Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. EDUCATION AND EXPERIENCE: 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) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. 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. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: 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. 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. NOTE: See Staff RN – Addendum A for any additional credentials and certifications required for practice area. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as medium work requiring exertion of 35 to 50 pounds of force occasionally, and/or 10 to 35 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.
Summary SUMMARY The Neuro Registered Nurse (RN) is responsible for meeting patient’s priority needs through assessment, participating in interdisciplinary care planning, providing and /or delegating care based on patient needs and evaluating patients’ responses. The Neuro RN contributes to an efficient and effective work environment through professional communication and documentation, preceptoring and/or resourcing of others. The Neuro RN supervises support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s policies and procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates the patient’s plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions consistent with perioperative procedures. *Provides education for the patient and family to meet identified patient needs. *Evaluates the patient’s response to and effectiveness of interventions. *Evaluates patient’s progress toward established outcomes. *Incorporates cultural considerations into the plan and delivery of care. *Documents patient care and related information according to Bryan 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. *Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. *Manages the care of patient receiving fusions, stealth and O-arm procedures and vagal nerve implants. *Performs therapeutic nursing interventions consistent with the intraoperataive care of the neuro patient including: initiating basic life support guidelines; performing neurological assessment and intervention; providing pre- and intra-operative care *Manages the care of the patients with conditions including: Multi-system failure/Traumatic brain injury Neurological insult Spinal cord injuries Parkinson’s Acute respiratory failure Acute neurological insult/injury Seizures Hydrocephalus *Manages the care of patients receiving all types of cranial procedures, including but not limited to: deep brain stimulator implants, cortical mapping, IMRI procedures, tumor resections, Leksell and Patil brain biopsies, stealth procedures, VP shunt insertions, aneurysm clipping and traumatic brain injuries. QUALIFICATIONS: 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. Prior surgery experience preferred. Basic Life Support (CPR) certification required.
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: Serves as a clinical resource for the patient care units, collaborates with nurse leaders, medical staff and nursing staff and provides expert clinical support to improve patient care and patient outcomes. Plans, directs, and coordinates new employee orientation, initial and ongoing competency skills assessment, development, and clinical knowledge growth for staff involved in clinical practice. Facilitates learning and development of critical thinking skills utilizing a variety of teaching methods. Ensures adherence to established clinical policies, protocols, regulations, and standards. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Exemplifies a leadership role by modeling the mission, beliefs, and behaviors of the Medical Center; promotes and models highly effective interpersonal relationships. 3. *Assists in concurrent and retrospective resolution of patient, family, and/or physician concerns and complaints; collaborates with the Clinical Educator and Nurse Manager to ensure daily leader/patient rounding is completed for each patient. 4. *Provides regular presence on night shift in support of new staff and ongoing staff competence assessment and development. 5. May participate with the Nurse Manager/Assistant Nurse Manager of the unit in the process of interviewing and hiring of staff for the unit/area assigned; promotes the recognition and retention of staff. 6. *Ensures that existing policies and procedures are adhered to during daily interactions with staff. 7. *Assists and supports the Clinical Educator and Nurse Manager with communicating and implementing unit/area changes. Collaborates with manager to ensure continued maintenance of changes. 8. *Timely, objectively, and constructively coaches staff as appropriate when practice and/or safety issues are observed or reported; communicates with the Nurse Manager if a colleague fails to respond to proper guidance or adhere to standards expected for quality care; documents corrective actions and reviews with staff as appropriate. 9. *Maintains a high level of competency in direct patient care and demonstrates clinical proficiency in assigned area of nursing care by applying evidence-based practice in the clinical setting. 10. *Takes patient care assignments or charge role during volume or acuity changes or during increased staffing demand. 11. Appropriately uses, explains, and evaluates clinical equipment, the electronic medical record (EMR) and downtime documentation system. 12. *Facilitates learning, development of critical thinking skills and all facets of practice by assessing learning and developmental needs of nursing staff, preceptors and departmental personnel and developing effective learning strategies. 13. Demonstrates, teaches and evaluates critical thinking skills in all aspects of clinical practice. 14. Develops education and appropriate competencies based on evidence-based practice for population specific, condition-specific and treatment protocols including medication and equipment. 15. Models appropriate learning methodologies to promote mastery of competencies in assigned area of nursing care. 16. Facilitates the orientation schedule and training methods with the orientee, preceptor and manager including online orientation and monitors progress of orientee during formal orientation and through the completion of initial classes. 17. Tracks completion of mandatory training requirements for all staff. 18. Maintains or assists with competency files and records maintenance. 19. Collaborates with other departments/units and educators for effective use of education resources. 20. *Participates in performance and improvement projects in collaboration with other clinical staff and interdisciplinary teams including performance audits related to work responsibilities; evaluating safety practices; supporting the evaluation of new products and equipment; monitoring new research for best practice and promoting new practices and technology with staff and physicians. 21. Provides input into performance improvement opportunities and communicates performance/process outcomes to staff. 22. Utilizes the findings from quality improvement efforts (including HCAHPS/NRC and physician partnership survey scores) to enhance patient care, customer satisfaction (physicians and patients/families), and cost-effectiveness of services. 23. Assists with monitoring and editing of time and attendance software as needed. 24. Assists with staffing and scheduling, under direction of unit manager. 25. Maintains competence and education to function as charge nurse and preceptor, when necessary. 26. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 27. Participates in meetings, committees and department projects as assigned. 28. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of service-related Joint Commission and Centers for Medicare and Medicaid Services Standards. 3. Knowledge of system and change management principles and their application within the healthcare environment. 4. Knowledge of computer equipment and software applications relevant to work functions. 5. Skill in the use of Electronic Medical Record, other clinical applications, and common organizational software. 6. Ability to apply adult learning principles and diverse teaching strategies. 7. Ability to communicate effectively both verbally and in writing. 8. Ability to prioritize work demands and work with minimal supervision. 9. Ability to appropriately work independently, take direction and collaborate with others. 10. Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments including diverse patient populations and community groups. 11. Ability to problem solve and engage independent critical thinking skills. 12. Ability to maintain confidentiality relevant to sensitive information. 13. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science degree in Nursing required within three (3) years of hire, if not yet obtained. Must begin to pursue BSN immediately upon hire if not a current BSN. Charge/supervisory experience preferred. 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. Certification in specialty based on department requirements required within twelve (12) months of hire. May serve as an instructor for BLS, ACLS, and/or PALS/NRP based on business need and completion of the required instructor training.
