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RN - Pre-Op / PACU - Neuro Expansion

Join Cleveland Clinic Neurological Institute and become part of one of the world's most respected healthcare organizations. We are expanding with a new, one-million-square-foot, 15-floor, state-of-the-art facility on Cleveland Clinic Main Campus designed to elevate care for complex neurological conditions including spine injuries, epileptic seizures, movement disorders, multiple sclerosis and stroke.

This advanced building brings every stage of care under one roof, featuring dedicated spaces for outpatient services, surgery, stepdown, ICU and epilepsy monitoring, as well as additional operating rooms and expanded ambulatory, infusion, imaging, EMG, sleep and rehabilitation services.

The Neuro Pre-Op/PACU Unit is a newly established unit in the state-of-the-art Neuro Building, designed to support patients through every stage of the surgical experience. This 36-bed unit brings together Pre-Op and Post-Anesthesia Care (PACU) into one cohesive, flexible environment, where nurses are cross-trained to care for patients both before and after surgery, including dedicated nursing education support. Focused exclusively on neurology patients, the team provides a seamless, specialized care journey from initial surgical preparation through immediate recovery within a space built specifically to advance neuro care.

Caring for a diverse adult neurology population, the unit manages a full spectrum of surgical needs, from same-day procedures to high-acuity post-operative recovery. Nurses are equipped with critical care competencies to support complex cases, while pediatric neurology patients are cared for in collaboration with specialized pediatric nurses. Close partnership with the Operating Room and PACU teams ensures a highly coordinated, team-based approach, supported by strong leadership and shared governance.

*Hiring Now caregivers hired for this role will have the opportunity to work and train in the current Adult PACU setting prior to moving into the new building*

A caregiver in this role will:

• Provide direct nursing care.
• Implement, monitor, evaluate, update and revise patient care plans.
• Monitor, record, document and communicate patients' conditions.
• Administer prescribed medications and treatments.
• Note and carry out physician and nursing orders.
• Assess and coordinate patients' discharge needs.
• Educate patients and their families.

Minimum qualifications for the ideal future caregiver include:

• Graduate from an accredited school of professional nursing (Diploma, ADN or BSN program)
• Current state licensure as a Registered Nurse (RN)
• Basic Life Support (BLS) Certification through the American Heart Association (AHA) or American Red Cross
• One year of current acute care RN experience OR military RN experience

Preferred qualifications for the ideal future caregiver include:

• Bachelor's of Science in Nursing (BSN)

Physical Requirements:

• Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination.
• Requires standing and walking for extended periods of time.
• Requires corrected vision and hearing to normal range.
• Requires working under stressful conditions and irregular hours.
• Exposure to communicable diseases and/or body fluids.
• Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.
• Physical Demand requirements are in excess of those for Light Work.

Personal Protective Equipment:

• Follows Standard Precautions using personal protective equipment as required for procedures.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster.

Cleveland Clinic is pleased to be an equal employment opportunity employer.

Hemodialysis Patient Care Technician

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

Principal Duties and Responsibilities

Patient Related

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.

Treatment

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.
• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients' response to dialysis therapy.
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
• Obtain Hemostasis and apply appropriate dressings.
• Evaluate the patient prior to discharge.
• Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
• Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
• Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
• Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
• Monitors patients performing self-care under the supervision of RN. Assists patients in performing self-care as applicable

Staff Related

• Participates in the recruitment process for new clinical staff
• Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization.
• Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards.
• Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT's.
• Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.
• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
• Provides developmental support to applicable clinical and facility staff.

Education/Communication

• Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations.
• Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.
• Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives
• Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.
• Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.
• Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
• Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

Maintenance/Technical

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate, and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system.

Record Keeping

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff.
• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
• Ensure collection of lab specimens by appropriate lab courier.

Infection Control

• Assists with facility QAI infection control audits.
• Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices.
• Reinforces new hire employee adherence to infection control Policies and Procedures
• Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice.
• Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards.
• Under the direction of the Education Dept. participates in education response to internal and external facility surveys.
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law

Transitional Care Unit

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
• Reinforces all education and care related matters as it relates to the new patient as allowed by state law
• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
• Sets and preforms a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options including demonstration of the