Jamestown Regional Medical Center Nursing Jobs and Careers

Registered Nurse (RN - Clinic) - Oncology

Jamestown Regional Medical Center Jamestown, ND

$26.83 - $40.25 / hour

Description STATEMENT OF PURPOSE Being diagnosed with cancer is certainly a terrifying and life-changing event. The impact of cancer on one's life is relative to the extent of disruption and change experienced. Some patients under treatment continue to work or care for their families, facing life, using available resources. It is the nurse’s ability to provide education to the patient and family members across the treatment continuum by guiding the patient in adjusting to the truth of the illness to reduce anxiety and improve coping skills. It is the nurse’s role to perform thorough assessment and apply intervention that will promote positive impact on patient outcomes. Oncology nurses play a significant part in the health care team, as he or she works in all aspects of cancer care. Oncology nurses integrate their technical skills, scientific knowledge, and caring attitude to aid those living with cancer, including their families – starting from diagnosis, treatment, then survivorship to end-of-life care. Oncology nurses assume a variety of roles when providing care for patients with cancer. From being an educator for family members to administration of patient treatment, nurses working for cancer patients should possess a broad range of clinical skills to be effective in the workplace. JOB FUNCTIONS QUALITY Maintains the standards of nursing care and implements the policies and procedures of the hospital and Clinical Services. Provides direct patient care for assigned patients of all ages utilizing the nursing process (assessment, planning, intervention, evaluation). Assesses the patient’s condition considering age-specific developmental needs and discharge planning needs. Develops a plan of care and prescribes appropriate nursing interventions to achieve expected outcomes. Evaluates patient outcomes and modifies the plan of care as conditions change. Recognizes and treats cancer-related issues. Charts patient response to treatment and medication. Participates in cancer research to enhance treatment protocols. Watches and records patient progress consistently and accurately. Reports pertinent observations and reactions to appropriate leadership and physicians. Administers medications, IV therapy, and treatments as ordered. Assists physicians with special tests and procedures (thoracentesis, lumbar tap, etc.). Initiates and/or assists in emergency measures (e.g., cardiac arrest). Follows disaster procedures, standard precautions, aseptic techniques, infection control, and isolation guidelines. Investigates and reports incidents per risk management policy. Completes annual competency evaluations and maintains required certifications. SERVICE Provides supportive resources to patients and families to promote a positive outlook. Teaches patients and families regarding treatment expectations. Directs and participates in discharge planning and education of patients and significant others. Establishes and maintains effective communication with patients, families, and staff to support the hospital mission. Coordinates nursing care with other departments for therapies and procedures. Ensures equipment is maintained in a clean and safe manner. Participates in maintaining a clean and safe environment. PEOPLE Delegates nursing care according to patient needs and staff qualifications. Participates in orientation of new personnel. Participates in performance evaluations of nursing staff. Participates in staff development programs. FINANCE Delegates care appropriately to optimize staffing resources. Coordinates care efficiently to reduce delays and resource waste. Ensures proper equipment maintenance to prevent unnecessary replacement costs. Reports incidents in accordance with risk management policies to reduce liability exposure. GROWTH Participates in cancer research initiatives. Attends educational offerings to maintain clinical expertise. Maintains current re-certifications appropriate to position and policy. Performs other related duties as assigned or requested. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: Preparation & Training - Work requires a professional level of knowledge acquired by completing an accredited RN nursing education program. Must hold RN licensure from the ND State Board of Nursing for the current year. Bachelor’s degree preferred. Position requires completion of BLS CPR and ACLS. Position is required to attend Non-Violent Crisis Intervention (NCI) training in the appropriate timeframe according to department orientation checklist.. Oncology Nursing Certification (ONC) will be required within 2 years of employment. Work Experience - Preference for a minimum of one year nursing experience following completion of RN nursing education program. Previous work experience in oncology preferred but not required. Time to reach competency on the job: 6 weeks to 3 months for entry level staff RN. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee is expected to report to work as scheduled, on time and prepared to start working. Employee is also expected to remain at work for their entire work schedule. Analytical Ability - Required to gather and interpret data in situations such as clinical observations, contributing to care plan, interpreting routine data and carrying out physician directed assignments. Must be able to determine priorities within area of assignment. Must have the ability to access, manipulate, organize and relay information in meaningful ways using email, word processing, spreadsheets, presentation software, and database management. Independent Judgement - Independent nursing judgment is often required by the professional RN based on established policies and procedures. Substandard performance in nursing skills or judgment may adversely affect patient care, patient welfare and hospital goodwill. Contact with Others - High degree of duties involve contact with others; imperative that this person maintain good relationships with co workers, patients’ families, and visitors; must be tactful and maintain telephone courtesy; must be able to exchange information on a factual basis, dispatch verbal or written messages as directed on a timely basis and perform other activities which require courtesy and tact. Must have excellent and clear communication skills, ability to adapt to quick change, and be well organized. Supervising the Work of Others - Required to plan, assign work to, and check the work of others. Responsible for own work. Little or no responsibility for the work of others. Responsibility for Welfare of Others - High frequency with which work performed by the staff RN may result in very serious physical or emotional harm to others. It is the responsibility of the professional RN to continuously uphold the highest degree of performance within currently defined and acceptable nursing practice standards. High degree of contact with other employees that may result in minor discomfort and delay to patients and co-workers. Activities during the day impact the welfare of patients and employees. Responsible for maintaining absolute confidentiality of information; may be required to assist a team member if needed. Mental/Visual Effort - Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons. Working Conditions - OSHA job classification: This position is defined as a Category I in which the employee does have exposure to blood borne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Work may be on weekends and holidays; beyond normal working hours and/or temporarily in other positions when necessary. Position is subject to frequent interruptions. Work may be beyond normal working hours and/or temporarily in other positions when necessary. Risk of exposure to elements and hazards related to travel and work in satellite clinics. Must hold a current, unencumbered North Dakota driver's license. Working areas are clean and vented, but on occasion the position requires tasks that will expose individual to grinder dust. Physical & Sensory Effort - Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling, and crouching. Needs finger dexterity when handling medication, specialized equipment and performing nursing assessments. Promotion - No formal line of promotion Background - A comprehensive background check and drug screening will be conducted as a condition of employment for this role. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire. Physical Requirement - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation. Employee Requirements Visual Observation - Continuously Standing - Continuously Walking - Continuously Sitting - Continuously Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Rarely Stooping/Kneeling/Crouching/Crawling - Frequently Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside - Continuously Working Outside - Never Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Frequently Noise - Continuously Working in Dirt/Dust - Rarely Driving - Rarely Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Frequently Up to 25 pounds - Frequently Up to 50 pounds - Occasionally Up to 75 pounds - Occasionally Up to 100 pounds - Occasionally Over 100 pounds - Never

RN

PCU

2 weeks ago

Registered Nurse (RN - Hospital) - PCU

Jamestown Regional Medical Center Jamestown, ND

$30.37 - $46.46 / hour

Description STATEMENT OF PURPOSE Coordinates total nursing care for patients of all ages utilizing the nursing process; directs patient and family teaching; provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice in the clinical setting. Full-time, benefited position working 72 hours per pay period. Days of work are Sunday-Saturday. Scheduled shifts are day/night rotation with occasional evening shifts. Scheduled weekend rotation will be 12 hour shifts every third weekend. Holiday work is every third holiday per year. Hours of work are 7:00am - 7:30pm, 7:00pm - 7:30am, and occasional 7:00am - 3:30pm, 11:00pm - 7:30am, and 3:00pm - 11:30pm. Will cross-train to ICU after demonstrating competence on PCU. JOB FUNCTIONS Maintains the standards of nursing care and implements the policies and procedures of the hospital and Clinical Services. Provides direct patient care for assigned patients of all ages including pediatrics, adult and geriatrics, utilizing the nursing process including assessment, planning, intervention and evaluation. Assesses the patient's condition considering age-specific developmental needs, educational needs of patient and family and discharge planning needs. Develops a plan of care for the patient and prescribes appropriate nursing interventions to achieve expected patient outcomes. Evaluates patient outcomes and modifies plan of care as patient’s needs or condition changes. Directs and participates in discharge planning and patient and family/significant other education. Reports pertinent observations and reactions regarding patients to the appropriate person (i.e., physicians, Unit Supervisor, and/or Nursing Manager) and records those observations accurately and concisely. Delegates nursing care to other health care members in accordance with the patient's needs and the nursing personnel's capabilities and qualifications. Administers medications, IV therapy and performs treatments for assigned patients as ordered by the physician. Assists physicians with special tests and procedures such as thoracentesis, lumbar tap, etc. Ensures that equipment is maintained in a clean and safe manner. Participates in orientation of new personnel and performance evaluations of nursing staff. Coordinates nursing care of patients when scheduled for therapy or procedures by other departments. Establishes and maintains effective communications with patients, families and staff to contribute to the hospital mission. Initiates and/or assists in emergency measures for sudden adverse developments in patients such as cardiac arrest. Participates in the maintenance of a clean and safe environment. Participates in staff development programs. Performs other related duties as assigned or requested. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION Preparation and Training - Work requires a professional level of knowledge acquired by completing an accredited RN nursing education program. Must hold RN licensure from the ND State Board of Nursing for the current year. ED staff nurse position requires PALS/ACLS certification. TNCC is highly encouraged. ICU staff nurse position requires completion of a basic cardiology class for nurses and ACLS certification. Family BirthPlace (FBP) staff nurse position requires completion of a basic fetal monitoring course and neonatal resuscitation course (NRP). Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist Work Experience - Previous work experience preferred but not required for staff RN positions in Patient Care Unit (PCU). (See exceptions indicated below). Time to reach competency on the job: 3 weeks to 3 months for entry level staff RN. ICU Staff RN, FBP Staff RN, ED Staff RN and PACU RN positions: Preference for a minimum of one year nursing experience following completion of RN nursing education program. Time to reach competency on the job: 3 weeks to 3 months following orientation to the work area. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule. Analytical Ability - A high level of analytical ability is required in a variety of duties in order to gather and interpret complex data and to find solutions to difficult problems. Independent Judgement - Independent nursing judgment is often required by the professional RN based on established policies and procedures. Substandard performance in nursing skills or judgment may adversely affect patient care, patient welfare and hospital goodwill. Contact with Others - Very frequent contact with others. Must demonstrate social sensitivity and the ability to communicate effectively in a professional manner. Supervising the Work of Others - May be required to plan, assign work to and check the work of 1 to 5 nursing personnel doing related work on the shift. Supervision is provided to LPNs, Nurse Assistants, and Unit Clerks. Responsibility for Welfare Others - High frequency with which work performed by the staff RN may result in very serious physical or emotional harm to others. It is the responsibility of the professional RN to continuously uphold the highest degree of performance within currently defined and acceptable nursing practice standards. Mental / Visual Effort - Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons. Physical and Sensory Effort - Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling and crouching. Needs finger dexterity when handling medication, specialized equipment and performing nursing assessments. Working Conditions - OSHA job classification: This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Work may be on weekends and holidays; beyond normal working hours and/or temporarily in other positions when necessary. Promotion - No formal line of promotion Background Check - A comprehensive background check and drug screening will be conducted as a condition of employment for this role. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire. Physical Requirement - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation. Employee Requirements Visual Observation - Continuously Standing - Frequently Walking - Frequently Sitting - Occasionally Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Rarely Stooping/Kneeling/Crouching/Crawling - Frequently Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside - Continuously Working Outside - Rarely Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Rarely Noise - Occasionally Working in Dirt/Dust - Rarely Driving - Rarely Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Continuously Up to 25 pounds - Continuously Up to 50 pounds - Continuously Up to 75 pounds - Occasionally Up to 100 pounds - Rarely Over 100 pounds - Never

RN

PCU

2 weeks ago

Registered Nurse (RN - Hospital) - PCU

Jamestown Regional Medical Center Jamestown, ND

$30.97 - $46.46 / hour

Description STATEMENT OF PURPOSE Coordinates total nursing care for patients of all ages utilizing the nursing process; directs patient and family teaching; provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice in the clinical setting. Full-time, benefited position working 72 hours per pay period. Days of work are Sunday-Saturday. Scheduled shifts are day/night rotation with occasional evening shifts. Scheduled weekend rotation will be 12 hour shifts every third weekend. Holiday work is every third holiday per year. Hours of work are 7:00am - 7:30pm, 7:00pm - 7:30am, and occasional 7:00am - 3:30pm, 11:00pm - 7:30am, and 3:00pm - 11:30pm. Will cross-train to ICU after demonstrating competence on PCU. JOB FUNCTIONS Maintains the standards of nursing care and implements the policies and procedures of the hospital and Clinical Services. Provides direct patient care for assigned patients of all ages including pediatrics, adult and geriatrics, utilizing the nursing process including assessment, planning, intervention and evaluation. Assesses the patient's condition considering age-specific developmental needs, educational needs of patient and family and discharge planning needs. Develops a plan of care for the patient and prescribes appropriate nursing interventions to achieve expected patient outcomes. Evaluates patient outcomes and modifies plan of care as patient’s needs or condition changes. Directs and participates in discharge planning and patient and family/significant other education. Reports pertinent observations and reactions regarding patients to the appropriate person (i.e., physicians, Unit Supervisor, and/or Nursing Manager) and records those observations accurately and concisely. Delegates nursing care to other health care members in accordance with the patient's needs and the nursing personnel's capabilities and qualifications. Administers medications, IV therapy and performs treatments for assigned patients as ordered by the physician. Assists physicians with special tests and procedures such as thoracentesis, lumbar tap, etc. Ensures that equipment is maintained in a clean and safe manner. Participates in orientation of new personnel and performance evaluations of nursing staff. Coordinates nursing care of patients when scheduled for therapy or procedures by other departments. Establishes and maintains effective communications with patients, families and staff to contribute to the hospital mission. Initiates and/or assists in emergency measures for sudden adverse developments in patients such as cardiac arrest. Participates in the maintenance of a clean and safe environment. Participates in staff development programs. Performs other related duties as assigned or requested. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION Preparation and Training - Work requires a professional level of knowledge acquired by completing an accredited RN nursing education program. Must hold RN licensure from the ND State Board of Nursing for the current year. ED staff nurse position requires PALS/ACLS certification. TNCC is highly encouraged. ICU staff nurse position requires completion of a basic cardiology class for nurses and ACLS certification. Family BirthPlace (FBP) staff nurse position requires completion of a basic fetal monitoring course and neonatal resuscitation course (NRP). Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist Work Experience - Previous work experience preferred but not required for staff RN positions in Patient Care Unit (PCU). (See exceptions indicated below). Time to reach competency on the job: 3 weeks to 3 months for entry level staff RN. ICU Staff RN, FBP Staff RN, ED Staff RN and PACU RN positions: Preference for a minimum of one year nursing experience following completion of RN nursing education program. Time to reach competency on the job: 3 weeks to 3 months following orientation to the work area. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule. Analytical Ability - A high level of analytical ability is required in a variety of duties in order to gather and interpret complex data and to find solutions to difficult problems. Independent Judgement - Independent nursing judgment is often required by the professional RN based on established policies and procedures. Substandard performance in nursing skills or judgment may adversely affect patient care, patient welfare and hospital goodwill. Contact with Others - Very frequent contact with others. Must demonstrate social sensitivity and the ability to communicate effectively in a professional manner. Supervising the Work of Others - May be required to plan, assign work to and check the work of 1 to 5 nursing personnel doing related work on the shift. Supervision is provided to LPNs, Nurse Assistants, and Unit Clerks. Responsibility for Welfare Others - High frequency with which work performed by the staff RN may result in very serious physical or emotional harm to others. It is the responsibility of the professional RN to continuously uphold the highest degree of performance within currently defined and acceptable nursing practice standards. Mental / Visual Effort - Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons. Physical and Sensory Effort - Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling and crouching. Needs finger dexterity when handling medication, specialized equipment and performing nursing assessments. Working Conditions - OSHA job classification: This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Work may be on weekends and holidays; beyond normal working hours and/or temporarily in other positions when necessary. Promotion - No formal line of promotion Background Check - A comprehensive background check and drug screening will be conducted as a condition of employment for this role. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire. Physical Requirement - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation. Employee Requirements Visual Observation - Continuously Standing - Frequently Walking - Frequently Sitting - Occasionally Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Rarely Stooping/Kneeling/Crouching/Crawling - Frequently Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside - Continuously Working Outside - Rarely Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Rarely Noise - Occasionally Working in Dirt/Dust - Rarely Driving - Rarely Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Continuously Up to 25 pounds - Continuously Up to 50 pounds - Continuously Up to 75 pounds - Occasionally Up to 100 pounds - Rarely Over 100 pounds - Never

Surgical Tech

2 weeks ago

Surgical Technologist I

Jamestown Regional Medical Center Jamestown, ND

Description STATEMENT OF PURPOSE Assists in the nursing care and preparation of surgical patients of all ages in the Operating Room. Functions as the surgical technologist on the surgical team under the direction of a Registered Nurse. This is a PRN position working variable days and hours. JOB FUNCTIONS Adheres to the standards of nursing care and the policies and procedures of the hospital, Nursing Department and the Operating Room. Prepares tables, instruments, supplies, and implants as required for specific operations. Has knowledge of surgeon's preference and step by step procedure. Assists in preparation and draping of the patient and operative area. Prepares and passes instruments, sutures, sponges and supplies needed in the operative procedure and maintains a correct count. Prepares and maintains the sterile field for the surgical procedure. Assists in the delivery, labeling, and preparation of medication on the sterile field under the director of the RN circulator. Assists in maintenance and care of surgical specimens for laboratory analysis. Assists with table equipment, positioning patients, application of casts and dressings. Decontaminates all equipment, instruments, and supplies. Assists in transferring patients to and from the OR suite. Assists other members of the team with terminal cleanup of room in readiness for the next patient. Assists the circulating nurse and nurse anesthetist as assigned or required within the legal limitations. Cleans and stocks assigned rooms. Will participate in ordering and restocking medications within OR department and hospital guidelines. Participates in unit meetings, maintenance of physician preference cards and AM report. Acts as a liaison clinical site coordinator for colleges/universities. Is responsible for the completion of all required/requested documentation as appropriate. (CST only) Coordinates educational experience for student surgical technologists. Acts as a mentor and preceptor for students. (CST only) Pull supplies for scheduled procedures for the next day. Relieve staff for breaks and lunches when able. Restock carts and supplies, put away clean instruments/trays, and do PAR level orders. Performs other related duties as assigned or requested. Surgical Assistant Assists the surgeon during operations and surgical procedures and performs a variety of crucial tasks during the operation. Maintains an unobstructed operating field with surgical retractors, sponges, and suctioning and irrigating equipment. Prepares tables, instruments, supplies, and implants as required for specific operations. Has knowledge of surgeon’s preference and step-by-step procedure. Assists in preparation and draping of the patient and operative area. Prepares and passes instruments, sutures, sponges and supplies needed in the operative procedure and maintains a correct count. Prepares and maintains the sterile field for the surgical procedure. Assists with table equipment, positioning patients, application of casts and dressings. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: Preparation & Training - Graduate from an accredited surgical technologist program and hold a UAP from the ND Board of Nursing. Certification required and maintained. Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist. Work Experience - To be a designated clinical site coordinator for colleges/universities 2 years of surgical technologist experience is required. Previous work experience in the Operating Room preferred but not required. Time to reach competency on the job here: four weeks to six months (depending on prior experience). Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule. Analytical Ability - Required to gather and interpret data on physician preference cards, to anticipate surgical needs and display knowledge of the step-by-step procedures. Must be able to determine priorities within area of assignment. Independent Judgement - Makes some independent judgments regarding patient care during set up. Receives supervision and guidance from the registered nurse or physician. Judgments are based on policies and procedures. Substandard performance in nursing skills or judgments may adversely affect patient care or welfare and hospital goodwill. Contact with Others - Contacts limited to individuals entering the O.R. Must demonstrate social sensitivity and the ability to communicate effectively with co workers, patients, physicians and students. Supervising the Work of Others - Demonstrates leadership and teaching capabilities. Must have organizational skills. Must be able to prioritize and coordinate multiple tasks. Supervision is provided to student surgical technologists. Responsibility for Welfare of Others - High frequency with which work performed may result in pain, minor injuries and/or stress for others. Must be accurate in performance of responsibilities. Mental/Visual Effort - Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices; color perception necessary to distinguish between different instrument, supplies, and equipment. Working Conditions - OSHA job classification: This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Work may be beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary. Position is subject to on-call for the O.R after normal working hours. Physical & Sensory Effort - Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling, crouching. Needs finger dexterity when handling medication, specialized equipment/instruments and performing nursing functions. Requires standing for extended periods of time without relief. Hazard - Due to the nature of the work, carelessness with instruments and sharps could cause moderate harm. Background - A comprehensive background check will be conducted as a condition of employment for this role. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire. Promotion - Opportunities for promotion may exist depending on performance and departmental needs. Physical Requirement - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation. Employee Requirements Visual Observation - Continuously Standing- Continuously Walking - Frequently Sitting - Rarely Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Occasionally Stooping/Kneeling/Crouching/Crawling - Occasionally Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside- Continuously Working Outside - Never Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Frequently Noise - Frequently Working in Dirt/Dust - Never Driving - Never Lifting / Carrying / Pushing / Pulling Up to 10 pounds - Frequently Up to 25 pounds - Frequently Up to 50 pounds - Rarely Up to 75 pounds - Never Up to 100 pounds - Never Over 100 pounds - Never

RN

Outpatient

3 weeks ago

Registered Nurse (RN - Specialty Clinics)

Jamestown Regional Medical Center Jamestown, ND

$26.30 - $39.49 / hour

Description STATEMENT OF PURPOSE Coordinates comprehensive nursing care for patients of all ages utilizing the nursing process, including assessment, planning, intervention, and evaluation. Directs patient and family education and ensures continuity of care within the clinic setting. Collaborates with providers, Specialty Clinic Director, and interdisciplinary team members to maintain high standards of professional nursing practice, regulatory compliance, quality outcomes, and efficient clinic operations. Full-time, benefited position working 80 hours per two week pay period. Days of work are Monday - Friday from 7:30am - 4:30pm with no nights, weekends or holidays JOB FUNCTIONS Quality Maintains standards of nursing care and implements hospital and Clinical Services policies and procedures. Provides direct and indirect patient care for pediatric, adult, and geriatric patients using the nursing process (assessment, planning, intervention, evaluation). Develops and modifies individualized plans of care based on patient condition and outcomes. Collects and documents patient data including chief complaint, medication and allergy history, and vital signs; communicates findings to the physician. Updates patient medical records in the computerized charting system. Assists physician with patient preparation for procedures; maintains sterile field for surgical and office procedures. Decontaminates equipment, instruments, and rooms between patients. Prepares medications as directed by the physician for administration. Completes lab and x-ray order entry and escorts patients to appropriate departments. Changes dressings and authorizes drug refills as directed by the physician. Maintains clinical competency through annual evaluations, continuing education, and required re-certifications. Follows disaster procedures, standard precautions, aseptic techniques, infection control and isolation guidelines; investigates and reports incidents per risk management policy. Service Performs telephone triage nursing; assesses patient needs and determines appropriate level of care (emergent care, appointment scheduling, home care guidance, or additional resources). Manages provider in-basket communications for specialty clinics. Schedules appointments, return visits, referrals, and surgeries. Provides required surgical information to patients; obtains insurance pre-authorization; coordinates pre-op physicals and post-op follow-up calls. Coordinates supplies, scheduling, and patient registration for satellite clinics; assists with patient care as needed. Explains treatment procedures and provides patient education related to examinations and treatments. Assists patients with mobility, positioning, and clothing removal/replacement based on age and ability. Obtains appropriate information for prescription refills and phone messages. Obtains medical charts from Health Information Services. Specific to Phone Nurse: Serves as triage nurse for all Specialty Clinic departments with a working knowledge of each service area. Performs other related duties as assigned or requested. People Communicates effectively with physicians, providers, and interdisciplinary team members regarding patient care needs. Supports a collaborative clinic environment to ensure smooth office and clinical operations. Routinely performs administrative and clinical tasks to keep the office functioning efficiently. Demonstrates knowledge of physician preferences and procedural workflows to support team efficiency. Finance Schedules surgeries and obtains insurance pre-authorizations to support reimbursement. Maintains understanding of billing charges related to services provided. Orders specialized non-stock and stock items; maintains appropriate inventory levels. Maintains supplies, equipment, and materials for the practice to ensure cost-effective operations. Growth Expands clinical knowledge across Specialty Clinic departments, particularly in triage functions. Participates in ongoing education and competency development to enhance clinical expertise. Supports satellite clinic operations and specialty service expansion. Specific to Podiatry/Orthopedics: Coordinate ordering and dispensing orthotics through appointments and mailing of supplies Refurbish orthotics and cut shoe inserts according to physicians order Performs fitting and application of specialized patient appliances, such as Cam walkers, splints, etc. Assist in castings. Remove casts. Check instruments for wear and order new when needed. Assures medical equipment (Doppler and rechargeable grinder) is recharged Prepare charts for day-make up new charts Specific to Joint Navigation: Joint Navigator guides and coordinates patients through the entire continuum: preoperative, surgical and postoperative care. The Joint Navigator will collaborate with the medical staff to provide individualized care to the patient and perform all duties involved in the management of the daily operations of the joint replacement program. Organize and coordinate orthopedic joint education class working collaboratively with providers and nutritional services for optimal education. Specific to OB/GYN: Attends physician during physical examination and procedures. Interviews Obstetric patients, assisting physician with completion of prenatal visit documentation utilizing nationally recognized ACOG prenatal form. Assists with monitoring of established patient’s preventive screening such as routine mammogram and Pap smears. Administers medications parenterally, orally or via inhalation as ordered by the physician. Availability for extensive training required for involved nursing procedures. Specific to Urology: Assist physician during clinic procedures. Demonstrates critical thinking skills required for assessment and completion of nurse visit procedures. Demonstrates skill in use of equipment relevant to position, verbalize knowledge of appropriate safety procedure requirements. Diagnoses equipment problems; fixes or seeks out someone to fix Competent in equipment set up and handling required for procedures as well as appropriate transfer of equipment for sterilization. Competent in handling and administration of medication within the JRMC Clinic in correlation to safety regulations. Availability for extensive training required for involved nursing procedures. Specific to Wound Care: Assess, determine classification, and measure wounds accurately and in accordance with policy. Assess compliance to the Clinical Pathway and communicate to the Physician Formulate desired outcomes specific to patient’s problems and Wound Clinic protocols. Implement wound care and HBO protocols as clinically indicated. Complete new patient review form and participate in weekly meeting. Accurately complete the superbill and ensure that all orders and charges are initiated accurately. In collaboration with the Physician and other Wound Clinic employees, revise the plan of care and continuously reassess and evaluate until desired outcome is obtained. Complete the 4-week reviews in the Multi-Disciplinary Plan of Care and communicate findings with Physician. Revise Plan of Care as indicated and consistent with Healogics Clinical Pathway. Specific to Holistic Pain Management: Assist APP during clinic procedures and interventions. Demonstrates critical thinking skills required for assessment and completion of pain management nurse visits and procedures. Demonstrates competency in the use, setup, and troubleshooting of equipment relevant to pain procedures while adhering to safety standards. Competent in procedure room setup, sterile technique, and handling of equipment and instruments requiring sterilization. Competent in handling and administration of medications within the JRMC Clinic in accordance with safety regulations. Provides pre- and post-procedure patient education and discharge instructions. Accurately completes documentation, orders, and charges related to pain management services. Availability for extensive training required for involved nursing procedures. Specific to Oncology: Competent in handling and administration of medication within the JRMC Clinic in correlation to safety regulations. Demonstrates skill in accessing, preparing and using information as relevant to position. In correlation with the patient, develops a plan of care based on nursing assessment and diagnosis that prescribes interventions to attain expected outcomes. This includes identifying the holistic needs of the patient, treatment decisions and priorities. Identifies community resources needed for continued care and make referrals. Implements the plan of care and the nursing interventions for the patient by writing nursing orders, giving direct care, assisting with care, determining the responsibilities that can properly and safely be assigned or delegated, providing an environment conducive to safety and health, communicating interventions and responses to other members of the health care team and executing the regimen prescribed by a licensed practitioner. Evaluates the responses to nursing interventions by documenting and communicating evaluation data to appropriate members of the health care team, utilizing data as a basis for reassessing client health status, measuring outcomes and goal attainment, modifying nursing diagnoses, revising strategies of care and prescribing changes in nursing interventions. Availability for extensive training required for involved nursing procedures. Specific to ENT: Assist physician during clinic procedures. Demonstrates critical thinking skills required for assessment and completion of nurse visit procedures. Demonstrates skill in use of equipment relevant to position, verbalize knowledge of appropriate safety procedure requirements. Diagnoses equipment problems; fixes or seeks out someone to fix Competent in equipment set up and handling required for procedures as well as appropriate transfer of equipment for sterilization. Competent in handling and administration of medication within the JRMC Clinic in correlation to safety regulations. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: Preparation & Training - Work requires a professional level of knowledge acquired by completing an accredited RN nursing education program. Must hold an unencumbered RN licensure from the ND State Board of Nursing for the current year. Position requires completion of BLS CPR. Position is required to attend Non-Violent Crisis Intervention (NCI) training in the appropriate timeframe according to department orientation checklist. Work Experience - Previous work experience in a clinic. Preference for a minimum of six months experience in a related position in a health facility or clinic. Time to reach competency on the job: Three weeks to three months. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee is expected to report to work as scheduled, on time and prepared to start working. Employee is also expected to remain at work for their entire work schedule. Analytical Ability - Required to gather and interpret data in situations such as clinical observations, contributing to care plan, interpreting routine data and carrying out physician directed assignments. Must be able to determine priorities within area of assignment. Must have the ability to access, manipulate, organize and relay information in meaningful ways using email, word processing, spreadsheets, presentation software, and database management. Independent Judgement - Independent nursing judgment is often required by the professional RN based on established policies and procedures. Substandard performance in nursing skills or judgments may adversely affect patient care, patient welfare, and hospital goodwill. Contact with Others - High degree of duties involve contact with others; imperative that this person maintain good relationships with co workers, patients’ families, and visitors; must be tactful and maintain telephone courtesy; must be able to exchange information on a factual basis, dispatch verbal or written messages as directed on a timely basis and perform other activities which require courtesy and tact. Must have excellent and clear communication skills, ability to adapt to quick change, and be well organized. Supervising the Work of Others - Required to plan, assign work to and check the work of others. Responsible for own work. Little or no responsibility for the work of others. Responsibility for Welfare of Others - High frequency with which work performed by the staff RN may result in very serious physical or emotional harm to others. It is the responsibility of the professional RN to continuously uphold the highest degree of performance within currently defined and acceptable nursing practice standards. High degree of contact with other employees that may result in minor discomfort and delay to patients and co-workers. Activities during the day impact the welfare of patients and employees. Responsible for maintaining absolute confidentiality of information; may be required to assist a team member if needed. Mental/Visual Effort - Must be able to speak and write the English language in an understandable and legible manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Ability to adapt to change. Work regularly requires the employee to exert a high level of mental/visual effort. Visual acuity necessary for performing clerical duties and working with medical devices and equipment. Color perception necessary for interpreting testing procedures involving color comparisons. Working Conditions - OSHA job classification: This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens. Position requires exposure to patients with infectious diseases and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with Hospital Safety Management program. Position is subject to frequent interruptions. Work may be beyond normal working hours and/or temporarily in other positions when necessary. Risk of exposure to elements and hazards related to travel and work in satellite clinics. Must hold a current, unencumbered North Dakota driver's license. Working areas are clean and vented, but on occasion the position requires tasks that will expose individual to grinder dust. Physical & Sensory Effort - Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling and crouching. Needs finger dexterity when handling equipment and performing nursing related functions. Promotion - No formal line of promotion Background - A comprehensive background check and drug screening will be conducted as a condition of employment for this role. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire. Physical Requirement - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation. Employee Requirements Visual Observation - Continuously Standing - Continuously Walking - Continuously Sitting - Continuously Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Never Stooping/Kneeling/Crouching/Crawling - Frequently Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside - Continuously Working Outside - Never Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Occasionally Noise - Continuously Working in Dirt/Dust - Rarely Driving - Rarely Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Continuously Up to 25 pounds - Continuously Up to 50 pounds - Continuously Up to 75 pounds - Occasionally Up to 100 pounds - Occasionally Over 100 pounds - Occasionally