Bryan Health

Cardiac Rehabilitation RN

Summary GENERAL SUMMARY: The Cardiac Rehabilitation RN is responsible for identifying patient needs and priorities for care through assessment, planning for and delegating care based on patients needs, executing therapeutic physician-and nurse-initiated interventions, and evaluating the patient's response to care and progress toward outcomes. Whenever possible, the family or significant others are included in the plan of care of the patient. Coordinates care and communicates essential information between other professional disciplines as needed and uses available resources and innovative strategies to provide care. Empowers the patient and/or significant others to make informed changes in health related behaviors. The Cardiac Rehabilitation RN is responsible for the promotion of primary, secondary, and tertiary prevention. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment based on the patient’s presenting problems or needs and the physician’s medical diagnosis: a. Collects key information from patient, family, and medical reports. b. Determines nursing diagnosis and priorities for care with special consideration given to patient teaching, goal setting, psychosocial well-being, and functional status. c. Assesses tolerance of activity levels, collaborates with other team members and makes recommendations/referrals regarding appropriateness of return to work or ADL’s. d. Assesses and applies interpretation of diagnostic/monitoring data to the plan of care. *Completes ongoing assessments according to LifePointe policy and/or as determined by patient condition: a. Re-prioritizes care and sets new goals based on new information. b. Continues to update nursing diagnoses/patient problems. c. Involves family and/or significant individuals in assessment activities. *Appropriately interacts with patients/families from a variety of developmental and sociocultural backgrounds; seeks interpreter assistance as appropriate. *Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity, and caring. *Initiates communication with health care team members regarding treatment planning; informs appropriate health care team members (including physicians) of patient’s condition/rehab status. *Completes clinical/non-clinical assignments based on departmental workload and the qualifications and competencies of self and other staff members. *Collaborates with staff and appropriate resource person(s) to formulate and update treatment plans and to work toward positive outcomes. Initiates problem solving and conflict resolution skills to foster effective work relationships with health care team members and peers. Assesses individual educational needs, barriers for learning, and learning styles and provides appropriate learning experiences; reviews, develops and provides educational materials appropriate to patient needs. *Provides education to patients and significant others regarding disease entities, risk factor management and behavior modification and promotes primary, secondary, and tertiary prevention in individual and group settings. Advances work knowledge by participating in continuing education inservices, reading periodicals/literature and seeking ongoing development opportunities. Supports and is involved in the hospital/departmental quality improvement initiatives; responds to problems/opportunities to improve care and/or processes. Attends staff meetings and inservices as appropriate. Assists in employee, intern, and student observation/orientation. *Following orientation, provides assistance in related program functions such as Pulmonary Rehabilitation and Enhanced External Counterpulsation. Performs other related duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: Maintains clinical competency as required for position including but not limited to age-specific competencies relative to patient’s growth and development needs and annual skill competency verification. Knowledge of hospital, staff and community based agencies and resources necessary to support the patient/family education. Knowledge of federal and state regulations related to nursing applications and relative practice area. Knowledge of computer hardware equipment and software applications relevant to work functions. Ability to train, instruct and provide guidance to others. Ability to work in a fast-paced environment related to changing patient needs including working with patients with acute, chronic and complex disease processes and those who are dying. Ability to communicate effectively both verbally and in writing. Ability to maintain confidentiality relevant to sensitive information. Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments including diverse patient population. Ability to work with patients’ growth and development needs, particularly related to patients who are undergoing lifestyle changes, adjusting to a chronic illness and/or pursuing health promotion prevention behaviors. 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. Minimum of one (1) year critical care experience required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification and certification required. Certified Foot Care Nurse certification preferred and/or Certified Anticoagulant Therapist certification per Manager pre-approval and work assignment. 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.
Bryan Health

Utilization Management RN

Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient’s hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support and family to ensure the patient’s hospital stay meets medical necessity and insurance authorizations are obtained in order to facilitate the patient’s and hospitals financial well-being. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. *Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. 4. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the continuing medical necessity of continued stays. 5. *Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 6. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. 7. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3rd party and managed care contracts; discharge planning; and length of stay. 8. Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects of care; proposes alternative treatment to ensure a cost effective and efficient plan of care. 9. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 10. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 12. Participates in meetings, committees and department projects as assigned. 13. 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 governmental and third party payer regulations and requirements related to patient hospitalization and acute rehabilitation admission, stay and discharge activities, i.e., CMS, CARF, FIM (TM). 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in conflict diffusion and resolution. 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 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 perform crucial conversations with desired outcomes. 12. 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. Minimum of two (2) years recent clinical experience required. Prior care coordination and/or utilization management 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.
Bryan Health

GIRMC Staff RN-OR

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, precepting 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. *Executes therapeutic and/or supportive interventions, consistent with perioperative procedures. 5. Evaluates the patient’s response to and effectiveness of interventions. 6. Evaluates patient’s progress toward established outcomes. 7. Incorporates cultural considerations into the plan/delivery of care. 8. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 9. *Administers medications to the patient in accordance with approved standards of nursing knowledge and competency, based on the age of the patient, the patient’s clinical condition and physician orders. 10. Ensures pre-op checklist is complete (H&P, consent, test results, antibiotic, etc) before transferring patient to OR. 11. *Accurately records, handles and labels specimens; demonstrates care of specimens. 12. Assists anesthesia with intubation, extubation and monitoring as needed. 13. Ensures operating rooms are stocked and equipped after cases and end of day. 14. Cleans and prepares rooms between procedures to ensure efficient turnovers. 15. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 16. Integrates evidence based research findings into practice in accordance with policy and procedure. 17. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (I.E. lifting equipment, PPE, sharps, etc. 18. Provides care in conjunction with other members of the interdisciplinary team. 19. Facilitates patient’s transition to the next level of care. 20. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 21. Serves as a role model to colleagues, students and other care providers. 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. 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 establish and maintain effective working relationships with all levels of personnel and medical staff. 6. 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. 7. Ability to problem solve and engage independent critical thinking skills. 8. Ability to maintain confidentiality relevant to sensitive information. 9. Ability to prioritize work demands and work with minimal supervision. 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. Advanced Cardiac Life Support (ACLS) and Pedatric Advanced Life Support (PALS) required within 6 months of employment. Additional credentials and certifications required for practice area.
Bryan Health

Staff RN-Mental Health Float Pool

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. 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.
Bryan Health

Staff RN-Senior Mental Health

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. 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.
Bryan Health

Cardiovascular Clinical Registered Nurse- BH Intervention Cardio Clinic

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.
Bryan Health

RN-Maternity

Summary Provides direct and indirect patient care in the maternity services department including labor, delivery, postpartum, triage and NICU. Communicates with physicians/Nurse Manager/charge nurse/co-workers, as appropriate about changes in patient’s clinical condition. Is able to respond quickly and accurately to changes in condition. Additionally, is able to perform general nursing duties in all Maternity Care departments. Primarily caring for the following patients: antepartum, laboring, delivery, cesarean, (including circulating), recovery, postpartum mother/baby care, newborn admissions, and triage. Ability to float to NICU as needed, taking care of NICU patients assigned appropriately. Is flexible and able to change assignments easily as admissions and deliveries occur. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: antepartum, postpartum, and newborns. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the five (5) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Demonstrates knowledge in fetal heart monitoring principles and practices. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Communicates appropriately and clearly to Nurse Manager, co-workers and physicians. Maintains a good working relationship both within the department and with other departments. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Documentation meets current standards and policies. Manages and operates equipment safely and correctly. Coordinates and supervises patient care as necessary. Demonstrates an ability to be flexible, organized and function under stressful situations. Ability to use basic computer skills for charting and communication. Education/Experience: Graduate of an accredited school of nursing. Current Nebraska Registered Nurse Licensure. Current BLS certification. Current ACLS and NRP certification: or will obtain within 6 months of hire. Has attended a Fetal Monitoring course within the last 2 years or will within 6 months of hire. Currently have Fetal Monitoring or Inpatient OB Certification or obtain within 2 years of hire.
Bryan Health

Patient Care Technician I-Orthopedic/Trauma

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, Assistant Nurse Manager, Charge Nurse, Administrative Manager or Staff RN. 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. *Recognizes and reacts to emergency procedures per role and policies/procedures. 3. *Answers telephones and assigned communication devices as appropriate and relays information as necessary. Refers all physician telephone orders to a licensed professional. 4. 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) . 5. *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. 6. *Performs and documents routine direct nursing care tasks according to identified age-specific needs. 7. Obtains and records vitals, height, weight, and bedside glucose results; reports results to appropriate personnel. 8. *Performs Activities of Daily Living (ADLs) for assigned patients and documents in the EMR. 9. *Responsible for labeling and securing patient care belongings and ensuring that the patient room is safe and uncluttered. 10. *Distributes patient’s meals/water and assists with feeding of patients as needed. 11. Assists with ambulation, lifting and positioning according to procedure, including the appropriate use of patient lift devices and use of good body mechanics. 12. Assists with transporting patients, including at time of transfer and/or dismissal. 13. *Assists patients with elimination needs and measures/records bodily elimination in medical record. 14. Bathes patients as directed by the RN. 15. Participates as a member of the team in Hourly Patient Rounds to proactively address patient needs. 16. Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 17. Collects, accurately labels and transports specimens to lab as required. 18. Assists with dressing changes, applying splints, setting up suturing and procedures, and wound care on closed wounds as directed by RN. 19. *Cleans, stocks and cares for supplies and equipment in assigned work area. 20. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of general hospital processes and procedures. 3. Knowledge of computer equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. 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. 6. Ability to establish and maintain effective working relationships with health care team members and diverse populations. 7. Ability to maintain confidentiality of patient information. 8. Ability to practice proper body mechanics to ensure personal and customer/patient safety. 9. Ability to prioritize work demands and work with minimal supervision. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: 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. If assigned to the Emergency Department, may have an EMT certification in place of CNA. 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.
Bryan Health

BH Certified Nursing Assistant

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.
Bryan Health

Certified Medical Assistant- Bryan Heart Intervention Cardio Clinic

Summary GENERAL SUMMARY: Responsible for assisting the Licensed Healthcare Provider (Physician, APRN, PA) and nurses with patient care, clerical, environmental and organizational tasks. Supports remote clinic sites with order entry and chart completion in the Electronic Health Record (EHR). Collaborates with other staff to achieve quality patient care and customer service goals. Works under the direction of a Registered Nurse. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs nursing 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; taking vital signs, updating patient history, preparing patient for examination/procedures, as assigned. 5. *Rooms patients via EHR status indicator for outstate clinics and enters clinical documentation, orders, and results received from clinic, as assigned. 6. *Instructs patient and family about tests/procedures, normal results, medications, nutrition and other health related issues utilizing approved protocol or written instruction, as assigned. 7. *Assists patients in pursuing preauthorization for Repatha and PCSK9 based on protocol, as assigned. 8. *Documents patient interactions, results, patient questions/concerns and medication changes, in a timely manner. 9. *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. 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; pulls sample medications refills for provider per protocol. 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 Team Leader of problems/incidents related to staff or patients in a timely manner. 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. (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 is required. Current certification as a Certified Medical Assistant (CMA), Clinical Certified Medical Assistant (CCMA), or a Registered Medical Assistant (RMA) required. Minimum of one (1) year work experience as a medical assistant in a relevant clinical setting is preferred, clinic and cardiovascular experience is preferred. Nebraska Medication Aide registry is preferred. Graduation from a Medical Assistant program accredited by the Accrediting Bureau of Health Education Schools preferred
Bryan Health

Certified Medical Assistant-Bryan Heart Intervention Cardio Clinic

Summary GENERAL SUMMARY: Responsible for assisting the Licensed Healthcare Provider (Physician, APRN, PA) and nurses with patient care, clerical, environmental and organizational tasks. Supports remote clinic sites with order entry and chart completion in the Electronic Health Record (EHR). Collaborates with other staff to achieve quality patient care and customer service goals. Works under the direction of a Registered Nurse. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs nursing 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; taking vital signs, updating patient history, preparing patient for examination/procedures, as assigned. 5. *Rooms patients via EHR status indicator for outstate clinics and enters clinical documentation, orders, and results received from clinic, as assigned. 6. *Instructs patient and family about tests/procedures, normal results, medications, nutrition and other health related issues utilizing approved protocol or written instruction, as assigned. 7. *Assists patients in pursuing preauthorization for Repatha and PCSK9 based on protocol, as assigned. 8. *Documents patient interactions, results, patient questions/concerns and medication changes, in a timely manner. 9. *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. 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; pulls sample medications refills for provider per protocol. 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 Team Leader of problems/incidents related to staff or patients in a timely manner. 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. (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 is required. Current certification as a Certified Medical Assistant (CMA), Clinical Certified Medical Assistant (CCMA), or a Registered Medical Assistant (RMA) required. Minimum of one (1) year work experience as a medical assistant in a relevant clinical setting is preferred, clinic and cardiovascular experience is preferred. Nebraska Medication Aide registry is preferred. Graduation from a Medical Assistant program accredited by the Accrediting Bureau of Health Education Schools preferred
Bryan Health

Licensed Practical Nurse- Bryan Heart Intervention Cardio Clinic

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various cardiac related 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. *Performs nursing and other patient care activities to ensure the physical and psychological well-being of the patient. 3. *Screens patients for appropriate information to ensure the Electronic Health Record (EHR) is current. 4. *Prepares patient for examination treatment through BH’s rooming process; taking patient history and vital signs, completes medication reconciliation and accurately documents in the EHR available to the consulting physicians. 5. *Registers and maintains timely, complete information in the patients' EHR and charts to ensure accurate patient care. Posts tests and examination results immediately. 6. *Upon direct assignment, supports provider(s) in a primary role, coordinating and facilitating patient care and follow up to achieve quality patient care and customer service goals. 7. *Ensures that exam rooms are clean and well stocked with necessary equipment and supplies. 8. *Prepares equipment and aides physician during examination of patients. 9. *Performs electrocardiograms. 10. *Dispenses medication as directed. Observes and records patient's condition and reaction to drugs and treatments, and reports same to provider. 11. *Educates patients and their families about diagnostic procedures, medications, post-treatment instructions, nutrition and maintenance of general health and wellness. 12. *Understands diagnosis allowed for ordering tests/procedures to ensure reimbursement. 13. Assists Bryan Heart with pre-authorizations, release of information requests, FMLA certification, etc. 14. Responds to/refers incoming patient treatment-related phone calls. 15. Maintains patient confidentiality. 16. Manages work hours, supplies, and other clinical costs in line with fiscal responsibility and budget. 17. Attends meetings and participates on committees as assigned. 18. May assist provider in both Lincoln and Outreach Clinic sites. 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: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required. Minimum of one (1) year nursing experience required, clinic nursing preferred.
Bryan Health

GIRMC Staff RN-Med/Surg

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.
Bryan Health

GIRMC Student Nurse Technician

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: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. . 2. *Recognizes and reacts to emergency procedures per role and policies/procedures. 3. *Answers telephones and assigned communication devices as appropriate and relays information as necessary. Refers all physician telephone orders to a licensed professional. 4. *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. 5. *Performs and documents routine direct nursing care tasks according to identified age-specific needs. 6. Obtains and records vitals, height, weight, and bedside glucose results; reports results to appropriate personnel. 7. *Performs Activities of Daily Living (ADLs) for assigned patients and documents in the EMR. 8. *Responsible for labeling and securing patient care belongings and ensuring that the patient room is safe and uncluttered. 9. *Distributes patient’s meals/water and assists with feeding of patients as needed. 10. Assists with ambulation, lifting and positioning according to procedure, including the appropriate use of patient lift devices and use of good body mechanics. 11. Assists with transporting patients, including at time of transfer and/or dismissal. 12. *Assists patients with elimination needs and measures/records bodily elimination in medical record. 13. Bathes patients as directed by the RN and documents in EHR. 14. Participates as a member of the team in Hourly Patient Rounds to proactively address patient needs. 15. Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 16. Collects, accurately labels and transports specimens to lab as required. 17. Assists with dressing changes, applying splints, setting up suturing and procedures, and wound care on closed wounds as directed by RN. 18. *Cleans, stocks and cares for supplies and equipment in assigned work area. 19. Collaborates with other departments to coordinate exams and treatments, minimizing fragmentation and enhancing patient satisfaction. 20. 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). 21. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 22. Participates in meetings, committees and department projects as assigned. 23. 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. Knowledge of general hospital processes and procedures. 4. 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. 5. Ability to practice proper body mechanics to ensure personal and customer/patient safety. 6. Ability to recognize and react to emergency procedures per role and policies/procedures. 7. Ability to communicate effectively both verbally and in writing. 8. Ability to perform crucial conversations with desired outcomes. 9. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 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 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.
Bryan Health

Staff LPN-Wkdp-Surgical

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: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Contributes to the assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions under the direction of the RN. *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. *Participates in the evaluation of the patient's response to and effectiveness of interventions. *Incorporates cultural considerations into the plan/delivery of care as directed by the RN. *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. *Enters patient care orders into the computer accurately and consistently according to policy and procedure. *Provides care in conjunction with other members of the interdisciplinary team. *Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. *Contributes to the patient's transition to the next level of care. *Assumes responsibility in a shared or delegated assignment and supports team member's practices through timely communication. *Serves as a role model to colleagues, students and other care providers. 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 federal and state regulations related to nursing applications and relative practice area. Knowledge of computer hardware equipment and software applications relevant to work functions. 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 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 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: 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 required. 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.
Bryan Health

Clinic RN-Physician Network Float Pool

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. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 4. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 5. *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, PA, NP). 6. *Assists the medical provider with all examinations and procedures. 7. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 8. *Schedules follow-up procedures/appointments and specialty appointments. 9. *Explains tests and preparation as needed for adequate patient education. 10. Monitors inventory of supplies and communicates information to Office Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act 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.
Bryan Health

Bryan Heart Licensed Practical Nurse- Grand Island

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various cardiac related 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. *Performs nursing and other patient care activities to ensure the physical and psychological well-being of the patient. 3. *Screens patients for appropriate information to ensure the Electronic Health Record (EHR) is current. 4. *Prepares patient for examination treatment through BH’s rooming process; taking patient history and vital signs, completes medication reconciliation and accurately documents in the EHR available to the consulting physicians. 5. *Registers and maintains timely, complete information in the patients' EHR and charts to ensure accurate patient care. Posts tests and examination results immediately. 6. *Upon direct assignment, supports provider(s) in a primary role, coordinating and facilitating patient care and follow up to achieve quality patient care and customer service goals. 7. *Ensures that exam rooms are clean and well stocked with necessary equipment and supplies. 8. *Prepares equipment and aides physician during examination of patients. 9. *Performs electrocardiograms. 10. *Dispenses medication as directed. Observes and records patient's condition and reaction to drugs and treatments, and reports same to provider. 11. *Educates patients and their families about diagnostic procedures, medications, post-treatment instructions, nutrition and maintenance of general health and wellness. 12. *Understands diagnosis allowed for ordering tests/procedures to ensure reimbursement. 13. Assists Bryan Heart with pre-authorizations, release of information requests, FMLA certification, etc. 14. Responds to/refers incoming patient treatment-related phone calls. 15. Maintains patient confidentiality. 16. Manages work hours, supplies, and other clinical costs in line with fiscal responsibility and budget. 17. Attends meetings and participates on committees as assigned. 18. May assist provider in both Lincoln and Outreach Clinic sites. 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: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required. Minimum of one (1) year nursing experience required, clinic nursing preferred.
Bryan Health

Care Transitions RN or SW

Summary GENERAL SUMMARY: The Care Transitions RN or SW conducts day-to-day activities for the clinical, psychosocial and utilization coordination of the patient’s hospital experience. Proactively consults with the interdisciplinary team which includes but is not limited to hospital patient care staff, physicians, patient support and family and community resources to assure a smooth transition for the patient through appropriate levels of care in order to facilitate quality outcomes. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Utilizes clinical skills to create and update personalized transitional care plans for patients. *Performs transition planning activities at onset and throughout the patient’s hospitalization. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the appropriate level of care for transition planning. *Assists in identifying need for supportive counseling or post discharge extended psychosocial therapy and consults with attending Physician for referral to appropriate provider. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 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. Minimum of two (2) years recent clinical experience required. Prior care coordination and/or utilization management experience preferred. Basic Life Support (CPR) certification required. OR Masters degree in Social Work (MSW) from a School of Social Work OR Masters degree in Counseling or related field required. Current certification as a Licensed Mental Health Practitioner (LMHP) by the State of Nebraska preferred. Prior case management experience desired. ACUTE REHABILITATION ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. Responsible for the early identification of potential patients through interdisciplinary team members and medical record review. Provides education to patients, family and support members, internal and external referral sources on Rehab program benefits and services; coordinates tours of facility when requested. Performs utilization review activities, including preadmission screening, insurance verification for benefits, medical necessity reviews, denial and appeals and coordinates admissions with admitting physicians and staff. Serves as an internal and external resource regarding Medicare/Medicaid rules, regulations and policies; 3 rd party and managed care contracts, and authorization for post-acute services. EMERGENCY DEPARTMENT ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. Collaborates with the ED physicians, admitting physicians, and Bed Management to assist in determining appropriate bed status/classification for all patients. Completes medical necessity reviews utilizing approved evidence based guidelines/criteria for patients being admitted to the hospital from all portals of entry, including but not limited to: ED admissions, direct admissions, hospital to hospital transfers, post procedure admissions, and surgical admissions. Completes high risk screening for discharge planning and coordinates with social work and healthcare partners for potential post-acute needs. Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3 rd party and managed care contracts; discharge planning; and length of stay. UTILIZATION MANAGEMENT ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. Performs utilization review activities, including concurrent and retrospective reviews as required. Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3 rd party and managed care contracts; discharge planning; and length of stay.
Bryan Health

Medical Office LPN-Prairie Center Internal Medicine

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.
Bryan Health

Certified Medical Assistant-Complete Endocrinology

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 care within the educational background of the Medical Assistant and in compliance with any applicable licensure/certification requirement and organization policy 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 and list of medications from patients and prepares patient for visit. 5. *Assists the medical provider with all examinations and procedures. 6. Schedules outpatient tests and procedures at hospitals by telephone in a timely manner; adheres to the referral process of the practice. 7. Schedules follow-up procedure/appointments and specialty appointments. 8. Updates patient demographics and immunization forms as needed. 9. Administers immunizations and medications as directed by medical provider. 10. Performs patient call processing as needed. 11. Performs audiometry, eye exams, EKG’s, and spirometry as assigned. 12. Assists with front desk duties as needed. 13. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 14. Participates in meetings, committees and department projects as assigned. 15. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Certification as a Certified Medical Assistant (CMA), Clinical Certified Medical Assistant (CCMA) or Registered Medical Assistant (RMA) required. Current listing on the Nebraska Medication Aide registry required. Graduation from a Medical Assistant (MA) program 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.
Bryan Health

Medical Office LPN-Complete Endocrinology

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.
Bryan Health

Clinic RN-Complete Endocrinology

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. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 4. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 5. *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, PA, NP). 6. *Assists the medical provider with all examinations and procedures. 7. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 8. *Schedules follow-up procedures/appointments and specialty appointments. 9. *Explains tests and preparation as needed for adequate patient education. 10. Monitors inventory of supplies and communicates information to Office Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act 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.
Bryan Health

Bryan Heart Certified Nursing Assistant- Vascular Operations

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.
Bryan Health

Staff RN - Neuro/PCU

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. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. NOTE: See Staff RN – Addendum A for any additional credentials and certifications required for practice area.
Bryan Health

Cath Lab RN

Summary GENERAL SUMMARY: The Cardiovascular Specialties RN is responsible for identifying patient needs and priorities for care through assessment, planning care based on patient needs, and consistent with the patient's expectation of treatment. Executes therapeutic physician or nursing-initiated interventions, and evaluates the patient's response to care and the attainment progress toward patient outcomes. The Cardiovascular Specialties RN assists in all procedures performed in the Invasive Cardiology Labs. Through documentation and verbal communication, coordinates care between other professional disciplines as needed. Performs Unit-based activities which contribute to a positive work and professional environment. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment based on the patient's presenting problems or needs and the physician's medical diagnosis including collecting key information from patient, laboratory, and other medical reports, determining which standards of care and practice apply to the patients situation and documenting assessment and clinical judgments and related information according to Bryan Medical Center procedures. 3. *Works closely with other care providers to complete the initial and ongoing assessments of patients and to provide clinical assistance as needed; re-prioritizes care based on new information. 4. *Performs therapeutic interventions as ordered by the physician with consideration given to knowledge gained from the initial and ongoing assessment of the patient and consistent with population specific standards of care and practice, Invasive Cardiology procedures, demonstrated competencies, and with consideration given to risk management and infection control practices. 5. *Documents care based on standards of care and practice and/or clinical priorities for documentation including: a. Assessment and ongoing assessment findings; b. Updated clinical priorities for documentation; c. Therapeutic nursing interventions with specific attention to patient teaching and patient's response to interventions and progress towards outcomes are noted. 6. *Initiates communication with peers and other members of the health care team about clinical priorities for care. 7. *Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers. 8. *Determines the impact of Cath Lab and nursing interventions on the patient's condition and recognizes the patient's progress towards meeting desires outcomes. 9. *Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers. 10. *Provides direct care to patients as assigned based on caseload acuity, needs and the qualifications and competencies of self and of other staff members. EDUCATION AND EXPERIENCE: Graduation from a School of Nursing with current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of one (1) year experience as a Critical Care or Medical/Surgical nurse or equivalent required. Previous experience in hemodynamic monitoring skills and ECG interpretative skills preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Advanced Cardiac Life Support (ACLS) certification or certification within six (6) months of hire required.