Nursing Jobs in Saint Paul, NE

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

LPN

GIRMC Staff LPN

Summary GENERAL SUMMARY: At the direction of the Registered Nurse (RN) and/or Licensed Practitioners, the Staff Licensed Practical Nurse (LPN) contributes to meeting patient's priority needs by assessing and participating in interdisciplinary care planning, providing delegated care and timely communication of the patient's response. Contributes to an efficient and effective work environment through activities including professional communication and documentation. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Contributes to the assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. 3. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. 4. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions under the direction of the RN. 6. *As directed by the RN, provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Participates in the evaluation of the patient's response to and effectiveness of interventions. 8. *Incorporates cultural considerations into the plan/delivery of care as directed by the RN. 9. *Includes family or significant others in the care of the patient as appropriate. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Enters patient care orders into the computer accurately and consistently according to policy and procedure. 12. *Provides care in conjunction with other members of the interdisciplinary team. 13. *Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 14. *Contributes to the patient's transition to the next level of care. 15. *Assumes responsibility in a shared or delegated assignment and supports team member's practices through timely communication. 16. *Serves as a role model to colleagues, students and other care providers. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to perform crucial conversations with desired outcomes. 6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 7. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduation from a School of Practical Nursing with current licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

LPN

GIRMC Staff LPN

Summary GENERAL SUMMARY: At the direction of the Registered Nurse (RN) and/or Licensed Practitioners, the Staff Licensed Practical Nurse (LPN) contributes to meeting patient's priority needs by assessing and participating in interdisciplinary care planning, providing delegated care and timely communication of the patient's response. Contributes to an efficient and effective work environment through activities including professional communication and documentation. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Contributes to the assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. 3. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. 4. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions under the direction of the RN. 6. *As directed by the RN, provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Participates in the evaluation of the patient's response to and effectiveness of interventions. 8. *Incorporates cultural considerations into the plan/delivery of care as directed by the RN. 9. *Includes family or significant others in the care of the patient as appropriate. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Enters patient care orders into the computer accurately and consistently according to policy and procedure. 12. *Provides care in conjunction with other members of the interdisciplinary team. 13. *Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 14. *Contributes to the patient's transition to the next level of care. 15. *Assumes responsibility in a shared or delegated assignment and supports team member's practices through timely communication. 16. *Serves as a role model to colleagues, students and other care providers. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to perform crucial conversations with desired outcomes. 6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 7. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduation from a School of Practical Nursing with current licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

GIRMC Staff RN-Lead

Summary GENERAL SUMMARY: Manages resources and delegates as appropriate to optimize achievement of unit scope and department objectives. Assists in the operations management of the unit. Promotes retention of staff through recognition and promotion of teamwork within and across shifts. Supports and encourages the professional development of department staff. Ensures optimal patient care standards through daily interaction and role modeling. Supports and facilitates a collaborative relationship between medical staff and hospital staff to ensure that patient needs are met related to equipment, supplies and competent staff available to deliver personalized care. Provides direct patient care in department. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Takes on a leadership role in modeling the mission, beliefs, and behaviors of the Medical Center; promotes and models highly effective interpersonal relationships. 3. *Assists in concurrent and retrospective resolution of patient, family, and/or physician concerns and complaints. 4. Utilizes the findings from quality improvement efforts (including HCAHPS/NRC and physician partnership survey scores) to enhance patient care, customer satisfaction (physicians and patients/families) and cost-effectiveness of services. 5. Assists with unit scheduling, timecard approval, and provides input into staff evaluations and interview processes. 6. Demonstrates fiscal responsibility by downsizing or upsizing staffing in a budget conscious manner that ensures the maintenance of safe patient care. 7. Works collaboratively with the Nurse Manager to ensure appropriate equipment function, equipment availability and efficient supply usage and charging; maintains a supply and equipment inventory that meets patient care needs. 8. *Ensures staff competence while emphasizing staff retention strategies. 9. *Ensures that existing policies and procedures are adhered to during daily interactions with staff; facilitates patient admissions, discharges and transfers within service line. 10. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 11. *Documents patient care and related information according to Bryan Medical – GIRMC procedures for documentation. 12. Acts as a champion in EPIC specific to their department. May be asked to help other organizational departments in their use of Epic. 13. *Responsible for promoting patient and staff safety, providing accurate and clear communication, delegating, and serving as a resource and role model to colleagues, students and other care providers. 14. *Clearly defines, delegates and ensures completion of assignments to be accomplished throughout the shift; provides feedback in a timely manner to staff. 15. *Supports the Nurse Manager in communicating and implementing unit or area changes and keeps them informed of daily operational needs and issues. 16. *Supports the preceptor program, new employee orientation, and student programs; communicates education and/or competency needs of staff to the Nurse Manager. 17. * Coaches and mediates staff behavior as needed and communicates with the Nurse Manager if a colleague fails to respond to proper guidance or adhere to standards expected for quality care. 18. *Takes patient care assignments or charge role during volume or acuity changes or during increased staffing demand. This may encompass up to 65% of normal weekly hours. 19. *Assists the Nurse Manager with capital budget planning, equipment requests, and value analysis initiatives. 20. *Assists with record and billing audits to ensure accurate charges and coordinates appropriate vendor support. 21. Evaluates clinical outcomes prior to discharge from current level of care to next level of care; reports and acts on any untoward outcomes observed. 22. *Assists in detecting clinical outdates on equipment, drugs and supplies; acts to correct any deficiencies found. 23. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 24. Participates in meetings, committees and department projects as assigned. 25. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Ability to communicate effectively both verbally and in writing. 4. Ability to perform crucial conversations with desired outcomes. 5. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 6. Ability to problem solve and engage independent critical thinking skills. 7. Ability to maintain confidentiality relevant to sensitive information. 8. Ability to prioritize work demands and work with minimal supervision. 9. Ability to manage change and work within an intense work environment. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science degree in Nursing and certification in specialty preferred. Minimum of two (2) years of clinical experience in a department or unit equivalent required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (BLS) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

GIRMC Staff RN-Float

Summary GENERAL SUMMARY: Responsible for meeting patient’s priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care based on patient needs and evaluating patients’ responses. Contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. Supervises support staff in the delivery of patient care as described in Nebraska Statute. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Grand Island Regional Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates the patient’s plan of care based on the diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions, consistent with perioperative procedures as ordered. 6. *Provides education for the patient and family to meet identified patient needs. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Coordinates and provides care in conjunction with other members of the interdisciplinary team. 12. *Facilitates patient’s transition to the next level of care. 13. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 14. Serves as a role model to colleagues, students and other care providers. 15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 16. Participates in meetings, committees and department projects as assigned. 17. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 9. Ability to practice proper body mechanics to ensure personal and customer/patient safety. 10. Ability to problem solve and engage independent critical thinking skills. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to prioritize work demands and work with minimal supervision. 13. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) required within first 6 months of employment. PALS as per manager's descretion.

GIRMC Staff RN Med-Surg-Lead

Summary GENERAL SUMMARY: Manages resources and delegates as appropriate to optimize achievement of unit scope and department objectives. Assists in the operations management of the unit. Promotes retention of staff through recognition and promotion of teamwork within and across shifts. Supports and encourages the professional development of department staff. Ensures optimal patient care standards through daily interaction and role modeling. Supports and facilitates a collaborative relationship between medical staff and hospital staff to ensure that patient needs are met related to equipment, supplies and competent staff available to deliver personalized care. Provides direct patient care in department. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Models the organization’s mission, values, and behaviors while fostering teamwork, communication, and positive relationships. 3. *Supports resolution of patient, family, and physician concerns while promoting patient experience standards and care practices. 4. Utilizes the findings from quality improvement efforts (including HCAHPS/NRC and physician partnership survey scores) to enhance patient care, customer satisfaction (physicians and patients/families) and cost-effectiveness of services. 5. Supports staffing processes including scheduling, timecards, hiring input, and workforce planning. 6. Maintains fiscal responsibility through staffing adjustments and support of budget and capital planning. 7. Works collaboratively with the Nurse Manager to ensure appropriate equipment function, equipment availability and efficient supply usage and charging; maintains a supply and equipment inventory that meets patient care needs. 8. *Ensures staff competence while emphasizing staff retention strategies. 9. *Ensures that existing policies and procedures are adhered to during daily interactions with staff; facilitates patient admissions, discharges and transfers within service line. 10. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 11. *Documents patient care and related information according to Bryan Medical – GIRMC procedures for documentation. 12. Acts as a champion in EPIC specific to their department. May be asked to help other organizational departments in their use of Epic. 13. *Promotes safety, communication, and accountability through delegation and clear expectations. 14. *Supports the Nurse Manager in communicating and implementing unit or area changes and keeps them informed of daily operational needs and issues. 15. *Supports the preceptor program, new employee orientation, and student programs; communicates education and/or competency needs of staff to the Nurse Manager. 16. * Coaches and mediates staff behavior as needed and communicates with the Nurse Manager if a colleague fails to respond to proper guidance or adhere to standards expected for quality care. 17. *Takes patient care assignments or charge role during volume or acuity changes or during increased staffing demand. This may encompass up to 65% of normal weekly hours. 18. *Assists with record and billing audits to ensure accurate charges and coordinates appropriate vendor support. 19. Evaluates clinical outcomes prior to discharge from current level of care to next level of care; reports and acts on any untoward outcomes observed. 20. *Assists in detecting clinical outdates on equipment, drugs and supplies; acts to correct any deficiencies found. 21. Participates in EPIC meetings for the ClinDoc, advises on changes needed for the department, and implements ClinDoc EPIC changes with the staff. 22. Super user for Smart Square, attends meetings for updates and implements the education with staff. 23. Assists in organizing educational opportunities for all staff. 24. Works occasional rotating shift per staffing needs per department workflows. 25. Meets at least once per 2-week period with orientee to review progress and identify barriers. 26. Participates in committees and supports Unit Based Council initiatives. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 27. Participates in meetings, committees and department projects as assigned. 28. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Ability to communicate effectively both verbally and in writing. 4. Ability to perform crucial conversations with desired outcomes. 5. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 6. Ability to problem solve and engage independent critical thinking skills. 7. Ability to maintain confidentiality relevant to sensitive information. 8. Ability to prioritize work demands and work with minimal supervision. 9. Ability to manage change and work within an intense work environment. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science degree in Nursing and certification in specialty preferred. Minimum of two (2) years of clinical experience in a department or unit equivalent required. Minimum of three (3) years of Med/Surg or similar (Skilled, LTACH, IRU) experience required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (BLS) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiovascular Life Support (ACLS) required within six (6) months of hire. Credentialed Trainer for EPIC within one (1) year of hire.

CNA

Bryan Health Central City, NE

Certified Nursing Assistant (PRN - Hours as Needed)

Summary GENERAL SUMMARY: The Certified Nursing Assistant is responsible for providing general nursing care to patients, treatments to patients, and participates in discharge planning under the direct supervision of a Registered Nurse (RN). This position reports to Nurse Manager, Charge Nurse, or Staff RN. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. Participates in meetings, committees and lean projects as assigned. 3. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 4. Performs service excellence must-haves to achieve an excellent patient/customer experience. 5. Uses quality improvement processes, programs or outcome to help improve department operations. 6. *Performs Activities of Daily Living (ADLs) for assigned patient. 7. Serves patients meals/snacks/supplements; assists with and/or feeds meals/snacks/supplements; and records intake of meals/snacks/supplements as required by organization. 8. *Assists licensed nursing staff during treatment and examination of patient. 9. *Observes patients, records significant conditions and reactions, and notifies nursing staff of patient’s condition and reactions to drugs/treatments. 10. *Participates in patient discharge planning. 11. *Gives treatment/cares as directed by Registered Nurse. 12. Changes bed linens, runs errands, directs visitors, and answers telephone. 13. *Takes and records temperature, blood pressure, pulse and respiration rates, and food and fluid intake and output, under direction of a licensed nurse. 14. *Documents on assigned medical records and worksheets to include but not limited to ADL flow sheets, vital signs, baths, and meals. 15. Bathes patients when determined appropriate by the licensed nurse. 16. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Active Nebraska Certified Nursing Assistant (CNA) credential required. Must be active and with no disciplinary action on the Nebraska Nurse Aide Registry. One (1) year of hospital experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

GIRMC Staff RN-Wkdp

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

GIRMC Staff RN-ICU

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

GIRMC Staff RN-Womens and Children

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

CNA

Bryan Health Central City, NE

Certified Nursing Assistant

Summary GENERAL SUMMARY: The Certified Nursing Assistant is responsible for providing general nursing care to patients, treatments to patients, and participates in discharge planning under the direct supervision of a Registered Nurse (RN). This position reports to Nurse Manager, Charge Nurse, or Staff RN. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. Participates in meetings, committees and lean projects as assigned. 3. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 4. Performs service excellence must-haves to achieve an excellent patient/customer experience. 5. Uses quality improvement processes, programs or outcome to help improve department operations. 6. *Performs Activities of Daily Living (ADLs) for assigned patient. 7. Serves patients meals/snacks/supplements; assists with and/or feeds meals/snacks/supplements; and records intake of meals/snacks/supplements as required by organization. 8. *Assists licensed nursing staff during treatment and examination of patient. 9. *Observes patients, records significant conditions and reactions, and notifies nursing staff of patient’s condition and reactions to drugs/treatments. 10. *Participates in patient discharge planning. 11. *Gives treatment/cares as directed by Registered Nurse. 12. Changes bed linens, runs errands, directs visitors, and answers telephone. 13. *Takes and records temperature, blood pressure, pulse and respiration rates, and food and fluid intake and output, under direction of a licensed nurse. 14. *Documents on assigned medical records and worksheets to include but not limited to ADL flow sheets, vital signs, baths, and meals. 15. Bathes patients when determined appropriate by the licensed nurse. 16. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Active Nebraska Certified Nursing Assistant (CNA) credential required. Must be active and with no disciplinary action on the Nebraska Nurse Aide Registry. One (1) year of hospital experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

LPN

GIRMC Staff LPN

Summary GENERAL SUMMARY: At the direction of the Registered Nurse (RN) and/or Licensed Practitioners, the Staff Licensed Practical Nurse (LPN) contributes to meeting patient's priority needs by assessing and participating in interdisciplinary care planning, providing delegated care and timely communication of the patient's response. Contributes to an efficient and effective work environment through activities including professional communication and documentation. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Contributes to the assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. 3. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. 4. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions under the direction of the RN. 6. *As directed by the RN, provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Participates in the evaluation of the patient's response to and effectiveness of interventions. 8. *Incorporates cultural considerations into the plan/delivery of care as directed by the RN. 9. *Includes family or significant others in the care of the patient as appropriate. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Enters patient care orders into the computer accurately and consistently according to policy and procedure. 12. *Provides care in conjunction with other members of the interdisciplinary team. 13. *Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 14. *Contributes to the patient's transition to the next level of care. 15. *Assumes responsibility in a shared or delegated assignment and supports team member's practices through timely communication. 16. *Serves as a role model to colleagues, students and other care providers. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. EDUCATION AND EXPERIENCE: Graduation from a School of Practical Nursing with current licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

Cardiovascular Clinical Registered Nurse-Bryan Heart Grand Island Operations

Summary GENERAL SUMMARY: Responsible for the provision and oversight of professional nursing care and medical care prescribed by the Licensed Healthcare Provider (Physician, APRN, or PA). Supports a provider in a primary role, coordinating and facilitating patient care and follow up. Assists provider with examinations and procedures to serve the medical needs of patients with various cardiac and vascular related health conditions in a professional, confidential, and caring manner. Provides care that is beyond the practice scope of LPN II and CMA II assigned to support a provider in a primary role; including triage of patient follow up, patient teaching, and abnormal test result communication. Accountable for having knowledge of and complying with the Nebraska Nurse Practice Act and other relevant State Nurse Practice Acts, any applicable licensure/certification requirements, as well as, organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values in interactions with providers, staff, patients, and families. 2. *Supports provider(s) in a primary role, coordinating and facilitating patient care and follow up to achieve quality patient care and customer service goals. 3. *Performs nursing care that requires professional knowledge and judgement for assigned providers, including triage of patient follow up, patient teaching and abnormal test result communication. 4. * Retrieves test results, as soon as available, communicates with the provider and contacts the patient regarding abnormal results; may delegate communication of normal results. 5. *Monitors patient caseload for high-risk patients, compliance with physician orders and follow up appointments and referrals. 6. *Triages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer, in a timely manner. Responds appropriately to urgent/emergent situations, documents as necessary and manages transfer of care. 7. *Prepares Electronic Health Record (EHR) for patient visit, ensuring all necessary information is in the chart prior to appointment, as well as, documenting patient interactions, orders, results, patient questions/concerns and medication changes, in a timely manner. 8. *Facilitates flow of patients in accordance with appointment time to avoid delays for the provider and undue waiting for patients. 9. *Conducts new patient history and assessment, reviews established patient history updates; including pain assessment, domestic abuse review, medication reconciliation and allergy review. 10. *Educates patient and family about tests/procedures, results, medications, nutrition and other health related issues. 11. *Assists with rooming; including vital signs, patient history, preparing patient for examination/procedures, performing EKG, as well as, keeping rooms stocked, clean and ready for use. 12. *Rooms patients via EHR status indicator for outstate clinics and enters clinical documentation, orders, and results received from clinic, as assigned. 13. *Complies with HIPAA and maintains confidentiality in matters related to patient, family, staff, and providers. 14. * Provides care in a non-judgmental, compassionate, non-discriminatory manner remaining sensitive to the patient’s diversity, autonomy, dignity, and rights. 15. *Assists patients with pre-authorizations, release of information requests, FMLA certification, etc., as needed. 16. *Responds appropriately to urgent /emergent situations, documents as necessary and manages transfer of care. 17. *Maintains compliance with OSHA and safety plan. 18. Notifies Team Leader of problems/incidents related to staff or patients in a timely manner. 19. Participates in meetings related to performance improvement, electronic health record enhancements, and day-to-day operations, as assigned. 20. Manages work hours, supplies, and other clinical costs in line with fiscal responsibility and budget. 21. Assists provider(s) in both Lincoln and Outreach Clinic sites, as assigned. 22. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 23. Participates in meetings, committees and department projects as assigned. 24. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Graduation from an accredited Registered Nursing Program is required. BSN is preferred. Current licensure as an RN in the State of Nebraska is required. Minimum of one (1) year relevant nursing experience is required. Clinic and cardiovascular nursing experience is preferred. Licensure as an RN in the State of Kansas is required for nurses traveling to Kansas clinics and in other states where the nurse practices in the clinic, and/or patients, who receive care or instruction by phone, reside.

Caregiver