RN Jobs in Nebraska

RN PACU Part-time
OrthoNebraska

Registered Nurse (RN) - Extended Recovery (Nights) (Part-Time) (24hrs)

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: The Extended Recovery RN, s responsible for providing high-quality patient-centered care to post-operative orthopedic patients requiring extended recovery or overnight care. This role involves monitoring patient conditions, managing pain, preventing complications, encouraging early mobility, preparing patients for their discharge home, and ensuring a safe recovery process. The Extended Recovery nurse will work closely with surgeons, anesthesiologists, hospitalists, nurse navigators, and other healthcare professionals to optimize patient outcomes and maintain safety standards. Position details Status Part-Time Shift Nights FTE / Hours 0.6 / 24 Schedule Two (2) 12-Hour Shifts 6:45pm - 7:15am + weekend and holiday rotations Position Requirements Education: Graduate of an accredited school/college of nursing required. Bachelor's degree preferred. Licensure: Registered Nursing licensed in the State of Nebraska or eligible compact state required. Certification: Basic Life Support (BLS) and Advanced Cardiac Life Support Certification (ACLS) to be acquired within 90 days of hire or transfer date required. Experience: 1+ Years of RN (Registered Nurse) Experience preferred. Required Knowledge/Skills/Abilities Strong knowledge of post-operative orthopedic care, including pain management and mobility assistance Proficiency in IV therapy, wound care, patient assessment, and vital sign monitoring Ability to recognize and respond to complications including respiratory distress and infection Excellent communication and patient education skills Ability to work collaboratively in a fast-paced environment Proficiency in electronic medical records (EMR) and documentation of patient assessments and interventions Strong critical thinking and problem-solving skills Essential Job Functions Patient Care and Monitoring Conduct comprehensive nursing assessments post-surgery Monitor vital signs, pain levels, and overall patient condition Administer medications including pain management protocols Assist patients with mobility ensuring safety and adherence to post op restrictions Clinical Support and Emergency Response Identify signs of post operative complications and intervene appropriately Provide wound care, monitor for infections, and manage post anesthesia side effects Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (i.e., falls, needle sticks, patient concerns). Communication and Documentation Maintain accurate and timely medical records Communicate effectively with patients and families, addressing concerns and providing education about recovery expectations. Operational Responsibilities Maintains a professional behavior in attitudes, demeanor, interactions across departments to achieve the organizations mission of providing efficient, high-quality patient centered care Comply with safety activities, policies and procedures and regulatory requirements such as OSHA and The Joint Commission Adheres to HIPAA regulations and maintains patient confidentiality Follow established guidelines as stated in hospital and departmental policies and procedures Assist in onboarding and training new nursing staff Employee is responsible for all other duties as assigned for which competency has been demonstrated. Physical requirements: This position is classified as Medium Work in the Dictionary of Occupational Titles, requiring the exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.
RN Full-time
Mary Lanning Healthcare

Surgery RN (Ortho)

Job Description: The Surgery Nurse (Ortho) works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. DEPARTMENT SPECIFIC JOB DUTIES: Verification of patient’s identity, operative procedure, operative site, surgeon and consent. Follows standard procedures and aseptic principles of practice for surgical interventions, along with preferences of surgeons and anesthesiologists, when planning for intraoperative care. Anticipate needs of surgeons and/or specific procedures. Performs sponge, instrument and needle counts according to policy and procedure. Applies principles of proper body alignment during transfer and positioning of patient. Ensures safety of patient during the use of electrical equipment (i.e. electrosurgical cautery units). Correctly collects and accurately labels specimens. Documents and maintains accurate OR nursing records including: intraoperative care, patient’s condition, medications, treatment, responses and assessment of changes, etc. Identifies, labels, and dispenses medications and solutions safely. Assists anesthesia as requested by anesthesia personnel. Demonstrates ability to assist in ACLS interventions. Maintains surgeons’ preference books Become proficient in scrubbing and circulating duties for all specialties. Fill in other duties as needed to meet OR staffing such as housekeeping and workroom duties. Cover call shifts as assigned with a 15 minute response time. Assist in the orientation of new staff/students Assist in the maintenance of a clean, dust-free environment. Coordinate or assist in the coordination of specialty supplies. Functions as a patient advocate between patient, physician, other healthcare providers, administration, etc., as needed, and interacts professionally with patient and family members. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: 1 year in surgical nursing experience preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. CNOR, ACLS certification preferred. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
RN Part-time
Mary Lanning Healthcare

Total Joint Unit RN

Job Description: Night Shift hours: 6:45pm - 7:15am Seeking a talented RN to join our team on the Total Joint Unit (TJU). This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATIONS/LICENSES: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
RN Part-time
Bryan Health

Staff RN-Float

Summary SUMMARY The Float Pool RN performs therapeutic nursing interventions and manages the care of patients with conditions common to the various units assigned including, but not limited to: general surgical patients including outpatient surgicals; medical patients including infant to geriatric populations; critically ill patients; neurological patients; renal patients; oncology patients; cardiovascular patients; pediatric patients; subacute and rehab patients; altered mental status patients; orthopedic patients; and OB/gyn patients with the exception of labor and delivery or newborn nursery. Orientation specific to general medical/surgical floors, intensive care units, emergency department, mother/baby, and/or mental health areas will be provided based on areas the employee will be working. Additionally float personnel working in the ICU and PCU areas will be required to complete modified ECCO curriculum, PCU hemodynamic monitoring, EKG monitoring and ACLS. 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. Two years of experience as a Registered Nurse is recommended.
RN Full-time
Bryan Health

Staff RN-Float

Summary SUMMARY The Float Pool RN performs therapeutic nursing interventions and manages the care of patients with conditions common to the various units assigned including, but not limited to: general surgical patients including outpatient surgicals; medical patients including infant to geriatric populations; critically ill patients; neurological patients; renal patients; oncology patients; cardiovascular patients; pediatric patients; subacute and rehab patients; altered mental status patients; orthopedic patients; and OB/gyn patients with the exception of labor and delivery or newborn nursery. Orientation specific to general medical/surgical floors, intensive care units, emergency department, mother/baby, and/or mental health areas will be provided based on areas the employee will be working. Additionally float personnel working in the ICU and PCU areas will be required to complete modified ECCO curriculum, PCU hemodynamic monitoring, EKG monitoring and ACLS. 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. Two years of experience as a Registered Nurse is recommended.
RN Med-Surg Full-time
Bryan Health

MMC RN-Med/Surg

Summary 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)
RN Outpatient Full-time
Nebraska Medicine

Clinic Nurse - Acute Care Surgery

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Clinic Nurse - Acute Care Surgery ***$5,000 Sign On Bonus - Must Meet Eligibility*** Shift Details: 40 hrs/wk Monday - Friday 8am - 5pm ***After training, hybrid schedule option Position Highlight: Join a dynamic and essential team, where you will play a vital role in supporting high-quality and efficient care. Acute Care Surgery is seeking a dedicated and compassionate nurse to join our team. You will be working alongside a large team of highly skilled Surgeons and APPs specializing in Trauma, Critical Care and Emergency General Surgery, and you will be working very closely with our Ambulatory Nurse Case Manager. Acute Care Surgery (ACS) treats a wide range of patients with urgent, life-threatening conditions including both medical and surgical care. Our team also sees regular elective general surgery patients for issues such as removal of soft tissue masses, various types of hernias, and gallbladder removal. This is a highly collaborative team that works to provide care that’s personalized and focused on putting the patient first. In this specialized role, you will: Triage patient messages and phone calls Schedule and arrange diagnostic workups Assist with FMLA and disability paperwork Facilitate referrals to appropriate providers Coordinate patient care from pre-authorization and scheduling to post procedure follow-up. Assist with managing post-op complications Conduct behind-the-scenes patient care (non-face-to-face) Perform additional record reviews and prep clinics in advance Attend clinic during the week alongside our MD and APP providers Why Work at Nebraska Medicine? Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care. Diversity and Inclusion We value diverse backgrounds and experiences, reflecting the communities we serve. Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path. Be part of something extraordinary at Nebraska Medicine! Job Description: Provide and coordinate delivery of clinical resources to assure safe, high quality patient care and ensure continuity of care. Perform duties in an environment of care where the needs of a patient are short term, non-acute, and non-life threatening. Required Qualifications: • Associate's in nursing (ADN) or Nursing Diploma required. • Demonstrated effective communication skills required. • Ability to demonstrate initiative, teamwork, and flexibility required. • Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required. • Basic Life Support (BLS) certification endorsed by the American Heart Association (AHA) required. • Pediatric Advanced Life Support (PALS) department dependent required. Preferred Qualifications: • Based on position, prior experience in patient nursing, specialty/primary care clinic and/or telephonics preferred. • Bachelor's degree in nursing (BSN) or Master's of Science in Nursing (MSN) degree preferred. • Experience with Microsoft Office applications including Word, PowerPoint, and Excel preferred. • Proficient with use of email applications preferred. • Experience with EPIC or other electronic medical records preferred. • Specific to the Medical Call Center department; multi-state license preferred. Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.
RN PACU Other
OrthoNebraska

Registered Nurse (RN) - Extended Recovery (Nights) (Casual/PRN)

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: The Extended Recovery RN, s responsible for providing high-quality patient-centered care to post-operative orthopedic patients requiring extended recovery or overnight care. This role involves monitoring patient conditions, managing pain, preventing complications, encouraging early mobility, preparing patients for their discharge home, and ensuring a safe recovery process. The Extended Recovery nurse will work closely with surgeons, anesthesiologists, hospitalists, nurse navigators, and other healthcare professionals to optimize patient outcomes and maintain safety standards. Position details Status Casual / PRN Shift Nights FTE / Hours 0 / As Needed Schedule 48 Hours per 6-week scheduling period 7:00pm - 7:00am Position Requirements Education: Graduate of an accredited school/college of nursing required. Bachelor's degree preferred. Licensure: Registered Nursing licensed in the State of Nebraska or eligible compact state required. Certification: Basic Life Support (BLS) and Advanced Cardiac Life Support Certification (ACLS) to be acquired within 90 days of hire or transfer date required. Experience: 1+ Years of RN (Registered Nurse) Experience preferred. Required Knowledge/Skills/Abilities Strong knowledge of post-operative orthopedic care, including pain management and mobility assistance Proficiency in IV therapy, wound care, patient assessment, and vital sign monitoring Ability to recognize and respond to complications including respiratory distress and infection Excellent communication and patient education skills Ability to work collaboratively in a fast-paced environment Proficiency in electronic medical records (EMR) and documentation of patient assessments and interventions Strong critical thinking and problem-solving skills Essential Job Functions Patient Care and Monitoring Conduct comprehensive nursing assessments post-surgery Monitor vital signs, pain levels, and overall patient condition Administer medications including pain management protocols Assist patients with mobility ensuring safety and adherence to post op restrictions Clinical Support and Emergency Response Identify signs of post operative complications and intervene appropriately Provide wound care, monitor for infections, and manage post anesthesia side effects Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (i.e., falls, needle sticks, patient concerns). Communication and Documentation Maintain accurate and timely medical records Communicate effectively with patients and families, addressing concerns and providing education about recovery expectations. Operational Responsibilities Maintains a professional behavior in attitudes, demeanor, interactions across departments to achieve the organizations mission of providing efficient, high-quality patient centered care Comply with safety activities, policies and procedures and regulatory requirements such as OSHA and The Joint Commission Adheres to HIPPA regulations and maintains patient confidentiality Follow established guidelines as stated in hospital and departmental policies and procedures Assist in onboarding and training new nursing staff Employee is responsible for all other duties as assigned for which competency has been demonstrated. Physical requirements: This position is classified as Medium Work in the Dictionary of Occupational Titles, requiring the exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.
Bryan Health

Staff RN-Med/Surg-Charge Nurse

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. 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 Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 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. 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.
RN PACU Full-time
Bryan Health

Staff RN-PACU

Summary SUMMARY: The PACU RN manages the care of patients with conditions common to the PACU including: immediate post-op care, patients with specialized monitoring/equipment, impaired tissue perfusion, impaired thermoregulation and patients emerging from anesthesia. 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), ALCS and PALS certifications required. PACU or critical care experience preferred.
RN Full-time
Bryan Health

Care Navigator-RN-Bryan Palliative Care

Summary GENERAL SUMMARY: Supports and promotes the continuum of care for their patient population. Provides individualized assistance to patients, families and caregivers to promote optimal outcomes. Works collaboratively with physicians, staff and other providers across the care continuum. Plays a key role in supporting the clinical care for patients referred for palliative care consultation. Includes working with the interdisciplinary palliative care consult team of physicians, advanced practice nurses, medical learners, chaplains and social workers to deliver excellent patient and family care. Supports the team in achieving clinical standards across the continuum of hospital, clinic and community settings, coordinates resources and provides palliative nursing care. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Facilitates the coordination of patient care services to ensure timeliness and excellence in patient care including coordination of services, treatment and communication among the medical team. 3. *Facilitates development, implementation and adherence to clinical and evidence-based guidelines, as appropriate, to ensure optimal clinical outcomes. 4. *Identifies and addresses barriers to timely and appropriate diagnosis and treatment, connects patients with the appropriate healthcare and community resources. 5. *Builds therapeutic and trusting relationships with patients, families and caregivers through effective communication and listening skills. 6. *Provides anticipatory guidance, education and psychosocial support throughout the care continuum. 7. *Maintains patient records accurately, completely, timely and confidentially according to procedures. Documents patient encounters and provided services. 8. *Supports the continuity of care for optimal patient outcomes; performs telephone follow-up calls on patients post hospitalization and at regular intervals as appropriate. 9. Assists in the identification and reporting of quality issues and contributes to the performance improvement plan to assess and improve the quality and efficiency of the program including, but not limited to quality assessment, recommendations for program improvement and patient outcomes measures. 10. *Exhibits behaviors and actions which create a high level of patient/customer satisfaction, which contributes to positive patient/customer relations and which reflect respect for the patient's/customer's rights, needs and confidentiality. 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. ADDITIONAL JOB FUNCTIONS: 1. Coordinates patient and provider flow * Participates in developing structures and functions to support the palliative care team’s assignments and volumes * Prepares morning census accounting for patient changes and daily staffing * Attends MDR and contributes to patient discussions as appropriate * Creatively manages resources and staffing to triage consults and manage day to day clinical needs by facilitating communication with palliative care team members and referring providers or ancillary services * Implements triage parameters to meet immediate needs and facilitates an interdisciplinary approach to palliative care * Assists team members in coordinating services provided by palliative care and other health care team members * Provides clinical care within the RN scope of practice, documents assessments and reports moderate to distressing symptoms to palliative physicians/APPs * Participates in advance care planning discussions with patients and families and completes documentation (advance directives) * Communicates updated plans of care to referring providers and unit clinical teams and ensures follow through 2. Functions as a resource to patient care units and patient care staff regarding palliative care • Identifies learning needs of patient care staff and communicates these to nursing and program leadership • Provides education to patients and their families about palliative care, advance care planning, services available • Provides education to hospital staff as requested • Identifies and communicates opportunities for quality improvement to program leadership • Sees the big picture and uses systems thinking to understand the unintended consequences of decisions. • Sets appropriate priorities among competing demands. • Uses available information technology to support day-to-day work operations. 3. Focuses on the patient/family experience • Understands & sets and example of exemplary customer service. • Continuously builds customer understanding by listening to customers. • Anticipates customer needs, including those with different cultural needs and desires. • Takes action to meet and exceed the needs of all customer groups. • Continuously implements strategies to improve customer satisfaction. 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. BSN preferred. Minimal of three (3) years recent clinical experience required and ambulatory clinic 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. ADDITIONAL REQUIRED CREDENTIALS / CERTIFICATIONS: Hospice or Palliative care experience strongly preferred.
RN Pediatric Psych Full-time
Children's Nebraska

RN Behavioral Health / BH Inpatient

Job Description Schedule available for Inpatient BHWC: Weekend/Days - Fri/Sat/Sun - 36hrs (weekend incentive) Mon/Thur/Fri - Nights - 36hrs Saturday and Sunday - 3p-11:30pm - 16hrs (weekend incentive) casual At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. A Brief Overview Functions as a member of the interdisciplinary team. Primary responsibility to care for patients with behavioral health needs. Utilizes the nursing process in the delivery of comprehensive and developmentally appropriate care to high-risk behavioral patients and their families. Acts as a psychiatric resource for the team by providing clinical support, monitoring compliance with system policies, guidelines, documentation, and by maintaining a safe environment for patients with behavioral health needs. Responds to behavioral emergencies throughout the building and collaborates with the interdisciplinary team to ensure patient and staff safety. Is knowledgeable of the regulatory standards related to the care of hospitalized patients with behavioral health needs and ensures compliance with those standards. Essential Functions Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG's)/nursing diagnoses (ND's), or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission/Initial Assessment: Collects and documents data related to patient’s individualized care. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. Assesses patient/family need for education and uses an individualized approach in delivery style. Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission. Shift Assessment/Reassessment Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, Charge RN, family) as indicated Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs in collaboration with Behavioral Health Team. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. Utilizes individualized assessment data to develop the patient/family’s plan of care. Formulates goals and outcomes based on assessment data. Revises plan of care based on patient’s condition, interdisciplinary input, and family needs. Demonstrates ability to prioritize patient interventions based on assessments/reassessments Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (Charge Nurse, CNS/Educator, Director, MD, etc.) to ensure that clinical outcomes are achieved. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures. Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized careplan to accurately reflect the plan of care. Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc. Completes and verifies accurate order entry in the computerized careplan. Ensures that discharge instructions clearly state patient care needs after discharge. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence-based guidelines to globally assess the patient's situation Supports staff in providing a safe environment for patients with high-risk behaviors by inspecting rooms, proactively identifying potential safety hazards, and removing at-risk items. Delivers competent and skilled nursing care to patients and families according to their identified needs. Provides content expertise and education to staff caring for high-risk patients and assists staff in finding available resources related to behavioral health patients. Provides a just in time resource to nursing, administrative supervisors and physicians caring for high-risk behavioral patients. Assists staff in finding available resources related to behavioral health patients. Reviews documentation and orders in EPIC and collaborates with staff to ensure that the patient’s level of observation is appropriate, and documentation is accurate and complete. Identifies patient care concerns in real time and collaborates and escalates as needed to promote resolution. Provides education and facilitates learning for the patient care team related to constant visual observation guidelines and policies, therapeutic interactions, and patient safety. Assists with consistent application of guidelines and policies across the hospital. Identifies and presents opportunities for performance/quality improvement activities to improve clinical outcomes. Assists with patient de-escalation, provides physical intervention if needed, thorough and accurate documentation, and participates in the debriefing afterwards Audits Physical Intervention documentation and assists in collecting, inputting, and sharing data in real time Delivers care with a team-oriented approach, an emphasis on good customer relations, sound clinical judgment, and appropriate decision-making abilities that take into consideration evidence-based practice. Advocates for the patient, represents the concerns of the patient/family and identifies and assists in resolving concerns. Ensures that Patient Health Information (PHI) is protected and secured at all times. Adheres to all infection prevention initiatives (i.e., hand hygiene, proper disposal of waste, etc.) Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications 2 years of psychiatric nursing experience Preferred and Experience with pediatric patients Preferred and Previous experience with EPIC Preferred Skills And Abilities Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and Certification as a Psychiatric Mental Health Nurse (PMH-BC) after 2 years and/or 2000 mental health care hours Preferred Team members currently ineligible for advanced certification are strongly encouraged to pursue them upon eligibility. Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic.
RN Pediatric Psych Full-time
Children's Nebraska

RN Behavioral Health / BH Crisis Assessment

Job Description Schedule available for Crisis Assessment BHWC: Monday - Friday 3p-11:30pm - 40hrs Sat&Sun 3p-11:30pm - 16hrs casual At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. A Brief Overview Functions as a member of the interdisciplinary team. Primary responsibility to care for patients with behavioral health needs. Utilizes the nursing process in the delivery of comprehensive and developmentally appropriate care to high-risk behavioral patients and their families. Acts as a psychiatric resource for the team by providing clinical support, monitoring compliance with system policies, guidelines, documentation, and by maintaining a safe environment for patients with behavioral health needs. Responds to behavioral emergencies throughout the building and collaborates with the interdisciplinary team to ensure patient and staff safety. Is knowledgeable of the regulatory standards related to the care of hospitalized patients with behavioral health needs and ensures compliance with those standards. Essential Functions Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG's)/nursing diagnoses (ND's), or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission/Initial Assessment: Collects and documents data related to patient’s individualized care. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. Assesses patient/family need for education and uses an individualized approach in delivery style. Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission. Shift Assessment/Reassessment Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, Charge RN, family) as indicated Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs in collaboration with Behavioral Health Team. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. Utilizes individualized assessment data to develop the patient/family’s plan of care. Formulates goals and outcomes based on assessment data. Revises plan of care based on patient’s condition, interdisciplinary input, and family needs. Demonstrates ability to prioritize patient interventions based on assessments/reassessments Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (Charge Nurse, CNS/Educator, Director, MD, etc.) to ensure that clinical outcomes are achieved. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures. Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized careplan to accurately reflect the plan of care. Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc. Completes and verifies accurate order entry in the computerized careplan. Ensures that discharge instructions clearly state patient care needs after discharge. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence-based guidelines to globally assess the patient's situation Supports staff in providing a safe environment for patients with high-risk behaviors by inspecting rooms, proactively identifying potential safety hazards, and removing at-risk items. Delivers competent and skilled nursing care to patients and families according to their identified needs. Provides content expertise and education to staff caring for high-risk patients and assists staff in finding available resources related to behavioral health patients. Provides a just in time resource to nursing, administrative supervisors and physicians caring for high-risk behavioral patients. Assists staff in finding available resources related to behavioral health patients. Reviews documentation and orders in EPIC and collaborates with staff to ensure that the patient’s level of observation is appropriate, and documentation is accurate and complete. Identifies patient care concerns in real time and collaborates and escalates as needed to promote resolution. Provides education and facilitates learning for the patient care team related to constant visual observation guidelines and policies, therapeutic interactions, and patient safety. Assists with consistent application of guidelines and policies across the hospital. Identifies and presents opportunities for performance/quality improvement activities to improve clinical outcomes. Assists with patient de-escalation, provides physical intervention if needed, thorough and accurate documentation, and participates in the debriefing afterwards Audits Physical Intervention documentation and assists in collecting, inputting, and sharing data in real time Delivers care with a team-oriented approach, an emphasis on good customer relations, sound clinical judgment, and appropriate decision-making abilities that take into consideration evidence-based practice. Advocates for the patient, represents the concerns of the patient/family and identifies and assists in resolving concerns. Ensures that Patient Health Information (PHI) is protected and secured at all times. Adheres to all infection prevention initiatives (i.e., hand hygiene, proper disposal of waste, etc.) Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications 2 years of psychiatric nursing experience Preferred and Experience with pediatric patients Preferred and Previous experience with EPIC Preferred Skills And Abilities Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and Certification as a Psychiatric Mental Health Nurse (PMH-BC) after 2 years and/or 2000 mental health care hours Preferred Team members currently ineligible for advanced certification are strongly encouraged to pursue them upon eligibility. Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic.
RN PCU Full-time
Bryan Health

RN-PCU

Summary Provides direct and indirect patient care in the progressive care setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in the PCU department with adequate supervision. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the five (5) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. 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 liaison between administration, patients, physicians and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs bedside report on patients at shift change; this includes any handoff of patient care. Provides morning/evening cares which may include brushing teeth, showering/bathing patients, pericares, and denture care. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollment in a BSN program preferred. Current Registered Nurse licensure in the state of Nebraska. 1 year of experience on a Progressive Care Unit preferred. Current BLS certification. ACLS certification within 6 months of hire. NIH Stroke Scale certified within 6 months of hire.
RN Outpatient Full-time
Bryan Health

Clinic RN-Surgery Group of Grand Island

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 4. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 5. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, PA, NP). 6. *Assists the medical provider with all examinations and procedures. 7. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 8. *Schedules follow-up procedures/appointments and specialty appointments. 9. *Explains tests and preparation as needed for adequate patient education. 10. Monitors inventory of supplies and communicates information to Office Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. 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.
CommonSpirit Health

Labor & Delivery RN

Job Summary and Responsibilities As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes. To thrive in this vital role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career advancement. We are offering up to $10,000 Sign on Bonus and up to $10,000 in student loan repayment assistance to new hires who meet the following eligibility requirements. Follow the nursing process which includes: assess, plan, implement, and evaluate. The nursing process is an ongoing process that can end at any stage. Assessment - Demonstrates a systematic, dynamic way to collect and analyze the following healthcare consumer data including: psychological, physiological, sociocultural, spiritual, economic and lifestyle factors Plan – Sets measurable and achievable short and long term goals according to standards of care based on the assessment by the nurse in collaboration with the healthcare consumer and multidisciplinary team. Implement – Implements and/or modifies the plan of care using assessment data, clinical reasoning based upon standards of care and evidence based practice. This includes care coordination, education and discharge planning. The nurse is accountable for the care directly, indirectly or through delegation. Professional and legal standards for delegation must be followed. Evaluate – Uses a systematic ongoing process to evaluate progress towards identified healthcare consumer goals. Revision of plan of care when needed involving the healthcare consumer and the multidisciplinary team. Documents all phases of the nursing process in the healthcare consumer’s record. Job Requirements Required Graduate of an RN nursing program, upon hire Registered Nurse: NE, upon hire and Basic Life Support - CPR, upon hire and Neonatal Resuscitation Program, within 6 - months Where You'll Work CHI Health Lakeside is West Omaha's only full-service hospital. We believe that patient-focused care heals the body, mind, and spirit of every person. Our campus is designed for patients and sets the tone for a comfortable, less stressful hospital stay. As one of the most technologically advanced hospitals in the world, we provide a full range of services including: maternity, cancer and surgery care as well as diagnostics and emergency services.
Virginia Mason Franciscan Health

Labor & Delivery RN

Job Summary and Responsibilities As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes. To thrive in this vital role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career advancement. We are offering up to $10,000 Sign on Bonus and up to $10,000 in student loan repayment assistance to new hires who meet the following eligibility requirements. Follow the nursing process which includes: assess, plan, implement, and evaluate. The nursing process is an ongoing process that can end at any stage. Assessment - Demonstrates a systematic, dynamic way to collect and analyze the following healthcare consumer data including: psychological, physiological, sociocultural, spiritual, economic and lifestyle factors Plan – Sets measurable and achievable short and long term goals according to standards of care based on the assessment by the nurse in collaboration with the healthcare consumer and multidisciplinary team. Implement – Implements and/or modifies the plan of care using assessment data, clinical reasoning based upon standards of care and evidence based practice. This includes care coordination, education and discharge planning. The nurse is accountable for the care directly, indirectly or through delegation. Professional and legal standards for delegation must be followed. Evaluate – Uses a systematic ongoing process to evaluate progress towards identified healthcare consumer goals. Revision of plan of care when needed involving the healthcare consumer and the multidisciplinary team. Documents all phases of the nursing process in the healthcare consumer’s record. Job Requirements Required Graduate of an RN nursing program, upon hire Registered Nurse: NE, upon hire and Basic Life Support - CPR, upon hire and Neonatal Resuscitation Program, within 6 - months Where You'll Work CHI Health Lakeside is West Omaha's only full-service hospital. We believe that patient-focused care heals the body, mind, and spirit of every person. Our campus is designed for patients and sets the tone for a comfortable, less stressful hospital stay. As one of the most technologically advanced hospitals in the world, we provide a full range of services including: maternity, cancer and surgery care as well as diagnostics and emergency services.
RN ICU Full-time
CHI Health

RN ICU

Job Summary and Responsibilities As a Critical Care Nurse at Good Samaritan Hospital , now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, you’ll monitor patients who are critically ill and unstable following extensive injury, surgery, or life-threatening disease. You’ll clinically care for your patients, remain focused and attentive, and advocate for their best interests. Assesses, plans, and implements nursing care while ensuring patient comfort Anticipates, identifies, and responds to informational and emotional needs of patients and families Maintains knowledge of equipment setup, maintenance, and use (i.e., IV pumps, monitoring equipment, and drainage devices) Utilizes safeguards such as IV pump drug library and monitor alarms with necessary Initiates emergency support measures (i.e., cardiopulmonary resuscitation, protecting patient from injury) Assists with patient care duties/tasks (i.e., emptying drainage devices, ambulating, and hygiene) Incentives: up to $10,000 sign on bonus, up to $10,000 education assistance (must have graduated within 5 years) Nurse Residency offered for all New Graduates- https://www.chihealth.com/education/professional-training/nurse-residency Job Requirements Graduate of an accredited nursing program Current Registered Nurse (RN) license that allows you to practice in our state Basic Life Support (BLS) through American Heart Association required Advanced Cardiovascular Life Support ( ACLS) Required with 5 months of hire Pediatric Advanced Life Support (PALS) required within 5 months of hire Where You'll Work The ICU at CHI Health Good Samaritan is a 24 bed unit. We take care of any critical care patient and specialize in high acuity care. We strive to leverage technology and highly skilled nurses to allow our community and surrounding areas to receive health care close to home. Established by the Sisters of the St. Francis in 1924, CHI Health Good Samaritan is a 268-bed regional referral center in Kearney, Nebraska. At CHI Health Good Samaritan you’ll find an advanced level trauma center that also offers AirCare emergency helicopter transport and an ambulance program providing long distance and local 911 service. Among our many other services are cardiac care including open-heart surgery, a level II neonatal intensive care unit, a nationally accredited cancer center, comprehensive neurosurgery, advanced orthopedic program, and inpatient and outpatient mental health services at our free-standing Richard Young Behavioral Health facility.
RN PCU Full-time
CHI Health

RN PCU

Job Summary and Responsibilities As our PCU Nurse at Good Samaritan Hospital , now part of CommonSpirit Health formed between Catholic Health Initiatives and Dignity Health, you will help critically ill patients by providing exceptional care, monitoring and managing their conditions, and administering medications and treatments as prescribed by physicians. Collaborate with physicians and nursing team to devise and implement individualized care plans for patients. Administer medications, change dressings, monitor vital signs, and chart with timely documentation Educate patients and their families on prevention and healthy habits, while fostering a supportive and compassionate environment. Incentives: up to $15,000 sign on bonus, up to $10,000 education assistance (must have graduated within 5 years) Nurse Residency offered for all New Graduates- https://www.chihealth.com/education/professional-training/nurse-residency Job Requirements Graduate of an accredited nursing program Current Registered Nurse (RN) license that allows you to practice in our state Basic Life Support (BLS) required Advanced Cardiac Life Support ( ACLS) required within 5 months of hire Where You'll Work The PCU at CHI Health Good Samaritan is a 49 bed unit. We specialize in intermediate care. All patients have additional monitoring via telemetry. We strive to provide a level of care and highly skilled nurses that allow our community and surrounding areas to receive health care close to home. Established by the Sisters of the St. Francis in 1924, CHI Health Good Samaritan is a 268-bed regional referral center in Kearney, Nebraska. At CHI Health Good Samaritan you’ll find an advanced level trauma center that also offers AirCare emergency helicopter transport and an ambulance program providing long distance and local 911 service. Among our many other services are cardiac care including open-heart surgery, a level II neonatal intensive care unit, a nationally accredited cancer center, comprehensive neurosurgery, advanced orthopedic program, and inpatient and outpatient mental health services at our free-standing Richard Young Behavioral Health facility. #CHIMSRES22
CHI Health

Labor & Delivery RN

Job Summary and Responsibilities As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes. To thrive in this vital role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career advancement. We are offering up to $10,000 Sign on Bonus and up to $10,000 in student loan repayment assistance to new hires who meet the following eligibility requirements. Follow the nursing process which includes: assess, plan, implement, and evaluate. The nursing process is an ongoing process that can end at any stage. Assessment - Demonstrates a systematic, dynamic way to collect and analyze the following healthcare consumer data including: psychological, physiological, sociocultural, spiritual, economic and lifestyle factors Plan – Sets measurable and achievable short and long term goals according to standards of care based on the assessment by the nurse in collaboration with the healthcare consumer and multidisciplinary team. Implement – Implements and/or modifies the plan of care using assessment data, clinical reasoning based upon standards of care and evidence based practice. This includes care coordination, education and discharge planning. The nurse is accountable for the care directly, indirectly or through delegation. Professional and legal standards for delegation must be followed. Evaluate – Uses a systematic ongoing process to evaluate progress towards identified healthcare consumer goals. Revision of plan of care when needed involving the healthcare consumer and the multidisciplinary team. Documents all phases of the nursing process in the healthcare consumer’s record. Job Requirements Required Graduate of an RN nursing program, upon hire Registered Nurse: NE, upon hire and Basic Life Support - CPR, upon hire and Neonatal Resuscitation Program, within 6 - months Where You'll Work CHI Health Lakeside is West Omaha's only full-service hospital. We believe that patient-focused care heals the body, mind, and spirit of every person. Our campus is designed for patients and sets the tone for a comfortable, less stressful hospital stay. As one of the most technologically advanced hospitals in the world, we provide a full range of services including: maternity, cancer and surgery care as well as diagnostics and emergency services.
Dignity Health

Labor & Delivery RN

Job Summary and Responsibilities As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes. To thrive in this vital role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career advancement. We are offering up to $10,000 Sign on Bonus and up to $10,000 in student loan repayment assistance to new hires who meet the following eligibility requirements. Follow the nursing process which includes: assess, plan, implement, and evaluate. The nursing process is an ongoing process that can end at any stage. Assessment - Demonstrates a systematic, dynamic way to collect and analyze the following healthcare consumer data including: psychological, physiological, sociocultural, spiritual, economic and lifestyle factors Plan – Sets measurable and achievable short and long term goals according to standards of care based on the assessment by the nurse in collaboration with the healthcare consumer and multidisciplinary team. Implement – Implements and/or modifies the plan of care using assessment data, clinical reasoning based upon standards of care and evidence based practice. This includes care coordination, education and discharge planning. The nurse is accountable for the care directly, indirectly or through delegation. Professional and legal standards for delegation must be followed. Evaluate – Uses a systematic ongoing process to evaluate progress towards identified healthcare consumer goals. Revision of plan of care when needed involving the healthcare consumer and the multidisciplinary team. Documents all phases of the nursing process in the healthcare consumer’s record. Job Requirements Required Graduate of an RN nursing program, upon hire Registered Nurse: NE, upon hire and Basic Life Support - CPR, upon hire and Neonatal Resuscitation Program, within 6 - months Where You'll Work CHI Health Lakeside is West Omaha's only full-service hospital. We believe that patient-focused care heals the body, mind, and spirit of every person. Our campus is designed for patients and sets the tone for a comfortable, less stressful hospital stay. As one of the most technologically advanced hospitals in the world, we provide a full range of services including: maternity, cancer and surgery care as well as diagnostics and emergency services.
CHI Health

New Grad Residency RN Medical Surgical

Job Summary and Responsibilities To thrive in this role, you’ll heavily depend on your ability to multitask and react. You’ll clinically care for your patients- remaining focused and attentive as you continuously monitor your patients throughout your shift. You also serve as their advocate- supporting their best interests when they cannot. However, your sound judgment during an emergency and rapid response are impressive, putting you on the radar for advancement. Assesses, plans, and implements nursing care while ensuring patient comfort Anticipates, identifies, and responds to informational and emotional needs of patients and families Guides and directs healthcare personnel (i.e., CNAs) in caring for patients Maintains knowledge of equipment setup, maintenance, and use (i.e., IV pumps, monitoring equipment, and drainage devices) Utilizes safeguards such as IV pump drug library and monitor alarms with necessary Initiates emergency support measures (i.e., cardiopulmonary resuscitation, protecting patient from injury) Assists with patient care duties/tasks (i.e., emptying drainage devices, ambulating, and hygiene) Medical Surgical Oncology CHI Health St. Elizabeth is a 42 bed Med/Surg unit. We care for diverse populations and diagnoses including Orthopedic, Trauma, Spine and Neuro surgery, Surgical and Medical Oncology, pulmonary, renal, GI, and cardiac care. We have a rapidly growing oncology program and are committed to provide highly skilled care using the ONS curriculum and standards of practice. In addition, we provide post-surgical care with a focus on pain management, early mobilization, and patient and family centered education promoting excellent outcomes. Our care model emphasizes multidisciplinary teams for our patients including Physical Therapy, Occupational Therapy, Dietary, Nutrition, Palliative Care, and innovative nursing models to include LPN, C.N.A and RN teams. Compensation : Base rate + shift differential Incentives : up to $10,000 sign on bonus , up to $10,000 education assistance (must have graduated within 5 years) Tuition Reimbursement - $5,525 for full time and $2,750 for part time Nurse Residency offered for all New Graduates - https://www.chihealth.com/education/professional-training/nurse-residency Nurse Residency Cohorts: April 27th, 2026 July 20th, 2026 Job Requirements Current Registered Nurse (RN) license that allows you to practice in our state Graduate of an accredited nursing program Experience as a Registered Nurse preferred Basic Life Support (BLS) required Specialty certification (ex: PCCN, CCRN, CNOR, CEN) preferred Additional certification or licensure may be required for some specialty areas Join us at CHI Health St. Elizabeth and become a part of our faith-based health system. #NERN #MissionCritical Where You'll Work Your time at work should be fulfilling . Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities
RN Per Diem
Bryan Health

Staff RN

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.
Bryan Health

Clinic RN/LRT-Bryan Urgent Care -Seward

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential and caring manner. Coordinates the flow of patients, phone calls, lab work and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. Follows prescribed techniques for producing general and specific x-rays for diagnostic purposes. Follows direction given by Radiology Technologist. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 4. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 5. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, PA, NP). 6. *Assists the medical provider with all examinations and procedures. 7. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 8. *Schedules follow-up procedures/appointments and specialty appointments. 9. *Explains tests and preparation as needed for adequate patient education. 10. Monitors inventory of supplies and communicates information to Practice Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. * Prepares patient for x-ray, explains procedures to patient and/or family, and prepares room, equipment and materials as needed. 13. * Transmits x-ray images to radiology group for interpretation. 14. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 15. Participates in meetings, committees and department projects as assigned. 16. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Completion of accredited limited radiology technologist program required. Current registration with the State of Nebraska as a Limited Radiographer to perform Core, Chest, Extremities and Spine x-rays. 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.
RN Full-time
Bryan Health

Quality Outcomes Specialist RN

Summary GENERAL SUMMARY: Leverages advanced nursing experience to lead the analysis of clinical quality performance programs and metrics, identifying actionable insights aligned with organizational goals. Facilitates ongoing compliance with regulatory, accreditation, and voluntary quality programs. Collaborates with leaders at all levels, providers, staff, and quality improvement teams to utilize nursing clinical expertise, data insights, and evidence-based practice to improve care processes and achieve patient-centered outcomes. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Provides expertise in quality performance programs from CMS, commercial payers, accreditation organizations, and related entities. 3. *Facilitates accurate and timely clinical quality data submissions to external entities in collaboration with IT and Data Analytics. 4. *Conducts clinical medical record reviews, utilizing nursing expertise, for quality measure abstraction, coded adverse event review, and clinical documentation improvement opportunities. 5. *Retrieves, assembles, and analyzes quality data using available benchmarks, nursing clinical knowledge, basic statistics, and evidence-based references to identify trends and actionable insights. 6. *Develops and maintains effective data visualizations and reports according to governance standards, in collaboration with Data Analytics. 7. *Develops and leads presentations on quality programs and performance insights. 8. *Serves as a liaison with regulatory, accreditation, and related entities, maintaining professional relationships, communication, and effective data submission for all requirements. 9. *Facilitates regulatory and accreditation surveys; hosts surveyors (often nurses), coordinates the survey process, and collaborates with internal stakeholders to develop effective follow-up plans. 10. *Coordinates the internal regulatory/accreditation tracer and process audit program, specializing in acute care nursing; utilizing clinical expertise and an interdisciplinary team, to ensure survey-readiness. 11. *Monitors changes in regulatory and accreditation requirements, communicating and coordinating to ensure sustained compliance. 12. *Consults to align effective measures and contribute to teams and projects, improving clinical workflows, clinical documentation, regulatory compliance, and patient-centered outcomes. 13. Supports the development and maintenance of organizational policies, procedures, and related documents, aligned with accreditation and regulatory requirements, along with evidence-based practice. 14. Supports the development, implementation, and ongoing assessment of the Quality and Safety Plan, and Corporate Compliance Plan. 15. Provides coaching and education to cross-functional nursing and clinical quality roles to support their development and standardization of workflows. 16. Maintains professional growth and development in healthcare quality through courses, webinars, publications, coaching/mentoring, or professional affiliations. 17. Participates in meetings, committees/quality teams, and projects as assigned. 18. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”). REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Knowledge of anatomy, physiology, disease processes, and medical/pharmacological terminology. 2. Knowledge of hospital systems, medical records, coding principles, and reimbursement requirements. 3. Knowledge of regulatory, accreditation, and quality program standards. 4. Knowledge of operational excellence, standard metrics, and healthcare performance processes. 5. Knowledge of data governance, lifecycle management, and healthcare-related equipment, software, and tools. 6. Skill in quantitative and qualitative data collection, modeling, visualization, and analysis. 7. Skill in Microsoft 365 and job‑related software applications. 8. Skill in project management, change management, and facilitation of meetings, events, and shared decision‑making. 9. Skill in systematic, scientific improvement methods. 10. Skill in developing educational content, SOPs, reports, and data visualizations. 11. Ability to communicate effectively with diverse audiences and maintain strong working relationships. 12. Ability to prioritize multiple responsibilities and maintain confidentiality. 13. Ability to coach, mentor, and support colleagues. 14. Ability to adapt, learn, and perform effectively in rapidly changing environments. 15. Ability to interpret standards, validate measurement systems, and generate actionable insights from clinical and operational data. 16. Ability to manage interdisciplinary projects and complete accurate, timely submissions to external entities. 17. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Bachelor’s degree in Nursing, Health Information Management, Public Health, Healthcare Administration, or related field required. Current Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Minimum of five (5) years of progressive clinical experience in an acute care or comparable healthcare setting required. Clinical experience must include involvement in quality, patient safety, performance improvement, or regulatory activities. OTHER CREDENTIALS / CERTIFICATIONS: Certification relevant to quality, safety, accreditation, or performance improvement preferred. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time, but may involve walking or standing for brief periods of time.