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Monday, April 19, 2021

Attention All Cardic ICU Nurses!
$15,000 Sign on Bonus

 Do you have CCU experience?  This post outlines an excellent  opportunity in Culver City, CA !  Below are the details of the job description.  If you are interested, feel free to call me at 828 898 2383.

All discussions are confidential and your resume will never be shared without your permission.  Thanks 

Jim Blankenship, RN, BSN

RN - Critical Care (CCU) $15,000 Sign on Bonus - Full Time, Days (Culver)

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Critical Care Registered Nurse is specially trained in hemodynamic monitoring and therapeutic equipment necessary to provide specialized medical and/or surgical nursing care to acute or complex, critically ill patients.  Collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of care between other disciplines, physicians, and support staff.  Performs professional nursing duties that incorporate the psychosocial, psychomotor and age appropriate cognitive skills of the patient/family/significant other to assess, plan, intervene and advocate for the patient on an ongoing basis throughout the continuum of care.  Will reevaluate patient response and outcomes, effectiveness of plan of care, and readiness for discharge and revise plan or make referrals as necessary.  Acts as a role model and mentor to a variety of new graduate nurses, orientees and support staff.

Job Responsibilities/Duties

·         Provides patient care, reviews and administers patient medications, including intravenous titrations, invasive and arterial lines, cardiac monitoring, ventilator management, treatments and procedures in a safe, effective and age appropriate manner that meets scope of practice and standards of nursing practice.  Recognizes change in patient's clinical conditions, taking appropriate action and documenting intervention. Appropriately responds to RRT/Code Blues/Code Whites as assigned.  Effectively collaborates with the health care team to intervene, and advocate as necessary. Intervenes appropriately in instances of abuse, assault or neglect, or when adequate financial or social resources are not available. Makes appropriate referrals to resolve patient issues effectively. 

·         Develops long and short-term goals consistent with treatment plans, standards of practice, and the plan of care, incorporating patient preference and discussing plans of care with patients. Appropriately utilizes pain management resources and other interventions to provide pain relief. Provides ongoing assessments and documents the patient's physical and psychosocial condition, as well as response to care. Reviews patient test results, identifies critical results, and communicates in a timely manner consistent with the condition of the patient and correlates information into the plan of care.  Consistently ensures nursing practice is evidence based, within scope of licensure and compliant with hospital wide standards of nursing care, including core measures.  Ensures Infection Control procedures and HIPAA compliance.

·         Collaborates with staff, physicians and members of the healthcare team, ensuring the coordination of care between other disciplines and support staff.  Supervises, monitors and delegates patient care activities to appropriate members of the health care team, provides effective leadership and ensures that care is safe and of high quality.  Acts as a source of information and articulately responds to questions, providing resources, guidance, and education about treatment plan, plan of care, and medications. Develops and implements accurate teaching and ongoing discharge plans.

·         Empathizes with patient and patient support systems, expresses compassion and understanding for the situation and demonstrates care which is appropriate for the age, and cultural, religious, gender identity, or ethnic background.  Engages in caring behaviors, taking conscious ownership for work and takes deliberate/thoughtful actions regarding how to best carry out interactions with the patient, families, physicians, and co-workers.


Minimum Education: Graduate of an Accredited School of Nursing required. Bachelor of Science in Nursing preferred.

Minimum Experience: One (1) year previous critical care nursing experience or completion of a 6-week critical care training course required. Ability to read, write and communicate effectively in English.  Ability to work variable shifts including evenings, nights, weekends, and holidays. Ability to maintain flexibility and composure in a constantly changing environment. Bilingual skills to communicate effectively with patients and families preferred.

Req. Certification/Licensure: Active, current, and unencumbered Licensure as a Registered Nurse in the State of California required.   AHA Basic Life Support required. AHA Advanced Cardiac Life Support required.  Hospital Fire and Life Safety Card (Los Angeles City Employees only) required. Critical Care Registered Nurse (CCRN) Certification preferred.




Saturday, April 10, 2021

The Fate Of The Rural Hospital 2021


The fate of small rural hospitals has always been on a vicarious balance at best.  The many variables including declining patient volumes and their dependence on government subsidies have made them open targets.  This was true last year, and the added pressures of 2021 including the pandemic, may result in many more closures.


A real look at the numbers.  According to the Sheps Center for Health Services Research, 136 rural hospitals have been closed since 2010.  20 of those hospitals were closed last year, making 2020 a record year for closing rural hospitals.  Over the last decade, Texas and Tennessee have seen the most rural hospital closures with 21 and 16, respectively.


The real impact.  Almost 20% of the American population lives in rural areas and receives healthcare from small rural hospitals…that is 1 in 5 folks.  Healthcare for that 20% may depend on trips of an hour and a half to two hours if not for their rural access to healthcare. 


The unintended silver lining.  I think that it is a huge disservice to our patients that it took suffering thru a pandemic for our government and the healthcare industry to develop and use one of the most effective tools available…. telemedicine for patients at home.  Our system proved that when pushed into a deadly corner, that they can take down all the roadblocks to using a new technology overnight!  Within a couple of months, the government had given permissions, approved funding, approved billing codes, and solved HIPPA problems and given the green light for practitioners to begin telemedicine visits to reduce exposures in offices and hospitals. 

I am sure that many of you are scratching your heads at this point and wondering why this paragraph is relevant to rural hospitals closing.  I have included this information because telemedicine will also be a determining factor for rural hospitals survival.  Here is why.  Many rural hospitals make the bulk of their revenues by making services available thru clinic settings.  They range from diabetic care to cardiac services and provide for many of their admissions.  In the future, I predict that most of those admissions will be garnered by the healthcare system that provides the most comprehensive telemedicine services.  Thus, another variable.


The number of rural hospital closures during the best of times is alarming.  2021 may be the breaking point for many more rural hospitals as further pressures are brought on the system…. delayed and deferred treatments, reduced patient visits, telemedicine integration, and rising costs.  We will have to wait and see what direction this part of our healthcare system will be taking.

All Success!  Jim