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RN Acute - Weekend Program, 24hrs/wk, 7p-7a, 5 of 6 weekends

Madonna Rehabilitation Hospital Lincoln, NE

Job Description



Job Title:  RN Weekend Program                                                                                                        Job Code: 100069

Status:  Non-Exempt                       





            Responsible for planning, coordinating, evaluating and providing quality care with a holistic approach to an assigned team of patients.  Delivers direct patient care, administers prescribed medications and treatments within scope of practice.  Assesses patient conditions and progress, reports adverse changes or reactions to appropriate team members.  Works within the clinical services systems to deliver quality care according to Madonna's philosophy, mission and values and is responsible for the internal/external customer relations for the patient care unit and Madonna Rehabilitation Hospital.





  1. Compile, compare, and record patient assessments, patient cares, medications and treatments for documentation of cares rendered.
  2. Coordinate, compile, analyze and record patient care information to establish and evaluate patient goals and plan of care.
  3. Understand and utilize individual job descriptions, and program and facility policies and operational definitions to ensure quality care delivery.
  4. Compute, compare and record quantity of medications to be administered and communicates this information to Pharmacy to order or replace medications.
  5. Compile billable supply charges to ensure accuracy on patients accounts.
  6. Analyze and compiles current research to expand knowledge.
  7. Discern between significant and insignificant clinical changes in patient status.


  1. Mentor with patients and their families to inform them of patient progress and to provide them emotional support.
  2. Negotiate with interdisciplinary team to arrive at decisions for patient plan of care.
  3. Instruct patient and family by explanation, demonstration and supervised practice to assist patient to be as independent as possible.
  4. Instruct, train, and supervise new employees to department/unit, environmental and operational policies and procedures.
  5. Serve patients by assisting with transfers, ambulating, and repositioning, and ADL's and feeding of patients.  Renders cares such as dressing changes, vital signs, treatments and medications as prescribed.
  6. Assist physicians and assists with physician visits.
  7. Speaking-signaling to patients and their families by answering call lights - responding in a timely, respectful manner to maintain a positive customer relation.
  8. Communicate (speak-signal) with supervisor, physician (if necessary), and other nursing staff members regarding patients condition, response to medications, concerns, and patient goals to ensure quality service delivery.
  9. Supervise and help patient cares given by other health team members (LPN-Unlicensed Personnel) and students.
  10. Take instruction from supervisor to perform other functions as assigned in order to achieve the goals within the department and clinical services systems.
  11. Will provide direction and monitoring of medication administration by Nurse Associate/Medication Aide.  Will be responsible for observing and taking appropriate action regarding desired effects, side effects, intervention, and contraindication associated with the medication.
  12. Assumes responsibility for monitoring the results of PRN medication given by the Nurse Associate/Medication Aide.  Provides verbal direction to the Medication Aide regarding observations to be made after administering a PRN medication.
  13. Monitors that Nurse Associate/Medication Aide is following written procedure when administering PRN medication.


  1. Setup, maintain and assure a safe environment for the department.  Handle and operate all necessary equipment and perform required duties according to established safety standards to maintain compliance with regulations and prevent injury.


                        Medical devices used in work, include but not limited to:


                        stethoscope/sphygmomanometer                Accu-Chek

                        Oral/Tympanic thermometer                          tub chair lift

                        feeding pump                                                   Aqua K

                        suction                                                              trauma tub

                        O2                                                                      ventilator

                        Telephone                                                        cont. passive knee exerciser

                        paging system                                                  IV infusion pump

                        beds, wheelchairs, stretchers                      

                        digital wheelchair/standing scale and bed scale

                        ear irrigation device                                      

                        Transfer/Repositioning Devices

                        Workstation on Wheels (WOW)


  1. Ensure cleanliness of equipment and environment.
  2. Reorder and stock supplies and medications.
  3. Move furniture and equipment.




Medium work with frequent lifting.  Manual patient transfer or reposition which does not exceed the equivalent of 35 pounds of force to lift, push or pull. Requires sufficient strength to produce 50 pounds of force to push a wheelchair with a 300-pound individual on level surfaces. Constant walking with maximum duration of up 30 minutes sustained walking on tile, carpet and other surfaces. Must tolerate frequent standing with sustained periods of up to 1 hour on tile, carpet, and shower surfaces. Must tolerate frequent sitting with sustained periods of up to 1 hour.  Frequent reaching with both arms at low, waist, and high levels. Frequent grasping of both hands for transfers and repositioning requiring normal grip strength based on national averages. Frequent stooping, bending, and twisting are required for patient care. Constant near visual acuity to evaluate and monitor patients.  Ordinary hearing and speaking skills.  Maybe exposed to biohazardous materials.



QUALIFICATIONS (Education/training and/or Experience)


Must possess current Nebraska R.N. licensure.  Requires current Module C CPR certification.  Demonstrate ability to provide leadership, two years clinical experience preferred.


Background checks are conducted.  When specific authorization forms are requested so that full background and history can be obtained, employees/applicants must sign the form(s) requested.



Revised  12/30/2015