RN Full-time
Bryan Health

RN-Mixed Acuity

Summary Provides direct and indirect patient care in the medical-surgical 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 all departments 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 six (6) 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 care which may include brushing teeth, showering/bathing patients, perineal care and denture care. Other duties per the discretion of the unit manager. 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. Current BLS certification. ACLS required with 6 months of hire. NIH Stroke Scale certified within 6 months of hire.
RN ER Full-time
Bryan Health

Staff RN - Emergency (West)

Summary SUMMARY The Emergency RN performs therapeutic nursing interventions consistent with the Emergency Department including: ACLS/PALS protocols; Arrhythmia detection and treatment; Airway management; Wound care; Pain management; Crisis intervention; Discharge planning/instructions; Stroke scale. Initiates appropriate Emergency Protocols. Manages the care of pediatric/adult patients with conditions common to the Emergency Department, including: Cardiac, respiratory distress, ENT, GYN, wound, orthopedic, and neurological emergencies; Trauma emergencies. Serves as preceptor, charge nurse, or triage nurse based on skill development and at the discretion of the manager. Serves as resource for student and orientees. Assists in the collection of data for medical screenings. Anticipates and intervenes to meet patient and family needs. Makes appropriate referrals to Care Management, ED Connections, Voices of Hope, etc. Assists the Sexual Assault Nurse Examiner in the care of the sexual assault patient. 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. ACLS, PALS, TNCC and ENPC required within first year of employment. Two (2) years' experience as a Registered Nurse recommended.
RN Full-time
Bryan Health

Scheduling Nurse-RN

Summary Responsible for facilitating access to Medical Center services. Utilizes effective communication and documentation with physicians, physician staff, health care facilities, patients and patient representatives to collect and analyze pertinent clinical data as related to the procedure(s) scheduled, intervening to prevent problems that could result in adverse patient outcomes or delayed/cancelled procedures. Provides exemplary customer service and interacts in a professional, courteous manner with co-workers, physicians, patients and the public. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs multi-resource appointment scheduling for inpatient/outpatient diagnostic and therapeutic services received from physician and/or physician staff. Obtains patient information including medical necessity/diagnosis, demographics, and pertinent clinical information as related to the procedure(s) scheduled. Collects and documents information beyond that listed in procedural questionnaire based on critical assessment of patient history. 3. *Integrates physical, mental and cultural considerations in scheduling of patient procedure(s), coordinating services to ensure the Medical Center is patient ready upon customer arrival. 4. *Collaborates with physician office staff to educate the patient/patient representative on preparation and understanding of scheduled procedure(s); clearly communicates instructions to patient and/or patient representative. 5. Provides recommendations and education to physician office staff commensurate with scope of practice in scheduling of procedure(s). 6. *Reviews and evaluates outpatient orders received from the physician and/or physician staff; uses clinical judgment /critical thinking to follow-up on appropriateness and completeness of physician orders as they relate to procedure(s) ordered. 7. *Receives and documents verbal physician orders. 8. Screens/determines appropriateness of level of care and admission status; notifies appropriate department(s) based on assessment of patient needs. 9. Enters order sets for procedures while coordinating with physician offices and performing departments. Reviews for accuracy to ensure all orders needed are entered and available. 10. Documents pre-certification/authorization/referral information when applicable. 11. *Prepares and provides patients with an estimate, if one is warranted, for their expected services. Collects and/or counsels on expected payment due. 12. *Keeps Patient Service Center and Scheduling Manager informed of issues related to procedures including but not limited to: necessary questionnaire revisions, updates related to departmental requests and need for new or revised procedure(s) build. 13. *Responsible for preceptoring and /or resourcing of peers. 14. *Assesses employee competencies and level of performance; cross trains employees into specialized areas and documents training. 15. Collaborates with management to plan and communicate changes to the work group. 16. *Serves as a liaison in building and maintaining professional relationships between physicians, physician office staff and other health care personnel. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Current Registered licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of three (3) years nursing experience required. Experience with hospital/health operations and general background in all areas of nursing practice preferred.
RN Full-time
Bryan Health

Scheduling Nurse-RN (12-hour shfits)

Summary Responsible for facilitating access to Medical Center services. Utilizes effective communication and documentation with physicians, physician staff, health care facilities, patients and patient representatives to collect and analyze pertinent clinical data as related to the procedure(s) scheduled, intervening to prevent problems that could result in adverse patient outcomes or delayed/cancelled procedures. Provides exemplary customer service and interacts in a professional, courteous manner with co-workers, physicians, patients and the public. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs multi-resource appointment scheduling for inpatient/outpatient diagnostic and therapeutic services received from physician and/or physician staff. Obtains patient information including medical necessity/diagnosis, demographics, and pertinent clinical information as related to the procedure(s) scheduled. Collects and documents information beyond that listed in procedural questionnaire based on critical assessment of patient history. 3. *Integrates physical, mental and cultural considerations in scheduling of patient procedure(s), coordinating services to ensure the Medical Center is patient ready upon customer arrival. 4. *Collaborates with physician office staff to educate the patient/patient representative on preparation and understanding of scheduled procedure(s); clearly communicates instructions to patient and/or patient representative. 5. Provides recommendations and education to physician office staff commensurate with scope of practice in scheduling of procedure(s). 6. *Reviews and evaluates outpatient orders received from the physician and/or physician staff; uses clinical judgment /critical thinking to follow-up on appropriateness and completeness of physician orders as they relate to procedure(s) ordered. 7. *Receives and documents verbal physician orders. 8. Screens/determines appropriateness of level of care and admission status; notifies appropriate department(s) based on assessment of patient needs. 9. Enters order sets for procedures while coordinating with physician offices and performing departments. Reviews for accuracy to ensure all orders needed are entered and available. 10. Documents pre-certification/authorization/referral information when applicable. 11. *Prepares and provides patients with an estimate, if one is warranted, for their expected services. Collects and/or counsels on expected payment due. 12. *Keeps Patient Service Center and Scheduling Manager informed of issues related to procedures including but not limited to: necessary questionnaire revisions, updates related to departmental requests and need for new or revised procedure(s) build. 13. *Responsible for preceptoring and /or resourcing of peers. 14. *Assesses employee competencies and level of performance; cross trains employees into specialized areas and documents training. 15. Collaborates with management to plan and communicate changes to the work group. 16. *Serves as a liaison in building and maintaining professional relationships between physicians, physician office staff and other health care personnel. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Current Registered licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of three (3) years nursing experience required. Experience with hospital/health operations and general background in all areas of nursing practice preferred.
LPN Full-time
Bryan Health

Scheduling Nurse-LPN (12 hours shifts)

Summary NOTE: This role will be working 12-hour shifts, with rotating weekends. This position will be Hybrid remote after the first 6 months of onboarding and training. Responsible for facilitating access to Medical Center services. Secures medical necessity/diagnosis and patient demographic and financial information from physicians, physician staff, health care facilities, patients and patient representatives. Collects and analyzes pertinent clinical data as related to the procedure(s) scheduled, intervening to prevent problems that could result in adverse patient outcomes or delated/cancelled procedures. Contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs multi-resource appointment scheduling for inpatient/outpatient diagnostic and therapeutic services received from physician and/or physician staff. Obtains patient information including medical necessity/diagnosis, demographics, and pertinent clinical information as related to the procedures scheduled. Collects and documents information beyond that listed in procedural questionnaire based on critical assessment of patient history. 3. *Integrates physical, mental and cultural considerations in scheduling of patient procedures, coordinating services to ensure the Medical Center is patient ready on customer arrival. 4. Educates patient/patient representative on preparation and understanding of procedures. 5. *Collaborates with physician office staff to educate the patient/patient representative on preparation and understanding of scheduled procedures; clearly communicates instructions to patient and/or patient representative. 6. Provides recommendations and education to physician office staff commensurate with scope of practice in scheduling of procedures. 7. *Reviews and evaluates outpatient orders received from the physician and/or physician staff; uses clinical judgment/critical thinking to follow-up on appropriateness and completeness of physician orders as they relate to procedures ordered. 8. *Receives and documents verbal physician orders. 9. Screens/determines appropriateness of level of care and admission status; notifies appropriate departments based on assessment of patient needs. 10. Documents pre-certification/authorization/referral information when applicable. 11. *Prepares and provides patients with an estimate, if one is warranted, for their expected services. Collects and/or counsels on expected payment due. 12. Keeps Patient Service Center and Scheduling Manager informed of issues related to procedures including but not limited to: necessary questionnaire revisions, updates related to departmental requests and need for new or revised procedures build. 13. *Serves as a liaison in building and maintaining professional relationships between physicians, physician office staff and other health care personnel. 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. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Licensed Practical Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of three (3) years medical/surgical experience to include extensive experience of hospital/health operations and general background in all areas of nursing practice required.
RN Outpatient Full-time
Bryan Health

Clinic RN-Bryan Neurology

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.
CMA Full-time
Bryan Health

Certified Medical Assistant-Bryan Neurology

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 care within the educational background of the Medical Assistant and in compliance with any applicable licensure/certification requirement and organization policy 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. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit and list of medications from patients and prepares patient for visit. 5. *Assists the medical provider with all examinations and procedures. 6. Schedules outpatient tests and procedures at hospitals by telephone in a timely manner; adheres to the referral process of the practice. 7. Schedules follow-up procedure/appointments and specialty appointments. 8. Updates patient demographics and immunization forms as needed. 9. Administers immunizations and medications as directed by medical provider. 10. Performs patient call processing as needed. 11. Performs audiometry, eye exams, EKG’s, and spirometry as assigned. 12. Assists with front desk duties as needed. 13. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 14. Participates in meetings, committees and department projects as assigned. 15. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Certification as a Certified Medical Assistant (CMA), Clinical Certified Medical Assistant (CCMA) or Registered Medical Assistant (RMA) required. Current listing on the Nebraska Medication Aide registry required. Graduation from a Medical Assistant (MA) program 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.
LPN Outpatient Full-time
Bryan Health

Medical Office LPN-Bryan Neurology

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. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit, allergies and list of medications from the patient and prepares patient for the visit. 5. *Assists the medical provider with all examinations and procedures. 6. *Schedules outpatient follow-up procedures/ appointments and specialty appointments. 7. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 8. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 9. *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, RN, PA, NP). 10. *Explains tests and preparation as needed for adequate patient education. 11. Monitors inventory of supplies and communicates information to Office Manager. 12. *Administers injections, vital signs, vision and auditory testing as delegated. 13. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska 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.
CMA Full-time
Bryan Health

Certified Medical Assistant- Bryan Breast Surg Specialists

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 care within the educational background of the Medical Assistant and in compliance with any applicable licensure/certification requirement and organization policy 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. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit and list of medications from patients and prepares patient for visit. 5. *Assists the medical provider with all examinations and procedures. 6. Schedules outpatient tests and procedures at hospitals by telephone in a timely manner; adheres to the referral process of the practice. 7. Schedules follow-up procedure/appointments and specialty appointments. 8. Updates patient demographics and immunization forms as needed. 9. Administers immunizations and medications as directed by medical provider. 10. Performs patient call processing as needed. 11. Performs audiometry, eye exams, EKG’s, and spirometry as assigned. 12. Assists with front desk duties as needed. 13. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 14. Participates in meetings, committees and department projects as assigned. 15. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Certification as a Certified Medical Assistant (CMA), Clinical Certified Medical Assistant (CCMA) or Registered Medical Assistant (RMA) required. Current listing on the Nebraska Medication Aide registry required. Graduation from a Medical Assistant (MA) program 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.
RN Wound Care Full-time
Bryan Health

KRMC Wound Care RN

Summary Responsible for the treatment and management of disorders affecting the gastrointestinal, genitourinary, and integumentary (digestive, urinary, skin) systems. The scope of care typically involves the treatment of ostomies, stomas, acute and chronic wounds, and urinary and fecal incontinence. Provides a multidisciplinary approach to treatment across a continuum of care and collaborates with members of the healthcare team to provide a comprehensive plan of care. Addresses the emotional and social issues that ostomies, stomas, acute and chronic wounds, and urinary and fecal incontinence present for the patient. This includes support, guidance, and counseling, plus support and education of the families. 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. Must be enrolled in an accredited Wound Treatment Associate (WTA) class approved by the supervisor within 6 months of hire and completed with WTA program within 12 months of hire. If certification has already been obtained, 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.
RN ICU Full-time
Bryan Health

Staff RN-Critical Care-ICU/CCU

Summary SUMMARY The Critical Care (Neuro/Trauma) RN manages the care of patients with conditions including: acute neurological insult/injury, respiratory failure, and multi-system failure/multi-system injury. Performs therapeutic nursing interventions consistent with the Critical Care Unit including: ACLS/PALS guidelines, dysrrhymia assessment and intervention, pre and postoperative care, airway and ventilator management, hemodynamic monitoring and vasoactive medication administration, monitoring of neurological devices and intervention, and management of post-transplant patients. 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. Experience in critical care is preferred.
RN Per Diem
Bryan Health

Staff RN-Sane-ED West

Summary SUMMARY The Staff RN - SANE (Sexual Assault Nurse Examiner) is responsible for completing sexual assault interviews and physical assessments. Communicates and collaborates with hospital personnel, advocacy and law enforcement representatives. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Collaborates with the assigned Emergency Department (ED) Staff RN to provide care to the sexual assault patient. *Completes sexual assault interviews and physical assessments according to procedure and as warranted by patient condition. *Conveys respect to and assures privacy, confidentiality and security for victims of assault. *Performs physical examinations including pelvic exams with colposcopic pictures; explains all aspects of the examination and care provided. *Collects forensic evidence while maintaining integrity and security of the assault evidence kit and collected specimens/samples in accordance with the State of Nebraska protocol and law. *Consults with the Emergency Department physician regarding findings; seeks direction for treatment of additional injuries (e.g. sutures). *Collaborates with members of Sexual Assault Response team member i.e., Advocacy and Law Enforcement; accesses crisis counselor/advocate. *Performs therapeutic nursing interventions including: Providing patient/family education and emotional support; Referring to supportive community agencies; and, Involving the patient in the treatment plan and decision-making. *Meticulously documents the findings and care provided including: physical and psychosocial assessment; identified patient needs and associated nursing interventions; patient’s response to interventions; and, discharge status. 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. Minimum of one (1) year clinical nursing experience required.Basic Life Support (CPR) certification required. Completion of SANE didactic and practicum education required.
RN Per Diem
Bryan Health

Staff RN-Sane-ED West

Summary SUMMARY The Staff RN - SANE (Sexual Assault Nurse Examiner) is responsible for completing sexual assault interviews and physical assessments. Communicates and collaborates with hospital personnel, advocacy and law enforcement representatives. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Collaborates with the assigned Emergency Department (ED) Staff RN to provide care to the sexual assault patient. *Completes sexual assault interviews and physical assessments according to procedure and as warranted by patient condition. *Conveys respect to and assures privacy, confidentiality and security for victims of assault. *Performs physical examinations including pelvic exams with colposcopic pictures; explains all aspects of the examination and care provided. *Collects forensic evidence while maintaining integrity and security of the assault evidence kit and collected specimens/samples in accordance with the State of Nebraska protocol and law. *Consults with the Emergency Department physician regarding findings; seeks direction for treatment of additional injuries (e.g. sutures). *Collaborates with members of Sexual Assault Response team member i.e., Advocacy and Law Enforcement; accesses crisis counselor/advocate. *Performs therapeutic nursing interventions including: Providing patient/family education and emotional support; Referring to supportive community agencies; and, Involving the patient in the treatment plan and decision-making. *Meticulously documents the findings and care provided including: physical and psychosocial assessment; identified patient needs and associated nursing interventions; patient’s response to interventions; and, discharge status. 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. Minimum of one (1) year clinical nursing experience required.Basic Life Support (CPR) certification required. Completion of SANE didactic and practicum education required.
RN Part-time
Bryan Health

Staff RN-Pulmonary Diagnostics

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.
RN Full-time
Bryan Health

GIRMC Staff RN-OR

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

Cardiovascular RN-Cardiac Admit & Discharge Unit

Summary GENERAL SUMMARY: Assists in pre- and post-procedure care for invasive and noninvasive cardiovascular procedures in accordance with hospital and department established procedures. Responsible for identifying patient needs and priorities for care through assessment, planning and delegating care based on patient needs, executing therapeutic physician – or nurse-initiated interventions, and evaluating the patient’s response to care and progress towards outcomes. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statues 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment based on the patient’s presenting problems or needs including collecting key information from patient, family, laboratory and other medical reports. Determines priorities for care with special consideration given to patient teaching and documents assessment, clinical judgments and related information according to Bryan Medical Center procedures. 3. *Works closely with other care providers to complete the initial and ongoing assessments of patients and to provide clinical assistance as needed; reprioritizes care based on new information. 4. *Performs therapeutic nursing interventions as ordered by the physician and consistent with standards of care and practice, nursing division policies and procedures, professional competencies, and with consideration given to risk management and infection control practices. 5. *Assists with performance of cardiovascular procedures under instruction of a physician. 6. *Administers medication according to procedure and/or direct orders of physician. 7. Schedules, coordinates and may perform outpatient/inpatient testing procedures. 8. Delegates work to other staff members as needed. 9. Performs therapeutic nursing interventions consistent with: a. Post-op/post-procedure recovery b. Arterial and venous sheath management c. Dysrhythmia assessment and intervention d. Pre-op/pre-procedure assessment and teaching e. Intraprocedure assessment and care. f. Cardiac stress testing, nuclear stress testing, stress echo cardiograms, cardiopulmonary stress testing and flight physicals. 10. *Documents care based on standards of care and practice and/or clinical priorities including: a. Assessment and ongoing assessment findings b. Updated clinical priorities c. Therapeutic interventions with attention to patient education d. Patient’s response to interventions and progress toward outcomes 11. *Performs discharge planning and teaching; determines the impact of interventions on the patient’s condition and recognizes the patient’s progress towards meeting desired outcomes. 12. Serves as a role model and mentor to students in the health professions. 13. Maintains a safe working environment. 14. *Initiates communication with peers and other members of the health care team about clinical priorities of care; reports on patient conditions as appropriate. 15. Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity and caring. 16. *Maintains professional relationships and conveys relevant information to other members of the health care team. 17. *Initiates problem-solving and conflict resolution skills to foster effective work relationship with peers. 18. *Provides direct care to patients as assigned based on patient acuity, needs and qualifications and competencies of self and of other staff members. 19. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 20. Participates in meetings, committees and department projects as assigned. 21. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for position including but not limited to age-specific competencies relative to patient’s growth and development needs. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to perform crucial conversations with desired outcomes. 6. Ability to supervise, provide instruction and evaluate the work of subordinate patient care staff. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to work in a fast-paced environment relevant to changing patient needs, including working with patients with acute, chronic and complex disease process, and those who are dying. 9. Ability to problem solve and engage independent critical thinking skills. 10. Ability to maintain confidentiality relevant to sensitive information. 11. Ability to prioritize work demands and work with minimal supervision. 12. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduation from a School of Nursing with current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) certification required or required within six (6) months of hire. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as medium work requiring exertion of 35 to 50 pounds of force occasionally, and/or 10 to 35 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects. Occasionally required to team lift and move patients who can be up to 420 pounds. Will be required to lift some heavy packages – up to 60 pounds. May stand for long periods up to 7.5 hours during regular shift. Potentially severe hazards, as may be exposed to communicable diseases, radiation and chemicals. May be subjected to disagreeable odors on a regular basis. Will be subjected to potentially stressful conditions involving critically ill patients and the interpersonal relationships of coworkers. OSHA Blood borne Pathogen Exposure Category I – will be required to practice Universal Precautions. May be subjected to the behaviors of combative or confused patients. Regular exposure to latex.
RN ICU Med-Surg Full-time
Bryan Health

Staff RN-Med/Surg-Critical Care-4E/4N-Cardiac Unit

Summary The Cardiac Care RN manages the care of patients with acute and chronic cardiovascular disease, acute and chronic respiratory failure, multi-system failure or trauma, neurological impairment and cardiac diagnostic and invasive procedures, renal impairment or failure. 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. Experience in a PCU/ICU is preferred. ACLS. ECCO, ECG monitoring, and PCU Hemodynamic monitoring within 1 year of assignment.
RN Pediatric Full-time
Bryan Health

Staff RN-Womens and Children

Summary GENERAL 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. PRINCIPAL JOB FUNCTIONS: *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. 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. Prior Labor & Delivery, Nursery, and/or Postpartum experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) and NRP certification required.
RN Part-time
Bryan Health

BH Mechanical Circulatory Support RN Coordinator

Summary GENERAL SUMMARY: Responsible for coordinating comprehensive, specialized care for advanced heart failure patients who are candidates for ventricular assist device (VAD) therapy and following VAD implantation. Essential in day-to-day functionality of the program, with primary job roles including scheduling, education and regulatory compliance. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Collaborates in the development, implementation and maintenance for all aspects of VAD (MCS) patient care with physicians and a multidisciplinary team, in collaboration with the MCS Advanced Practice Provider(s) or Program Coordinator. 3. *Coordinates and assists in the management of the care of high-risk patient populations throughout the continuum; including but not limited to, evaluations, treatments and follow-up care, in collaboration with the MCS Advanced Practice Provider(s) or Program Coordinator. 4. *Responsible for tracking patient data and aftercare for all VAD patients, in collaboration with (or absence of) the MCS Advanced Practice Provider(s) or Program Coordinator. 5. *Responsible for coordinating and scheduling all appointments for the program, including standard follow up appointments with labs, echocardiography, APP appointments and VAD physician appointments, as well as any urgent appointments or outpatient studies needed. 6. *Responsible for assisting in coordination of the Joint Commission disease specific certification process and visits, in collaboration with (or absence of) the MCS Advanced Practice Provider(s) or Program Coordinator. 7. Facilitates interaction between our partnership and the chosen transplant center, in collaboration with (or absence of) the MCS Advanced Practice Provider(s) or Program Coordinator. 8. *Ensures compliance with the worldwide INTERMACS registry, in collaboration with (or absence of) the MCS Advanced Practice Provider(s) or Program Coordinator. 9. *Works closely with the VAD surgeons, heart failure cardiologists and the MCS Advanced Practice Provider(s) or Program Coordinator to advance the program’s interest throughout the region Bryan Heart serves. 10. Organizes and leads heart failure patient selection conferences in conjunction with our transplant center partnership to evaluate new patients and follow-up on prior patients, in collaboration with (or absence of) the MCS Advanced Practice Provider(s) or Program Coordinator. 11. *Maintains Regulatory Compliance with the Joint Commission, INTERMACS and the FDA to keep program in good standing. 12. Maintains day-to-day VAD equipment management, both capital and reusable equipment, including maintaining accurate records in Thoratec Connect equipment management program. 13. *Maintains role of Nurse Educator/Navigator for all inpatient and outpatient patient VAD education. 14. *Maintains role of Nurse Educator/Navigator for hospital wide VAD education and competency, with ongoing documentation and communication to nursing leaders. 15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 16. Participates in meetings, committees and department projects as assigned. 17. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Knowledge of professional nursing theory, regulations and practices in giving and evaluating patient care. 4. Knowledge of medical clinic safety hazards and precautions. 5. Knowledge of medications and their possible effects on patients. 6. Knowledge of corporate compliance plan. 7. Skill in applying current principles, methods and techniques of professional nursing in the use of a variety of medications and treatments to provide quality care. 8. Skill in organizing and prioritizing work. 9. Skill in identifying problems and recommending solutions. 10. Skill in preparing/maintaining records, writing reports and responding to phone calls and correspondence. 11. Ability to communicate effectively both verbally and in writing. 12. Ability to perform crucial conversations with desired outcomes. 13. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 14. Ability to problem solve and engage independent critical thinking skills. 15. Ability to maintain confidentiality relevant to sensitive information. 16. Ability to prioritize work demands and work with minimal supervision. 17. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Registered Nurse (RN) license issued by the Nebraska Board of Nursing is required. Two (2) years of experience in acute care or with advanced heart failure care is required. Prior VAD experience preferred. Active membership with International Society for Heart and Lung Transplantation (ISHLT) or other MCS related national group desired. Ventricular Assist Device Certification (VAD-C ™) required following one (1) year of employment and experience.
RN Temporary
Bryan Health

Staff RN

Summary GENERAL 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. 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 age-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 or significant others 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 conjunction 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. 17. Performs other related duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to age-specific competencies relative to patient’s growth and developmental needs and annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Ability to communicate effectively both orally and in writing. 4. Ability to supervise, provide instruction and evaluate the work of subordinate patient care staff. 5. Ability to maintain confidentiality of patient information. 6. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 7. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 8. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or up to 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)
RN CVICU Full-time
Bryan Health

Staff RN-CVICU

Summary SUMMARY The Critical Care (CVICU) RN manages the care of patients with conditions including: acute cardiovascular disease, respiratory failure, and multi-system failure. Performs therapeutic nursing interventions consistent with the Critical Care Unit including: ACLS/PALS guidelines, dysrhythmia assessment and intervention, pre and postoperative of a patient undergoing cardiac bypass and thoracic surgery, airway and ventilator management, hemodynamic monitoring, vasoactive medication administration, and management of cardiac assistive devices including LVAD's. 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. Experience in an ICU/CVICU is preferred. ECCO, ACLS, ECG, and Hemodynamic monitoring within 6 months of hire.
RN Med-Surg Full-time
Bryan Health

Staff RN-Med/Surg/Orthopedic/Trauma

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 ICU Med-Surg Full-time
Bryan Health

Staff RN-Med/Surg-Critical Care-Observation Unit

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 Part-time
Bryan Health

Staff RN

Summary Provides direct patient care to pediatric through geriatric patient populations. Assesses, plans, implements and evaluates the care of patients undergoing endoscopic procedures. Communicates with physicians and/or anesthesia providers continuously and as needed about patient condition. Assists with procedures. Assists with maintaining equipment and inventory. Participates in performance improvement and CQI activities Coordinates and supervises patient care. Demonstrates ability to perform head-to-toe preprocedure assessment on all patients and reassesses intraprocedure and post procedure as needed. 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. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Electronic documentation meets current standards and policies. Demonstrates ability to formulate an individualized plan of care as indicated and evaluates for effectiveness. Demonstrates an ability to assist physicians in performing procedures in the Endoscopy Department. Demonstrates knowledge of medications and IV fluids and their correct administration based on age of the patient and patient’s clinical condition. Follows the five (5) medication rights and reduces the potential for medication errors. Formulates a teaching plan based on identified patient learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate, from pre-op to discharge. Provides patient with explanation and verbal reassurance consistently. Identifies physical symptoms and changes and takes appropriate action in a timely manner. Ensures Pre-op Checklist is complete (H&P present, informed consent signed, test results present, surgical site identified, etc.) before the endoscopy procedure begins. Demonstrates knowledge in all areas of care specific to the Endoscopy Department Demonstrates knowledge of cardiac monitoring and can identify dysrhythmias. Makes decisions reflecting knowledge of facts, knowledge of diseases/conditions, care required and good judgment. Treats patients and their families with respect and dignity. Practices good guest relations. Identifies and addresses psychosocial needs of patient and family. Communicates appropriately with nurse manager, charge RN, coworkers and physicians. Consults other departments, as needed and as appropriate, to provide for an interdisciplinary approach to the patient’s needs. Demonstrates ability to be flexible, organized and function under stressful situations. Utilizes initiative, strives to maintain a steady level of productivity; self starter, compatible and supportive; a team player. Manages and operates equipment safely and correctly. Meets current documentation standards and policies and completes within the shift. Carries out medical and surgical asepsis during treatments and special procedures. Maintains an environment that provides the patient and family with feelings of safety and security. Assists with orienting new staff members to the department. Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollement in a BSN program preferred. Current Registered Nurse licensure in the State of Nebraska. Current BLS Certification. Current ACLS Certification. Two (2) years of experience in nursing preferred. At least one (1) year of experience in endoscopy preferred.
RN PCU Full-time
Bryan Health

Staff RN - Neuro/PCU-Neuroscience

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. 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. NOTE: See Staff RN – Addendum A for any additional credentials and certifications required for practice area.