PAM Health facilities may require an orientation before approving clinicians to pick up shifts at their location. The record appears on a shift's credential list, and the policy behind it belongs to the operator.
Long term acute care as a setting
Long term acute care hospitals serve patients who need hospital-level care for an extended period, often following an intensive care stay. Ventilator weaning, complex wound care, and prolonged recovery from serious illness are common, which puts the acuity closer to a hospital than to a skilled nursing building despite the longer stays. Orientation material in these settings tends to reflect that combination.
What that means for a shift
Patients are medically complex and the relationships are longer than in acute care, so a clinician picking up repeatedly may see the same patients across weeks. The equipment and monitoring sit closer to what an ICU runs than what a nursing floor does.
What these records typically include
Material of this type compresses what a permanent hire absorbs gradually into something completed beforehand.
- Facility protocols covering how the operator's locations run their units.
- Standards that apply to clinicians working on a registry basis.
- Patient care policies specific to the operator.
Because it is built around particular facilities, it belongs to that operator rather than to an outside certifying body.
Before requesting a shift
Higher-acuity settings often keep longer credential lists, and the list attached to a hospital posting is the earliest view of what a facility expects.
How to add this credential to your Nursa profile
Facility orientations are added the same way as any other credential.
- Navigate to your Profile in the Nursa app.
- Locate Credentials on your profile view.
- Select the "+" button.
- Select "Add Credential."
- Select the credential you want to add.
- Follow the instructions to add your credential.
Depending on the credential type, this may require uploading proof of the certification, reviewing and signing a document, or completing a facility-required training in ShiftReady. ShiftReady is an online learning management platform that offers clinicians access to a library of third-party training resources.
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