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Bryan Health

Summary GENERAL SUMMARY: Assists providers with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional care within the educational background of the Certified Nursing Assistant (CNA) and in compliance with any applicable licensure/certification requirement and organization policy and procedures. Responsible for serving on the ambulatory care team for an assigned area including direct patient care as an unlicensed professional and under the direct supervision of a Registered Nurse (RN), Physician or Advanced Practice Provider (APP). Incorporates the primary job functions of a certified nursing assistant (CNA) and other duties related to the care of patients, dependent upon the work area and/or patient populations to which they are assigned. Reports to RN Clinic Manager. Employees holding nursing licensure will be held accountable to Nebraska nursing licensure requirements and must maintain licensure or an active Nebraska CNA. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Performs patient care and assists provider(s) with examinations and procedures to serve the medical needs of patients, as assigned. *Facilitates flow of patients in accordance with appointment time to avoid delays for the provider and undue waiting for patients. *Greets and rooms patients; takes vital signs, updates patient history and verifies medications prior to final approval and sign-off from the provider, and prepares patient for examination/procedures, as assigned. *Rooms patients via Electronic Health Record (EHR) status indicator for outstate clinics and enters clinical documentation and results received from clinic, as assigned. *Assists patients in pursuing preauthorization for PCSK9 inhibitor and other medications based on protocol, as assigned. *Documents patient interactions, results, and patient questions/concerns in a timely manner. *Responds to calls from patients, pharmacies, hospitals, nursing homes, and other medical offices by use of telephone and computer in a timely manner, as assigned. *Refers all physician telephone orders to a licensed professional. *Coordinates with assigned RN to provide care that is beyond practice scope; including triage of patient follow up, patient teaching, and abnormal test result communication. *Organizes medications sample storage and checks for outdates. *Keeps rooms stocked, clean and ready for use; assists with ordering supplies as needed. *Complies with HIPAA and maintains confidentiality in matters related to patient, family, staff, and providers. *Provides care in a non-judgmental, compassionate, non-discriminatory manner remaining sensitive to the patient’s diversity, autonomy, dignity, and rights. *Responds appropriately to urgent /emergent situations and maintains compliance with OSHA and safety plan. Notifies RN or Clinic Manager of problems/incidents related to staff or patients in a timely manner. Participates in meetings related to performance improvement, electronic health record enhancements, and day-to-day operations, as assigned. Manages work hours, supplies, and other clinical costs in line with fiscal responsibility and budget. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. Participates in meetings, committees and department projects as assigned. 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: High School diploma or equivalency required. Active Nebraska Certified Nursing Assistant (CNA) credential required. Six (6) months CNA experience preferred.

Student Nurse

Per Diem

1 month ago

GIRMC Student Nurse Technician

Bryan Health

Summary GENERAL SUMMARY: Responsible for serving on the patient care team for an assigned area including direct patient care as an unlicensed professional and under the direct supervision of a Registered Nurse (RN). Incorporates the primary job functions of a certified nursing assistant (CNA) and other duties related to the care of patients, dependent upon the work area and/or patient populations to which they are assigned. Reports to Nurse Manager, Charge Nurse, House Supervisor or Staff RN. Incumbents holding nursing licensure will be held accountable to Nebraska nursing licensure requirements and must maintain licensure or an active Nebraska CNA. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. . *Recognizes and reacts to emergency procedures per role and policies/procedures. *Answers telephones and assigned communication devices as appropriate and relays information as necessary. Refers all physician telephone orders to a licensed professional. *Assists with patient care that is consistent with standards of care and clinical priorities determined by the RN with the nature of the area/unit, patient care division policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices. *Performs and documents routine direct nursing care tasks according to identified age-specific needs. Obtains and records vitals, height, weight, and bedside glucose results; reports results to appropriate personnel. *Performs Activities of Daily Living (ADLs) for assigned patients and documents in the EMR. *Responsible for labeling and securing patient care belongings and ensuring that the patient room is safe and uncluttered. *Distributes patient’s meals/water and assists with feeding of patients as needed. Assists with ambulation, lifting and positioning according to procedure, including the appropriate use of patient lift devices and use of good body mechanics. Assists with transporting patients, including at time of transfer and/or dismissal. *Assists patients with elimination needs and measures/records bodily elimination in medical record. Bal record.atients and documents in the medtribution. Assists with feeding of patients as neeoom is safe and uncluttered.athes patients as directed by the RN and documents in EHR. Participates as a member of the team in Hourly Patient Rounds to proactively address patient needs. Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. Collects, accurately labels and transports specimens to lab as required. Assists with dressing changes, applying splints, setting up suturing and procedures, and wound care on closed wounds as directed by RN. *Cleans, stocks and cares for supplies and equipment in assigned work area. Collaborates with other departments to coordinate exams and treatments, minimizing fragmentation and enhancing patient satisfaction. Assists in collecting specific information from patients and contributes to admission, transfer and dismissal processes when delegated by a RN, and with responsibility for patient assessment being performed by a RN; assures timely reporting and recording of patient's Electronic Medical Record (EMR). Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. Participates in meetings, committees and department projects as assigned. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 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. Knowledge of computer hardware equipment and software applications relevant to work functions. Knowledge of general hospital processes and procedures. 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. Ability to practice proper body mechanics to ensure personal and customer/patient safety. Ability to recognize and react to emergency procedures per role and policies/procedures. Ability to communicate effectively both verbally and in writing. Ability to perform crucial conversations with desired outcomes. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. Ability to problem solve and engage independent critical thinking skills. Ability to maintain confidentiality relevant to sensitive information. Ability to prioritize work demands and work with minimal supervision. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current enrollment and in good standing in a Nursing Program such as an accredited Baccalaureate Nursing Program or RN Associate Degree program required. Active Nebraska Certified Nursing Assistant (CNA) credential required. Six (6) months CNA experience preferred. Patient Care Technicians working primarily in the Emergency Department may have additional competencies specific to their population. 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. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.

Staff RN - Emergency (East Campus)

Bryan Health

Summary SUMMARY The Emergency RN performs therapeutic nursing interventions consistent with the Emergency Department including: ACLS/PALS protocols; Arrhythmia detection and treatment; Airway management; Wound care; Pain management; Crisis intervention; Discharge planning/instructions; Stroke scale. Initiates appropriate Emergency Protocols. Manages the care of pediatric/adult patients with conditions common to the Emergency Department, including: Cardiac, respiratory distress, ENT, GYN, wound, orthopedic, and neurological emergencies; Trauma emergencies. Serves as preceptor, charge nurse, or triage nurse based on skill development and at the discretion of the manager. Serves as resource for student and orientees. Assists in the collection of data for medical screenings. Anticipates and intervenes to meet patient and family needs. Makes appropriate referrals to Care Management, ED Connections, Voices of Hope, etc. Assists the Sexual Assault Nurse Examiner in the care of the sexual assault patient. The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. ACLS, PALS, TNCC and ENPC required within first year of employment. Two (2) years' experience as a Registered Nurse recommended.

RN-Outpatient Surgery

Bryan Health

Summary Provides care in the outpatient services area directed toward meeting both the psychosocial and physical needs of the patient. Assesses, plans, implements and evaluates the care of patients undergoing invasive procedures in the outpatient surgery department. Communicates with physicians and/or anesthesia providers continuously and as needed about patient condition. Participates in performance improvement and CQI activities. Coordinates and supervises patient care. Gives care to the patient, reflecting flexibility in rules and regulations, as indicated by individual patient needs. Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Performance reflects knowledge in all areas of care specific to outpatient surgery (i.e., GI, autologous, conscious sedation). Manages and operates equipment safely and correctly. Electronic documentation meets current standards and policies. Organizes and manages nursing activities reflecting due consideration for patients’ needs and the needs of the facility and staff. Utilizes initiative; strives to maintain steady level of productivity; a self starter; compatible and supportive; a team player. Knowledge of medications and IV fluids and their correct administration, based on age of the patient and patient’s clinical condition. Follows the five medication rights and reduces the potential for medication errors. Ability to perform a head-to-toe preoperative assessment on all patients and reassesses, as needed postoperatively. This includes pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Ability to formulate an individualized plan of care, as indicated, and evaluates for effectiveness. Formulates a teaching plan, based on identified patient learning needs, and evaluates effectiveness of learning; family is included in teaching, as appropriate, from preop to discharge. Provides patient with explanation and verbal reassurance consistently. Identifies physical symptoms and changes and takes appropriate action in a timely manner. Knowledge of cardiac monitoring and can identify dysrhythmias. Communicates appropriately and clearly to Outpatient Services Nurse Manager, co‑workers and physicians. Consults other departments, as needed and as appropriate, to provide for an interdisciplinary approach to the patient’s needs. Demonstrates an ability to assist physicians in the OPS unit. Demonstrates an ability to be flexible, organized and function under stressful situations. Treats patients and their families with respect and dignity. Practices good guest relations. Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient Meets current documentation standards and policies and completes within the shift. Identifies and addresses psychosocial needs of patients and family. Carries out medical and surgical asepsis during treatments and special procedures. Maintains an environment that provides the patient and family with feelings of safety and security. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollment in a BSN program preferred. Current Registered Nurse licensure in the state of Nebraska. Two (2) years nursing experience preferred. One (1) year of experience in an outpatient surgical setting preferred. Current ACLS and BLS certification. PALS certified within 6 months of hire.

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit, allergies and list of medications from the patient and prepares patient for the visit. 5. *Assists the medical provider with all examinations and procedures. 6. *Schedules outpatient follow-up procedures/ appointments and specialty appointments. 7. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 8. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 9. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, RN, PA, NP). 10. *Explains tests and preparation as needed for adequate patient education. 11. Monitors inventory of supplies and communicates information to Office Manager. 12. *Administers injections, vital signs, vision and auditory testing as delegated. 13. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

RN

1 month ago

Bryan Health Lincoln, NE

Summary GENERAL SUMMARY: Assists providers with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional care within the educational background of the Certified Nursing Assistant (CNA) and in compliance with any applicable licensure/certification requirement and organization policy and procedures. Responsible for serving on the ambulatory care team for an assigned area including direct patient care as an unlicensed professional and under the direct supervision of a Registered Nurse (RN), Physician or Advanced Practice Provider (APP). Incorporates the primary job functions of a certified nursing assistant (CNA) and other duties related to the care of patients, dependent upon the work area and/or patient populations to which they are assigned. Reports to RN Clinic Manager. Employees holding nursing licensure will be held accountable to Nebraska nursing licensure requirements and must maintain licensure or an active Nebraska CNA. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs patient care and assists provider(s) with examinations and procedures to serve the medical needs of patients, as assigned. 3. *Facilitates flow of patients in accordance with appointment time to avoid delays for the provider and undue waiting for patients. 4. *Greets and rooms patients; takes vital signs, updates patient history and verifies medications prior to final approval and sign-off from the provider, and prepares patient for examination/procedures, as assigned. 5. *Rooms patients via Electronic Health Record (EHR) status indicator for outstate clinics and enters clinical documentation and results received from clinic, as assigned. 6. *Assists patients in pursuing preauthorization for PCSK9 inhibitor and other medications based on protocol, as assigned. 7. *Documents patient interactions, results, and patient questions/concerns in a timely manner. 8. *Responds to calls from patients, pharmacies, hospitals, nursing homes, and other medical offices by use of telephone and computer in a timely manner, as assigned. 9. *Refers all physician telephone orders to a licensed professional. 10. *Coordinates with assigned RN to provide care that is beyond practice scope; including triage of patient follow up, patient teaching, and abnormal test result communication. 11. *Organizes medications sample storage and checks for outdates. 12. *Keeps rooms stocked, clean and ready for use; assists with ordering supplies as needed. 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. *Responds appropriately to urgent /emergent situations and maintains compliance with OSHA and safety plan. 16. Notifies RN or Clinic Manager of problems/incidents related to staff or patients in a timely manner. 17. Participates in meetings related to performance improvement, electronic health record enhancements, and day-to-day operations, as assigned. 18. Manages work hours, supplies, and other clinical costs in line with fiscal responsibility and budget. 19. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 20. Participates in meetings, committees and department projects as assigned. 21. 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: High School diploma or equivalency required. Active Nebraska Certified Nursing Assistant (CNA) credential required. Six (6) months CNA 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. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects. Ability to assist 100+ pound patients to exam tables and push wheelchair bound patients. Exposure to blood, waste, body fluids, and communicable diseases.

RN

Full-time

1 month ago

RN-OR

Bryan Health Kearney, NE

Summary Provides direct and indirect patient care in the patient care setting. Communicates with physicians, leadership, and co-workers, as appropriate, about changes in patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and symptomatology. Responds quickly and accurately to changes in condition or response to treatment. Performs general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment of the neonate patient in accordance with Kearney Regional Medical Center’s procedures. This includes antepartum, postpartum, and newborns. In collaboration with physician, establishes and revises plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. *Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. *Executes therapeutic and/or supportive interventions. Provides care to patients with compromised nutritional/metabolic status. Provides care to patients requiring extensive fluid and electrolyte management. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient’s response to and effectiveness of interventions. *Evaluates patient’s progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family, significant other, or identified support person in the care of the patient as appropriate. *Documents patient care and related information according to KRMC’s procedures for documentation. *Provides care in collaboration with other members of the interdisciplinary team. Functions as a liaison between administration, patients, physicians, and other healthcare providers. *Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. *Assists physicians with procedures in the Emergency Department. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). Engages in department specific and organizational performance improvement initiatives. Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Assesses cardio-respiratory systems for changes and provides appropriate treatment. Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents. Carries out medical/surgical asepsis during treatments and special procedures. Carries out established techniques for safe administration of medications and parenteral fluids, according to hospital policies and procedures. Performs waived testing (point-of-care testing) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Interprets results of waived tests and takes appropriate action on waived tests results. Maintains regulatory agency requirements, hospital and nursing policies, procedures, and standards. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 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. Graduate of an accredited school of nursing required. BSN or current enrollment in BSN program preferred. 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.