Description STATEMENT OF PURPOSE Provides nursing related tasks and functions under the direction and supervision of the Registered Nurse in charge of the team and/or unit. Assists patients with activities of daily living. Provides a safe, sanitary, orderly, and attractive environment for patients, hospital employees, and visitors. Part-time un-benefited position working 20 hour per 2 weeks. Hours are variable in the evening with every third weekend. Weekend work is 12hr shifts and occasional holiday work. JOB FUNCTIONS Provides personal hygiene measures for patients of all ages that may include bed bath, oral hygiene, combing hair, back care, and dressing patient. Performance of nursing tasks shall consider the age and development of the patient. Provides clean patient environment by changing bed linen, cleaning overbed table and bedside stand, straightening room, and other related tasks as needed. Provides general nursing care such as positioning patients; lifting and turning patients; applying/utilizing special equipment; assisting in use of bedpan, urinal or commode; ambulating the patient; pre operative and post operative care; and application of abdominal binders or anti embolism stockings. Takes and records temperature, pulse, respiration, weight, height, blood pressure and intake-output measurements. Prepares patients for meals, serves and removes food trays, and assists with feeding patients. Distributes drinking water and other nourishments to patients. Performs routine treatment procedures including enemas, application of appliances for heat and cold, and sitz baths. Answers patient call lights, anticipates patients' needs, and makes rounds to assigned patients. Assists patients with handling and care of clothing and other personal property (including dentures, glasses, contact lenses, hearing aids, and prosthetic devices) throughout their hospital stay. Performs general care activities for patients in isolation. Assists in preparation of units, patient rooms, and beds for receiving patient admissions, returning surgical patients, transfers, emergencies or discharges. Completes daily activities for swingbed patients as identified in the care plan and when requested by nursing. Provides post-mortem care and assists in transporting bodies to the morgue. Transports patients to and from various departments as requested. Collects and transports specimens to the appropriate departments. Collects linen and disposes of trash to designated areas. Establishes and maintains interpersonal relationships with patients, visitors and other hospital personnel, while assuring confidentiality of patient information. Attends in-service education programs, as assigned, to learn new treatments, procedures, developmental skills, etc. Provide activities for swingbed patients and completes patient interest surveys. Cleans and makes up units of discharged or transferred patient as needed. Cleans work area and equipment at the end of the shift. Performs other related duties as assigned or requested. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: (CNA/NA) PREPARATION AND TRAINING Work requires a high school level of knowledge. Must be certified as a Nurse Aide or have completed course work in a nursing or vocational program to satisfy requirements for placement on the ND Department of Health Nurse Assistant Registry. Must be able to follow oral or written orders. Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist. WORK EXPERIENCE Previous work experience preferred but not required. Preference for a minimum of six months experience as a nursing aide in acute care or long-term care health facility. ATTENDANCE Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule. INDEPENDENT JUDGMENT Works in accordance with standard nursing practices; non-routine problems are referred to team leader or Unit Supervisor. Must use his/her judgment to plan and carry out their work in situations where methods and procedures are established. ANALYTICA L ABILITY Analysis involves comparison between numbers, letters and includes making routine clinical observations. CONTACT WITH OTHERS Very frequent contacts with patients and visitors. Exchanges information on a factual basis as directed, performing activities with courtesy and tact. SUPERVISING THE WORK OF OTHERS Responsible for own work. Little or no responsibility for work of others. RESPONSIBILITY FOR THE WELFARE OF OTHERS Has frequent contact with patients and other employees that may result in minor discomfort and delays to others. Carelessness could frequently result in moderate harm to patients, visitors, and co-workers. MENTAL/VISUAL EFFORT Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons. PHYSICAL AND SENSORY EFFORT Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling and crouching. Needs finger dexterity when handling equipment and performing nursing related functions, including swingbed activities. Must be able to frequently lift 25 lbs. and occasionally lifts linen bags of 50 lbs. Must be able to assist in the evacuation of patients during disasters. WORKING CONDITIONS I OSHA job classification: This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Contact with patients under a wide variety of circumstances. Work may be on weekends and holidays; beyond normal working hours and/or temporarily in other positions when necessary. PROMOTION No formal line of promotion. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required to personnel so classified. PHYSICAL REQUIREMENT These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for a reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates, and the proposed accommodation. Standing - Frequently Walking - Frequently Sitting - Rarely Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Rarely Stooping/Kneeling/Crouching/Crawling - Continuously Hearing/Listening - Continuously Tasting or Smelling - Rarely Working Inside - Frequently Working Outside - Frequently Working in Extreme Heat - Frequently Working in Extreme Cold - Frequently Working with Hazardous Materials - Rarely Noise - Occasionally Working in Dirt/Dust - Frequently LIFTING / CARRYING / PUSHING / PULLING: Up to 10 pounds - Occasionally Up to 25 pounds - Rarely Up to 50 pounds - Rarely Up to 75 pounds - Rarely Up to 100 pounds - Rarely Over 100 pounds - Rarely
Description STATEMENT OF PURPOSE Provides nursing related tasks and functions under the direction and supervision of the Registered Nurse in charge of the team and/or unit. Assists patients with activities of daily living. Provides a safe, sanitary, orderly, and attractive environment for patients, hospital employees, and visitors. Part-time benefited position working 48 hour per 2 weeks. Hours are variable in the evening with every third weekend. Weekend work is 12hr shifts and occasional holiday work. JOB FUNCTIONS Provides personal hygiene measures for patients of all ages that may include bed bath, oral hygiene, combing hair, back care, and dressing patient. Performance of nursing tasks shall consider the age and development of the patient. Provides clean patient environment by changing bed linen, cleaning overbed table and bedside stand, straightening room, and other related tasks as needed. Provides general nursing care such as positioning patients; lifting and turning patients; applying/utilizing special equipment; assisting in use of bedpan, urinal or commode; ambulating the patient; pre operative and post operative care; and application of abdominal binders or anti embolism stockings. Takes and records temperature, pulse, respiration, weight, height, blood pressure and intake-output measurements. Prepares patients for meals, serves and removes food trays, and assists with feeding patients. Distributes drinking water and other nourishments to patients. Performs routine treatment procedures including enemas, application of appliances for heat and cold, and sitz baths. Answers patient call lights, anticipates patients' needs, and makes rounds to assigned patients. Assists patients with handling and care of clothing and other personal property (including dentures, glasses, contact lenses, hearing aids, and prosthetic devices) throughout their hospital stay. Performs general care activities for patients in isolation. Assists in preparation of units, patient rooms, and beds for receiving patient admissions, returning surgical patients, transfers, emergencies or discharges. Completes daily activities for swingbed patients as identified in the care plan and when requested by nursing. Provides post-mortem care and assists in transporting bodies to the morgue. Transports patients to and from various departments as requested. Collects and transports specimens to the appropriate departments. Collects linen and disposes of trash to designated areas. Establishes and maintains interpersonal relationships with patients, visitors and other hospital personnel, while assuring confidentiality of patient information. Attends in-service education programs, as assigned, to learn new treatments, procedures, developmental skills, etc. Provide activities for swingbed patients and completes patient interest surveys. Cleans and makes up units of discharged or transferred patient as needed. Cleans work area and equipment at the end of the shift. Performs other related duties as assigned or requested. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: (CNA/NA) PREPARATION AND TRAINING Work requires a high school level of knowledge. Must be certified as a Nurse Aide or have completed course work in a nursing or vocational program to satisfy requirements for placement on the ND Department of Health Nurse Assistant Registry. Must be able to follow oral or written orders. Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist. WORK EXPERIENCE Previous work experience preferred but not required. Preference for a minimum of six months experience as a nursing aide in acute care or long-term care health facility. ATTENDANCE Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule. INDEPENDENT JUDGMENT Works in accordance with standard nursing practices; non-routine problems are referred to team leader or Unit Supervisor. Must use his/her judgment to plan and carry out their work in situations where methods and procedures are established. ANALYTICA L ABILITY Analysis involves comparison between numbers, letters and includes making routine clinical observations. CONTACT WITH OTHERS Very frequent contacts with patients and visitors. Exchanges information on a factual basis as directed, performing activities with courtesy and tact. SUPERVISING THE WORK OF OTHERS Responsible for own work. Little or no responsibility for work of others. RESPONSIBILITY FOR THE WELFARE OF OTHERS Has frequent contact with patients and other employees that may result in minor discomfort and delays to others. Carelessness could frequently result in moderate harm to patients, visitors, and co-workers. MENTAL/VISUAL EFFORT Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons. PHYSICAL AND SENSORY EFFORT Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling and crouching. Needs finger dexterity when handling equipment and performing nursing related functions, including swingbed activities. Must be able to frequently lift 25 lbs. and occasionally lifts linen bags of 50 lbs. Must be able to assist in the evacuation of patients during disasters. WORKING CONDITIONS I OSHA job classification: This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Contact with patients under a wide variety of circumstances. Work may be on weekends and holidays; beyond normal working hours and/or temporarily in other positions when necessary. PROMOTION No formal line of promotion. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required to personnel so classified. PHYSICAL REQUIREMENT These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for a reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates, and the proposed accommodation. Standing - Frequently Walking - Frequently Sitting - Rarely Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Rarely Stooping/Kneeling/Crouching/Crawling - Continuously Hearing/Listening - Continuously Tasting or Smelling - Rarely Working Inside - Frequently Working Outside - Frequently Working in Extreme Heat - Frequently Working in Extreme Cold - Frequently Working with Hazardous Materials - Rarely Noise - Occasionally Working in Dirt/Dust - Frequently LIFTING ? CARRYING / PUSHING / PULLING: Up to 10 pounds - Occasionally Up to 25 pounds - Rarely Up to 50 pounds - Rarely Up to 75 pounds - Rarely Up to 100 pounds - Rarely Over 100 pounds - Rarely
Description STATEMENT OF PURPOSE Coordinates total nursing care for patients of all ages utilizing the nursing process; directs patient and family teaching; provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice in the clinical setting. Part-time benefitted position working 40 hours per two week pay period. Days are Monday - Friday with every 4th weekend and every 5th holiday. Night call is one night every 2 weeks. JOB FUNCTIONS Maintains the standards of nursing care and implements the policies and procedures of the hospital and Clinical Services. Provides direct patient care for assigned patients of all ages including pediatrics, adult and geriatrics, utilizing the nursing process including assessment, planning, intervention and evaluation. Assesses the patient's condition considering age-specific developmental needs, educational needs of patient and family and discharge planning needs. Develops a plan of care for the patient and prescribes appropriate nursing interventions to achieve expected patient outcomes. Evaluates patient outcomes and modifies plan of care as patient’s needs or condition changes. Directs and participates in discharge planning and patient and family/significant other education. Reports pertinent observations and reactions regarding patients to the appropriate person (i.e., physicians, Unit Supervisor, and/or Nursing Manager) and records those observations accurately and concisely. Delegates nursing care to other health care members in accordance with the patient's needs and the nursing personnel's capabilities and qualifications. Administers medications, IV therapy and performs treatments for assigned patients as ordered by the physician. Assists physicians with special tests and procedures such as thoracentesis, lumbar tap, etc. Ensures that equipment is maintained in a clean and safe manner. Participates in orientation of new personnel and performance evaluations of nursing staff. Coordinates nursing care of patients when scheduled for therapy or procedures by other departments. Establishes and maintains effective communications with patients, families and staff to contribute to the hospital mission. Initiates and/or assists in emergency measures for sudden adverse developments in patients such as cardiac arrest. Participates in the maintenance of a clean and safe environment. Participates in staff development programs. Performs other related duties as assigned or requested. Requirements PREPARATION AND TRAINING - Work requires a professional level of knowledge acquired by completing an accredited RN nursing education program. Must hold RN licensure from the ND State Board of Nursing for the current year. ED staff nurse position requires PALS/ACLS certification. TNCC is highly encouraged. ICU staff nurse position requires completion of a basic cardiology class for nurses and ACLS certification.Family BirthPlace (FBP) staff nurse position requires completion of a basic fetal monitoring course and neonatal resuscitation course (NRP). Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist. WORK EXPERIENCE - Previous work experience preferred but not required for staff RN positions in Patient Care Unit (PCU). (See exceptions indicated below). Time to reach competency on the job: 3 weeks to 3 months for entry level staff RN. ICU Staff RN, FBP Staff RN, ED Staff RN and PACU RN positions - Preference for a minimum of one year nursing experience following completion of RN nursing education program. Time to reach competency on the job: 3 weeks to 3 months following orientation to the work area. ATTENDANCE - Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist. ANALYTICAL ABILITY - A high level of analytical ability is required in a variety of duties in order to gather and interpret complex data and to find solutions to difficult problems. INDEPENDENT JUDGEMENT - Independent nursing judgment is often required by the professional RN based on established policies and procedures. Substandard performance in nursing skills or judgment may adversely affect patient care, patient welfare and hospital goodwill. CONTACTS WITH OTHERS - Very frequent contact with others. Must demonstrate social sensitivity and the ability to communicate effectively in a professional manner. SUPERVISING THE WORK OF OTHERS - May be required to plan, assign work to and check the work of 1 to 5 nursing personnel doing related work on the shift. Supervision is provided to LPNs, Nurse Assistants, and Unit Clerks. RESPONSIBILITY FOR WELFARE OF OTHERS - High frequency with which work performed by the staff RN may result in very serious physical or emotional harm to others. It is the responsibility of the professional RN to continuously uphold the highest degree of performance within currently defined and acceptable nursing practice standards. MENTAL/VISUAL EFFORT - Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons. WORKING CONDITIONS OSHA job classification - This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Work may be on weekends and holidays; beyond normal working hours and/or temporarily in other positions when necessary. PHYSICAL AND SENSORY EFFORT - Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling and crouching. Needs finger dexterity when handling medication, specialized equipment and performing nursing assessments. PROMOTION - No formal line of promotion. EMPLOYEE REQUIREMENTS - Visual Observation - Continuously Standing - Continuously Walking - Continuously Sitting - Continuously Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Occasionally Stooping/Kneeling/Crouching/Crawling - Frequently Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside - Continuously Working Outside - Never Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Frequently Noise - Continuously Working in Dirt/Dust - Rarely Driving - Rarely Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Frequently Up to 25 pounds - Frequently Up to 50 pounds - Occasionally Up to 75 pounds - Occasionally Up to 100 pounds - Occasionally Over 100 pounds - Occasionally
Description STATEMENT OF PURPOSE Assists in the nursing care and preparation of surgical patients of all ages in the Operating Room. Functions as the surgical technologist on the surgical team under the direction of a Registered Nurse. $10,000 SIGN ON BONUS AVAILABLE FOR NEW EMPLOYEES WITH NO EXPERIENCE $20,000 SIGN ON BONUS AVAILABLE FOR NEW EMPLOYEES WITH ATLEAST 1 YEAR EXPERIENCE Starting Pay: $22.14 to $33.21 DOE (Surg Tech I - non-certified) $23.27 to $34.91 DOE (Surg Tech II - certified) Full-time benefited position, working 72-80 hours per schedule. Days of work are Monday - Friday, typically 6:00 am - 2:30 pm. Weekend shifts will be every 4th weekend. Holidays will be as needed. JOB FUNCTIONS Adheres to the standards of nursing care and the policies and procedures of the hospital, Nursing Department and the Operating Room. Prepares tables, instruments, supplies, and implants as required for specific operations. Has knowledge of surgeon's preference and step-by-step procedure. Assists in preparation and draping of the patient and operative area. Prepares and passes instruments, sutures, sponges and supplies needed in the operative procedure and maintains a correct count. Prepares and maintains the sterile field for the surgical procedure. Assists in the delivery, labeling, and preparation of medication on the sterile field under the director of the RN circulator. Assists in maintenance and care of surgical specimens for laboratory analysis. Assists with table equipment, positioning patients, application of casts and dressings. Decontaminates all equipment, instruments, and supplies. Assists in transferring patients to and from the OR suite. Assists other members of the team with terminal cleanup of room in readiness for the next patient. Assists the circulating nurse and nurse anesthetist as assigned or required within the legal limitations. Cleans and stocks assigned rooms. Will participate in ordering and restocking medications within OR department and hospital guidelines. Participates in unit meetings, maintenance of physician preference cards and AM report. Acts as a liaison clinical site coordinator for colleges/universities. Is responsible for the completion of all required/requested documentation as appropriate. (CST only) Coordinates educational experience for student surgical technologists. Acts as a mentor and preceptor for students. (CST only) Pull supplies for scheduled procedures for the next day. Relieve staff for breaks and lunches when able. Restock carts and supplies, put away clean instruments/trays, and do PAR level orders. Performs other related duties as assigned or requested. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: SURGICAL TECHNOLOGIST PREPARATION AND TRAINING - Graduate from an accredited surgical technologist program and hold a UAP from the ND Board of Nursing. Certification required and maintained. Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist. WORK EXPERIENCE - To be a designated clinical site coordinator for colleges/universities 2 years of surgical technologist experience is required. Previous work experience in the Operating Room preferred but not required. Time to reach competency on the job here: four weeks to six months (depending on prior experience). ATTENDANCE - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule. ANALYTICAL ABILITY - Required to gather and interpret data on physician preference cards, to anticipate surgical needs and display knowledge of the step-by-step procedures. Must be able to determine priorities within area of assignment. INDEPENDENT JUDGMENT - Makes some independent judgments regarding patient care during set up. Receives supervision and guidance from the registered nurse or physician. Judgments are based on policies and procedures. Substandard performance in nursing skills or judgments may adversely affect patient care or welfare and hospital goodwill. CONTACT WITH OTHERS - Contacts limited to individuals entering the O.R. Must demonstrate social sensitivity and the ability to communicate effectively with co-workers, patients, physicians and students. SUPERVISING THE WORK OF OTHERS - Demonstrates leadership and teaching capabilities. Must have organizational skills. Must be able to prioritize and coordinate multiple tasks. Supervision is provided to student surgical technologists. RESPONSIBILITY FOR THE WELFARE OF OTHERS - High frequency with which work performed may result in pain, minor injuries and/or stress for others. Must be accurate in performance of responsibilities. MENTAL/VISUAL EFFORT - Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices; color perception necessary to distinguish between different instrument, supplies, and equipment. WORKING CONDITIONS - OSHA job classification: This position is defined as a Category I in which the employee does have exposure to bloodborne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Work may be beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary. Position is subject to on-call for the O.R after normal working hours. PHYSICAL AND SENSORY EFFORT - Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling, crouching. Needs finger dexterity when handling medication, specialized equipment/instruments and performing nursing functions. Requires standing for extended periods of time without relief. PROMOTION - No formal line of promotion. EMPLOYEE REQUIREMENTS Visual Observation- Continuously Standing- Continuously Walking - Frequently Sitting - Rarely Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Occasionally Stooping/Kneeling/Crouching/Crawling - Occasionally Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside - Continuously Working Outside - Never Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Frequently Noise - Frequently Working in Dirt/Dust - Never Driving - Never LIFTING / CARRYING / PUSHING / PULLING: Up to 10 pounds - Frequently Up to 25 pounds - Frequently Up to 50 pounds - Rarely Up to 75 pounds - Never Up to 100 pounds - Never Over 100 pounds - Never
Description STATEMENT OF PURPOSE Coordinates and performs perioperative nursing activities in the assigned operating room and endoscopy in a circulating, and/or surgical assistant capacity during the preoperative, intra-operative and postoperative phases of the patient’s surgical experience. Full-time, benefited position working 80 hours per pay period. Days of work are Monday - Friday from 6:30am - 3:00pm with call 1 night a week and every 5th weekend. Holiday work is 5th holidays per year. JOB FUNCTIONS Circulating Maintains the standards of nursing care and implements the policies and procedures of the hospital and nursing department. Assesses the health status of the patient of all ages throughout the perioperative period. Establishes patient goals based on nursing diagnosis. Implements nursing actions in transferring the patient according to the prescribed plan. Creates and maintains a sterile field. Prepares and gathers equipment and supplies based on patient needs. Performs sponge, sharps and instrument counts with the scrub technician. Administers drugs and solutions as prescribed by the physician. Physiologically monitors the patient during surgery. Monitors and controls the environment. Respects patient's rights. Performs nursing actions that demonstrate accountability. Evaluates patient outcomes. Measures effectiveness of nursing care. Continuously reassesses all components of patient care based on new data. Participates in orientation of new personnel and performance evaluation of nursing staff. Participates in staff development programs. Performs other related duties as assigned or requested. Restock carts and supplies, put away clean instruments/trays, and do PAR level orders. Pull supplies for scheduled procedures for the next day. Surgical Assistant Assists the surgeon during operations and surgical procedures and performs a variety of crucial tasks during the operation. Maintains an unobstructed operating field with surgical retractors, sponges, and suctioning and irrigating equipment. Prepares tables, instruments, supplies, and implants as required for specific operations. Has knowledge of surgeon’s preference and step-by-step procedure. Assists in preparation and draping of the patient and operative area. Prepares and passes instruments, sutures, sponges and supplies needed in the operative procedure and maintains a correct count. Prepares and maintains the sterile field for the surgical procedure. Assists with table equipment, positioning patients, application of casts and dressings. Float RN Pull supplies for scheduled procedures for the next day. Relieve staff for breaks and lunches when able. Restock carts and supplies, put away clean instruments/trays, and do PAR level orders. Assists in transferring patients to and from the OR suite. Assists other members of the team with terminal cleanup of room in readiness for the next patient. Cleans and stocks assigned rooms Performs other related duties as assigned or requested. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: PREPARATION AND TRAINING - Work requires a professional level of knowledge acquired by completing an accredited RN nursing education program. Must hold RN licensure from the ND State Board of Nursing for the current year. Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist. WORK EXPERIENCE - Prefer minimum of nine months recent perioperative experience or complete approved college perioperative program. Nurses who do not meet this minimum requirement must successfully complete a surgical competency-based orientation program. ATTENDANCE - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule. ANALYTICAL ABILITY - A high level of analytical ability is required in a variety of duties in order to gather and interpret complex data and to find solutions to difficult problems. INDEPENDENT JUDGMENT - Independent nursing judgment is often required by the professional RN based on established policies and procedures. Substandard performance in nursing skills or judgment may adversely affect patient care, patient welfare and hospital goodwill. CONTACT WITH OTHERS - Frequent contact with others. Must demonstrate social sensitivity and the ability to communicate effectively in a professional manner. SUPERVISING THE WORK OF OTHERS - Responsible for own work. Relates closest to coworkers but is responsible for the supervision of surgical technicians. RESPONSIBILITY FOR THE WELFARE OF OTHERS - High frequency with which work performed by the staff RN may result in very serious physical or emotional harm to others. It is the responsibility of the professional RN to continuously uphold the highest degree of performance within currently defined and acceptable nursing practice standards. MENTAL/VISUAL EFFORT - Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices or instruments; color perception necessary for interpreting testing procedures involving color comparisons and supplies. WORKING CONDITIONS - OSHA job classification: This position is defined as a Category I in which the employee does have exposure to blood borne pathogens. Position requires exposure to patients with infectious disease and odor. Must practice aseptic techniques and observe Standard Precautions. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Work may be beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary. Position is subject to on-call for the O.R after regular working hours. BACKGROUND CHECK - A comprehensive background check will be conducted as a condition of employment for this role. PHYSICAL AND SENSORY EFFORT - Frequent standing or walking. Lifts, positions, pushes and/or transfers patients and/or equipment. Frequent reaching, stooping, bending, kneeling, crouching. Needs finger dexterity when handling medication, specialized equipment/instruments and performing nursing assessments. Requires standing for extended periods of time without relief if acting in scrub nurse capacity. PROMOTION - No formal line of promotion. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. EMPLOYEE REQUIREMENTS - Visual Observation - Continuously Standing - Continuously Walking - Continuously Sitting - Continuously Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Occasionally Stooping/Kneeling/Crouching/Crawling - Frequently Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside - Continuously Working Outside - Never Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Frequently Noise - Continuously Working in Dirt/Dust - Rarely Driving - Rarely Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Frequently Up to 25 pounds - Frequently Up to 50 pounds - Occasionally Up to 75 pounds - Occasionally Up to 100 pounds - Occasionally Over 100 pounds - Occasionally
