Description STATEMENT OF PURPOSE The Rehab Intern: Carry out the mission daily to exceed expectations and be the difference in the lives of those I serve. Commit to excellence: o Work to achieve department and organizational goals to achieve JRMC’s vision. o Follow JRMC Healthy Roots o Perform duties to support the entire rehab team, including but not limited to cleaning equipment and work areas, assisting therapists with documentation and patients, and office duties. The Rehab Intern performs tasks of: Patient care: Cleaning and Maintenance Office Duties: JOB FUNCTIONS Quality: Assists Office Coordinator in performing review of medical records for completion of Quality Assurance using established standards of practice. Responsible for daily, bi-weekly, and monthly cleaning and maintenance of rehab equipment and logs required for Joint Commission. Service: Greets patients and visitors for Rehab services Make sure the equipment is ready daily for staff to use for patient care. Brings schedules to PCU and patient rooms daily, communicates plans to patients. Aid staff in PT, OT, and SLP for patient care needs. Takes patient blood pressures if requested Assists with PT group therapy for Ortho patients on PCU. Maintains a neat and organized appearance in all areas of the department; replaces equipment to assigned place. Daily laundry restocking Stocks supplies in all depts., makes sure supplies available for patient care needs. People: Support to the therapist when therapist is performing tests, evaluations, procedures and activities. Aids with collecting data during treatment and evaluation sessions. Assist with daily mail. Finance: Checks charges for PT, OT, & SLP. Performs other related duties as assigned or requested. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: Preparation & Training - High school level of knowledge preferred to follow written and oral instructions, perform simple calculations and to deal effectively with other people. Work Experience - NA Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employees 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 - Analysis involves accurate interpretation and copying of numbers, letters, simple mathematical calculations which become a part of the medical record. Requires gathering numerical statistics to complete monthly reports. Independent Judgement - Works under direct supervision of the Physical and Occupational Therapist in accordance with established Rehab Department policies and procedures; non-routine problems are referred to the Manager of Rehab; Errors in judgment may moderately impact in time - public relations or costs primarily within the Rehab Department; must be able to establish priorities of duties to be completed. 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. Supervising the Work of Others - The Rehab Intern does not have formal supervisory responsibilities. However, the role may provide basic assistance or support to other team members during patient care activities, equipment preparation, or departmental tasks as directed by licensed therapists or the Rehab Management team. The intern may help guide volunteers, observers, or new interns in understanding daily departmental routines, but does not oversee performance, assign work, or direct the activities of others. All work is performed under the supervision of licensed therapists and within established Rehab Department policies Responsibility for Welfare of Others - The physical and/or emotional well-being of other employees and patients are highly impacted by the performance of the Rehab Aide; consequences can be serious; activities during a day impact on the welfare of patients and employees; responsible for maintaining absolute confidentiality of information. Will be required to assist a therapist in the performance of various treatments as 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. Must be in good general health and demonstrate emotional stability. Work regularly requires the employee to exert a frequent level of mental/visual effort. Work requires visual acuity necessary for performing clerical duties; recording and filing require particular mental application for attention to details and accuracy; visual acuity needed to detect changes in patient's condition and responses and also in proper application of treatment modalities. Working Conditions - Majority of position requirements are done within the Rehab Department. Pace can be demanding and is subject to frequent interruptions. Contact with patients under wide variety of circumstances. Participates in and complies with JRMC Safety Management Program. Maintains knowledge of and observes Standard Precautions. Practices aseptic techniques whenever appropriate. OSHA job classification: This position is defined as a Category I: employee does have exposure to bloodborne pathogens. Physical & Sensory Effort - The duties of the Rehab Intern require regular physical activity and sustained sensory attention throughout the workday. The position involves frequent standing and walking while assisting therapists, transporting supplies, stocking equipment, and supporting patient care activities. Sitting occurs occasionally during clerical or documentation-related tasks. The role requires continuous use of hand and finger dexterity for handling equipment, cleaning tasks, assisting with treatment preparation, and performing office duties. Reaching, lifting, carrying, pushing, and pulling of items such as laundry, supplies, and rehabilitation equipment occur on a routine basis, with weights ranging from light to moderate as indicated in the physical requirements table. The position requires continuous visual observation when assisting therapists, monitoring patients during activities, completing logs, reviewing charts, and ensuring accurate placement and cleanliness of equipment. Continuous hearing and listening effort is required to follow instructions from therapists, communicate with patients, and respond to needs in a dynamic clinical environment. Sensory effort may increase when assisting with treatment activities, monitoring patient responses, or working in areas with noise, movement, or clinical stimuli. The intern must maintain focus and attention to detail while working in an environment with frequent interruptions, varying patient needs, and a demanding pace. Duties may also involve exposure to bodily fluids and patient care environments consistent with a Category I OSHA classification, requiring adherence to standard precautions and aseptic techniques. 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 - Frequently Walking - Frequently Sitting - Occasionally Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Rarely Stooping/Kneeling/Crouching/Crawling - Rarely Hearing/Listening - Continuously Tasting or Smelling - Rarely Working Inside - Continuously Working Outside - Rarely Working in Extreme Heat - Rarely Working in Extreme Cold - Rarely Working with Hazardous Materials - Rarely Noise - Rarely Working in Dirt/Dust - Rarely Driving - Never Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Occasionally Up to 25 pounds - Rarely Up to 50 pounds - Rarely Up to 75 pounds - Rarely Up to 100 pounds - Rarely Over 100 pounds - Never
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 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. ICU staff nurse position requires completion of a basic cardiology class for nurses and ACLS certification. 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. 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. CONTACTS 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 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. 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
Description STATEMENT OF PURPOSE Coordinates total nursing care for patients, participates in patient and family teaching and 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 benefitted position working 72 hours per two weeks. Days are Monday - Friday with every 4th weekend and every 5th holiday. Night call is one night every 2 weeks and one weekend every 9th weekend. JOB FUNCTIONS Maintains the standards of nursing care and implements the policies and procedures of the hospital and clinical services. Maintains the standards of nursing care and implements the policies and procedures of the hospital and Nursing Department. Evaluates patient eligibility, status and current coverage of service requirements. Collaborates with Home Health Manager or designee prior to admission. Assesses the patient's condition and nursing needs; sets goals; prescribes appropriate nursing action to meet those goals and the physical, psychological, social and rehabilitative needs of the patient, including discharge planning. Reports pertinent observations and reactions regarding patients to the appropriate person (i.e., physicians) and records those observations accurately and concisely. Initiates and develops individualized nursing care plans for assigned patients. Administers medications and performs treatments to assigned patients. Provides for instruction of patient and family in use of specialized equipment. Participates in Hospice/HH call rotation consisting of nights, weekends and holidays. Participates in economical utilization of supplies and ensures that equipment is maintained in a clean and safe manner. Participates in orientation of new personnel and peer performance evaluations of nursing staff. Coordinates nursing care of patients when scheduled for therapy or procedures by other departments. Establishes and maintains communications and utilizes teaching opportunities with patients and other significant individuals. Assists with or institutes 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. Delegates and supervises Home Health Aide per CMS Conditions of Participation and Nursing Standard of Practice. The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent in the position. 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. 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 - Requires 1 year general Medical/Surgical nursing experience. Preferable 1 year Home Health or Community Health experience. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employees 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 - Independent Judgement - Contact and Interpersonal Skills - Aware of high degree of visibility in community representing JRMC Home Health Agency. Considerable contact with physicians and personnel from other departments and residents of area served. 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 Techs, Nursing Aides and Ward Clerks. 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. Responsibility for Making Decisions and Recommendations - 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. Mental / Visual Effort - Must be able to work with terminally ill patients and their families to effectively cope with death and dying. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons. Working Conditions - Exposure to patients with infectious diseases, unsanitary conditions within patient's residence. Exposure to elements at higher risk than usual due to extensive travel by car and working in adverse conditions in residences. 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 - Rarely Walking - Rarely Sitting - Continuously Hands and Finger Dexterity - Frequently Reaching with Hands and Arms - Rarely Climbing - Rarely Stooping/Kneeling/Crouching/Crawling - Rarely Hearing/Listening - Continuously Tasting or Smelling - Rarely Working Inside - Continuously Working Outside - Rarely Working in Extreme Heat - Rarely Working in Extreme Cold - Rarely Working with Hazardous Materials - Rarely Noise - Continuously Working in Dirt/Dust - Never Driving - Never Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Occasionally Up to 25 pounds - Rarely Up to 50 pounds - Never Up to 75 pounds - Never Up to 100 pounds - Never Over 100 pounds - Never
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. 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 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 - 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. 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. CONTACTS 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 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. 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 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. 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. PROMOTION - No formal line of promotion. EMPLOYEE REQUIREMENTS - Visual Observation - Continuously Standing - Continuously Walking - Continuously Sitting - Continuously Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Occasionally 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: 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 - Occasionally Carrying: 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 - Occasionally Pushing: 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 - Occasionally 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 - Occasionally
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. Part-time benefitted position working 40 hours per two week pay period. Days are Monday - Friday with every 4th weekend and every 5th holiday. Night call is one night every 2 weeks. 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 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 - 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. 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. CONTACTS 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 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. 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 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. 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. PROMOTION - No formal line of promotion. EMPLOYEE REQUIREMENTS - Visual Observation - Continuously Standing - Continuously Walking - Continuously Sitting - Continuously Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Occasionally 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 - Occasionally