Welcome to the Profession of Nursing

Welcome to the Profession of Nursing 2022

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

In This Book

Mission, Vision & Values ...................................................................................................................... 1

Kern Medical Administration ............................................................................................................ 2

Nursing Administration ....................................................................................................................... 4

Florence Nightingale Pledge ............................................................................................................ 5

Acute Care Services ......................................................................................................................... 6

Vascular Access ............................................................................................................................... ... 8

Emergency Department ................................................................................................................. 9

Maternal Child .................................................................................................................................. 10

Peri Operative Services .....................................................................................................................11

Specialty Services ............................................................................................................................. 13

Behavioral Health ............................................................................................................................ 14

Outpatient Clinics ............................................................................................................................ 15

Infection Control & Employee Health ............................................................................................ 17

Care Coordination ........................................................................................................................... 19

Staff Development ......................................................................................................................... 20

Accreditation & Licensing ............................................................................................................... 21

Performance Improvement ............................................................................................................ 22

Clinical Nurse Leaders .................................................................................................................... 24

Physician Specialties, Services & Locations ................................................................................ 25

Position: Hospital Staff Nurse & Pre-Licensed Nurse ..................................................................... 27

Nurse Residency Program .............................................................................................................. 28

Benefit Highlights .............................................................................................................................. 29

Defining Statement, Mission, Vision & Values

Kern Medical is proud to be an Academic Teaching Institution, a Highly Specialized Tertiary Referral Center and a Public Safety Net Hospital.

Mission Kern Medical is leading the way to a healthier you and toward community wellness through excellence in medicine, teaching and research.

Vision Kern Medical, your trusted provider of essential health and wellness in an integrated academic medical system.

Values

+COMPASSION +EQUITY +INTEGRITY +STEWARDSHIP +INNOVATION

KERN MEDICAL BY THE NUMBERS ANNUAL STATS

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Kern Medical Administration

Dawn C. LeRoy Chief Nursing Officer

Scott Thygerson Chief Executive Officer

Andy Cantu Chief Financial Officer

Glenn Goldis Chief Medical Officer

Renee Villanueva Chief Ambulatory & Outreach Officer

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Kern Medical Administration

Erica Easton Executive Director, Kern Medical Foundation

Rey Lopez Chief Information Officer

Tyler Whitezell Chief Operating Officer

Lisa Hockersmith VP of Human Resources

Natalee Garrett VP of Stategic Management

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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.

Priscilla Medina Ibarra, RN Hospital Shift Manager

Connie Green, RN Hospital Shift Manager

Brock Beeney, RN Nurse Staffing Office Senior Manager

Gowhartaj “Perrie” Hosseini, RN Hospital Shift Manager

Maria Soto, RN Hospital Shift Manager

Tom Clegg, 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. 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 Kern Medical’s Nursing Goals

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, andNursing Attendants whowork alongside our multiple specialty services (Physical Therapy, Dietary, Speech Therapy, Cardiopulmonary, Pharmacy, Laboratory, Patient Educators, Wound Champions, Palliative Care, Vascular Access) to support the nursing and medical plan of care. Our Nurses 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

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

Patricia Baldivia, RN, BSN, CMSRN

Brock Beeney, RN Interim Clinical Director Med/ Surg Tele

Clinical Supervisor Med/Surg/Tele 3D

Paula Isabell, RN, BSN, TCRN Clinical Supervisor ICU/DOU

Virginia Killian, RN Clinical Supervisor Med/Surg 2C

Clinical Director ICU/DOU

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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.

Naw Doo, RN Vascular Access

Veronica Lomely, RN, BSN, VA-BC 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 As a Level II Trauma Center, we are Kern County’s highest level trauma center and the county’s only academic center.

Bridget Berlin, RN, MSN, MBA, NE-BC Interim Clinical Director

Vilma Donasco, RN, ADN Clinical Supervisor

Santa Ponce, RN, MSN, TCRN Clinical Director Trauma

Christina Elizondo, RN, MSN Trauma Performance Improvement Coordinator

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Maternal Child

The Kern Medical Maternal Child nursing staff provides high level care to over 200 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.

Laura “BreAnn” Navarro, RN, RNC-OB Clinical Supervisor L&D/ Mother/Baby, NST Clinic

Eva Flanagan, RN, BSN, RNC-NIC Clinical Supervisor NICU/ Pediatrics, Nursery

Veronica Givan, RN, MSN, PhD Interim Clinical Director

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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

Tonya Baker, RN, BSN, MSN Director of Surgical Services

Luciano Molina SPD Supervisor

Michael Guevara Peri Operative Supervisor

Sonia Gill OR Materials Manager

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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.

Sara Lopez, RN 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.

Laura Orantes, RN, BSN, PMH-BC

Patrick Sevegny, RN, BSN

Clinical Director, Behavioral Health

Clinical Superviso r, Behaviorial Health

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Outpatient Clinics Staff

Gloria McCormack, RN Clinical Director

Marie Ruffin, RN, BSN Clinical Director

Alicia Gaeta, RN, BSN Clinical Director

Jacqueline Laws, RN, BSBM Clinical Director

Ann Johnson, RN, BSN Clinical Director

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Outpatient Clinics Staff

Julie Delaney, RN, CCHP Clinical Supervisor Adult Corrections

Margaret Johnson, RN Clinical Director Adult Corrections

Jocelyn Advincula, RN, BSN, CCHP Clinical Supervisor Juvenile 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, MSN, PHN, CIC Director of Infection Control & Employee Health Services

Kathleen Daniel, RN, BSN, PHN, COHN-S/CM Employee Health Nurse

Ana Medrano, LVN Employee Health & Infection Prevention

Tuesday Ochoa, RN Infection Preventionist

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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

Caryn Graham, RN Manager, Appeals & Denials

Jose Zuniga, RN, MSN, CCM Director of Case Management

Social Services & PalliativeCare

Jose Zuniga, RN, MSN, CCM Director of Social Services

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, BSN Director of Education & Staff Development

Shalom Sakowski, RN, BSN Staff Development Coordinator

Lindsey Muir, RN Nurse Residency Coordinator

Sara Lopez, RN, BSN Educator & Stroke Coordinator

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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.

Kay Evans, RN, CCM Licensing & Accreditation

Amie Sevier, RN Director of Licensing & Accreditation

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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, RN, MSN, CCM Clinical Director of Performance Improvement

Eunice Hartsock, RN, MSN, APRN, FNP-C Clinical Manager, Performance Improvement

Miracle Tupaz, RN, CCM Performance Improvement Coordiantor

Jennifer Fegalquin, RN, CCM Performance Improvement

Malou “Lou” Payne, LVN Quality Coordinator

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Performance Improvement

Evangeline Gallegos, RN Outpatient Performance Improvement Manager

Theodora Garnett, RN Outpatient Performance Improvement Nurse

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Clinical Nurse Leaders

DTC Myra Bajwa ED Melissa Cotera Triah Gelle

OR Folake (Remy) Oba Timmy Sevillo Outpatient Clinics Chavon Hodges Peds Marinda du Toit Perinatal Vivian Cervantes Jemma Clouden Jennifer Ferguson Kasie Marie Jenkins Krystal Mandujano Danielle Reed-Chaney Pre-Op/PACU Jennifer Frick Prab Gil

2C Josahlyn Flores Camille McCormick Sandra Ortega 3C Pernian Abadim Maria Diaz Manjinder Kaur 3D Epigenia Cendena Agnes Garay Lizy Joseph Chamroeun Mue Leah Noriega Behavioral Health Unit Amira Ahmed Ernesto Hernandez Susan Kincaid Rachel LaPatka Stephanie Montes George Pfister Educators Acute Care Sandra Ortega BHU Rachel LaPatka

Christopher Harkins Mary Joyce Johnson

Allison Osvog Ana Palacio ICU

Gloria Armenta Karmjit Dhaliwal LaRonda Dillard-Smith Lynsey Pardue Jennifer Wold NICU Korri Kadel Analyn Manalastas Emily Ornelas Barbara Rodgers Laura Ragnetti

Corrections Patricia Barraza

ICU/DOU LaRonda Dillard-Smith

Perinatal Perioperative Cathy Badgley

Jennifer Wold 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, andobtain a 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 Elizabeth.Ose g uera@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 2022 Cohort #14 March 8, 2023 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 Lindsey Muir, RN – Nurse Residency Program Coordinator at 661-326-2361.

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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 - $257.

Paid Time Off (PTO) & Holidays PTO is accrued under the following schedule:

Years Of Service

PTO Days/Year 18 (144 hours) 23 (184 hours) 28 (224 hours)

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.

0-4 5-9

10-14

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

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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 Charge Nurse LVN

+$3.00 per hour +$2.00 per hour +1/4 of base rate per hour on call

On Call

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A Day in the Life of a Kern Medical Nurse

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