Summary/Objective The Nurse will be clinically competent while delivering care to patients utilizing the nursing process of assessment, planning, intervention, implementation and evaluation. RNs and LPNs will effectively interact with patients, significant others and other health team members while maintaining all standards of professional nursing. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Use the nursing process by demonstrating appropriate assessment, planning, implementation and evaluation of the patient's care, as evidenced by client/staff observation. Assess the patient: collect and document the patient's current health status and medical history. Complete and/or review Admission Data Record as defined by policy. Make accurate and ongoing assessment of patient's status and respond appropriately. Plan/implement: set priorities for nursing action in a logical sequence according to patient's needs and formulate a plan of care by the appropriate selection of Nurse Practice Standards. The plan of care is initiated on patient admission based on all aspects of the initial assessment. Plan includes physiological, psychosocial and environmental factors: patient/significant other education and patient discharge planning. Evaluate: perform ongoing assessment and revise plan of care based on new data and patient's condition. Document accurate and ongoing assessment of patient status: Document patient care, including nursing intervention, patient response to care provided, patient needs, problems, capabilities, limitations, and progress toward goals. Documentation includes evidence of appropriate patient/significant other teaching, and the understanding of these instructions is noted in the medical record. Communicate with the physician regarding patient's needs, the nursing assessments and recommendations on a daily basis and as needed, as evidenced by client feedback and operations coordinator observation. Collaborate with other nurses and health team members to ensure the patient's wellbeing as evidenced by staff/client feedback. Teach patient/significant other appropriate health information in a timely manner and share written informational material as evidenced by client feedback and operations coordinator observation. Perform direct patient care, using established procedures, policies and standards as evidenced by client/staff feedback and operations coordinator observation. Administer medications and IVs according to policy and procedure. Observe and document patient's response to pertinent medications. Demonstrate ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders and policy and procedure (done within a timely manner). Demonstrate necessary skills and knowledge to provide care for patients according to policy, procedure and division/unit specific competencies. Demonstrate ability to handle emergency situations in a prompt, precise and professional manner. Provide personal patient care to ensure comfort and well-being to the patient, acknowledging physiological and psychological needs. Perform indirect patient care, using established procedures, policies and standards as evidenced by client/staff feedback and operations coordinator observation. Give a thorough, concise report at change of shift. Communicate pertinent information to the appropriate person in a timely manner. Demonstrate accurate and timely documentation according to form guidelines. Accurately transcribe physician orders according to policy and procedure. Maintain a clean, neat and safe environment for patient and staff according to policy and procedure as evidenced by staff/client feedback and operations coordinator observation. Ensure that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrate correct and safe technique in the use of equipment according to specific product information. Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Participate in economical utilization of supplies and ensure that equipment is maintained in a clean and safe manner. Adhere to administrative system/nursing service policies as evidenced by operations coordinator. Remain conscientious in regard to personal hygiene and comply with specific division/unit regulations. Comply with specific system/division/unit policy and procedure concerning safety. 100% attendance to mandatory skill updates yearly required. Attend a minimum of four staff meetings and read and sign all minutes of meetings not attended. Competencies Customer/Client Focus. Teamwork Orientation. Problem Solving/Analysis. Communication Proficiency. Learning Orientation. Ethical Conduct. Stress Management/Composure. Discretion. Supervisory Responsibility This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Work Environment Incumbent will be exposed to virus, disease and infection from patients and specimens in working environment. Incumbent may be required to work extended periods of time at a video display terminal (VDT). Incumbent may experience traumatic situations, including psychiatric, dismembered and deceased patients. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. This position requires intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting and supporting patients. Position Type/Expected Hours of Work This is a full-time position in a hospital setting that is open 24 hours a day, 365 days a year. Rotating 12 hour shifts as well as holiday and work during inclement weather will be required. Incumbent will be scheduled based on operational need (rotate shifts, standby, AA, on-call). Full-time hours in the nursing department are 3 shifts per week. Shifts may vary based on operational need. Part-time hours are under 60 hours per week. PRN hours are scheduled as needed. Required Education And Experience Graduate of an accredited school of nursing. Knowledge regarding the nursing process and its application, including the assessment, planning, implementation and evaluation of nursing care. Show more Show less
Summary/Objective The certified nursing assistant position provides quality nursing care to patients; implements specific procedures and programs; coordinates work within the department, as well as with other departments; reports pertinent information to the immediate supervisor; responds to inquiries or requests for information; and assists the immediate supervisor with tasks to support department operations. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Patient Care and Support Provide daily assistance to patients with activities of daily living (ADLs), including bathing, dressing, grooming, toileting, feeding, and oral care. Assist patients with mobility, including turning, repositioning, ambulating, and transferring using proper body mechanics and equipment such as lifts, gait belts, or wheelchairs. Monitor and promptly respond to patient requests, and call lights, ensuring patient needs are addressed in a timely and compassionate manner. Offer emotional and psychological support to patients and families while promoting a comfortable and healing environment. Clinical Support and Monitoring Perform and document vital signs (temperature, pulse, respiration, and blood pressure) and report any abnormalities to the appropriate nursing staff. Measure and record changes in a patient’s condition, including skin integrity, mental status, and overall well-being. Collaboration and Communication Communicate effectively with patients, families, and members of the interdisciplinary healthcare team to ensure coordinated and patient-centered care. Participate in shift reports, bedside handoffs, and interdisciplinary care planning. Provide clear, concise documentation of patient care in the electronic health record (EHR) system. Safety and Infection Control Adhere to all hospital policies and procedures regarding infection control, patient safety, and quality of care. Follow proper hand hygiene and personal protective equipment (PPE) protocols. Maintain a clean and organized patient care environment, including changing linens, sanitizing equipment, and disposing of waste properly. Assist in preventing patient falls by applying appropriate safety measures and fall-prevention protocols. Patient Transportation and Mobility Safely transport patients to and from diagnostic tests, procedures, and other hospital departments using wheelchairs, stretchers, or beds. Support mobility exercises under supervision of physical therapists or nursing staff. Additional Duties Assist in the admission, transfer, and discharge of patients. Maintain and manage medical supplies, restocking rooms and supply carts as needed. Support nurses and physicians during medical procedures and examinations. Participate in continuing education, hospital training programs, quality improvement initiatives, and attending nurses meetings. Competencies Customer/Patient Focus. Ethical Conduct. Flexibility. Initiative. Personal Effectiveness/Credibility. Stress Management/Composure. Teamwork Orientation. Technical Capacity. Supervisory Responsibility This position has no supervisory responsibilities. Work Environment While performing the duties of this job, the employee is frequently exposed to fumes or airborne particles and some mechanical equipment. The employee is occasionally exposed to a variety of patient conditions and elements. The noise level is moderate to quiet. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Position Type/Expected Hours of Work This is a full-time position in a hospital setting that is open 24 hours a day, 365 days a year. Rotating 12 hour shifts as well as holiday and work during inclement weather will be required. Incumbent will be scheduled based on operational need (rotate shifts, standby, AA, on-call). Full-time hours in the nursing department are 3 shifts per week. Shifts may vary based on operational need. Part-time hours are under 60 hours per week. PRN hours are scheduled as needed. Show more Show less
Summary/Objective The clinic Registered Nurse (RN) or Licensed Practical Nurse (LPN) is responsible for patient preparation, administrating all nursing duties as designated by the medical provider, and maintenance of patient records. Accepting responsibility and performing duties so as to operate the clinic in an efficient, economical and business-like manner are of utmost importance. Essential Functions Prepares the patient for each visit with the medical provider according to the reason for the visit. Gives injections, performs dressing changes, and attends to all nursing/assistant duties as prescribed by the medical provider. Assist with outpatient surgery scheduling and patient education. Assist with Tele-Health patient appointments, including being able to access patient information on the website and utilizing the Tele-Health equipment. Ensures that patient records are properly maintained and kept up to date with all known medical information. Performs any other duties assigned by the medical provider or clinic manager. Qualifications Must possess a current and valid license in accordance with state law. Maintains current CPR certification. Must pass all pre-employment screenings per the Kiowa District Hospital Employee Handbook. Participates in ongoing education relative to the RN or LPN role. Must have good communication skills necessary to exchange information and maintain courteous relationships with patients, families, visitors, and employees. Must possess leadership abilities. Working Conditions Works in an indoor, smoke-free, climate-controlled environment. Must be able to lift up to 20 lbs. Walking, bending, stooping, lifting, and standing will be required. Must be able to tolerate a moderate noise level. Probable contact with biohazardous materials and communicable diseases. Documents patient care services by charting in Electronic Medical Record. Supervision Direct report to the supervising medical provider and clinic manager. Performance Standards Will have knowledge and conform to all standards, policies, procedures, and organizational structure of Kiowa District Hospital and Clinic. Ensure patient confidentiality, per HIPAA regulations, inside and outside of the facility Follow universal precautions at all times. Will perform all duties as described by the job description within the scope of licensure. Provides leadership in medical concerns in the absence of the medical provider. Maintains a positive attitude and a professional demeanor. Dresses in a neat and clean uniform. Maintains high personal hygiene standards. Willingly accepts new responsibilities and cooperates with implementation of change. Report to work on time and as scheduled.
