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Registered Nurse -TOLAC Call

Methodist Health System locationCouncil Bluffs, IA
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423 positions
423 positions
info linkReport a probelm Originally Posted : December 03, 2021 | Expires : February 1, 2022


Job Location
Council bluffs, IA, United States


  • Purpose of Job
    • Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.
  • Job Requirements
    • Education
      • Bachelor of Science in Nursing (BSN) from an accredited school of nursing preferred.
      • Graduate of an accredited school of nursing required.
      • Satisfactory completion of annual mandatory education requirements.

    • Experience
      • Previous surgical experience preferred.

    • License/Certifications
      • 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.

    • Skills/Knowledge/Abilities
      • 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.
      • Requires that an individual take “call time”.
  • Physical Requirements
    • Weight Demands
      • Medium Work - Exerting up to 50 pounds of force.

    • Physical Activity
      • Occasionally Performed (1%-33%):
        • Climbing
        • Crawling
        • Kneeling
        • Sitting
      • Frequently Performed (34%-66%):
        • Balancing
        • Carrying
        • Crouching
        • Distinguish colors
        • Keyboarding/typing
        • Lifting
        • Pulling/Pushing
        • Repetitive Motions
        • Stooping/bending
        • Twisting
      • Constantly Performed (67%-100%):
        • Fingering/Touching
        • Grasping
        • Hearing
        • Reaching
        • Seeing/Visual
        • Speaking/talking
        • Standing
        • Walking

    • Job Hazards
      • Not Related:
        • Electrical Shock/Static
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
      • Rare (1-33%):
        • 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
      • Occasionally (34%-66%):
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • 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) (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.
        • Participates in surgical time-out, fire risk assessment, and case summary for each operative procedure.
        • Wears appropriate Personal Protection Equipment (PPE) and follows standard and policy for attire in the Operating Room (OR).
        • Identifies labels and handles specimens according to facility policy and procedure, including hand-off situations and disposition of specimen.
        • Applies base knowledge of anatomy and physiology, medical terminology, microbiology and pharmacology for optimal surgical patient care.
        • Implement a plan of care:
          • Protects the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources.
          • Assist with patient positioning. Communicate any pre-op assessment that may impact the position.
          • Performs counts according to facility policy and procedure during procedures and hand-off situations to protect the patient from unintended retained surgical items.
          • Performs interventions to maintain patient normothermia during the operative procedure.
          • Performs interventions to protect the patient from surgical site infection.
          • Applies the principles of asepsis and sterile technique during the surgical procedure.
          • Provides care for all patient populations (i.e. pediatric, adolescent, geriatric) as needed, identifying specific needs of population.
        • Act as patient advocate and maintain privacy and confidentiality of individuals and health information.

      • 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.
        • Know location and operation of emergency equipment and supplies.
        • Assures equipment is in working order prior to use, and follows procedures to send malfunctioning equipment for repair.
        • Performs surgical scrub role, adhering to all essential functions demonstrated in that role.
        • Demonstrates proper use of instruments, equipment, suturing, and stapling devices.
        • Actively performs time out procedure and case summary: assuring participation of all team members.

      • 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.
        • Adjusts hours to meet patient services when cases are more or less than scheduled.
        • Maintains compliance with the department call coverage.
        • Adapts to change in a positive, professional manner.

      • 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.
        • Demonstrates an ongoing awareness of, and participation in the Performance Improvement program. Is alert to potential performance improvement problems and actively participates in solving such problems.

      • 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).
      • Safely administers medications.
        • Checks patient's allergies before administering any medications.
        • Prepares and administers medication with 100% accuracy within a designated safe period of time according to nursing policy and procedure.
        • Obtains, prepares and administers IVs and blood products according to nursing policy and procedure.
        • Demonstrates proficiency in preparing A-line and cell saver set up.
        • Observes and documents patient's response to pertinent medications.
        • Handles and documents medication reactions in a competent manner.
        • Assures medications are all labeled on back table.
      • Participate in ongoing planning, implementation and initiation of new Operating Room staff and students.
        • Facilitate the clinical orientation of the orientee.
        • Assists the orientee in identifying learning needs and implementing a developmental plan.
        • Provides learning experiences, facilitates new experiences based on case availability and available mentors.
        • Coordinates orientee's patient assignments to ensure completion of learning needs.
        • Evaluate the care planning and documentation by the orientee.
        • Evaluate the organizational skills of the orientee.
        • Evaluate and document orientee's progress on appropriate forms.
        • Evaluates orientee informally on a daily basis, completes evaluation forms and assists staff development nurse and service leader in discussions and mentoring for success.
        • Assists orientee in completion of skill checklist, orientation checklist and map.

    • 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.

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