Work Unit Overview: The Director of Nursing is responsible for leading the nursing team to ensure high standards of quality and delivering excellent care to our residents while abiding by the standards of care and excellence required by state and federal laws. Job Summary: The Director of Nursing is an exempt position and assumes full-time administrative authority, responsibility and accountability for the delivery of nursing services in the facility. Manages employees in the provision of care and services according to professional standards of nursing practices, consistent with facility philosophy of care and state and federal laws and regulations. Develops and implements policies and procedures consistent with current law. In collaboration with Nursing Home Administrator, allocates department resources in an efficient and economic manner to enable each resident to attain or maintain the highest practicable, mental and psychosocial well-being. Collaborates with other departments, professionals, consultants, and organizations, including government agencies and advocacy groups, to develop support and coordination of resident care, related administrative functions and to represent the interests of the facility. Major Duties or Responsibilities: These duties are the essential functions and are not all-inclusive of all duties that the incumbent performs. Able to provide nursing leadership to Nursing Home Administrator, Medical Director, Department Heads and Governing Body to formulate operational strategies and achieve facility objectives within planned budgets and schedules Provides direction to nursing staff to execute tasks necessary to implement operational objectives. Working knowledge and ability to apply standards of professional nursing practice in job situations. Able to develop nursing policies and procedures that reflect current clinical practice, professional standards and facility philosophy of care. Able to establish criteria to assure that services provided meet established standards of quality. Sufficient knowledge of clinical practice, regulations and principles of adult education to supervise t e continuing education and training of nursing personal. Demonstrates knowledge of and respect for the rights, dignity and individuality of each resident in all interactions. Demonstrated competency in the protection and promotion of resident rights. Able to act as role model for facility staff. Demonstrates satisfactory level of inter personal skill to interact with facility administration, community and governing agencies, interdisciplinary staff. Able to understand and to follow written and/or verbal directions. Able to express self adequately in oral/or written communication. Able to communicate effectively with staff members, other professional staff, consultants and residents in interdisciplinary care setting and to government agencies. Current knowledge of state and federal laws and regulations that apply to practice of nursing in long-term care. Sufficient knowledge of personnel policies and ability to perform personnel functions including interviewing prospective staff members, conducting performance evaluations and carrying out disciplinary actions when appropriate. Able to apply personnel policies to facts concerning job actions without regard to race, sex, age, national origin, religion or disability. Carries out all duties in accord with the facility mission and philosophy. Appreciates the importance of maintaining confidentiality of resident and facility information Demonstrates honesty and integrity at all times in the care and use of resident and facility property. Knowledge of emergency and disaster procedures of the facility. Able to locate nearest exit. To understand and respond to written or oral instruction in case of emergency. Sufficient mobility and strength to move freely through the building, to assure resident safety at all times and to assist, transfer or otherwise move residents of facility out of danger in case of emergency. Demonstrates respect for co-workers and responds to needs of residents by complying with facility policies on attendance and punctuality and dress code. Able to arrive and to begin work on time and to respond to facility needs 24 hours a day, 7 days a week through on-call availability or delegation. Working knowledge and ability to comply with facility policies and procedures for workplace safety including infection control procedures, application of universal precautions for blood borne pathogens, use of personal protective equipment and handling of hazardous materials. Demonstrates ability to prioritize responsibilities and complete projects within allotted time. Able to respond to change productively and to handle additional projects as delegated. Able to perform essential functions of the Charge Nurse position when needed. Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others. Develops and maintains nursing policies and procedures that reflect current standards of nursing practice and facility philosophy of care consistent with state and federal laws and regulations. Communicates and interprets policies and procedures to nursing staff. Monitors practice for effective implementation. Reviews 24 hour report daily to ensure timely, effective responses to significant changes in condition, transfers, discharges, use of physical or chemical restraints, unexplained injuries, potential abuse or neglect, medication errors, loss of resident property, any evidence of resident or family dissatisfaction. Gathers and analyzes facts, assesses situations, develops and implements appropriate actions to investigate, to notify appropriate parties, to resolve issues and to record facts properly. Keeps Nursing Home Administrator informed of findings and results. Communicates directly with residents, families, medical staff, nursing staff, interdisciplinary team members and Department Heads to coordinate care and services, improves organization and implementation of plans of care, to maintain quality of life and a homelike environment for all residents. Establishes and implements infection control program designed to provide a safe, sanitary and comfortable environment and to prevent the development and transmission of disease and infection. Reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections in the facility. Includes infection control information and statistics in Quality Assessment and assurance Committee report. Monitors the provision of care and services to residents on all shifts and evaluates regulatory compliance efforts through daily rounds to observe care on units, to review records and to interview staff members, residents, families and other interested parties. Evaluates the findings of compliance rounds conducted by designated facility staff on a daily basis. Designs, implements and evaluates actions to continuously improve quality. Able to coordinate Quality Assessment and Assurance activities with Medical Director, Nursing Home Administrator, Department Heads and direct care staff. Conducts quality assessments and assurance activities, including regulatory compliance rounds, in all departments to monitor performance and to continuously improve quality. Develops programs to gather analyze data for trends and to institute actions to resolve problems promptly. Evaluates effectiveness of actions. Participates as member of Quality Assurance and Assessment Committee with the Medical Director and at least three other facility staff members. Reports and makes recommendations to Quality Assessment and Assurance committee. Supervises development of in-service education programs designed to equip nursing staff with sufficient knowledge and skills to provide nursing and nursing related services to each resident to attain or maintain the highest practicable physical, mental and psychosocial well-being and to perform the essential functions of their jobs satisfactorily. Assists Nursing Home Administrator with preparation for long-term care survey. Actively participates in long term care survey process by instructing staff in matters of conduct and disclosure, maintaining a presence at all times surveyors are on site and directing the timely collection of information required by the team. Demonstrates concern for identified problems and undertakes corrective action while survey is in progress if appropriate. Gathers and presents supplemental documentation to avoid potential deficiencies. Collaborates with Nursing Home Administrator to develop responses to survey report as needed. Collaborates with physicians, consultants, community agencies and institutions to improve quality of services and to resolve identified problems. Consults with Nursing Home Administrator daily about resident status, census, budget, personnel and other relevant issues. Participates in the development of the department budget. Provides relevant financial information to Nursing Home Administrator regarding department financial needs and status. Develops staffing plans that assure sufficient numbers of qualified, competent nursing staff to meet direct needs, conduct assessments as required, develop plans of care, evaluate residents' responses to interventions and document clinical records effectively in compliance with state and federal requirements. Recommends numbers and types of nursing personnel necessary to provide care and to maintain compliance with facility mission and with regulations. Hires and retains qualified competent nursing staff to provide nursing and nursing related services to attain or maintain highest practicable physical, mental and psychosocial well-being of each resident. Conducts interviews, provides regular performance reviews, takes appropriate job actions, reviews job actions taken by subordinates to assure that staff meet qualification and performance standards and can perform all essential functions of the job. Ensures 24-hour availability as nursing administration resource by providing on-call and telephone access or designating an alternative, qualified nursing staff member to do so. Performs other duties as assigned or directed. Education: Graduate of an accredited school of nursing. Licenses: Current, active license as a Registered Nurse in Montana or the ability to obtain a license as required by the State of Montana to practice. Work Experience: Two years professional nursing experience in long-term care setting. One-year experience in nursing services administration or comparable management experience preferred. Freedom from illegal use of drugs, and freedom from the use and effects of use of drugs and alcohol in the workplace. Persons who have been found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care related setting are ineligible for employment in this position. Must pass a background check.Maintains current skills and knowledge through continuing education. Applies information to job responsibilities. Knowledge of medical office practices, procedures and techniques. Thorough understanding of charting practices and electronic health records. Considerable knowledge of medical terminology, and CLIA and OSHA regulations. Working knowledge of the principles and practices of HIPAA compliance. Working knowledge of procedure and diagnosis coding in primary care settings. Working knowledge of generic and trade name pharmaceuticals. Working knowledge of patient centered medical home delivery system. Working knowledge of the practices and techniques of providing supervision and training. Basic knowledge of Missoula County Human Resource Policies and the provisions of relevant collective bargaining agreements. Working knowledge of the PHC Corporate Compliance Guidelines. This job cannot be performed without exposure to the stresses associated with an intimate, 24-hour residential care environment that delivers care and services primarily to disabled and cognitively impaired residents. Examples of these stresses include, but are not limited to: shift rotation, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in the nursing home, death and dying, oversight of state surveyors, ombudsmen and federal officials, presence of consultants and attorneys, and variable involvement of medical staff. Skill in the use of medical management computer programs and standard computer applications, (Word, Excel). Requires the ability to exercise effective interpersonal communication, and to remain calm and tactful in stressful situations. Ability to conduct effective interviews. Ability to train and supervise employees and to facilitate a teamwork environment. Ability to provide patients with access to support services; ability to respect and maintain confidentiality; ability to be culturally sensitive to the needs of the indigent; ability to communicate effectively in the English language, orally and in writing. Ability to establish and maintain effective working relationships with individuals from diverse backgrounds.
Work Unit Overview: Madison County Public Health Department’s mission is to protect and promote the health of county citizens and the environment through the efforts of dedicated and skilled employees and application of sound public health principles. The department’s role is to identify community health problems; assess and investigate health problems and health hazards in the community; and enforce laws and regulations that protect health and ensure safety. Job Summary: The Public Health Nurse provides comprehensive nursing services in preventive health and clinic programs through assessment, teaching, counseling, and prevention services to individuals, families, and groups to promote health and wellness to clients. This includes administering public health programs, maintaining patient and program activity records, preparing required reports, and supervising other departmental staff as needed. Identify health needs in the community to create and facilitate programs to promote health and welfare. Assess community health strengths, needs, and expectations to adopt a plan to utilize available medical resources and standards of nursing practices to serve families and individuals through health promotion and to serve those who are at risk of illness, injury, disability, or death. Provide nursing service to individuals to prevent illness, disability, or premature death. Perform physical assessments, obtaining blood pressure, temperature, measurements, etc. Retrieve information on health histories, diet histories, and family health histories. Read and interpret lab reports, administer tests, and perform a variety of related procedures. Promote health department goals by advising on health matters and medication options; carrying out immunization programs in schools; assessing environmental hazards; and working to prevent the spread of disease. Investigate and monitor reports of communicable diseases such as measles, pertussis , hepatitis, sexually transmitted diseases, and tuberculosis. Coordinate efforts with physicians, school personnel, and others regarding the treatment and prevention of diseases. Provide health education, health promotion, health assessment, and disease prevention activities in the community to increase community awareness of the value of public health in Madison County. This includes representing the department at various community activities. Work with the Public Health Director to implement strategies for obtaining sustainable public health funding for the delivery of quality services and programs that meet the needs of the community members. Assist with identifying funding sources; apply for grants; stay current about funding at the local, state, and national level; promote long-term funding planning; and identify opportunities to expand billable services. Ensure that any programs administered by the health department operate in compliance with state and federal standards, policies, guidelines, and grant provisions. This includes monitoring and tracking demographic data on participants, conducting site inspections, compiling reports, and administering necessary budgets. Ensure that clinical documentation regarding clients is secure, confidential, and maintained in compliance with health department policy and state and federal regulation. Work with the Public Health Director to review the strategic plans for Madison County on a yearly basis to ensure they meet community health needs and that services are coordinated to maximize the effective use of resources and personnel. Prepare and present educational and training sessions for the community on a variety of topics to include healthy behaviors, life-saving skills, and resource navigation. The job requires a Registered Nursing Degree and two (2) years nursing experience. A Bachelor’s Degree in Nursing or higher and certification in Community Health Nursing is preferred. The job requires possession of a current license to practice as a Registered Nurse in the State of Montana and possession of a valid Montana driver’s license and current CPR certification. Must complete Incident Command Systems trainings 100, 200, 700, and 800 within the first twelve (12) months of hire. The job requires a Registered Nursing Degree and two (2) years nursing experience. A Bachelor’s Degree in Nursing or higher and certification in Community Health Nursing is preferred. The job requires possession of a current license to practice as a Registered Nurse in the State of Montana and possession of a valid Montana driver’s license and current CPR certification. Must complete Incident Command Systems trainings 100, 200, 700, and 800 within the first twelve (12) months of hire.
Work Unit Overview: The MDS Coordinator is responsible for c oordinating and completing all require Resident Assessments Instruments and insure accuracy of information. Notify Inter Disciplinary Team (IDT) of any barriers to the timely completions of all residents Assessment Instruments. Coordinate and facilitate Resident Care Plan Conferences on a quarterly basis for all residents ensuring that the resident and the responsible party receive a written notification of the meeting specifying date and time and place of meeting. Participate in the development of a comprehensive individualized plan of care for each resident. Ensure that the plans are completed, updated and accelerated to reflect an interdisciplinary approach to the residents changing needs. Job Summary: Review of each Medicare resident's case on the day to admission to ensure appropriateness of Medicare coverage. Active interaction with IDT on a weekly basis to evaluate resident's status and needs relative to Medicare skilled needs and potential for RUG category changes. Conducts review via chart audit to ensure the residents receive the care and services the they need in timely manner, change of condition RAls are initiated when appropriate, chart documentation, including nursing and ancillary notes, care plans note reflects the need for care and service the resident receives. Discharge planning proceeds smoothly relative to resident's progress and Medicare coverage status. Medicare coverage is discontinued when resident on longer meets the criteria. Report routinely to the Director of Nursing regarding Medicare status. Conducts quarterly audits to include: MDS, Care Plans, Psychotropic and any other as needed. Ensures that the Physician Certification/Re-Certification for Medicare A residents are completed on time. Subject to additional duties such as working on the floor if needed. Or, other duties as assigned by the DON or facility administration in accordance to facility needs including participation in Call Schedule.Interviews residents, interested family members, legal representatives and significant others to obtain and update information needed to develop individualized plan of care, to accommodate individual needs and preferences and to protect and promote resident's rights. Works cooperatively with members of the interdisciplinary team to develop, implement, and evaluate plane of care. Attend care conferences. Communicates resident concerns and responses to interventions to interdisciplinary team members and direct care staff. Audits clinical records of resident on a regular basis to monitor resident responses to care and treatment and to identify concerns about resident's rights. Suggests approaches and methods of interacting with residents that maintain and enhance the person's dignity and individuality. Assist direct care staff with behavioral assessments and development of alternative approaches the minimize or eliminate use of physical and chemical restraint. Identifies ways to accommodate resident's choices, preferences and customary routines. Includes these approaches in plan of care and gives this information to direct care staff. Maintains ongoing contact with interested family members, legal representatives with consent of resident to inform them of changes in condition, discharge planning efforts, and to encourage family participation in developing a plan of care. Actively participate in long term care survey process by instructing staff in matter of conduct and discloser, maintaining a presence at all times surveyors are on site and directing the timely collection of information required by the survey team. Demonstrates concerns for identified problems and undertakes corrective action while survey is in progress if appropriate. Gathers and presents supplemental documentation to avoid potential deficiencies. Assist the DON to develop responses to survey report as needed. Reports injury to self or other to the charge nurse immediately. Maintains current skills and knowledge through continuing education. Applies information to job responsibilities. Participates in fire and disaster drills. In the event of an emergency, carries out assigned duties to assure resident safety.RN currently registered in the state of Montana Work experience: Previous work experience in long term care setting and is listed in a good standing with the Montana State of Professional licensing. The job requires freedom from illegal use of drugs and freedom from use and effects of drugs and alcohol in the workplace. Persons who have been found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care setting are ineligible for employment in this position. Must pass a background check.Working knowledge and ability to apply professional standards of MOS Coordinator practice in job situations. Able to establish criteria to assure that the service provided meet established standards of quality. Current knowledge of state and federal laws and regulations that apply to practice of MOS Coordinator in long term care. Demonstrates satisfactory level of interpersonal skill to interact with the resident, families, community and government agencies, and interdisciplinary staff in a non-judgmental, supportive and calm manner. Management skills sufficient to allocate resource and to supervise interdisciplinary cooperation in the planning and implementation of individual resident care plans. Able to apply facility policies of facts leading to job actions without regard to race, religion, age, national origin, sex, or disability. Able to express self adequately in written and or oral communication and to communicate effectively in an interdisciplinary care setting the residents, families, staff members, representative of community and government agencies. Carries out all duties in accord the facility mission and philosophy. Demonstrates knowledge of and respect for the rights, dignity and individuality of each resident in all interactions. Able to serve as role model for staff. Appreciates the importance of maintaining confidentiality of residents and facility information. Demonstrates honesty and integrity at all times in the care and use of resident and facility property. Knowledge of emergency and disaster procedures of facility, able to locate nearest exit, to understand and respond to written or oral instruction in care of an emergency. Sufficient mobility, and strength to move freely through the building, to assure resident safety at all times and to assist, transfer or otherwise move residents of the facility out of danger in case of an emergency. Demonstrates respect for co-workers and responds to needs by complying with facility policies on attendance and punctuality and dress code. Able to arrive and to begin work on time and report for duty as schedule on all shifts, weekends and holidays. Working knowledge and ability to comply with facility policies and procedures for workplace safety including infection control procedures, application of universal precautions for blood borne pathogens, use of personal protective equipment and handling of hazardous materials. Demonstrates ability to prioritize tasks/responsibilities and compete duties/ projects within allotted time. Able to respond to change productively and to handle additional tasks/projects as assigned. Able to respond to facility and resident needs on an on-call basis, this position does share On-Call duties. Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current rick of substantial harm to health and safety of self and others.
Work Unit Overview: A Registered Nurse (RN) or Licensed Practical Nurse (LPN) provides nursing and nursing related services to residents consistent with each resident's comprehensive resident assessment and plan of care. All resident care is provided in a manner that meets the resident's physical, mental and psycho social needs and enables the individual to attain or maintain the highest practicable level of functioning. Provides supervision of health care personnel in maintaining a "homelike environment for the residents, protects and promotes resident rights and assists the person to maintain independence and controls to the greatest extent possible. Job Summary: RN or LPN assesses patient health problems and needs, develops and implements nursing care plans, and maintains medical records. Duties include administering nursing care to ill, injured, convalescent, or disabled patients. May also advise patients on health maintenance and disease prevention or provide case management. An RN/LPN oversees the work of other health care personnel as required. Direct or supervise nursing assistants/aides, or other healthcare personnel to ensure proper performance of duties according to health care standards and departmental policies. May supervise a particular unit. Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans and modifies patient treatment plans as indicated by patients' responses and conditions. Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition. Monitor all aspects of patient care, including diet and physical activity. Monitor, record, and report symptoms or changes in patients' conditions. Maintain accurate, detailed reports and records, and record patients! medical information and vital signs. Instruct individuals, families, or other groups on topics such as health education, disease prevention, or childbirth and develop health improvement programs. Administer prescribed medications or start intravenous fluids, noting times and amounts on patients' charts; take and records temperatures, pulses, respiration, and blood pressure readings; transcribe written physicians' orders to medication and treatment records; observe and report patient's symptoms to a Physician's Assistant or Physician. Observe patients, charting and reporting changes in patients (conditions, such as adverse reactions to medication or treatment, and taking any necessary action. Provide basic patient care or treatments, such as taking temperatures dressing wounds, treating bedsores, giving enemas or douches, rubbing with alcohol, massaging, or performing catheterizations. Sterilize equipment and supplies, using germicides, sterilizer, or autoclave. Assist physicians or other RNs in examinations or special procedures; catheterize patients and gives enemas; provides general patient care; such as bathing, feeding, turning, and transporting patients; assist with or applies and/or changes dressings; may assist in orthopedic care such as applying and removing casts, setting up and inspecting traction. Answer patients' calls and determine how to assist them. Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, and respiration. Work as part of a health care team to assess patient needs, plan and modify care, and implement interventions. Collect samples, such as blood, urine, or sputum from patients, and perform laboratory tests on samples. Communicate with other health care facilities or ancillary services regarding patient care needs. Prepare patients and assist with administering examinations, tests, or treatments and explain procedures. Assemble and use equipment, such as catheters, tracheotomy tubes, or oxygen suppliers. Assist in providing services and care in maternal/child, and medical-surgical settings, outpatient clinics, public health clinics, and public health or mental health outreach services, Comply with established department, unit, hospital policies, procedures objectives, quality assurance, safety, supply inventory and utilization regulations, environmental and infection control. Performs other duties as assigned. Must be a graduate from an accredited nursing school with a four-year degree (preferred for RN position), and one (1) to two (2) years experience in an acute care unit. Possession of a valid Montana license as a RN or LPN. Current CPR Certification required. Must maintain a good citizen court record free of abusing, neglecting or mistreating individuals in a health care related setting. The job requires freedom from illegal use of drugs and freedom from use and effects of drugs and alcohol in the workplace. Persons who have been found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care setting are ineligible for employment in this position. Must pass a background check.This job requires knowledge of RN/LPN nursing theory and practice, hospital rules, regulations and procedures; medical vocabulary commonly used in conveying instructions and orders between doctors, nurses, and para-professional nursing employees; and medical supplies and equipment, their care and use. This job requires knowledge of patient rights and confidentiality requirements of patient information and established communications codes; basic communicable disease; infection control practices and procedures; basic emergency care including cardiopulmonary resuscitation (CPR); the use, administration, and effects of narcotics and medicines, as well as behavioral patterns of suspected alcoholic, narcotic, and emotionally disturbed individuals. This job requires the ability to perform physical assessments; take health histories; assess and review lab results; provide primary nursing care; detect suicidal behavior; follow oral and written directions of nursing technical and professional nature; work as part of a team; deal with patients sympathetically and tactfully; maintain and interpret medical records and reports; learn procedures to start, superimpose and monitor non-medicated intravenous fluids in order to acquire certification; draw blood; stand and walk for long periods and work under mental and physical strain; establish and maintain effective working relationships with people on the job cooperate with other personnel to achieve departmental objectives and maintain effective employee, interdepartmental and public relations; maintain patient rights and confidentiality of patients information and abide by established communications codes.
Work Unit Overview: A Registered Nurse (RN) or Licensed Practical Nurse (LPN) provides nursing and nursing related services to residents consistent with each resident's comprehensive resident assessment and plan of care. All resident care is provided in a manner that meets the resident's physical, mental and psycho social needs and enables the individual to attain or maintain the highest practicable level of functioning. Provides supervision of health care personnel in maintaining a "homelike environment for the residents, protects and promotes resident rights and assists the person to maintain independence and controls to the greatest extent possible. Job Summary: RN or LPN assesses patient health problems and needs, develops and implements nursing care plans, and maintains medical records. Duties include administering nursing care to ill, injured, convalescent, or disabled patients. May also advise patients on health maintenance and disease prevention or provide case management. An RN/LPN oversees the work of other health care personnel as required. Direct or supervise nursing assistants/aides, or other healthcare personnel to ensure proper performance of duties according to health care standards and departmental policies. May supervise a particular unit. Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans and modifies patient treatment plans as indicated by patients' responses and conditions. Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition. Monitor all aspects of patient care, including diet and physical activity. Monitor, record, and report symptoms or changes in patients' conditions. Maintain accurate, detailed reports and records, and record patients! medical information and vital signs. Instruct individuals, families, or other groups on topics such as health education, disease prevention, or childbirth and develop health improvement programs. Administer prescribed medications or start intravenous fluids, noting times and amounts on patients' charts; take and records temperatures, pulses, respiration, and blood pressure readings; transcribe written physicians' orders to medication and treatment records; observe and report patient's symptoms to a Physician's Assistant or Physician. Observe patients, charting and reporting changes in patients (conditions, such as adverse reactions to medication or treatment, and taking any necessary action. Provide basic patient care or treatments, such as taking temperatures dressing wounds, treating bedsores, giving enemas or douches, rubbing with alcohol, massaging, or performing catheterizations. Sterilize equipment and supplies, using germicides, sterilizer, or autoclave. Assist physicians or other RNs in examinations or special procedures; catheterize patients and gives enemas; provides general patient care; such as bathing, feeding, turning, and transporting patients; assist with or applies and/or changes dressings; may assist in orthopedic care such as applying and removing casts, setting up and inspecting traction. Answer patients' calls and determine how to assist them. Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, and respiration. Work as part of a health care team to assess patient needs, plan and modify care, and implement interventions. Collect samples, such as blood, urine, or sputum from patients, and perform laboratory tests on samples. Communicate with other health care facilities or ancillary services regarding patient care needs. Prepare patients and assist with administering examinations, tests, or treatments and explain procedures. Assemble and use equipment, such as catheters, tracheotomy tubes, or oxygen suppliers. Assist in providing services and care in maternal/child, and medical-surgical settings, outpatient clinics, public health clinics, and public health or mental health outreach services, Comply with established department, unit, hospital policies, procedures objectives, quality assurance, safety, supply inventory and utilization regulations, environmental and infection control. Performs other duties as assigned. Must be a graduate from an accredited nursing school with a four-year degree (preferred for RN position), and one (1) to two (2) years experience in an acute care unit. Possession of a valid Montana license as a RN or LPN. Current CPR Certification required. Must maintain a good citizen court record free of abusing, neglecting or mistreating individuals in a health care related setting. The job requires freedom from illegal use of drugs and freedom from use and effects of drugs and alcohol in the workplace. Persons who have been found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care setting are ineligible for employment in this position. Must pass a background check.This job requires knowledge of RN/LPN nursing theory and practice, hospital rules, regulations and procedures; medical vocabulary commonly used in conveying instructions and orders between doctors, nurses, and para-professional nursing employees; and medical supplies and equipment, their care and use. This job requires knowledge of patient rights and confidentiality requirements of patient information and established communications codes; basic communicable disease; infection control practices and procedures; basic emergency care including cardiopulmonary resuscitation (CPR); the use, administration, and effects of narcotics and medicines, as well as behavioral patterns of suspected alcoholic, narcotic, and emotionally disturbed individuals. This job requires the ability to perform physical assessments; take health histories; assess and review lab results; provide primary nursing care; detect suicidal behavior; follow oral and written directions of nursing technical and professional nature; work as part of a team; deal with patients sympathetically and tactfully; maintain and interpret medical records and reports; learn procedures to start, superimpose and monitor non-medicated intravenous fluids in order to acquire certification; draw blood; stand and walk for long periods and work under mental and physical strain; establish and maintain effective working relationships with people on the job cooperate with other personnel to achieve departmental objectives and maintain effective employee, interdepartmental and public relations; maintain patient rights and confidentiality of patients information and abide by established communications codes.
