- Purpose of Job
- The practice of nursing by a registered nurse (RN) shall mean the assumption of responsibility and accountability for those nursing actions which include, but are not limited to: assessment, planning, implementation and evaluation of a nursing diagnosis. Execution of the prescribed diagnostic and therapeutic treatment regiments, administering, delegating, and evaluating nursing activities.
- Job Requirements
- A formal training program after high school required.
- Graduate from an accredited Diploma School of Nursing/College of Nursing with an Associate of Science in Nursing (ASN) or Bachelor's of Science (BSN) required.
- Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license to work in Nebraska, or a temporary permit while awaiting licensure required.
- Current American Heart Association Basic Life Support (BLS) certification required.
- Current American Heart Association Advanced Cardiac Life Support (ACLS) certification required within 6 months of hire.
- Current American Heart Association Pediatric Advanced Life Support (PALS) certification required within one year of hire.
- Trauma Nurse Core Curriculum (TNCC) required within two years of hire.
- Emergency Nurse Pediatric Course (ENPC) required within two years of hire.
- Certified Critical Care Nurse (CCRN) preferred.
- Certified Emergency Nursing (CEN) preferred.
- One to two years nursing experience preferred.
- Emergency or Acute care nursing experience preferred.
- Physical Requirements
- Weight Demands
- Medium Work – Exerting up to 50 pounds of force.
- Physical Activity
- Occasionally Performed (1%-33%):
- Frequently Performed (34%-66%):
- Distinguish colors
- Repetitive Motions
- Constantly Performed (67%-100%):
- Located in an indoor area with frequent exposure to mild physical discomfort from dust, fumes, temperature, and noise. Examples: patient care providers and laboratory technicians.
- Job Hazards
- Not Related:
- Electrical Shock/Static
- Rare (1-33%):
- Radiation Alpha, Betz 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
- Occasionally (34%-66%):
- 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)
- Frequent (67%-100%):
- Chemical agents (Toxic, Corrosive, Flammable, Latex)
- Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (Blood or Body Fluid-BBF)
- Mechanical moving parts/vibrations
- Essential Job Functions
- Essential Functions I
- Demonstrates sensitivity and understanding of patient's rights.
- Transcribes/countersigns physician orders; implements orders and documents of all patient-related information; receives and interprets physician orders, allowing no misunderstanding.
- Demonstrates sensitivity and insight of patient's ability to understand what activity is occurring during Methodist Fremont Health (MFH) visit/hospitalization.
- Notifies physicians of pertinent observations and reactions, incidents, and abnormal laboratory and x-ray results, as required.
- Is accurate and complete in planning care for the patient according to needs from admission to discharge.
- Shows ability to modify planning according to the current flow of events while maintaining positive patient outcomes.
- Maintains standards of nursing care and implements policies and procedures of the hospital and department.
- Documentation of all assessments and reassessments implementation and evaluation of patient care determined is accurate, legible, and timely.
- Utilizes effective clinical delegation skills. Demonstrates accountability from knowing that appropriate nursing care is being delivered to assigned patients and evaluates outcome of delegation.
- Always demonstrates accountability for administration of, observation and reporting effects of drugs, intravenous procedures, other therapeutic and diagnostic measures in a safe and accurate manner; carefully orders, prepares, administers and evaluates medication and intravenous therapy.
- Is able to accurately assess care for a patient's unique need (I.e. diagnosis, age) including physical-psychosocial aspects in accordance with unit guidelines.
- Utilizes the history and assessment information to identify patient problems or potential problems and set goals.
- Demonstrates the ability to effectively utilize the nursing process when providing direct patient care for all individuals from infancy through advanced age, as unit competency completed.
- Executes planned care and evaluation outcomes for all patients under his/her care. Modifies the care plan according to evaluated outcomes.
- Communicates pertinent information regarding patient care appropriately (I.e. shift report, unit to unit, transfer, etc.).
- Assesses, develops, and implements a teaching plan for patients/families; utilizes assessment data and discharge plan in a meaningful way for each patient's ability to understand. Monitors plan according to need.
- Maintains standards of nursing care and implements policies and procedures of the hospital and the department.
- Provides direct patient care utilizing professional nursing skills and judgment according to physicians and other licensed practitioner's orders.
- Performs technical aspects of patient care and consistently demonstrates clinical competencies according to established policies and procedures; utilizes proper techniques; adapts techniques to unique needs of individual patients.
- Is proficient in operation of supporting equipment (including, but not limited to) Pyxis, computer data entry, One Touch, and IMED.
- Demonstrates safety consciousness and incorporates safe practice at all times.
- Performs technical aspects of patient care according to established policies and procedures. Demonstrates ability to organize and execute new procedures.
- Demonstrates proficiency in placing, evaluating, and maintaining IV lines.
- Demonstrates ability to operate various equipment and supplies that are used.
- Demonstrates proficiency in airway management.
- Demonstrates ability to perform in an accurate and precise manner in emergency situations.
- Provides for patient comfort; positioning, extra bathing, straightening linens, putting personal articles within reach, courtesy, responsiveness as required.
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 ~ Living Our Values, and company policies/procedures.
Other duties as assigned.