Registered Nurse – ENCORE PACU (PRN)

Position Summary:

This professional staff person is responsible for performing assessments, developing a plan of care and implementing and evaluating the care. The RN-Critical administers medications and treatments as ordered by physicians and in keeping with the current clinical nursing practice. Also responsible for directing, monitoring and evaluating the care delegated to non-licensed personnel. The RN-Critical leads the interdisciplinary care team for patients with primarily cardiovascular disease. In addition, the RN-Critical performs a range of technical services in a cross-functional mode to comprehensively serve patient needs. Assumes (under the direction of the Laboratory) responsibility for patient specimen testing, quality control, quality improvement and equipment maintenance.

Patient Care:

Completes admission assessment and periodic reassessments according to patient’s progress and/or unit protocols and population-specific parameters.
Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate.
Collaborates with interdisciplinary team members in the development, evaluation and revision of the plan of care as appropriate to meet the patient’s needs and goals.
Provides competent direct care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
Assists healthcare team members in the understanding of hospital policies and procedures.
Provides education to patients/families/significant others, incorporating population-specific criteria and assessment of readiness to learn.
Maintains patient confidentiality.
Maintains standard precautions.
Administers medications and completes treatments according to hospital policy and within population-specific parameters.
Maintains all necessary documentation.
Facilitates discharge plan in collaboration with interdisciplinary team.
Demonstrates knowledge and ability to use necessary patient care equipment.
Coordinates response of the interdisciplinary team to emergency situations.
Performs Point-of-Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point-of-Care quality control standards.

PACU

Ability to formulate an individualized plan of care and revise plan according to the patient’s response to treatment. Evaluates plan regularly for effectiveness.
Communicates appropriately and clearly to Resource Nurse, Director and Physician.
Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately based on protocol.
Able to perform a head-to-toe assessment on all patients per policy.
Able to monitor hemodynamic status of patient and correctly interpret the results.
Consults other departments as appropriate to provide an interdisciplinary approach to the patient’s needs.
Coordinates and supervises patient care as necessary.

Qualifications/Specifications:

Education: Graduate of an accredited nursing program required.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.
- PALS or ENPC certification required for all Emergency Department RNs within one year of employment.
- RCIS required for Cath/EP Lab RNs within six months of eligibility. Limited Specialty License required within two months of acquiring RCIS. (excluding PRN employees)Certification(s) is to be renewed by recommended renewal date on certification card.

Respiratory Therapist – AHH (PRN)

Responsible for setting up and operating various types of respiratory care equipment to be utilized in the diagnosis and treatment of cardiopulmonary diseases as ordered by physicians. As a member of the patient-focused care team, the Respiratory Therapist works collaboratively with the other members to assure the safe and accurate delivery of care. In addition, the Respiratory Therapist performs a range of technical procedures related to cardiopulmonary hemodynamics to comprehensively serve patient needs. Assumes, under the direction of the Laboratory, responsibility for patient specimen testing, quality control, quality improvement, and equipment maintenance.

Primary Duties

Patient Care:

Assesses patient appropriately, interprets results accurately and suggests alternative treatment.
Able to appropriately change modes of therapy.
Prioritizes work assignments efficiently.
Able to work independently, demonstrating respect for patients rights and confidentiality.
Communicates effectively with physicians, patients and co-workers.
Documents by exception and communicates to physicians and nurses all pertinent information.
Involves patient and significant others in the care activities as a means of informing and teaching.
Actively assists the physicians in the clinical management of patients.
Administers medications according to hospital policy.
Effectively and efficiently receives/interprets telephone and verbal orders and documents appropriately.
Demonstrates knowledge and ability to use necessary patient equipment.
Demonstrates ability to react calmly and effectively in an emergency situation.
Performs Point of Care procedures in a timely manner according to established policy and procedures.
Documents required information and complies with all Point of Care quality control standards.

Qualifications/Specifications:

Education: Graduate of an approved, accredited program recognized by the Committee on Accreditation for Respiratory Care (CoARC) required.
Licensure/ Certification: Current state licensure (Licensed Respiratory Care Practitioner) required. PALS certification required within six months of employment. BLS training required prior to completion of orientation; ACLS required within six months of employment. Registered Respiratory Therapist (RRT) preferred. Active membership in the AARC (American Association of Respiratory Care) preferred. Certification is to be renewed by recommended renewal date on certification card.

Experience: Minimum of two years acute care experience preferred.

Pharmacy Intern – (PRN)

Responsible for assisting with planning, organizing, directing, executing and evaluating all aspects of the pharmacy services for the hospital. Under the supervision of a licensed pharmacist, interprets and processes physicians orders, provides drug information, performs continuous quality improvement activities, participates in discharge planning and performs non-distributive services, such as drug-level monitoring, as established by policy.

Work Schedule

Flexible schedule to cover all shifts and weekend activities with on-call participation.

Primary Duties

Exercises appropriate clinical judgment in reviewing and evaluating patients drug therapy. Collaborates with medical and nursing staff to provide quality patient care.
Reviews, compounds and accurately dispenses pharmaceuticals and IV admixtures from a direct copy of the physicians original medication order.
Prepares, maintains, updates and monitors each patients medication profile as required. Charges and credits medication to patients.
Checks the work of supportive personnel and other pharmacy personnel for accuracy, proper labeling and adherence to pharmacy policy and procedure.
Dispenses and maintains appropriate records for all controlled substance medications and other medications in conformance with federal and state laws.
Oversees medication supplies, storage and utilization on assigned nursing units.
Addresses any issues or problems in a professional and ethical manner.
Assists the medical and nursing staff on all problems pertaining to medication orders or pharmacy policy and procedures. Promotes a positive and cooperative attitude in dealing with nurses, medical and other personnel, and with the public.
Maintains professional knowledge by attending continuing education programs, reading professional and technical journals and participating in pharmacy-conducted in-service lectures.
Maintains a neat, clean and orderly department.

Staff/Unit Responsibilities

Delegates appropriately to non-licensed staff in keeping with job descriptions, licenses requirements and standards of practice.
Uses resources in an efficient and cost effective manner.
Maintains and develops own professional competencies.
Maintains and promotes a team spirit through active cooperation and collaboration.
Assists in interdepartmental service coordination.
Actively participates in the Performance Improvement and Utilization Review programs.
Assumes a leadership role in the maintenance of the patient-focused care delivery system.
Assists in directing and guiding staff in the coordination of unit operations.
Assists in all aspects of care if the environment, such as dietary, housekeeping, infection control and supply and equipment management.
Attends 80% of in-services and departmental meetings.
Helps provide staff to other areas of the hospital when needed.

Qualifications/Specifications:

Education: Must be currently enrolled in didactic portion of classes at an accredited College of Pharmacy, with an expected graduation date within four years and a minimum degree of either Bachelor of Science in Pharmacy or PharmD.
Licensure / Certification: Must be actively licensed as a pharmacy intern issued by the State Board of Pharmacy.
Experience: None required.

Clinical Dietitian – Ahh & Encore (PRN)

The Registered Dietitian assists in providing optimal nutritional care for patients. Coordinates food service activities involving diet preferences, supplements, restrictions and basic diet instructions. Develops dietitian schedules and assists with developing policies and procedures.

Primary Duties

Willing to make frequent adaptations of standard procedures when necessary.
Assists with on-the-job training.
Provides professional direction to food service workers and student interns.
Supervises the planning of daily menus for therapeutic diets.
Evaluates the nutritional care of patients (both inpatients and outpatients) concurrently and retrospectively.
Documents the medical records, via computer, of all patients on therapeutic diets and others where feasible.
Records, via computer, dietary history of patients identifying food allergies, those unable to accept a limited diet regimen and others where appropriate.
Interviews and counsels patients, their families and/or other appropriate persons.
Willingness to work with realization that errors may have serious consequences for patient.
Provides discharge diet instruction to patients and their families and/or appropriate persons.
Participates in ward rounds, conferences, committee and staff meetings when appropriate.
Able to provide in-service training for nursing and medical staff.
Must achieve and maintain good working relationship with physician, professional nurses, related nursing services personnel, food service workers and others. Demonstrates tact, cooperation and confidentiality. Demonstrates initiative and good judgment.
Attends continuing education programs.
Orders appropriate amount of food and other nutrition support supplies, as needed.
Must be able to maintain expenses within budget.
Assists physicians with provisions of TPN and tube feeding within scope of practice

Qualifications/Specifications:

Education: Bachelor of Science degree in Foods and Nutrition which meets the standards established by the American Dietetic Association.
Registration: Must be registered by the Commission on Dietetic Registration.
Licensure: Must attain state licensure, as applicable.
Experience: Minimum of four years of food service supervision preferred. One year acute clinical hospital experience preferred.

Patient Care Partner – ACU/ICU ENCORE (PRN)

Position Summary

This position is responsible for assisting clinical team members by performing a variety of duties for patients within the patient-focused care system and under the direction/supervision of a registered nurse. Assumes, under the direction of the Laboratory, responsibility for patient specimen testing, quality control, quality improvement, and equipment maintenance.

Primary Duties

Primary Functions:

Always greets patients courteously and makes comfortable with department/surroundings.
Ensures admission chart is ready and actively assists with admission process (ID band, computer information, and consent form).
Actively participates in administering patient care and ensures a safe and comforting environment.
Responds to patients needs in a timely manner.
Assists patients with ADLs, including meals, bathing and hygiene needs.
Performs/assists with range of motion exercises and progressive ambulation as directed by RN.
Performs/assists with positioning patients and transferring patients from bed to chair or wheelchair or stretcher. Transports patients as needed.
Reports changes in condition to the RN in a timely manner.
Maintains personal responsibility for clinical growth and development.
Applies the knowledge of growth and development to appropriate patient populations.
Maintains patient confidentiality.
Maintains standard precautions.
Performs Point of Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point of Care quality control standards.

Technical Activities:

Observes intravenous lines for adequacy of fluids and operations and reports any non-functioning line visually observed.
Performs superficial oral suctioning with a Yankauers.
Establishes patient setup/connection tasks including inputting patient specific data such as SaO2, and EKG.
Demonstrates ability to perform 12 lead EKG.
Collects specimens such as urine, stool, or sputum.
Obtains weight and basic patient information for new admissions.
Monitors and performs vital signs using a variety of equipment, and reports to RN.
Performs blood glucose monitoring.
Performs ostomy care.
Performs procedure and surgical preps on patients.
Ability to apply single dressings and to assist RN with more complex dressings.
Provides clerical support as needed.

Qualifications/Specifications

Education: High school graduate or G.E.D. certificate required.
Licensure/Certification: None required. CNA, MA and/or paramedic certification (National Registry of Emergency Medical Technician (NREMT) paramedic certification) preferred. BLS certification required within the first 30 days of employment. Certification is to be renewed by recommended renewal date on certification card. Basic EKG skills required within 6 months of employment.
Experience: With CNA, MA and/or paramedic certification, no experience required. Without CNA, MA or paramedic certification, minimum of one year patient care experience in a nursing home or hospital (acute care setting preferred) or one year nursing school required.

Radiology Tech – AHH Radiology (PRN)

Position Summary:

Responsible for performing all diagnostic radiological procedures in a timely manner. Performs procedures according to physicians orders in the patients chart or per prescription on outpatients. As a member of the care team, the Radiology Technologist-Hospital is responsible for working collaboratively with other members to assure the safe and accurate delivery of patient care. In addition, the Radiology Technologist-Hospital must be able and willing to cross-train into other appropriate modalities.

Work Schedule:

Flexible schedules to cover all shifts and weekends, as hospital needs demand.

Primary Duties

Performs radiological procedures in a timely manner; documents required information and communicates to primary physician and direct care staff pertinent information.
Coordinates and assists the care of patients assigned in collaboration with other radiology technologists, physicians, nurses and allied health staff.
Evaluates patient condition in order to adequately perform radiology exams.
Informs and explains procedure to be performed to patients and what is expected in terms of his/her cooperation.
Provides comprehensive direct patient care and assures a safe and comforting environment.
Consults with other staff as necessary to meet the needs of the patient and family.
Ensures the necessary clinical equipment and supplies are available and are safely utilized.
Possesses the knowledge of growth and development of patients across the life span (neonatal, pediatric, adolescent, adult and geriatric).
Performs Point of Care procedures in a timely manner according to established policy and procedure. Documents required information and complies with all Point of Care quality control standards.

Qualifications/Specifications:

Education: Graduate of an accredited radiology technology program required.
Licensure/ Certification: Current Arkansas Department of Health Radiologic Technologist license and current American Registry of Radiological Technologists (ARRT) certification required. BLS certification required within 30 days prior to completion of orientation. Certification is to be renewed by recommended renewal date on certification card.
Experience: Minimum of one year of experience as a Radiology Technologist preferred.

Registered Nurse – Progressive Critical Care Unit (FTD)

Do you want to be appreciated daily? Our nurses are celebrated for being the heroes on the front line, an ever-ready advocate for patients. At Arkansas Heart Hospital, our nurses lead a patient-focused care model, setting us apart from any other healthcare provider, where we bring care back to the bedside ensuring the best outcomes for our patients. We are seeking a committed RN for our Progressive Critical Care Unit to join our team.

In the Progressive Critical Care Unit, our nurses play an integral role. Just as each of our patient’s characteristics are varied, we desire our nurses to be just as diverse. Utilizing each nurse at the top of their scope and experience levels, we have a variety of patient populations for you to choose from!

Consider working as a primary nurse caring for up to 4 patients that are pre and post cardiothoracic surgery patients alongside another nurse with support by unlicensed team member.

Or choose to work on a care team as the nurse leader with an LPN and unlicensed team member caring for up to 7 cardiac / medical lower-acuity patients.

Or choose to work where you are need most, leveraging your skill and expertise with a mixed patient acuity assignment of up to 4 patients, including cardiac / medical / surgical patients. This, also alongside another nurse and with support of an unlicensed team member.

Our patient focused care model makes it possible for nurses to choose the path that fits them best all while delivering the highest level of quality nursing care. Apply today for our RN Progressive Critical Care Unit opportunity.

What you will do in this role:

Assess patient condition, identifying and reporting any changes in patient status.
Perform procedures or other functions as ordered by the provider.
Document the administration of care in the patient medical record in a timely and thorough manner.
Perform the administration of prescribed medications and monitors effectiveness
Maintain a knowledge of medications, procedures, surgeries and equipment used in the care of cardiac / medical / surgical patients.

Arkansas Heart Hospital is the premiere cardiac hospital in the state of Arkansas. Our main campus is located in the heart of Little Rock, with clinics nearby in Little Rock and North Little Rock. We serve central Arkansas with cardiac care and a full range of cardiac services, ranging from surgical procedures to cardiology to electrophysiology at our Heart Rhythm Institute.

“World’s Best Hospitals”- 2019, 2020, 2021, 2022 – Newsweek
5-star hospital – CMS

Responsibilities

Assessment, Nursing Diagnosis, Outcome Identification, Planning, Implementation, and Evaluation
Interdisciplinary collaboration
Responding to life-saving situations, including providing advanced life cardiac support
Assisting providers with procedures, including moderate sedation
Administering wound care, medications, including intravenous fluids and titration of vasoactive continuous infusions
Management of critical care patient equipment, including ventilators, BIPAP, cardiac and hemodynamic monitoring, etc.
Care and Management of pre/post procedure/surgical patients, including cardiothoracic, vascular, general surgical and medical
Providing education and support to patients/caregivers
Supervision/delegation of duties to unlicensed assist personnel
Patient specimen testing and quality control under direction of the Laboratory
Documents findings and communicates effectively
Maintains patient confidentiality, standard precautions

Requirements

Education: Graduate of an accredited nursing program; BSN preferred but not required
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact
Experience: one year cardiac or critical care nursing (exception – New Graduate RN Residency Program)
BLS within 30 days of hire and prior to completion of clinical orientation
ACLS prior to completion of clinical orientation
Critical Care Registered Nurse (CCRN) preferred
Nurse Characteristics varying from advanced beginner to expert with the goal of promoting patient’s optimal outcome:
- Clinical Judgment – clinical reasoning
- Advocacy – ability to work on another’s behalf
- Caring Practices – compassionate, engaging
- Collaboration – works well with others
- Systems Thinking – global perspective for patient needs
- Response to diversity – sensitivity, appreciation
- Clinical inquiry – innovation through learning and evaluation of practice
- Facilitation of learning – for patient and caregivers, including validation of learning

Qualifications/Specifications

Education: Graduate of an accredited nursing program required.
Licensure/Certification: Registered Nurse with current state licensure or licensure from a state within the Nursing Compact required. BLS certification required within 30 days of employment and prior to providing direct patient care. Successful completion of ACLS certification is required for any Registered Nurse by completion of clinical orientation. Certifications will be renewed by recommended renewal date on the certification documentation.