Nebraska Methodist Health System RN Registered Nurse Ortho Neuro in Council Bluffs, Iowa
Purpose of Job
Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.
Bachelor of Science in Nursing (BSN) from an accredited school of nursing preferred.
Graduate of an accredited school of nursing required.
Successful completion of annual mandatory education requirements
No experience necessary
Current valid Registered Nurse (RN) License, valid compact multistate license to work, or a temporary permit while awaiting licensure required.
Maintain current American Heart Association Basic Life Support (BLS) Certification required.
Preferred: core certification related to area of specialty from National Certification Corporation (NCC) within 1 year of eligibility.
Current American Heart Association Advanced Cardiac Life Support (ACLS) Certification preferred.
Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
Ability to multi-task and prioritize work assignments.
Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
Medium Work - Exerting up to 50 pounds of force.
Occasionally Performed (1%-33%):
Frequently Performed (34%-66%):
Constantly Performed (67%-100%):
Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
Explosives (pressurized gas)
Hazardous Drugs (exposure risks, personal protective equipment required)
Chemical agents (Toxic, Corrosive, Flammable, Latex)
Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
Mechanical moving parts/vibrations
Essential Job Functions
Essential Functions I
Provides appropriate care specific to the age and population of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs and culture.
Performs an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
Includes data from the patient/significant other(s) in the assessment as appropriate.
Prioritizes data collection according to patient's immediate needs.
Uses assessment findings in discharge planning.
Develops/reviews/revises and individualizes the plan of care to address the patient's nursing care needs for optimum patient care outcomes.
Collaborates with physicians and other clinical disciplines as appropriate.
Provides teaching specific to the patient's health care problem.
Care plan reflects continuing care needs and/or referrals for discharge/transfer.
Implements interventions that are consistent with the established plan of care in a safe and appropriate manner.
Is familiar with, and follows, nursing protocols and standards of care for their unit.
Uses current knowledge in nursing practice based on standards and research literature.
Administers medication without error and utilizes critical thinking regarding medication effects on patient.
Evaluates patient care to determine response to care/interventions for optimal patient outcome.
Monitors outcomes and documents patient response to interventions.
Evaluates the patient's capabilities and/or limitations related to nursing and medical interventions.
Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
Gives a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR content, and is familiar with the overall plan of care.
Recognizes and addresses patient and family capabilities and limitations (physical and mental).
Performs technical skills competently and independently to assure patient safety (autonomy).
Able to competently perform technical skills independently.
Is accountable to learn new skills and equipment within areas' specifications and time frame.
Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
Charges accurately for use of supplies and equipment according to policy.
Maintains competence in area of experience.
Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission.
Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
Identifies and participates in performance improvement activities.
Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns).
Completes appropriate report form for any risk (e.g., incident report, patient concern report, maintenance request).
Works within the scope of practice as defined by the Nurse Practice Act.
Observe appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
Follows infection control guidelines and practices.
Reviews, delegates and evaluates plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
Right communication (clear, concise, correct, complete).
Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
4H Unit Expectations:
Daily Huddle at Nurses station.
Rounding hourly on the odd hours on all patients on your team.
Daily shift change rounding--- in the patients rooms (in front of the patient).
Rounding with the inter-disciplinary team at 1:00pm on the unit.
Daily nurses notes on all patients.
Maintain Standards of Compassionate Service to all of our patients and coworkers.
All patients to have an updated care plan and revised every 12 hours.
Making sure all patients Quality Measures are completed before leaving for the day.
Current dates on all IV sites and tubing.
Responsible to know what to do in the event of a Code Adam, Code blue, External/Internal disaster etc., Aware of emergency policies and your role (Plain language) for these emergency's (attached).
Responsive immediately to all call lights and alarms on the unit.
Keeping our patients safe at all times, bed checks/bed alarms etc..
To be fully engaged and desire to deliver exceptional care at all times and consistently.
Follow minimum charting standards expected of all RN's on the unit (attached).
Anticipate care needs and deliver promptly.
Aware of Joint Commissions National Patient Safety Goals (attached).
Chemotherapy and Biotherapy/BLS course every two years.
Aware of PRC data (HCAHPS). These are standards by which many hospitals are evaluated and compared against each other regarding patient experience.
Chemotherapy competency Heartland Oncology.
Charge RN classes as offered, if applicable.
No cell phone/internet usage on the unit.
Monitor and supervise daily that all patient cares have been performed by CNA.
Keeping the unit clean, quiet and safe at all times.
Attend floor meetings.
Know floors Performance Improvement projects /Education.
Know Prepared for Joint commission readiness guide.
Essential Functions II
Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
Follows and understands the mission, vision, core values, Employee Standards of Compassionate Care/AIDET and company policies/procedures.
Other duties as assigned.