Summary The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with BryanLGH Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to BryanLGH Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) is required.
Summary GENERAL SUMMARY: Provides direct and indirect patient care under the direction of a Registered Nurse (RN) or physician. Assists patients with activities of daily living (ADLs), provides for personal care and emotional support and performs more complex clinical skills under the direction of an RN. Provides secretarial functions as needed for unit to function. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the KRMC mission, vision, values and goals and consistently demonstrates our core values. 2. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. 3. *Recognizes and reacts to emergency procedures per role and policies/procedures. 4. *Performs and documents routine direct nursing care tasks according to identified age-specific needs. 5. *Provides care appropriate to condition and age of patient, including pediatric, geriatric, and the general patient population. 6. *Provides patient care that meets the psychosocial and physical needs of the patient within the CNA's scope of practice. 7. Assists with patient admissions, discharge, and transfers. 8. *Assists with patient care that is consistent with standards of care and clinical priorities determined by the nurse with the nature of the area/unit, patient care division policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices. 9. *Performs Activities of Daily Living (ADLs) for assigned patients and documents in the Electronic Medical Record (EMR). 10. *Responsible for labeling and securing patient care belongings and ensuring that the patient room is safe and uncluttered. 11. Provides surgical prep of patient with bath/shower then CHG, linen changes and other surgical prep requirements when necessary. 12. Performs EKGs as ordered. 13. Applies telemetry to patients under the direction of the nurse. 14. *Distributes patient’s meals/water and assists with feeding of patients as needed. 15. Answers patients’ call lights, anticipates patients’ needs and makes rounds of assigned patients. 16. Assists with ambulation, lifting and positioning according to procedure, including the appropriate use of patient lift devices and use of good body mechanics. 17. Assists with transporting patients, including at time of transfer and/or dismissal. 18. *Assists patients with elimination needs and measures/records bodily elimination in medical record. 19. Observes patient and reports complaints of pain or changes in mental and physical conditions to supervising nurse. 20. Participates in patient care conferences. 21. Documentation meets current standards and policies. 22. Manages and operates equipment safely and correctly. 23. *Cleans, stocks and cares for supplies and equipment in assigned work area. 24. For inpatient areas: Provides morning care which may include bed bath, shower, provides foley peri care on patients with a foley Q shift. 25. For inpatient areas: Performs general CNA care and tasks: oral hygiene, combing hair, back care, dressing patients, changing bed linen, cleaning over-bed table and bedside stand, straightening room, and other general care as necessary throughout the shift. 26. For inpatient areas: Provides evening care which includes hands/face washing as needed, oral hygiene, back rubs, peri-care, freshening linen, cleaning over-bed tables, straightening room, and other general care needed. 27. For inpatient areas: Performs purposeful hourly rounding. 28. For inpatient areas: Completes shift report at the bedside. 29. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Active Nebraska Certified Nursing Assistant (CNA) credential required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
Summary Provides direct and indirect patient care in the progressive care setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in the PCU department with adequate supervision. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the five (5) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs bedside report on patients at shift change; this includes any handoff of patient care. Provides morning/evening cares which may include brushing teeth, showering/bathing patients, pericares, and denture care. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollment in a BSN program preferred. Current Registered Nurse licensure in the state of Nebraska. 1 year of experience on a Progressive Care Unit preferred. Current BLS certification. ACLS certification within 6 months of hire. NIH Stroke Scale certified within 6 months of hire.
Summary Provides direct and indirect patient care in the medical-surgical setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in all departments with adequate supervision. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the six (6) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs bedside report on patients at shift change; this includes any handoff of patient care. Provides morning/evening care which may include brushing teeth, showering/bathing patients, perineal care and denture care. Other duties per the discretion of the unit manager. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollment in a BSN program preferred. Current Registered Nurse licensure in the state of Nebraska. Current BLS certification. ACLS required with 6 months of hire. NIH Stroke Scale certified within 6 months of hire.
Summary GENERAL SUMMARY: Responsible for facilitating access to Medical Center services. Secures medical necessity/diagnosis and patient demographic and financial information from physicians, physician staff, health care facilities, patients and patient representatives. Collects and analyzes pertinent clinical data as related to the procedure(s) scheduled, intervening to prevent problems that could result in adverse patient outcomes or delated/canceled procedures. Contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptor and/or resourcing of others. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs multi-resource appointment scheduling for inpatient/outpatient diagnostic and therapeutic services received from physician and/or physician staff. Obtains patient information including medical necessity/diagnosis, demographics, and pertinent clinical information as related to the procedures scheduled. Collects and documents information beyond that listed in procedural questionnaire based on critical assessment of patient history. 3. *Integrates physical, mental and cultural considerations in scheduling of patient procedures, coordinating services to ensure the Medical Center is patient ready on customer arrival. 4. Educates patient/patient representative on preparation and understanding of procedures. 5. *Collaborates with physician office staff to educate the patient/patient representative on preparation and understanding of scheduled procedures; clearly communicates instructions to patient and/or patient representative. 6. Provides recommendations and education to physician office staff commensurate with scope of practice in scheduling of procedures. 7. *Reviews and evaluates outpatient orders received from the physician and/or physician staff; uses clinical judgment/critical thinking to follow-up on appropriateness and completeness of physician orders as they relate to procedures ordered. 8. *Receives and documents verbal physician orders. 9. Screens/determines appropriateness of level of care and admission status; notifies appropriate departments based on assessment of patient needs. 10. Documents pre-certification/authorization/referral information when applicable. 11. *Prepares and provides patients with an estimate, if one is warranted, for their expected services. Collects and/or counsels on expected payment due. 12. Keeps Patient Service Center and Scheduling Manager informed of issues related to procedures including but not limited to: necessary questionnaire revisions, updates related to departmental requests and need for new or revised procedures build. 13. *Serves as a liaison in building and maintaining professional relationships between physicians, physician office staff and other health care personnel. 14. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 15. Participates in meetings, committees and department projects as assigned. 16. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Licensed Practical Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of three (3) years medical/surgical experience to include extensive experience of hospital/health operations and general background in all areas of nursing practice required.
