapeutic orders in a timely manner. The RN shall demonstrate and adhere to peri-operative, infection control and safety policies and procedures. The RN shall demonstrate knowledge of discharge planning in support of continuum of care. The RN shall make appropriate referrals to meet short and long term goals in preparation for patient discharge. The RN shall consult other services as appropriate to provide for an interdisciplinary approach to the patients needs. The RN shall consult other departments as appropriate to collaborate in patient care and performance improvement activities. The RN shall demonstrate knowledge of medications and their correct administration based on age of the patient and the patients clinical condition. The RN shall administer a wide variety of rapid-acting, highly potent medications (direct intravenous and other routes) according to unit policies, procedures and protocols. The RN shall use a broad knowledge of drugs and intravenous therapy, including properties, indications, dosage/rates and side effects. Closely monitor and document patient response, and adjust therapy accordingly. The RN shall have knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. The RN shall be knowledgeable and observant in recognizing signs of abuse/neglect, takes appropriate action following Walter Reed National Military Medical Center Bethesda policies/guidelines. The RN shall demonstrate an understanding of diagnosis and treatment regimens in relation to the medical plan of care. The RN shall ensure prompt and accurate implementation of physician orders for quality outcomes. The RN shall demonstrate the ability to perform treatments and provide services within scope of practice. The RN shall demonstrate an ability to be flexible, organized, and function under stressful situations, adjusts to the uneven workflow and changing priorities of the unit. The RN shall recognize and responds to patients in emergency and physically distressful situations as appropriate. Document events accordingly. The RN shall assist the privileged providers with examinations, treatments, and procedures. The RN shall provide psychological and social support and/or makes appropriate referral for patients. The RN shall be competent in IV insertion, IV therapy, venipuncture, and administration of blood/blood products and other competencies as defined by the assigned unit. The RN are responsible for compliance with infection control guidelines and practices universal precautions. The RN shall communicate knowledge formally and informally to meet needs of patients and family. The RN shall greet patients, families, and visitors in a kind professional manner. The RN shall assess patient for emotional and social impact of illness and hospitalization. The RN shall assess and recognize cultural beliefs about illness and health care of ethnic groups that are significantly represented. The RN shall maintain patient and familys rights (confidentiality, privacy, safety, security, and decision making), and provides appropriate information and instruction. The RN shall use interpersonal communication skills in order to exchange information in a clear and accurate manner with: internal and external customers, volunteers, and physicians. The RN shall conduct and provide effective patient/family training sessions through clear instruction and training in a manner that ensures their understanding. The RN shall provide and document feedback to others in a constructive, helpful manner. The RN shall accurately document into the patients Electronic Healthcare Record. The RN shall effectively plan work, considering time, supplies, support required from other individuals and departments. The RN shall complete job responsibilities within required timeframe, according to established schedules or workflow requirements. The RN shall review and assess information before making decisions and solving problems. The RN shall use proper judgment and knowledge of established practices and procedures when addressing problems or issues the patient is having. The RN shall display ability to involve family in decision-making related to the nursing process and plan of care. The RN shall assist in the communication of new or modified hospital policies and procedures to personnel thoroughly and promptly. The RN shall identify needs for clinical staff development and collaborates with the supervisor in planning to meet these needs. The RN shall provide written evaluation to the supervisor for nurses under this contract. The RN shall perform routine unit duties independently without specific instruction. The RN shall receive, understand, and as necessary act on patient status from nurse on previous shift. The RN shall demonstrate understanding and follow the general procedures for safe work performance, including: general safety procedures; identification, handling, and storage of hazardous materials; physical security; and reporting of incidents. The RN shall ensure confidentiality of patients records and respects confidentiality by using discretion in discussion of patient information. The RN shall maintain computer ADP/data security by safeguarding password and locking workstation when unattended (removing CAC). The RN shall act as advocate for providing safe delivery of patient care. The RN shall complete appropriate skills /competency checklists and appropriate training materials. The RN shall keep current in continuing education programs for the improvement of patient care and maintains current nursing practice by attending seminars, programs, or workshops for continuing education and by reviewing pertinent literature. The RN will participate in unit collateral duties assigned. The RN shall participate in orienting and training other contractor personnel assigned on this contract. The contracted RNs may act as a preceptor and provide written and verbal feedback progress to member and management. The RN shall participate in the orientation, training, and evaluation of duty performance of newly assigned personnel to this contract as required. The RN shall participate in scheduled meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. The RN shall demonstrate knowledge of the principles of growth and development to the patient population served: Infants, Children, Adolescent. The RN shall assess, coordinate, facilitate, evaluate, and deliver care for infant, children, and adolescent patients using the nursing process. The RN shall use the nursing process as a basis for professional practice. The RN shall be required to float to the Inpatient Pediatric Ward during times of low census and according to staffing needs. The RN shall provide coverage when warranted for medical transports to retrieve critically ill children from other health care facilities for the purpose of receiving care at Walter Reed National Military Medical Center Bethesda. The RN shall complete orientation and competency verification programs in accordance with unit guidelines (see attachment #2). The RN shall display an ability to evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, and/or technology. The RN shall serve and participate in committees, functions and other meetings as required. The RN shall provide relevant and timely information, and assists with decision-making and process improvement. The RN shall support, participate, and communicate performance improvement processes commensurate with position, communicating ideas for improvement to the Chain of Command. The RN shall participate in customer service initiatives and medical readiness activities designed to enhance health services as required. The RN shall report to the Nurse Manager. The RN shall take direction from charge nurse and house supervisor as required in maintaining a safe environment for the staff and patient(s). Essential personnel: The contractor RNs shall be designated as essential and required to work in an emergency due to mobilization requirements, natural disasters, inclement weather, or in the event of an unforeseen emergency anytime during the day or night, including weekends and holidays. Work Schedule: Qualifications : Degree/Education: Nurses shall have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty. Licensure/Registration: Valid license in at least one (1) state territory or commonwealth of the US. Board Certification. Certifications in addition to Basic Life Support: In addition to BLS, Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Cardiac Life Support (PALS) required to work on the Intensive Care Unit (ICU). Other Qualifications: Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers. Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The contract RN shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: infants, children, adolescent, adults, and geriatric (>65). Possess knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments related to prevention, and detection of illnesses in adults, is desirable. Be knowledgeable in professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate. Possess knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records. Be a U.S. citizen. Experience: Registered Nurse with a minimum of one-year experience within the preceding 3 years in pediatric intensive care unit. Will consider applicants with a combined minimum of 2 years neonatal ICU/pediatric ICU experience and ability to pass a written PICU competency. Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award
Vighter Medical Group Arlington, VA, USA Full-Time
Feb 08, 2019
Title: Primary Care Physician (MD or DO) Location: Harrison, AR Job Summary : Vighter is recruiting a Primary Care Physician for a 4-month travel assignment with likelihood of extensions. Work performed will be in an outpatient setting at a Military Treatment Facility from Monday to Friday from 8am to 5pm. Primary care physicians provide regular medical care for their patients. They treat generally healthy patients that come in as needed for management of illnesses, injuries, or long-term non-severe conditions. The primary care physician is the first point of contact for many patients and as a result must be able to diagnose a wide range of illnesses and injuries. Primary care physicians are also responsible for preventative care for their patients, including regular exams and blood work as indicated. Reports to : Project Manager Principle Accountabilities: Work with the primary healthcare team to provide adult and geriatric patients with primary medical care services within the standard of care for Internal Medicine patients Typical patient load of 15 per day Order laboratory and radiology tests and refer patients to specialists when appropriate and called for Analyze reports, test results, medical records and examinations to diagnose condition of patients and propose treatment options Prescribe pharmaceuticals, other medications, and treatment regimens to treat identified and documented medical conditions Discuss potential side effects of medication/treatment with patients and ensure that all allergy information is up-to-date before prescribing medication/treatment Provide advice to patients for lifestyle and diet changes that may improve their health or help to treat the health issue they are experiencing Adhere to departmental policies, procedures and objectives, ongoing quality improvement objectives and safety, environmental, and infection control standards Maintain patient confidentiality and comply with all federal and state health information privacy laws Record complete, timely and legible medical records There will not be any on-call or weekend duties associated with this position Qualifications : Board Certified or Board Eligible as a Primary Care Physician License in any U.S. State accepted at all Federal Facilities Must have sufficient technological abilities with computers to operate software, Microsoft Outlook, PowerPoint, Excel, and Word Must be able to obtain VETPRO credentialing status with Veterans Administration (VA) which can take 3-5 weeks to complete Must have BLS certification (basic life support) Must have ACLS certification (advanced cardiac life support) Must have DEA number (drug enforcement agency) Must be a US Citizen Experience: Must have prior experience working with Veterans Administration (VA) within the last 2 years. Compensation: 1099 Status Travel/accommodations paid for Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be willing to work over time if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award Qualifications
Vighter Medical Group Springfield, MO, USA Full-Time
Feb 08, 2019
Position Description: Title: Primary Care Physician (MD or DO) Location: Washington, PA Job Summary : Vighter is recruiting a Primary Care Physician for a 4-month travel assignment with likelihood of extensions. Work performed will be in an outpatient setting at a Military Treatment Facility from Monday to Friday from 8am to 5pm. Primary care physicians provide regular medical care for their patients. They treat generally healthy patients that come in as needed for management of illnesses, injuries, or long-term non-severe conditions. The primary care physician is the first point of contact for many patients and as a result must be able to diagnose a wide range of illnesses and injuries. Primary care physicians are also responsible for preventative care for their patients, including regular exams and blood work as indicated. Reports to : Project Manager Principle Accountabilities: Work with the primary healthcare team to provide adult and geriatric patients with primary medical care services within the standard of care for Internal Medicine patients Typical patient load of 15 per day Order laboratory and radiology tests and refer patients to specialists when appropriate and called for Analyze reports, test results, medical records and examinations to diagnose condition of patients and propose treatment options Prescribe pharmaceuticals, other medications, and treatment regimens to treat identified and documented medical conditions Discuss potential side effects of medication/treatment with patients and ensure that all allergy information is up-to-date before prescribing medication/treatment Provide advice to patients for lifestyle and diet changes that may improve their health or help to treat the health issue they are experiencing Adhere to departmental policies, procedures and objectives, ongoing quality improvement objectives and safety, environmental, and infection control standards Maintain patient confidentiality and comply with all federal and state health information privacy laws Record complete, timely and legible medical records There will not be any on-call or weekend duties associated with this position Qualifications : Board Certified or Board Eligible as a Primary Care Physician License in any U.S. State accepted at all Federal Facilities Must have sufficient technological abilities with computers to operate software, Microsoft Outlook, PowerPoint, Excel, and Word Must be able to obtain VETPRO credentialing status with Veterans Administration (VA) which can take 3-5 weeks to complete Must have BLS certification (basic life support) Must have ACLS certification (advanced cardiac life support) Must have DEA number (drug enforcement agency) Must be a US Citizen Experience: Must have prior experience working with Veterans Administration (VA) within the last 2 years. Compensation: 1099 Status Travel/accommodations paid for Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be willing to work over time if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award Qualifications
Vighter Medical Group Morgantown, WV, USA Full-Time
Feb 08, 2019
Position Description: Title: Primary Care Physician (MD or DO) Location: St. Clairsville, OH Job Summary : Vighter is recruiting a Primary Care Physician for a 4-month travel assignment with likelihood of extensions. All work will be performed in the state of Ohio. Work performed will be in an outpatient setting at a Military Treatment Facility from Monday to Friday from 8am to 5pm. Primary care physicians provide regular medical care for their patients. They treat generally healthy patients that come in as needed for management of illnesses, injuries, or long-term non-severe conditions. The primary care physician is the first point of contact for many patients and as a result must be able to diagnose a wide range of illnesses and injuries. Primary care physicians are also responsible for preventative care for their patients, including regular exams and blood work as indicated. Reports to : Project Manager Principle Accountabilities: Work with the primary healthcare team to provide adult and geriatric patients with primary medical care services within the standard of care for Internal Medicine patients Typical patient load of 15 per day Order laboratory and radiology tests and refer patients to specialists when appropriate and called for Analyze reports, test results, medical records and examinations to diagnose condition of patients and propose treatment options Prescribe pharmaceuticals, other medications, and treatment regimens to treat identified and documented medical conditions Discuss potential side effects of medication/treatment with patients and ensure that all allergy information is up-to-date before prescribing medication/treatment Provide advice to patients for lifestyle and diet changes that may improve their health or help to treat the health issue they are experiencing Adhere to departmental policies, procedures and objectives, ongoing quality improvement objectives and safety, environmental, and infection control standards Maintain patient confidentiality and comply with all federal and state health information privacy laws Record complete, timely and legible medical records There will not be any on-call or weekend duties associated with this position Qualifications : Board Certified or Board Eligible as a Primary Care Physician License in any U.S. State accepted at all Federal Facilities Must have sufficient technological abilities with computers to operate software, Microsoft Outlook, PowerPoint, Excel, and Word Must be able to obtain VETPRO credentialing status with Veterans Administration (VA) which can take 3-5 weeks to complete Must have BLS certification (basic life support) Must have ACLS certification (advanced cardiac life support) Must have DEA number (drug enforcement agency) Experience: Must have prior experience working with Veterans Administration (VA) within the last 2 years. Compensation: 1099 Status Travel/accommodations paid for Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be willing to work over time if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award Qualifications
Vighter Medical Group Pittsburgh, PA, USA Full-Time
Feb 08, 2019
Position Description: Title: Registered Nurse Pediatric Intensive Care Unit Location: Walter Reed Army Medical Center Bethesda, MD Schedule: Full-time, 36 hours/week max, Day/Night shift available, Day-6:45am to 7:30pm, Night-6:45pm to 07:30am. Federal Holidays will be considered work days. Job Summary : Vighter is recruiting Registered Nurses to perform work at the Walter Reed Army Medical Center in Bethesda, Maryland. The Registered Nurse collaborates with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. Nurses effectively interact with patient and significant others, while maintaining the standard of professional nursing. The Pediatric Intensive Care Unit Registered Nurse specializes in delivering care to pediatric patients. Their duties include evaluating patients conditions, administering treatment, and providing constant support during recovery. Reports to : Project Manager Principle Accountabilities: The RN shall maintain current knowledge of, and conducts all duties in accordance with the Nursing Procedure Manual, Command Instructions, DoD Directives, Joint Commission and other regulatory requirements The RN shall provide care within ethical and legal boundaries. The RN shall ensure compliance with standard of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment MTF and IAW JC guidelines. The RN shall plan appropriate nursing care set forth by the MTF, and IAW JC guidelines. The RN shall have the ability to react to any emergency situation, (e.g. cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma, psychiatric reaction, etc.). The RN shall demonstrate the ability to recognize adverse signs and symptoms and reacts quickly and appropriately in emergency situations. The RN shall serve as member of resuscitation team. The RN shall demonstrate proper preparation of patients for treatments and procedures, to include surgical interventions. The RN shall render professional intensive nursing care to critically ill pediatric patients with medical and/or surgical conditions within the Pediatric Intensive Care Unit (PICU). The RN shall provide proper care and evaluation of post-procedural patients. The RN shall continually assess condition of patients for potential or life-threatening crises. The RN shall identify and address deviation from baseline vital signs, assessments, and lab tests. The RN shall distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). The RN shall document, report, and follow through on abnormal findings with physicians/nurses. The RN shall demonstrate understanding and follow the safe operation of medical equipment used for patient care as identified in the equipment user manual or similar documentation in workspace. The RN shall operate and monitor the performance of sophisticated equipment used in the care of critically ill patients, including but not limited to: mechanical ventilation, hemodynamic monitoring equipment, cardiac monitors, etc. Interpret and respond to complex technological data generated by such equipment. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall operate defibrillators, EKG machines, and cardiac monitor. The RN shall care for patients with central venous catheters, arterial lines and mechanical ventilators. The RN shall demonstrate ability to effectively communicate plans, action, and collaborate with a diverse healthcare team for the benefit of the patient, family and organization. The RN shall effectively educate patients and families regarding involvement in the plan of care, promotion of self-care, management of symptoms, and follow-up care. The RN shall formulate a teaching plan based upon identified learning needs and evaluates effectiveness of learning. The RN shall obtain and document patient and pertinent family history. The RN shall interact professionally with patient/family and involve patient/family in the formation of plan of care. The RN shall instruct patient and/or families on preventative health care and follow-up care. The RN shall identify and address psychological, cultural, and ethnic needs of patients and family. The RN shall recover both stable and unstable pediatric patients from general and regional anesthesia and deep sedation. The RN shall assume responsibility for completion of competency assessments and required certifications at designated time intervals. The RN shall be knowledgeable in administrative requirements for the documentation of patient's condition, progress and acknowledgement of teaching, and follow up care. The RN shall document all aspects of care reflective of the nursing process, and reviews documentation of subordinates, making appropriate recommendations as needed. The RN shall assess patients, identify problems, and formulate a plan of care based on judgment to formulate outcome goals based on patient and family needs. The RN shall coordinate a continuum of patient care and facilitate the achievement of optimal outcomes in relation to care, quality, and cost effectiveness. The RN shall demonstrate the ability to obtain, assess, and report critical lab or diagnostic results to patients physician in a timely manner. The RN shall continually assess patient conditions, nursing needs, and apply the nursing process to develop an individualized plan of care in compliance with the Command, Joint Commission, and professional standards of care. The RN shall demonstrate excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements. The RN shall perform documentation duties on unit and in patient record which are timely, accurate, and concise. The RN shall demonstrate good time management skills. The RN shall demonstrate the ability to act on all medical and therapeutic orders in a timely manner. The RN shall demonstrate and adhere to peri-operative, infection control and safety policies and procedures. The RN shall demonstrate knowledge of discharge planning in support of continuum of care. The RN shall make appropriate referrals to meet short and long term goals in preparation for patient discharge. The RN shall consult other services as appropriate to provide for an interdisciplinary approach to the patients needs. The RN shall consult other departments as appropriate to collaborate in patient care and performance improvement activities. The RN shall demonstrate knowledge of medications and their correct administration based on age of the patient and the patients clinical condition. The RN shall administer a wide variety of rapid-acting, highly potent medications (direct intravenous and other routes) according to unit policies, procedures and protocols. The RN shall use a broad knowledge of drugs and intravenous therapy, including properties, indications, dosage/rates and side effects. Closely monitor and document patient response, and adjust therapy accordingly. The RN shall have knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. The RN shall be knowledgeable and observant in recognizing signs of abuse/neglect, takes appropriate action following Walter Reed National Military Medical Center Bethesda policies/guidelines. The RN shall demonstrate an understanding of diagnosis and treatment regimens in relation to the medical plan of care. The RN shall ensure prompt and accurate implementation of physician orders for quality outcomes. The RN shall demonstrate the ability to perform treatments and provide services within scope of practice. The RN shall demonstrate an ability to be flexible, organized, and function under stressful situations, adjusts to the uneven workflow and changing priorities of the unit. The RN shall recognize and responds to patients in emergency and physically distressful situations as appropriate. Document events accordingly. The RN shall assist the privileged providers with examinations, treatments, and procedures. The RN shall provide psychological and social support and/or makes appropriate referral for patients. The RN shall be competent in IV insertion, IV therapy, venipuncture, and administration of blood/blood products and other competencies as defined by the assigned unit. The RN are responsible for compliance with infection control guidelines and practices universal precautions. The RN shall communicate knowledge formally and informally to meet needs of patients and family. The RN shall greet patients, families, and visitors in a kind professional manner. The RN shall assess patient for emotional and social impact of illness and hospitalization. The RN shall assess and recognize cultural beliefs about illness and health care of ethnic groups that are significantly represented. The RN shall maintain patient and familys rights (confidentiality, privacy, safety, security, and decision making), and provides appropriate information and instruction. The RN shall use interpersonal communication skills in order to exchange information in a clear and accurate manner with: internal and external customers, volunteers, and physicians. The RN shall conduct and provide effective patient/family training sessions through clear instruction and training in a manner that ensures their understanding. The RN shall provide and document feedback to others in a constructive, helpful manner. The RN shall accurately document into the patients Electronic Healthcare Record. The RN shall effectively plan work, considering time, supplies, support required from other individuals and departments. The RN shall complete job responsibilities within required timeframe, according to established schedules or workflow requirements. The RN shall review and assess information before making decisions and solving problems. The RN shall use proper judgment and knowledge of established practices and procedures when addressing problems or issues the patient is having. The RN shall display ability to involve family in decision-making related to the nursing process and plan of care. The RN shall assist in the communication of new or modified hospital policies and procedures to personnel thoroughly and promptly. The RN shall identify needs for clinical staff development and collaborates with the supervisor in planning to meet these needs. The RN shall provide written evaluation to the supervisor for nurses under this contract. The RN shall perform routine unit duties independently without specific instruction. The RN shall receive, understand, and as necessary act on patient status from nurse on previous shift. The RN shall demonstrate understanding and follow the general procedures for safe work performance, including: general safety procedures; identification, handling, and storage of hazardous materials; physical security; and reporting of incidents. The RN shall ensure confidentiality of patients records and respects confidentiality by using discretion in discussion of patient information. The RN shall maintain computer ADP/data security by safeguarding password and locking workstation when unattended (removing CAC). The RN shall act as advocate for providing safe delivery of patient care. The RN shall complete appropriate skills /competency checklists and appropriate training materials. The RN shall keep current in continuing education programs for the improvement of patient care and maintains current nursing practice by attending seminars, programs, or workshops for continuing education and by reviewing pertinent literature. The RN will participate in unit collateral duties assigned. The RN shall participate in orienting and training other contractor personnel assigned on this contract. The contracted RNs may act as a preceptor and provide written and verbal feedback progress to member and management. The RN shall participate in the orientation, training, and evaluation of duty performance of newly assigned personnel to this contract as required. The RN shall participate in scheduled meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. The RN shall demonstrate knowledge of the principles of growth and development to the patient population served: Infants, Children, Adolescent. The RN shall assess, coordinate, facilitate, evaluate, and deliver care for infant, children, and adolescent patients using the nursing process. The RN shall use the nursing process as a basis for professional practice. The RN shall be required to float to the Inpatient Pediatric Ward during times of low census and according to staffing needs. The RN shall provide coverage when warranted for medical transports to retrieve critically ill children from other health care facilities for the purpose of receiving care at Walter Reed National Military Medical Center Bethesda. The RN shall complete orientation and competency verification programs in accordance with unit guidelines (see attachment #2). The RN shall display an ability to evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, and/or technology. The RN shall serve and participate in committees, functions and other meetings as required. The RN shall provide relevant and timely information, and assists with decision-making and process improvement. The RN shall support, participate, and communicate performance improvement processes commensurate with position, communicating ideas for improvement to the Chain of Command. The RN shall participate in customer service initiatives and medical readiness activities designed to enhance health services as required. The RN shall report to the Nurse Manager. The RN shall take direction from charge nurse and house supervisor as required in maintaining a safe environment for the staff and patient(s). Essential personnel: The contractor RNs shall be designated as essential and required to work in an emergency due to mobilization requirements, natural disasters, inclement weather, or in the event of an unforeseen emergency anytime during the day or night, including weekends and holidays. Work Schedule: Qualifications : Degree/Education: Nurses shall have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty. Licensure/Registration: Valid license in at least one (1) state territory or commonwealth of the US. Board Certification. Certifications in addition to Basic Life Support: In addition to BLS, Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Cardiac Life Support (PALS) required to work on the Intensive Care Unit (ICU). Other Qualifications: Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers. Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The contract RN shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: infants, children, adolescent, adults, and geriatric (>65). Possess knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments related to prevention, and detection of illnesses in adults, is desirable. Be knowledgeable in professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate. Possess knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records. Be a U.S. citizen. Experience: Registered Nurse with a minimum of one-year experience within the preceding 3 years in pediatric intensive care unit. Will consider applicants with a combined minimum of 2 years neonatal ICU/pediatric ICU experience and ability to pass a written PICU competency. Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award
Vighter Medical Group Baltimore, MD, USA Full-Time
Feb 07, 2019
Job Summary : Vighter Medical Group requires Licensed Clinical Counselors to conduct mental health assessments for all children in care as well as provide ongoing individual and group counseling, screening for trafficking concerns, and crisis intervention. Must have a Masters degree in social work (MSW), psychology, sociology, or other relevant behavioral science. Must complete criminal background check, urine drug testing, and Child Abuse and Neglect (CAN) background check. Reports to : Project Manager Principle Accountabilities: Conduct and document mental health assessments for all children in care as well as provide ongoing individual and group counseling in accordance with ORR policies and procedures Screen for human trafficking concerns Provide crisis intervention Maintain the UC case file and ORR Database in accordance with ORR policies and procedures Report significant incidents in accordance with ORR policies and procedures Hours : Clinicians will work a schedule of Monday to Friday from 8am to 5pm Experience & Education Spanish language proficiency Masters degree in social work (MSW), psychology, sociology, or other relevant behavioral science in which clinical experience is a program requirement and have clinical experience as a part of the masters program requirements Clean criminal background check Clean Child Abuse and Neglect (CAN) or child protective services check Physical Requirements : Must be able to sit for more than 8 hours per day Must be willing to work over time if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 lbs and carry up to 10 ft Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to pass a criminal background investigation Must complete Urine Drug Screen Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, and or any other characteristic protected by law. Job Qualifications Experience & Education Spanish language proficiency Master's degree in social work (MSW), psychology, sociology, or other relevant behavioral science in which clinical experience is a program requirement and have clinical experience as a part of the master's program requirements Clean criminal background check Clean Child Abuse and Neglect (CAN) or child protective services check Physical Requirements : Must be able to sit for more than 8 hours per day Must be willing to work over time if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 lbs and carry up to 10 ft Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to pass a criminal background investigation Must complete Urine Drug Screen Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, and or any other characteristic protected by law.
Vighter Medical Group San Antonio, TX, USA Full-Time
Feb 07, 2019
Job Summary : Vighter Medical Group requires Case Managers to provide guidance to children and families. Case managers are responsible for timely reunification of children to families. A Bachelors degree in social work, psychology, sociology, or other relevant behavioral science is required. Must complete criminal background check, urine drug testing, and Child Abuse and Neglect (CAN) background check. Reports to : Lead Case Manager Medical Services Program Manager Principle Accountabilities: Coordinate case management and family reunification services for children Initiate and maintain direct contact with each child and the childs family while the child is in ORR care in order to efficiently advance the childs family reunification and release the child from the facility Facilitate the timely release or discharge of children to identified family members or authorized caregiver/custodian, and document the provision of services in each childs case file. Conduct and documents ORR UC assessments in accordance with ORR policies and procedures Report significant incidents in accordance with ORR policies and procedures Maintain the UC case file and ORR database in accordance with ORR policies and procedures Hours : Case Mangers are needed during the day. Work day will be Monday to Friday from 8am to 5pm. Occasional weekend day is required (no more than 1 weekend day every 2 months.) Experience & Education Spanish language proficiency Bachelors degree in social work, psychology, sociology, or other relevant behavioral science Proficient in the use of the computer and web-based programs. Clean criminal background check Clean Child Abuse and Neglect (CAN) or child protective services check. Physical Requirements : Must be able to sit for more than 8 hours per day Must be willing to work over time if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 lbs and carry up to 10 ft Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to pass a criminal background investigation Must complete Urine Drug Screen Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, and or any other characteristic protected by law. Job Qualifications Experience & Education Spanish language proficiency Bachelors degree in any area Proficient in the use of the computer and web-based programs. Clean criminal background check Clean Child Abuse and Neglect (CAN) or child protective services check. Physical Requirements : Must be able to sit for more than 8 hours per day Must be willing to work over time if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 lbs and carry up to 10 ft Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to pass a criminal background investigation Must complete Urine Drug Screen Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, and or any other characteristic protected by law.
Vighter Medical Group San Antonio, TX, USA Full-Time
Feb 07, 2019
Position Description: Title: Emergency Medicine Physician Location: Las Vegas, NV Job Summary : Position functions in an emergency room where you will be expected to provide coverage to treat, release, admit or transfer patients with acute medical, psychiatric or surgical needs, primarily during the regular hours and off-tours hours, including nights, weekends, and evening coverage. Board certification in Emergency Medicine, Internal Medicine or Family Practice is required. Reports to : Project Manager Principle Accountabilities: As an Emergency Medicine Physician, you will provide emergent medical treatment and personal care services to ill and injured veterans Documenting observations, assessments, and changes in patient's condition Collaborating with health team members to facilitate positive patient care outcomes Ordering appropriate diagnostic tests Determining need for hospitalization at this facility or transferring the patient to another facility Performing Emergency Medicine procedures such as intubation and suturing where indicated Must meet performance measures, as applicable. organizational skills which enable completion of work A desire to participate in process improvement initiatives and a demonstrated ability to assume leadership Ability to establish effective communication with patients, families, visitors and members of the interdisciplinary team Qualifications : Board Certified or Board Eligible as a Medical Physician License in any U.S. State accepted at all Federal Facilities Must have sufficient technological abilities with computers to operate software, Microsoft Outlook, PowerPoint, Excel, and Word Must have BLS certification (basic life support) Must have ACLS certification (advanced cardiac life support) Must have Pediatric Advanced Life Support (PALS) Must have DEA number (drug enforcement agency) Must have National Provider Identifier (NPI) Must be U.S. Citizen Experience: If Board Certified in Internal Medicine or Family Medicine then will need 5 years of experience Compensation: 1099 Status Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be willing to work over time if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award Qualifications
Vighter Medical Group Las Vegas, NV, USA Full-Time
Feb 01, 2019
Job Location: Philippines Job summary: Vighter Medical Group requires former US Special Operations Forces (SOF) Medics to provide EMT-Paramedic level medical support on an aviation Casualty Evacuation (CASEVAC) program in the Philippines. Applicants must be US Citizens with military experience in AFSOC, JSOC, MARSOC, NSWC, or USASOC units to be considered. Former USAF Pararescue certification and experience is highly desired. Principle Accountabilities: Shall provide Paramedic duties in performance of the required CASEVAC services services. CASEVAC services are defined as movement of a patient, who may not be stabilized, from point of injury (POI) to a location where appropriate care can be rendered, or to a point of extraction (POE) suitable for fixed-wing/rotor-wing airlift support. Paramedics shall be available 24 hours a day seven (7) days a week on a standby status and be flight ready within four (4) hours of notification and may be put on a heightened response posture to be airborne within thirty (30) minutes of notification. Perform special operations medical support providing initial combat trauma stabilization, enroute trauma care, and CASEVAC to definitive care. Applies scientific knowledge to human treatment responses to actual or potential health problems Documents and maintains patient records of medical treatment administered Coordinates with operational mission planners for the safe evacuation of the patients from the originating mission to the destination facility. Plans and prepares for CASEVAC missions Ability to provide medical treatment in accordance with established protocols under the supervision of a physician Responsible for performing a variety of unusual and complex professional tasks without the benefit of close guidance Independently establishes criteria, formulates approaches, and evaluates efforts Proper judgment is required to prevent delays in service provision, avoid serious adverse impact on the health status of individuals and the population served, and reduce waste efforts and resources Knowledge & Skills: Extensive experience conducting routine and emergency life-saving treatment to adult and pediatric patients in an austere environment is required Demonstrated experience with CASEVAC including planning, exercising, coordination, and execution of missions Shall be proficient in English Must have exceptional customer service skills Experience & Education: National Registry of Emergency Medical Technicians (NREMT) Paramedic certification is required Advanced Cardiac Life Support (ACLS) certification is required Pre-Hospital Trauma Life Support (PHTLS) certification is required At least four (4) years of current work experience in the last six (6) years Experience in SOF units required Current DOD Secret clearance or the ability to receive a security clearance is required Physical Requirements: Must be able to sit for more than 8 hours per day Must be willing to work overtime if necessary Must be able to use an elevator or walk up & down stairs Must be able to lift up to 100 lbs and carry up to 500 meters. Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor office or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Travel: Frequent travel by air to international locations will be a routine part of the job Must possess a valid US passport Job Qualifications Knowledge & Skills: Extensive experience conducting routine and emergency life-saving treatment to adult and pediatric patients in an austere environment is required Demonstrated experience with CASEVAC including planning, exercising, coordination, and execution of missions Shall be proficient in English Must have exceptional customer service skills Experience & Education: National Registry of Emergency Medical Technicians (NREMT) Paramedic certification is required Advanced Cardiac Life Support (ACLS) certification is required Pre-Hospital Trauma Life Support (PHTLS) certification is required At least four (4) years of current work experience in the last six (6) years Experience in SOF units required Current DOD Secret clearance or the ability to receive a security clearance is required Physical Requirements: Must be able to sit for more than 8 hours per day Must be willing to work overtime if necessary Must be able to use an elevator or walk up & down stairs Must be able to lift up to 100 lbs and carry up to 500 meters. Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor office or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Travel: Frequent travel by air to international locations will be a routine part of the job Must possess a valid US passport
Vighter Medical Group San Antonio, TX, USA Full-Time
Feb 01, 2019
Position Description: Title: Registered Nurse Pediatric Intensive Care Unit Location: Walter Reed Army Medical Center Bethesda, MD Schedule: Full-time, 36 hours/week max, Day/Night shift available, Day-6:45am to 7:30pm, Night-6:45pm to 07:30am. Federal Holidays will be considered work days. Job Summary : Vighter is recruiting Registered Nurses to perform work at the Walter Reed Army Medical Center in Bethesda, Maryland. The Registered Nurse collaborates with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. Nurses effectively interact with patient and significant others, while maintaining the standard of professional nursing. The Pediatric Intensive Care Unit Registered Nurse specializes in delivering care to pediatric patients. Their duties include evaluating patients conditions, administering treatment, and providing constant support during recovery. Reports to : Project Manager Principle Accountabilities: The RN shall maintain current knowledge of, and conducts all duties in accordance with the Nursing Procedure Manual, Command Instructions, DoD Directives, Joint Commission and other regulatory requirements The RN shall provide care within ethical and legal boundaries. The RN shall ensure compliance with standard of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment MTF and IAW JC guidelines. The RN shall plan appropriate nursing care set forth by the MTF, and IAW JC guidelines. The RN shall have the ability to react to any emergency situation, (e.g. cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma, psychiatric reaction, etc.). The RN shall demonstrate the ability to recognize adverse signs and symptoms and reacts quickly and appropriately in emergency situations. The RN shall serve as member of resuscitation team. The RN shall demonstrate proper preparation of patients for treatments and procedures, to include surgical interventions. The RN shall render professional intensive nursing care to critically ill pediatric patients with medical and/or surgical conditions within the Pediatric Intensive Care Unit (PICU). The RN shall provide proper care and evaluation of post-procedural patients. The RN shall continually assess condition of patients for potential or life-threatening crises. The RN shall identify and address deviation from baseline vital signs, assessments, and lab tests. The RN shall distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). The RN shall document, report, and follow through on abnormal findings with physicians/nurses. The RN shall demonstrate understanding and follow the safe operation of medical equipment used for patient care as identified in the equipment user manual or similar documentation in workspace. The RN shall operate and monitor the performance of sophisticated equipment used in the care of critically ill patients, including but not limited to: mechanical ventilation, hemodynamic monitoring equipment, cardiac monitors, etc. Interpret and respond to complex technological data generated by such equipment. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall operate defibrillators, EKG machines, and cardiac monitor. The RN shall care for patients with central venous catheters, arterial lines and mechanical ventilators. The RN shall demonstrate ability to effectively communicate plans, action, and collaborate with a diverse healthcare team for the benefit of the patient, family and organization. The RN shall effectively educate patients and families regarding involvement in the plan of care, promotion of self-care, management of symptoms, and follow-up care. The RN shall formulate a teaching plan based upon identified learning needs and evaluates effectiveness of learning. The RN shall obtain and document patient and pertinent family history. The RN shall interact professionally with patient/family and involve patient/family in the formation of plan of care. The RN shall instruct patient and/or families on preventative health care and follow-up care. The RN shall identify and address psychological, cultural, and ethnic needs of patients and family. The RN shall recover both stable and unstable pediatric patients from general and regional anesthesia and deep sedation. The RN shall assume responsibility for completion of competency assessments and required certifications at designated time intervals. The RN shall be knowledgeable in administrative requirements for the documentation of patient's condition, progress and acknowledgement of teaching, and follow up care. The RN shall document all aspects of care reflective of the nursing process, and reviews documentation of subordinates, making appropriate recommendations as needed. The RN shall assess patients, identify problems, and formulate a plan of care based on judgment to formulate outcome goals based on patient and family needs. The RN shall coordinate a continuum of patient care and facilitate the achievement of optimal outcomes in relation to care, quality, and cost effectiveness. The RN shall demonstrate the ability to obtain, assess, and report critical lab or diagnostic results to patients physician in a timely manner. The RN shall continually assess patient conditions, nursing needs, and apply the nursing process to develop an individualized plan of care in compliance with the Command, Joint Commission, and professional standards of care. The RN shall demonstrate excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements. The RN shall perform documentation duties on unit and in patient record which are timely, accurate, and concise. The RN shall demonstrate good time management skills. The RN shall demonstrate the ability to act on all medical and therapeutic orders in a timely manner. The RN shall demonstrate and adhere to peri-operative, infection control and safety policies and procedures. The RN shall demonstrate knowledge of discharge planning in support of continuum of care. The RN shall make appropriate referrals to meet short and long term goals in preparation for patient discharge. The RN shall consult other services as appropriate to provide for an interdisciplinary approach to the patients needs. The RN shall consult other departments as appropriate to collaborate in patient care and performance improvement activities. The RN shall demonstrate knowledge of medications and their correct administration based on age of the patient and the patients clinical condition. The RN shall administer a wide variety of rapid-acting, highly potent medications (direct intravenous and other routes) according to unit policies, procedures and protocols. The RN shall use a broad knowledge of drugs and intravenous therapy, including properties, indications, dosage/rates and side effects. Closely monitor and document patient response, and adjust therapy accordingly. The RN shall have knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. The RN shall be knowledgeable and observant in recognizing signs of abuse/neglect, takes appropriate action following Walter Reed National Military Medical Center Bethesda policies/guidelines. The RN shall demonstrate an understanding of diagnosis and treatment regimens in relation to the medical plan of care. The RN shall ensure prompt and accurate implementation of physician orders for quality outcomes. The RN shall demonstrate the ability to perform treatments and provide services within scope of practice. The RN shall demonstrate an ability to be flexible, organized, and function under stressful situations, adjusts to the uneven workflow and changing priorities of the unit. The RN shall recognize and responds to patients in emergency and physically distressful situations as appropriate. Document events accordingly. The RN shall assist the privileged providers with examinations, treatments, and procedures. The RN shall provide psychological and social support and/or makes appropriate referral for patients. The RN shall be competent in IV insertion, IV therapy, venipuncture, and administration of blood/blood products and other competencies as defined by the assigned unit. The RN are responsible for compliance with infection control guidelines and practices universal precautions. The RN shall communicate knowledge formally and informally to meet needs of patients and family. The RN shall greet patients, families, and visitors in a kind professional manner. The RN shall assess patient for emotional and social impact of illness and hospitalization. The RN shall assess and recognize cultural beliefs about illness and health care of ethnic groups that are significantly represented. The RN shall maintain patient and familys rights (confidentiality, privacy, safety, security, and decision making), and provides appropriate information and instruction. The RN shall use interpersonal communication skills in order to exchange information in a clear and accurate manner with: internal and external customers, volunteers, and physicians. The RN shall conduct and provide effective patient/family training sessions through clear instruction and training in a manner that ensures their understanding. The RN shall provide and document feedback to others in a constructive, helpful manner. The RN shall accurately document into the patients Electronic Healthcare Record. The RN shall effectively plan work, considering time, supplies, support required from other individuals and departments. The RN shall complete job responsibilities within required timeframe, according to established schedules or workflow requirements. The RN shall review and assess information before making decisions and solving problems. The RN shall use proper judgment and knowledge of established practices and procedures when addressing problems or issues the patient is having. The RN shall display ability to involve family in decision-making related to the nursing process and plan of care. The RN shall assist in the communication of new or modified hospital policies and procedures to personnel thoroughly and promptly. The RN shall identify needs for clinical staff development and collaborates with the supervisor in planning to meet these needs. The RN shall provide written evaluation to the supervisor for nurses under this contract. The RN shall perform routine unit duties independently without specific instruction. The RN shall receive, understand, and as necessary act on patient status from nurse on previous shift. The RN shall demonstrate understanding and follow the general procedures for safe work performance, including: general safety procedures; identification, handling, and storage of hazardous materials; physical security; and reporting of incidents. The RN shall ensure confidentiality of patients records and respects confidentiality by using discretion in discussion of patient information. The RN shall maintain computer ADP/data security by safeguarding password and locking workstation when unattended (removing CAC). The RN shall act as advocate for providing safe delivery of patient care. The RN shall complete appropriate skills /competency checklists and appropriate training materials. The RN shall keep current in continuing education programs for the improvement of patient care and maintains current nursing practice by attending seminars, programs, or workshops for continuing education and by reviewing pertinent literature. The RN will participate in unit collateral duties assigned. The RN shall participate in orienting and training other contractor personnel assigned on this contract. The contracted RNs may act as a preceptor and provide written and verbal feedback progress to member and management. The RN shall participate in the orientation, training, and evaluation of duty performance of newly assigned personnel to this contract as required. The RN shall participate in scheduled meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. The RN shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. The RN shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. The RN shall demonstrate knowledge of the principles of growth and development to the patient population served: Infants, Children, Adolescent. The RN shall assess, coordinate, facilitate, evaluate, and deliver care for infant, children, and adolescent patients using the nursing process. The RN shall use the nursing process as a basis for professional practice. The RN shall be required to float to the Inpatient Pediatric Ward during times of low census and according to staffing needs. The RN shall provide coverage when warranted for medical transports to retrieve critically ill children from other health care facilities for the purpose of receiving care at Walter Reed National Military Medical Center Bethesda. The RN shall complete orientation and competency verification programs in accordance with unit guidelines (see attachment #2). The RN shall display an ability to evaluate areas in need of improvement and provide input in order to improve current methods, services, programs, and/or technology. The RN shall serve and participate in committees, functions and other meetings as required. The RN shall provide relevant and timely information, and assists with decision-making and process improvement. The RN shall support, participate, and communicate performance improvement processes commensurate with position, communicating ideas for improvement to the Chain of Command. The RN shall participate in customer service initiatives and medical readiness activities designed to enhance health services as required. The RN shall report to the Nurse Manager. The RN shall take direction from charge nurse and house supervisor as required in maintaining a safe environment for the staff and patient(s). Essential personnel: The contractor RNs shall be designated as essential and required to work in an emergency due to mobilization requirements, natural disasters, inclement weather, or in the event of an unforeseen emergency anytime during the day or night, including weekends and holidays. Work Schedule: Qualifications : Degree/Education: Nurses shall have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty. Licensure/Registration: Valid license in at least one (1) state territory or commonwealth of the US. Board Certification. Certifications in addition to Basic Life Support: In addition to BLS, Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Cardiac Life Support (PALS) required to work on the Intensive Care Unit (ICU). Other Qualifications: Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers. Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members. Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing. Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The contract RN shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: infants, children, adolescent, adults, and geriatric (>65). Possess knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments related to prevention, and detection of illnesses in adults, is desirable. Be knowledgeable in professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate. Possess knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records. Be a U.S. citizen. Experience: Registered Nurse with a minimum of one-year experience within the preceding 3 years in pediatric intensive care unit. Will consider applicants with a combined minimum of 2 years neonatal ICU/pediatric ICU experience and ability to pass a written PICU competency. Physical Requirements : Must be able to stand or sit for more than 8 hours per day Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo urine drug testing Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award
Vighter Medical Group Nairobi, Kenya Full-Time
Jan 31, 2019
Job Summary : Are you interested in putting your skills to work serving military veterans and help them receive their well-deserved Veterans Affairs (VA) disability benefits? If so we would like to speak to you about performing compensation and pension examinations as a Vighter employee in an outpatient clinic setting to support Americas heroes. These exams consist of an objective one-time non-treatment psychological assessment related to the veterans service-connected disability claims. Common reasons for disability claims include: PTSD, depression, anxiety, and eating disorders. Assessments are scheduled during normal business hours (Monday Friday), but work on the weekends may be available. A typical appointment consists of: (1) a review of the veterans disability claim (Disability Benefit Questionnaire) and medical history prior to the appointment, (2) utilization of the DBQ as a guide during the examination to gather clinical information from the veteran, and (3) electronic submission of the assessment results after completion. The number of patients seen per day scheduled for each provider depends on the number and type of DBQs claimed by the veteran. The number of claims per veteran varies as does the time it takes to assess each claim. Time is provided for dictation between patients so as not to disrupt the flow of the patient interview during the assessment. Clinical findings then undergo a quality check before they are submitted electronically to the Government, which facilitates timely disability award determinations for the veteran. Reports to : Project Manager Credential Requirements: Master's degree Current, unrestricted Nurse Practitioner State Licensure Principle Accountabilities: Interact positively with Veterans Complete Disability Benefit Questionnaires (DBQs) electronically. No treatment is determined No follow-up is performed Records must be submitted within 24 hours after completion of the exam Experience Previous VA or compensation assessment experience is a plus, but not required as a few hours of training are provided free of charge. Comfortable learning new technology and submitting examination documentation online. project. Proficient in the use of the computer and web-based programs Physical Requirements: Must be able to sit for more than 8 hours per day Must be willing to work overtime if necessary Must be able to use an elevator or walk up and down stairs Must be able to lift up to 40 pounds and carry up to 10 feet Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders Must be able to read and interpret handwritten and typewritten print Must be able to communicate by voice and detect sound by ear Must be able to pass a criminal background investigation Must be able to pass a 5-panel urine drug screen Benefit General Liability, Professional Liability, and Medical Malpractice Insurance paid for by the company Full-time employees receive Health, Dental, Vision, Basic Life, Voluntary Life, Accidental Disability & Dismemberment, 4% retirement match 401K, Short-term and Long-term Disability, Critical Illness, and Accident Coverage. Vighter Medical Group is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award. Job Qualifications
Vighter Medical Group Leesville, LA 71446, USA Full-Time