Registered Nurse (RN - Hospital) - Surgery

apartment Jamestown Regional Medical Center location_onJamestown, ND, US

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

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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 / Carring / 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

Full-time

REGISTERED NURSE (RN - HOSPITAL) - ED

apartment Jamestown Regional Medical Center location_onJamestown, ND

$30.37 - $45.54 / HOUR

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. $35,000 SIGN ON BONUS AVAILABLE FOR NEW EMPLOYEES Full-time, benefited position working 72 hours per pay period. Days of work are Sunday-Saturday. Variable shifts working 7a-7p 7p-7a, and 9a-9p. Holiday work is third holidays per year. Weekend work is every third weekend. Must be ACLS, BLS, and PALS certified or be willing to obtain. Will cross train to Supervisor, when trained in to the ED. 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. 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. ED staff nurse position requires PALS/ACLS certification. TNCC is highly encouraged. WORK EXPERIENCE ED Staff 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 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 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. Frequently 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 - Frequently Walking - Frequently Sitting - Occasionally Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - - Continuously Stooping/Kneeling/Crouching/Crawling - Frequently Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside - Continuously Working Outside - Rarely Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Rarely Noise - Occasionally Working in Dirt/Dust - Rarely Driving - Never LIFTING: Up to 10 pounds - Frequently Up to 25 pounds - Frequently Up to 50 pounds - Frequently Up to 75 pounds - Occasionally Up to 100 pounds - Occasionally Over 100 pounds - Rarely CARRYING: Up to 10 pounds - Continuously Up to 25 pounds - Frequently Up to 50 pounds - Rarely Up to 75 pounds - Rarely Up to 100 pounds - Rarely Over 100 pounds - Rarely PUSHING: Up to 10 pounds - Continuously Up to 25 pounds - Continuously Up to 50 pounds - Continuously Up to 75 pounds - Continuously Up to 100 pounds - Continuously Over 100 pounds - Continuously PULLING: Up to 10 pounds - Continuously Up to 25 pounds - Continuously Up to 50 pounds - Occasionally Up to 75 pounds - Rarely Up to 100 pounds - Rarely Over 100 pounds - Never