Staff RN-Float

Summary

Responsible for all aspects of direct patient care while maintaining high performance level in quality, service, critical nursing skills and critical thinking. Provides leadership by delegating and working cooperatively and collaboratively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice and professional nursing performance in the clinical setting.

1. *Commits to the KRMC mission, vision, values and goals and consistently demonstrates our core values.

2. *Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.

3. *Follows the five (5) medication rights and reduces the potential for medication errors.

4. *Monitors the hemodynamic status of patient and correctly interpret the results.

5. *Performs a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, geriatric and the general patient population.

6. *Adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.

7. *Formulates an individualized plan of care, revises plan as indicated quickly and accurately by the patient’s response to treatment and evaluates overall plan daily for effectiveness.

8. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate.

9. Identifies the need to involve other disciplines in the patients care.

10. Abilit to perform at maximum efficiency without compromising quality care.

11. Participates in guidance and educational programs.

12. Maintains an awareness of legal aspects of nursing, including accurate and timely documentation according to standards.

13. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.

14. Assists physicians with procedures as appropriate.

15. Monitors coworkers and voices concerns in a constructive manner to minimize errors.

16. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as a liaison between administration, patients, physicians, and other healthcare providers.

17. Maintains a good working relationship with all departments.

18. Meets current standards and policies for documentation.

19. Participates in performance improvement activities and/or committees.

20. Assists in orientation and/or acts as a preceptor for new personnel.

21. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

22. Participates in meetings, committees and department projects as assigned.

23. Performs other related projects and duties as assigned.

EDUCATION AND EXPERIENCE:

Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Graduate of an accredited school of nursing required. BSN or current enrollment in BSN program preferred. Minimum of two (2) years of recent experience in a clinical care, acute care setting preferred.

OTHER CREDENTIALS / CERTIFICATIONS:

Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

Advanced Cardiac Life Support (ACLS) certification required within six (6) months of hire.

Pediatric Advanced Life Support (PALS) certification required within six (6) months of hire.

National Institutes of Health (NIH) Stroke Scale certification required within 6 months of hire.

Share this job

Related Jobs

Med-Surg

Full-time

1 day ago

RN-Med/Surg Weekender

Bryan Health Central City, NE

Summary Weekender program full-time night position. Available shift option 1: Friday-Saturday-Sunday or Option 2: Saturday-Sunday-Monday. GENERAL SUMMARY: Responsible for meeting patient’s priority needs by assessing, participating in interdisciplinary care planning, providing and/or delegating care and evaluating patients’ responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation and/or resourcing of others. Responsible for the appropriate delegation of nursing care to licensed and unlicensed personnel according to Nebraska statute. PRINCIPAL JOB FUNCTIONS: Commits to the mission, vision, beliefs and consistently demonstrates our core values. Performs service excellence must-haves to achieve an excellent patient/customer experience. Uses quality improvement processes, programs or outcomes to help improve department operations. Performs hourly rounding, beside shift report and discharge phone calls consistently when applicable. Collects comprehensive data including physical, functional, psychosocial, emotional cognitive and cultural assessment in a systematic and ongoing process while honoring the uniqueness of the person. Prioritizes data collection based on the patient’s immediate condition or the anticipated needs of the patient. Synthesizes and analyzes available data, information and knowledge relevant to the situation to identify patterns and variances and determine appropriate nursing diagnosis. Develops a plan of care that prescribes the strategies and alternatives to attain expected outcomes. Implements identified plan of care, documenting relevant data. Evaluates patient’s response to and effectiveness of interventions and evaluates patient’s progress toward established outcomes. Facilitates patient’s transition to next level of care. Utilizes appropriate resources to plan and provide nursing services that are safe, effective and financially responsible. Collaborates with the patient, family, providers and others in the provision of nursing care. Provides education for the patient and family according to their needs, abilities, preferences and readiness to learn. Demonstrates leadership in the professional practice setting and the profession. Attends monthly staff meetings as well as complete all mandatory training. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. Participates in meetings, committees and lean projects as assigned. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. BSN preferred. Current Registered Nurse License in the State of Nebraska required or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) certification within one (1) year of hire. Emergency Department: In addition to the above requirements, the Trauma Nursing Course Certified (TNCC) is required within one (1) year of hire. (Assigned to work as the ED Nurse)

Utilization Review

Full-time

6 days ago

Utilization Management RN

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient’s hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support and family to ensure the patient’s hospital stay meets medical necessity and insurance authorizations are obtained in order to facilitate the patient’s and hospitals financial well-being. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. *Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. 4. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the continuing medical necessity of continued stays. 5. *Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 6. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. 7. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3rd party and managed care contracts; discharge planning; and length of stay. 8. Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects of care; proposes alternative treatment to ensure a cost effective and efficient plan of care. 9. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 10. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 12. Participates in meetings, committees and department projects as assigned. 13. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of governmental and third party payer regulations and requirements related to patient hospitalization and acute rehabilitation admission, stay and discharge activities, i.e., CMS, CARF, FIM (TM). 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in conflict diffusion and resolution. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to perform crucial conversations with desired outcomes. 12. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of two (2) years recent clinical experience required. Prior care coordination and/or utilization management experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

Full-time

6 days ago

GIRMC Staff RN-OR

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: Responsible for meeting patient’s priority needs by assessing, participating in interdisciplinary care planning, providing and/or delegating care based on patient needs and evaluating patients’ responses. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises support staff in the delivery of patient care as described in Nebraska Statute. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Grand Island Regional Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Executes therapeutic and/or supportive interventions, consistent with perioperative procedures. 5. Evaluates the patient’s response to and effectiveness of interventions. 6. Evaluates patient’s progress toward established outcomes. 7. Incorporates cultural considerations into the plan/delivery of care. 8. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 9. *Administers medications to the patient in accordance with approved standards of nursing knowledge and competency, based on the age of the patient, the patient’s clinical condition and physician orders. 10. Ensures pre-op checklist is complete (H&P, consent, test results, antibiotic, etc) before transferring patient to OR. 11. *Accurately records, handles and labels specimens; demonstrates care of specimens. 12. Assists anesthesia with intubation, extubation and monitoring as needed. 13. Ensures operating rooms are stocked and equipped after cases and end of day. 14. Cleans and prepares rooms between procedures to ensure efficient turnovers. 15. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 16. Integrates evidence based research findings into practice in accordance with policy and procedure. 17. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (I.E. lifting equipment, PPE, sharps, etc. 18. Provides care in conjunction with other members of the interdisciplinary team. 19. Facilitates patient’s transition to the next level of care. 20. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 21. Serves as a role model to colleagues, students and other care providers. 22. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 23. Participates in meetings, committees and department projects as assigned. 24. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 6. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 7. Ability to problem solve and engage independent critical thinking skills. 8. Ability to maintain confidentiality relevant to sensitive information. 9. Ability to prioritize work demands and work with minimal supervision. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) and Pedatric Advanced Life Support (PALS) required within 6 months of employment. Additional credentials and certifications required for practice area.

Psych

Full-time

1 week ago

Staff RN-Mental Health Float Pool

Bryan Health Lincoln, NE

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required.

Psych

Full-time

1 week ago

Staff RN-Senior Mental Health

Bryan Health Lincoln, NE