Nurse Recruitment Book Spring 2021

Celebrates Graduating RN Classes 2021

We have a story to tell . . . be a part of it.

In This Book Program ............................................................................................................................................... 1 Mission, Vision & Values ...................................................................................................................... 2 Kern Medical Administration ............................................................................................................ 3 Nursing Administration ....................................................................................................................... 5 Florence Nightingale Pledge ............................................................................................................ 6 Acute Care Services ......................................................................................................................... 7 Vascular Access ................................................................................................................................ 9 Emergency Department ................................................................................................................. 10 Maternal Child .................................................................................................................................. 11 Peri Operative Services .....................................................................................................................12 Specialty Services ............................................................................................................................. 14 Behavioral Health ............................................................................................................................ 15 Outpatient Clinics ............................................................................................................................ 16 Infection Control & Employee Health ............................................................................................ 18 Care Coordination ........................................................................................................................... 20 Staff Development ......................................................................................................................... 21 Accreditation & Licensing ............................................................................................................... 22 Performance Improvement ............................................................................................................ 23 Clinical Nurse Leaders .................................................................................................................... 25 Physician Specialties, Services & Locations ................................................................................ 26 Position: Hospital Staff Nurse & Pre-Licensed Nurse ..................................................................... 28 Nurse Residency Program .............................................................................................................. 29 Benefit Highlights .............................................................................................................................. 30

Program

1. INTRODUCTION AND WELCOME

2. EXECUTIVE WELCOME

3. NURSE & PROVIDER COLLABORATION

4. RESIDENCY PROGRAM/PANEL DISCUSSION

5. HIRING PROCESS

6. QUESTION AND ANSWERS

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Defining Statement, Mission, Vision & Values Who We Are Kern Medical is proud to be a Tertiary Referral Center, Academic Teaching Institution, and Safety Net Hospital. Mission Guided by the needs of our patients and their families, Kern Medical will deliver safe, compassionate, high quality care, and improve the health and well-being of our community. Vision Kern Medical will: • Advance healthcare delivery through a fully integrated system across the spectrum of care • Realize the triple aim of providing the best patient experience, highest quality of care, and most appropriate use of healthcare resources • Hire and develop the best team that is both inspired and committed to healing • Committed to financial stability through efficient management of resources Values Kern Medical is guided by the principles of: • Compassionate Healing: We ensure a culture of caring that nurtures the well-being of the whole person • Respect: Be kind. Listen to understand. Embrace the skills and knowledge of others • Integrity: We earn your trust by delivering the best in healthcare • Innovation: We are committed to new ideas, creativity, and academic achievements • Collaboration: We value our partnerships to advance the health of our community • Fiscal responsibility: We are committed to effectively utilizing and maximizing our resources KERN MEDICAL BY THE NUMBERS ANNUAL STATS FY 2018 FINANCIAL REPORT • Place the patient at the center of the healthcare experience • Lead academic and professional excellence in the community

1,700+ Employees

200+ Residents, Fellows, & Medical Students

5,741 Surgeries

9,735 Admissions

144,006 Physician Office Visits

44,399 Emergency Department Visits

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Kern Medical Administration

Scott Thygerson President, Hospital & Clinic Operations

Toni Smith Chief Nursing Officer

Russell V. Judd Chief Executive Officer

Renee Villanueva Vice President of Ambulatory Care

Andy Cantu Chief Financial Officer

Glenn Goldis Chief Medical Officer

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Kern Medical Administration

Erica Easton Executive Director, Kern Medical Foundation

Tyler Whitezell Chief Operating Officer

Rey Lopez Chief Information Officer

Lisa Hockersmith VP of Human Resources

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Nursing Administration

The Nursing Administrative team works together to develop a successful vision for the nursing organization at Kern Medical. Their task includes the nurturing of collaborative relationships among interdepartmental staff and management in an effort to implement that vision. Policy planning, staff management, staff competency, patient flow, and financial resource management is a part of their daily responsibilities.

Brock Beeney, RN Nurse Staffing Office Manager

Connie Green, RN Hospital Shift Manager

Jeffrey Clegg, RN Hospital Shift Manager

Jeff Burke, RN Hospital Shift Manager

Kathleen Munsey, RN Hospital Shift Manager

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Florence Nightingale Pledge I solemnly pledge myself before God and in the presence of this assembly, to pass my life in purity and to practice my profession faithfully. I will abstain from whatever is deleterious and mischievous, and will not take or knowingly administer any harmful drug. I will do all in my power to maintain and elevate the standard of my profession, and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling. With loyalty will I endeavor to aid the physician in his work, and devote myself to the welfare of those committed to my care.

Kern Medical’s Nursing Goals Goal 1: Create a Customer-Focused Organization Strategies: A) Bedside Reporting B) Hourly Rounding C) Strengthen Patient Education D) Management Rounding E) Post Discharge Follow-up Calls Goal 2: Provide Exceptional Care Strategies: A) Foster Patient Safety B) Pain Management C) Prevent Hospital Acquired Infections

Goal 3: Foster Strong, Consistent Staff Strategies: A) Instill culture of pride, accountability and teamwork B) Promote an environment of continuous learning C) Promote financial awareness Our Nursing Model Jean Watson’s Theory of Human Caring

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Acute Care Services Acute Care Services is composed of Medical Surgical and Telemetry, Intensive Care, and Direct Observation patient care areas. Our nurses understand the vital role they play in assisting patients in achieving their health care goals and work closely together along the care continuum to meet the special needs of each patient. We are dedicated to fostering safe, healing environments and providing patient centered care with kindness and compassion. Our Acute Care Team includes, Clinical Nurse Leaders (CNLs), Staff Nurses, EKG Monitor Technicians, Patient Care Technicians, andNursingAttendants whowork alongside our multiple specialty services (Physical Therapy, Dietary, Speech Therapy, Cardiopulmonary, Pharmacy, Laboratory, Patient Educators, WoundChampions, PalliativeCare, Vascular Access) to support the nursing and medical plan of care. Our Clinical Nurse Leaders are expert nurses who serve as mentors and provide resources in their specialty areas. The CNL is instrumental in ensuring quality care and adherence to established standards of practice. Our nurses are committed to excellence and are proud of their achievements in reducing: Hospital Acquired Pressure Injury (HAPI), Catheter Associated Urinary Tract Infection (CAUTI), Central Line Associated Blood Stream Infection (CLABSI), Ventilator Associated Events (Ventilator Associated PNA-VAP), Surgical Site Infection Reduction, and Patient Falls. Our Nurses are proactive and prioritize bedside report, hourly rounds, bedside physician rounds, interdisciplinary rounds and timely communication with the healthcare team. Our nursing leaders have over 85 years of collective nursing experience and are dedicated to recruiting quality team members and helping our nurses achieve their professional goals. Our leaders are in search of creative, energetic, innovative, and caring nurses who have excellent communication skills, knowledge of evidenced-based practices, and a passion for patient advocacy. “The capacity to care is the thing which gives life its deepest significance” Pablo Casals

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Acute Care Services

Paula Isbell, RN Clinical Supervisor ICU/DOU

Valerie Krake, RN Clinical Supervisor Med/Surg Tele 3C

Roger Miller, RN Clinical Director

Patricia Baldivia, RN Clinical Supervisor Med/Surg/Tele 3D

Erin Thomas–Slayden, RN Clinical Supervisor Med/Surg 2C

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Vascular Access

Our Vascular Access Service is composed of a team of Registered Nurses who have received specialty training in the insertion, care and management of central venous accesses. They are able to consent, insert PICCcatheters and verify placement through guidance system. They are a resource to patients, nurses, and physicians and are able to establish IV access on the most difficult vasculature with the use of ultrasound guidance. They are a consultative service and provide Monday through Saturday coverage. Our nurses are both certified in their specialty and are included in our new grad orientation program.

Elmas Orhan, RN Vascular Access

Veronica Lomely, RN Vascular Access

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Emergency Department Kern Medical has a goal of providing the highest quality, compassionate care and service in an efficient and timely manner. Services are provided 24 hours a day, 365 days a year. There is a team of specially trained physicians, nurses, and dedicated support staff to handle a wide range of medical conditions. Trauma Center Kern Medical operates the only Trauma Center between Fresno and Los Angeles and offers the highest level of care available for a traumatic injury or illness. Having the trauma team available and constantly ready to respond can make the difference between life and death for critically injured patients

Susie Marderosian, RN Clinical Supervisor

Michelle Peterson, RN Clinical Director

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Maternal Child The Kern Medical Maternal Child nursing staff provide high level care to over 400 moms and babies each month. These patients include some of the highest risk pregnancies in the county. Our medical and nursing staff partner with UCLA, Valley Children’s Hospital, CHLA and Fresno Community Regional hospitals to plan care and initiate referral/transfers for Perinatal and NICU services. Private post partum suites are available to new mothers. Our 28 bedNICUallows our team to care for many of the county’s smallest and sickest neonates. Kern Medical often accepts transfers into our NICU from other local hospitals. We round out Kern Medical’s Maternal Child Services with our Pediatric Department. The Maternal Child nurses at Kern Medical provide loving support to our patients from birth through adolescence.

Robyn Garrett, RN Clinical Supervisor L&D/ Mother/Baby, NST Clinic

Marinda Du Toit, RN Clinical Director

Eva Flanagan, RN Clinical Supervisor NICU/ Pediatrics, Nursery

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Peri Operative Services Surgical Services includes, Preadmit, Testing, Preop, Holding Room, OR, PACU, Diagnostic Treatment Center (DTC) and Sterile Processing Department (SPD).  Kern Medical has 8 OR suites that average 450 patients per month.  Kern Medical serves patients ranging from children to geriatric and offers all surgical specialties, except cardiac services and organ transplants.  Our very busy OR works hard to meet the needs of all elective, urgent, and emergent surgeries. OR Staffing is 1:1 which always includes an RN.  Kern Medical has surgical technicians to fill the scrub role but RNs can also fill this role.  The da Vinci Robot

Kern Medical is proud to have the latest technology for surgical procedures with the da Vinci robotic Surgical System that enables surgeons to perform operations through a few small incisions and features several key features, including: • Magnified vision system that gives surgeons a 3D HD view inside the patient’s body • Ergonomically designed console where the surgeon sits while operating • Wristed instruments that bend and rotate far greater than the human hand Sterile Processing Department (SPD)

SPD processes and sterilizes all instruments and trays for the entire organization.  Kern Medical processes over 5,000 items per month. This area employs Certified SPD Technicians and works very closely with the OR/Outpatient Clinic staff. Perianesthesia Services/Diagnostic Treatment Center (PACU/DTC) PACU/DTC services cares for over 500 patients a month.  PACU has a 1:1 or 2:1 ratio caring for all types of post procedural/surgical patients including critical care patients.  DTC performs all types of outpatient and inpatient endoscopies, infusions, transfusions, and minor procedures.

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Peri Operative Services Staff

Faye Bergeron, RN Director of Surgical Services

Assistant Director of Surgical Services

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Specialty Services

Stroke Program Kern Medical is a Joint Commission Certified Primary Stroke Center. With this certification, Kern Medical joins an elite group of health care organizations focused on highly specialized stroke care. Kern Medical provides the most advanced stroke care through well-developed teams of physicians, nurses, technicians and ancillary teams to provide the highest level of care. Our highly trained stroke team is on- hand 24/7, making fast response times and positive outcomes a reality.

Jina Pappas, NP Clinical Director Cardiovascular Services & Stroke Coordinator

Wound Care Wound care RNs work thoughout the hospital and in an outpatient clinic specializing in treating wounds. Nurses and Physicians, send consults for wound identification, wound treatment, and complicated ostomies. Wounds are identified with suggested interventions given to prevent pressure ulcers. Education is given to nurses, physicians, and patients.

Tony Tuazon, RN Wound and Ostomy Nurse

Jose Salvador, NP Wound and Ostomy Nurse

Emma Hubscher, RN Wound and Ostomy Nurse

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Behavioral Health The 24-bed Inpatient Behavioral Health Unit offers expert diagnosis and treatment for patients aged 18 and older with mood disorders such as Depression, Bipolar Disorder, thought disorders including Schizophrenia, and substance abuse disorders. Patients are evaluated and treated by an interdisciplinary team of Psychiatrists, Nurses, and Social Workers. Kern Medical Inpatient Behavioral Health Unit is the only unit in Kern County that treats patient with mental illness and co-occurring chronic medical conditions.

Patrick Sevegny, RN Clinical Supervisor, Behaviorial Health

Laura Orantes, RN Clinical Director, Behavioral Health

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Outpatient Clinics Staff

Gloria McCormack, RN Clinical Director

Marie Ruffin, RN Clinical Director

Alicia Gaeta, RN Clinical Director

Jacqueline Laws, RN Clinical Director

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Outpatient Clinics Staff

Jocelyn Advincula, RN Clinical Supervisor Juvenile Corrections

Margaret Johnson, RN Clinical Director Adult Corrections

Alysia Williams, RN Clinical Supervisor Adult Corrections

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Infection Prevention & Employee Health The Infection PreventionDepartment and the EmployeeHealthDepartment are integratedand both work in collaboration to promote health and prevent infection across our organization. Infection Prevention focuses on the prevention of disease in the healthcare setting aimed at protecting the patients we serve, while Employee Health is focused on the promotion of health and wellness of the employees working within our organization. The Infection Preventionists at KernMedical are skilled in epidemiology and infection prevention practices and work to ensure that professional practice at Kern Medical follows Center for Disease Control guidelines. The team works tirelessly to educate about hospital acquired infections, perform surveillance to ensure compliance, teach clinical staff about best-practice guidelines and reports activity and successes to the Joint Commission and other regulatory bodies as warranted. The primary goal of the Employee Health Department is to maintain the health and well-being of the employees of our organization. The Employee Health Department achieves this goal through identification and remediation of occupational hazards, health promotion through injury prevention, immunization, and the development and implementation of education and wellness programs.

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Infection Prevention & Employee Health

Kristi Brownfield, RN Director of Infection Control & Employee Health Services

Kathleen Daniel, RN Employee Health Nurse

Brekke Raines, MA Employee Health

Janet Stotts, RN Infection Control Coordinator

Ana Medrano, LVN Infection Control

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Care Coordination The Care Coordination team is a dedicated group of healthcare professionals that work with patients to ensure that the highest level of integrated and personalized care is rendered while ensuring that services are delivered in an effective and timely manner. Members of the Care Coordination team work collaboratively with the patient, their families and third party entities to facilitate communication and ensure all linkages and arrangements necessary to help an individual transition effectively from the hospital to the most appropriate next level of care is achieved. Case Management

Jose Zuniga, RN Director of Case Management

Caryn Graham, RN Manager, Appeals & Denials

Social Services & PalliativeCare

Linda McCarthy, MSW Director of Social Services

Ana Duarte, MSW Palliative Care Social Worker

Kim Van De Venter, RN Palliative Care Nurse

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Staff Development The Staff Development Department supports the Mission and Vision of Kern Medical by providing educational support for all members of the workforce. The Kern Medical team of education professionals provide expertise which includes the creation of learning programs from orientation and on-boarding, through continuing education and ultimately professional development. Mentorship Program Kern Medical’s educator provides mentoring and education to the new nursing school graduates who are hired.

Laura Cunanan, RN Director of Education & Staff Development

Shalom Sakowski, RN Staff Development Coordinator

Pam Gavin, RN Nurse Residency Coordinator

Priscilla Zamarron, RN Educator

Lindsey Muir, RN Staff Development

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Accreditation & Licensing

The Accreditation and Licensing is a department dedicated to assisting Kern Medical in becoming a high reliability organization by reaching excellence in care through standardized processes. Regulatory standards helps the organization measure compliance as we strive to deliver patient-centered care in the healthcare industry.

Amie Sevier, RN Quality

Dianne McConnehey, RN Director of Quality

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Performance Improvement

Utilizing standardized improvement science, data analysis and evidence-based practice, the Performance Improvement department partners with organizational leaders and frontline staff to ensure continuous performance improvement in the delivery of highly reliable, safe, quality care that is efficient, cost effective and consistent with regulatory body requirements and organizational strategic goals, mission, vision and values.

Carmi Magno, MSN, RN, CCM Clinical Director of Performance Improvement

Jessica Wonderly, BSN RN Clinical Manager, Performance Improvement

Eunice Hartsock, MSN, APRN, FNP-C Quality Management Analyst

Donna Wright, RN Performance Improvement Coordiantor

Malou Payne, LVN Quality Coordinator

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Performance Improvement

Evangeline Gallegos, RN Outpatient Performance Improvement Manager

Theodora Garnett, RN Performance Improvement Nurse

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Clinical Nurse Leaders

ED Melissa Cotera Vilma Donasco

2C Virginia Killian 3C Elham Beladi Maria Diaz Manjinder Kaur 3D Epigenia Cendena Agnes Garay Lizy Joseph Chamroeun Mue Leah Noriega Behavioral Health Unit Amira Ahmed Christopher Garza Susan Kincaid Rachel LaPatka George Pfister DTC Educators Acute Care Virginia Killian BHU Rachel LaPatka Myra Bajwa Julie Thomas

Jan Alalong Kristen Bustamante Vivian Cervantes Jemma Clouden Jennifer Ferguson Kasie Marie Jenkins Krystal Mandujano Kimberly Mendoza Berkley Mercer

Christopher Harkins Mary Joyce Johnson Allison Osvog Ana Palacio ICU Karmjit Dhaliwal Jennifer Wold NICU Korri Kadel Analyn Manalastas Emily Ornelas Barbara Rodgers Laura Ragnetti OR Folake (Remy) Oba Timmy Sevillo Peds Jennifer Ignacio Perinatal

Laura “Breann” Navarro Danielle Reed-Chaney Carmen Vera

Charlene Zamora Pre-Op/PACU Jennifer Frick Prab Gil

ICU/DOU Guadalupe Chavez

Perinatal Laura “Breann” Navarro Perioperative Cathy Badgley

NICU/Peds Laura Ragnetti

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Position: Hospital Staff Nurse - Pre-Licensed

Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi- specialty services including high-risk pregnancy care, inpatient psychiatric services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Career Opportunities within Kern Medical include many benefits such as: • New Hire Premium : +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. • Shift Differential Pay : P.M. shift (7:00 PM - 7:30 AM)= 10% of base pay. • A Comprehensive Benefits Package : includes Holidays, Paid Time Off, Retirement, Medical, Dental, Vision and Life Insurance. Kern Medical provides you an opportunity to begin working in your chosen nursing specialty prior to receiving your nursing license! The qualifications for this Pre-licensed Nurse Opportunity are: • Currentenrollment intheir final semesterand/orquarterofanaccreditednursingprogram, in good standing, andobtaina license topracticeas a RegisteredNursewithin sixmonths. OR • Possess and maintain an Interim Permit to practice as a Registered Nurse issued by the State of California and obtain a license to practice as a Registered Nurse within six months of employment. If you have the ability to commit to working a minimum of 20 hours per week, with a schedule that best fits your schedule, this is the opportunity for you to begin your nursing career! To apply, go to https://www.kernmedical.com/careers/ For more information, please email Eric.Geiger@KernMedical.com

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Nurse Residency Program This formal, structured post-nursing school new graduate program is part of the Vizient/ American Association of Colleges of Nursing (AACN) Nurse Residency Program™. Aligned with the nation’s top residency curriculum (Vizient/AACN) our new graduate residents have the opportunity for training and education in critical thinking to lead at Kern Medical. Nurse residents participate in an evidence-based program focused on three core areas: leadership, patient outcomes, and professionalism. Benefits of this program for new graduate nurse residents include: competence and confidence in decision making, access to a learning network, satisfaction and professional commitment, consistent use of evidence- based practices, leadership and critical thinking skills, relationship building, efficiency and safety on the floor, and quality of care. Cohort Start Dates 2021 Cohort #10 March 10, 2021thru February 9, 2022 Cohort #11 August 25, 2021 thru July 27, 2022 Program Overview: • Extensive one-year program for new graduate nurses only • Monthly seminars • Assigned to preceptors and department facilitator who will guide the hands-on clinical experience Program Objectives: • Prepare nursing graduates to care for patients with the increasing levels of acuity and complexity currently found in the hospital setting • Facilitate the development of effective decision making skills related to clinical judgment and performance • Development of clinical nursing leadership at point of care. • Strengthen commitment to nursing as a professional career choice and develop individual career goals • Bring evidence based practice to the bedside • Facilitate the development of clinical and leadership skills necessary for the advanced beginner nurse to be a successful member of the health-care team • Improve patient safety and quality of care Requirements: • All New Grad Nurses graduated from an ADN or BSN from an accredited by National League for Nursing Accrediting Commission (NLNAC) or Commission on Collegiate Nursing education (CCNE) • Must have completed the NCLEX application or have IP/RN • Commit to the one-year Residency Program • Participate in department specific group evidence based practice project • Must be first paid position as RN For more information contact Pamela Gavin, RN – Nurse Residency Program Coordinator at 661-326-5651.

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Benefit Highlights Pre-Licensed to Licensed Nurse

Health Benefits Packages With our health benefits packages, you and Kern Medical share the cost of providing for your coverage. Kern Medical offers five plans to accommodate your personal needs. Each health benefits package includes medical, prescription, vision, and dental coverage. The coverage level you select – Employee only, Employee + One, or Family – and the medical option you choose – determine your contribution amount. Biweekly contributions range from $0 - $240.

Paid Time Off (PTO) & Holidays PTO is accrued under the following schedule: Years Of Service PTO Days/Year 0-4 18 (144 hours) 5-9 23 (184 hours) 10-14 28 (224 hours) 15+ 33 (263 hours) PTO is prorated based on hours worked. Based on 8-hours per day Extended Illness Bank (EIB) Designed for situations where you need to be absent for three of more consecutive scheduled shifts or have met other illness criteria. Years Of Service EIB Days/Year 0-5 7 (55 hours) 6+ 10 (80 hours) EIB is prorated based on hours worked. Based on 8-hours per day

Paid Holidays - 8 Days New Year’s Day, Martin Luther King’s Birthday, Memorial Day, Independence Day, Thanksgiving Day, the Day after Thanksgiving, Christmas Eve, & Christmas Day. Flexible Pending Accounts /Health Savings Accounts Pay for eligible health care and dependent daycare expenses with tax-free dollars. Life Insurance Kern Medical provides a life insurance plan at no cost with $10,000 of coverage.

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Benefit Highlights Pre-Licensed to Licensed Nurse

Retirement Defined

Benefit Retirement Plan (Kern County Employees’ Retirement Association - KCERA) Members are required to make contributions to KCERA through biweekly pre-tax payroll deductions. Your contribution amount is based on a percentage of your base pay plus any special pays.

This plan provides you with retirement, disability and death benefits with a five year vesting period. Vesting means you are entitled to a monthly benefit at retirement, regardless of additional service. For employees newly hired on or after October 27, 2007, you will be enrolled in General Tier II. General Tier II employees are also eligible for New Employee Premium Pay equal to 6% of your base salary. 457(b) Deferred Compensation Retirement Plan This plan allows you to save a percentage of your pay on a pre-tax basis through a voluntary salary contribution. Your and Kern Medical’s contributions to the plan and any earnings they generate are always 100% vested. Kern Medical will match up to 6% of employee contributions made to this plan.

Additional Benefits Upon Licensure 7:00 pm - 7:30 am +$10% of base rate Clinical Ladder +$10% of base rate National Certification +3% of base rate Security Clearance +$2.00 per hour

Charge Nurse RN +$3.00 per hour Charge Nurse LVN +$2.00 per hour On Call +1/4 of base rate per hour on call

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A Day in the Life of a Kern Medical Nurse

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