Bryan Health

Medical Office LPN-Bryan Urgent Care-Southeast

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

Medical Office LPN-Bryan Urgent Care -Northpointe

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-Bryan Urgent Care-Southeast

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

Staff RN - Outpatient Surgery

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

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

Medical Office LPN-Holmes Lake Family 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. (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.
Bryan Health

Certified Medical Assistant-Bryan Urgent Care -Northpointe

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. (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. 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.
Bryan Health

GIRMC Staff LPN

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

Staff RN-Functional Care

Summary Job 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: *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 patient-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, significant other, or identified support person 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 collaboration with other members of the interdisciplinary team. *Facilitates 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. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. Integrates evidence based research findings into practice in accordance with policy and procedure. Engages in department specific and organizational performance improvement initiatives. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 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 of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 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 delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional Ability to maintain confidentiality of patient information. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 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. 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. NOTE: See Staff RN – Addendum A for any additional credentials and certifications required for practice area. 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 35 to 50 pounds of force occasionally, and/or 10 to 35 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.
Bryan Health

Cath Lab RN - Electrophysiology

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.
Bryan Health

Licensed Practical Nurse-Bryan Heart Grand Island Operations

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

Cardiovascular Clinical Registered Nurse-Bryan Heart Grand Island Operations

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

Cardiovascular Clinic Registered Nurse-Bryan Heart Failure 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

Cardiovascular Clinical Registered Nurse-Bryan Heart Arrhythmia Services

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. 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. 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 Cath Lab/IR RN

Summary GENERAL SUMMARY: Responsible for identifying patient needs and priorities for care through assessment and planning 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. Assists in all procedures performed in the Invasive Cardiology and Interventional Radiology 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, Interventional Radiology procedures, demonstrated competencies and with consideration given to risk management and infection control practices. 5. Assembles, operates and troubleshoots equipment needed for various procedures in the Invasive Cardiology Lab and Interventional Radiology Lab; takes appropriate action where needed. 6. Assists in performance of procedures under instruction of the physician. 7. Administers medication according to policy and procedure and/or direct orders of physician. 8. *Documents care based on standards of care and practice and/or clinical priorities for documentation including: assessment and ongoing assessment findings; updated clinical priorities for documentation; and therapeutic nursing interventions with specific attention to patient teaching and patient’s response to interventions and progress towards outcomes noted. 9. *Initiates communication with peers and other members of the health care team about clinical priorities for care. 10. *Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers. 11. Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity and caring. 12. Delegates work to other staff members as needed. 13. *Determines the impact of Cath Lab and Interventional Radiology lab and nursing interventions on the patient’s condition and recognizes the patient’s progress towards meeting desires outcomes. 14. Places intravenous catheters, midlines and peripherally inserted central catheters as assigned; maintains training and competency validation. 15. *Provides direct care to patients as assigned based on caseload acuity, needs and the qualifications and competencies of self and of other staff members. 16. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 17. Participates in meetings, committees and department projects as assigned. 18. 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 federal and state regulations related to nursing applications and relative practice area. 4. Knowledge of radiology procedures, equipment and safety protocols. 5. Ability to delegate work, provide instruction and mentor other patient care staff and students. 6. Ability to work in a fast-paced environment relevant to changing patient needs, including working with patients with acute, chronic and complex disease process, and those who are dying. 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: 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. 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) certification or certification within six (6) months of hire required
Bryan Health

Staff RN-Med/Surg-Critical Care-Observation Unit - 2 year experience

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: 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 patient-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, significant other, or identified support person 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 collaboration 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. (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 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

Staff RN - Emergency (West Campus)

Summary MUST HAVE 3–5 YEARS OF RN EXPERIENCE SUMMARY The Emergency RN performs therapeutic nursing interventions consistent with the Emergency Department including: ACLS/PALS protocols; Arrhythmia detection and treatment; Airway management; Wound care; Pain management; Crisis intervention; Discharge planning/instructions; Stroke scale. Initiates appropriate Emergency Protocols. Manages the care of pediatric/adult patients with conditions common to the Emergency Department, including: Cardiac, respiratory distress, ENT, GYN, wound, orthopedic, and neurological emergencies; Trauma emergencies. Serves as preceptor, charge nurse, or triage nurse based on skill development and at the discretion of the manager. Serves as resource for student and orientees. Assists in the collection of data for medical screenings. Anticipates and intervenes to meet patient and family needs. Makes appropriate referrals to Care Management, ED Connections, Voices of Hope, etc. Assists the Sexual Assault Nurse Examiner in the care of the sexual assault patient. The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. ACLS, PALS, TNCC and ENPC required within first year of employment. Two (2) years' experience as a Registered Nurse recommended.
Bryan Health

Cath Lab RN

Summary Provides direct, safe, competent and quality patient care in the Interventional Cardiology & Radiology department (also known as Cath Lab). Supports the medical care of patients requiring various invasive cardiac, peripheral vascular or interventional radiology diagnostic and therapeutic procedures. Sustains a high level of patient care by communication with the patients, families, physicians and co-works to address the physical, general and psychosocial needs of the patient. Approaches the patient, and families, in a kind, gentle and friendly manner. Communicates in a positive manner and is able to alleviate apprehension through effective pre and post procedure instructions. Appropriate communication with physicians, co-workers and other hospital departments to manage and expedite safe and appropriate care of the patient. Provides complete and appropriate hand-off report to the receiving staff post procedure. Maintains patient confidentiality at all times. Ensures Pre-Op requirements are complete per hospital policy. (H& P present, informed consent signed, appropriate test results available, access site identified and prepared) Demonstrates the ability to assess cardiopulmonary and cardiovascular systems pre, intra and post procedure. Is able to recognize, evaluate and record hemodynamics, pressure wave forms and EKG wave forms. Identifies and updates the cardiologist of any adverse physiologic changes during the procedure and is prepared to take appropriate actions in a timely manner. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques and medications. Demonstrates knowledge of cardiac, emergency, anxiolytic, analgesic, anticoagulation, antiplatelet and thrombolytic drugs and IV fluids. Carries out appropriate administration per hospital policy. Maintains hemostasis of a vessel post procedure using a compression device or manual compression. Recognizes potential problems associated with access sites and takes appropriate corrective actions if indicated. Care and assessment of the patient is clearly documented. Assumes responsibility for the completeness, accuracy and validity of the Medical Record during the time of care until hand off to the receiving unit. Adheres to sterile and aseptic techniques and practices in all procedures. Demonstrates competence in preparing and cleaning of Cath Lab suites before and between cases. Performs set-up and calibration of various equipment in the cath lab. Ensures equipment is properly maintained. Alerts the manager &/or the Biomed department of any equipment malfunction immediately and fills out appropriate work orders. Assists cardiologist during procedures by operating ancillary equipment, anticipating and obtaining catheters, wires and other necessary inventory and medications as ordered. Assists and collaborates with Pharmacy staff in the maintenance and proper storage of medications. Assists and collaborates with the Supply Chain department in the restocking of supplies and assists in notifying the Manager or responsible personnel of shortages. Assists with the appropriate maintenance of digital images, department logs and other case information after a procedure. If cross-trained, functions as a scrub assistant to the cardiologist. Using the principles of sterile technique, aids in the technical performance of the diagnostic and interventional procedures in the cath lab, or at the bedside for emergent procedures as needed. In the absence of the Manager, demonstrates the ability to make decisions to guarantee the appropriate care and safety of the patient. Assists with Process Improvement and Quality Improvement activities as assigned. Recognizes occurrences and files the appropriate forms with Risk Management. Attends required in-services, education and unit meetings. Maintains an annual 75% attendance record. Maintains current BLS and ACLS certifications. Takes responsibility to assess own learning needs to enhance personal and professional growth Overall commitment to scheduling flexibility, including voluntary time off during low volume schedules and overtime during high volume schedules. Takes Call, as scheduled, and consistently responds within the 30-minute response time. Maintains regulatory requirements and complies with all organizational policies. Qualifications: Graduate of an accredited school of nursing Current Registered Nurse licensure in the State of Nebraska Current BLS certification Current ACLS certification, or certification within six months of employment 1 year of critical care experience preferred Current Registered Cardiovascular Invasive Specialist (RCIS) certification preferredStaff hired specifically for a scrub role, will complete RCIS certification within 6 months of their start date (or within 1 year, if no prior experience in invasive cardiovascular technology)
Bryan Health

STAFF RN

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. (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 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. NOTE: See Staff RN – Addendum A for any additional credentials and certifications required for practice area. 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 35 to 50 pounds of force occasionally, and/or 10 to 35 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.