LPN Full-time
Bryan Health

GIRMC Staff LPN

apartment Bryan Health location_on
Summary GENERAL SUMMARY: At the direction of the Registered Nurse (RN) and/or Licensed Practitioners, the Staff Licensed Practical Nurse (LPN) contributes to meeting patient's priority needs by assessing and participating in interdisciplinary care planning, providing delegated care and timely communication of the patient's response. Contributes to an efficient and effective work environment through activities including professional communication and documentation. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Contributes to the assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. 3. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. 4. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions under the direction of the RN. 6. *As directed by the RN, provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Participates in the evaluation of the patient's response to and effectiveness of interventions. 8. *Incorporates cultural considerations into the plan/delivery of care as directed by the RN. 9. *Includes family or significant others in the care of the patient as appropriate. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Enters patient care orders into the computer accurately and consistently according to policy and procedure. 12. *Provides care in conjunction with other members of the interdisciplinary team. 13. *Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 14. *Contributes to the patient's transition to the next level of care. 15. *Assumes responsibility in a shared or delegated assignment and supports team member's practices through timely communication. 16. *Serves as a role model to colleagues, students and other care providers. 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. 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 perform crucial conversations with desired outcomes. 6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 7. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduation from a School of Practical Nursing with current 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.
RN Outpatient Full-time
Bryan Health

GIRMC Staff RN-Outpatient

apartment Bryan Health location_on
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. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 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 delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. 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. 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.
CMA Urgent Care Full-time
Bryan Health

Certified Medical Assistant-Bryan Urgent Care - LifePointe

apartment Bryan Health location_onLincoln, NE
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 Outpatient Urgent Care Full-time
Bryan Health

Clinic RN- Bryan Urgent Care -Seward

apartment Bryan Health location_onSeward, NE
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.
LPN Outpatient Full-time
Bryan Health

BPN Medical Office LPN

apartment Bryan Health location_onLincoln, NE
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.
RN Full-time
Bryan Health

RN-Mixed Acuity

apartment Bryan Health location_on
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 Part-time
Bryan Health

RN-General Care Unit

apartment Bryan Health location_on
Summary Provides direct and indirect patient care in the Medical/Surgical setting. Communicates with physicians, leadership, and co-workers, as appropriate, about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Responds quickly and accurately to changes in condition or response to treatment. Performs general nursing duties in all departments with adequate supervision. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Graduate of an accredited school of nursing required. BSN or current enrollment in BSN program preferred. 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. National Institutes of Health (NIH) Stroke Scale certification required within 6 months of hire. For those working in a charge role: Pediatric Advanced Life Support (PALS) certification required within 90 days of hire. For those working in a charge role: Advanced Cardiac Life Support (ACLS) certification required within 90 days of hire.
RN Full-time
Bryan Health

Cath Lab RN

apartment Bryan Health location_on
Summary Provides direct, safe, competent and quality patient care in the Interventional Cardiology & Radiology department (also known as Cath Lab). Supports the medical care of patients requiring various invasive cardiac, peripheral vascular or interventional radiology diagnostic and therapeutic procedures. Sustains a high level of patient care by communication with the patients, families, physicians and co-works to address the physical, general and psychosocial needs of the patient. Approaches the patient, and families, in a kind, gentle and friendly manner. Communicates in a positive manner and is able to alleviate apprehension through effective pre and post procedure instructions. Appropriate communication with physicians, co-workers and other hospital departments to manage and expedite safe and appropriate care of the patient. Provides complete and appropriate hand-off report to the receiving staff post procedure. Maintains patient confidentiality at all times. Ensures Pre-Op requirements are complete per hospital policy. (H& P present, informed consent signed, appropriate test results available, access site identified and prepared) Demonstrates the ability to assess cardiopulmonary and cardiovascular systems pre, intra and post procedure. Is able to recognize, evaluate and record hemodynamics, pressure wave forms and EKG wave forms. Identifies and updates the cardiologist of any adverse physiologic changes during the procedure and is prepared to take appropriate actions in a timely manner. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques and medications. Demonstrates knowledge of cardiac, emergency, anxiolytic, analgesic, anticoagulation, antiplatelet and thrombolytic drugs and IV fluids. Carries out appropriate administration per hospital policy. Maintains hemostasis of a vessel post procedure using a compression device or manual compression. Recognizes potential problems associated with access sites and takes appropriate corrective actions if indicated. Care and assessment of the patient is clearly documented. Assumes responsibility for the completeness, accuracy and validity of the Medical Record during the time of care until hand off to the receiving unit. Adheres to sterile and aseptic techniques and practices in all procedures. Demonstrates competence in preparing and cleaning of Cath Lab suites before and between cases. Performs set-up and calibration of various equipment in the cath lab. Ensures equipment is properly maintained. Alerts the manager &/or the Biomed department of any equipment malfunction immediately and fills out appropriate work orders. Assists cardiologist during procedures by operating ancillary equipment, anticipating and obtaining catheters, wires and other necessary inventory and medications as ordered. Assists and collaborates with Pharmacy staff in the maintenance and proper storage of medications. Assists and collaborates with the Supply Chain department in the restocking of supplies and assists in notifying the Manager or responsible personnel of shortages. Assists with the appropriate maintenance of digital images, department logs and other case information after a procedure. If cross-trained, functions as a scrub assistant to the cardiologist. Using the principles of sterile technique, aids in the technical performance of the diagnostic and interventional procedures in the cath lab, or at the bedside for emergent procedures as needed. In the absence of the Manager, demonstrates the ability to make decisions to guarantee the appropriate care and safety of the patient. Assists with Process Improvement and Quality Improvement activities as assigned. Recognizes occurrences and files the appropriate forms with Risk Management. Attends required in-services, education and unit meetings. Maintains an annual 75% attendance record. Maintains current BLS and ACLS certifications. Takes responsibility to assess own learning needs to enhance personal and professional growth Overall commitment to scheduling flexibility, including voluntary time off during low volume schedules and overtime during high volume schedules. Takes Call, as scheduled, and consistently responds within the 30-minute response time. Maintains regulatory requirements and complies with all organizational policies. Qualifications: Graduate of an accredited school of nursing Current Registered Nurse licensure in the State of Nebraska Current BLS certification Current ACLS certification, or certification within six months of employment 1 year of critical care experience preferred Current Registered Cardiovascular Invasive Specialist (RCIS) certification preferred Staff hired specifically for a scrub role, will complete RCIS certification within 6 months of their start date (or within 1 year, if no prior experience in invasive cardiovascular technology)
CNA Full-time
Bryan Health

Certified Nursing Assistant-Prairie Center Internal Medicine

apartment Bryan Health location_on
Summary GENERAL SUMMARY: Accompanies 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 Certified Nursing Assistant (CNA) and in compliance with any applicable licensure/certification requirement and organization policy and procedures. Responsible for serving on the ambulatory care team for an assigned area including direct patient care as an unlicensed professional and under the direct supervision of a Registered Nurse (RN), Physician or APP. Incorporates the primary job functions of a certified nursing assistant (CNA) and other duties related to the care of patients, dependent upon the work area and/or patient populations to which they are assigned. Reports to BPN Practice Manager. Employees holding nursing licensure will be held accountable to Nebraska nursing licensure requirements, and must maintain licensure or an active Nebraska CNA. 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, height and weight and prepares patient for visit. 5. *Assists the medical provider with examinations and procedures under the direction of the medical provider or Registered Nurse. 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. Performs patient call processing as needed. 10. Assists with front desk duties as needed. 11. *Recognizes and reacts to emergency procedures per role and policies/procedures. 12. *Answers telephones and assigned communication devices as appropriate and relays information as necessary. Refers all physician/advanced practice provider telephone orders to a licensed professional. 13. *Assists with patient care that is consistent with standards of care and clinical priorities determined by the RN, physician or APP with the nature of the clinic, BPN policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices. 14. *Performs and documents routine direct nursing care tasks according to identified age-specific needs. 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. EDUCATION AND EXPERIENCE: High School diploma or equivalency required . Active Nebraska Certified Nursing Assistant (CNA) credential required. Six (6) months CNA 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.
RN ER Full-time
Bryan Health

Staff RN - Emergency (West)

apartment Bryan Health location_on
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

GIRMC Cath Lab/IR RN | NEW! Lifestyle Call

apartment Bryan Health location_onGrand Island, NE
Summary GENERAL SUMMARY: Responsible for identifying patient needs and priorities for care through assessment and planning based on patient needs, and consistent with the patient’s expectation of treatment. Executes therapeutic physician or nursing-initiated interventions and evaluates the patient’s response to care and the attainment progress toward patient outcomes. Assists in all procedures performed in the Invasive Cardiology and Interventional Radiology Labs. Through documentation and verbal communication, coordinates care between other professional disciplines as needed. Performs unit-based activities which contribute to a positive work and professional environment. 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 and the physician’s medical diagnosis including collecting key information from patient, laboratory and other medical reports, determining which standards of care and practice apply to the patients situation and documenting assessment and 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; re-prioritizes care based on new information. 4. *Performs therapeutic interventions as ordered by the physician with consideration given to knowledge gained from the initial and ongoing assessment of the patient and consistent with population specific standards of care and practice, Invasive Cardiology procedures, Interventional Radiology procedures, demonstrated competencies and with consideration given to risk management and infection control practices. 5. Assembles, operates and troubleshoots equipment needed for various procedures in the Invasive Cardiology Lab and Interventional Radiology Lab; takes appropriate action where needed. 6. Assists in performance of procedures under instruction of the physician. 7. Administers medication according to policy and procedure and/or direct orders of physician. 8. *Documents care based on standards of care and practice and/or clinical priorities for documentation including: assessment and ongoing assessment findings; updated clinical priorities for documentation; and therapeutic nursing interventions with specific attention to patient teaching and patient’s response to interventions and progress towards outcomes noted. 9. *Initiates communication with peers and other members of the health care team about clinical priorities for care. 10. *Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers. 11. Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity and caring. 12. Delegates work to other staff members as needed. 13. *Determines the impact of Cath Lab and Interventional Radiology lab and nursing interventions on the patient’s condition and recognizes the patient’s progress towards meeting desires outcomes. 14. Places intravenous catheters, midlines and peripherally inserted central catheters as assigned; maintains training and competency validation. 15. *Provides direct care to patients as assigned based on caseload acuity, needs and the qualifications and competencies of self and of other staff members. 16. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 17. Participates in meetings, committees and department projects as assigned. 18. 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 computer hardware equipment and software applications relevant to work functions. 3. Knowledge of federal and state regulations related to nursing applications and relative practice area. 4. Knowledge of radiology procedures, equipment and safety protocols. 5. Ability to delegate work, provide instruction and mentor other patient care staff and students. 6. 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. 7. Ability to communicate effectively both verbally and in writing. 8. Ability to perform crucial conversations with desired outcomes. 9. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 10. Ability to problem solve and engage independent critical thinking skills. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to prioritize work demands and work with minimal supervision. 13. 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. Minimum of one (1) year experience as a Critical Care or Medical/Surgical nurse or equivalent required. Previous experience in hemodynamic monitoring skills and ECG interpretative skills preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) certification or certification within six (6) months of hire required.
RN ICU Full-time
Bryan Health

Staff RN-Neuro/Trauma ICU

apartment Bryan Health location_onLincoln, NE
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 ICU Med-Surg Full-time
Bryan Health

Staff RN-Med/Surg-Critical Care-W 5 South-Medical/Surgical

apartment Bryan Health location_on
Summary
RN OB/GYN Full-time
Bryan Health

RN-Maternity

apartment Bryan Health location_onKearney, NE
Summary Provides direct and indirect patient care in the maternity services department including labor, delivery, postpartum, triage and NICU. Communicates with physicians/Nurse Manager/charge nurse/co-workers, as appropriate about changes in patient’s clinical condition. Is able to respond quickly and accurately to changes in condition. Additionally, is able to perform general nursing duties in all Maternity Care departments. Primarily caring for the following patients: antepartum, laboring, delivery, cesarean, (including circulating), recovery, postpartum mother/baby care, newborn admissions, and triage. Ability to float to NICU as needed, taking care of NICU patients assigned appropriately. Is flexible and able to change assignments easily as admissions and deliveries occur. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: antepartum, postpartum, and newborns. 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. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Demonstrates knowledge in fetal heart monitoring principles and practices. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Communicates appropriately and clearly to Nurse Manager, co-workers and physicians. Maintains a good working relationship both within the department and with other departments. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Documentation meets current standards and policies. Manages and operates equipment safely and correctly. Coordinates and supervises patient care as necessary. Demonstrates an ability to be flexible, organized and function under stressful situations. Ability to use basic computer skills for charting and communication. Education/Experience: Graduate of an accredited school of nursing. Current Nebraska Registered Nurse Licensure. Current BLS certification. Current ACLS and NRP certification: or will obtain within 6 months of hire. Has attended a Fetal Monitoring course within the last 2 years or will within 6 months of hire. Currently have Fetal Monitoring or Inpatient OB Certification or obtain within 2 years of hire.
RN Full-time
Bryan Health

GIRMC Cath Lab/IR RN

apartment Bryan Health location_onGrand Island, NE
Summary GENERAL SUMMARY: Responsible for identifying patient needs and priorities for care through assessment and planning based on patient needs, and consistent with the patient’s expectation of treatment. Executes therapeutic physician or nursing-initiated interventions and evaluates the patient’s response to care and the attainment progress toward patient outcomes. Assists in all procedures performed in the Invasive Cardiology and Interventional Radiology Labs. Through documentation and verbal communication, coordinates care between other professional disciplines as needed. Performs unit-based activities which contribute to a positive work and professional environment. 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 and the physician’s medical diagnosis including collecting key information from patient, laboratory and other medical reports, determining which standards of care and practice apply to the patients situation and documenting assessment and 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; re-prioritizes care based on new information. 4. *Performs therapeutic interventions as ordered by the physician with consideration given to knowledge gained from the initial and ongoing assessment of the patient and consistent with population specific standards of care and practice, Invasive Cardiology procedures, Interventional Radiology procedures, demonstrated competencies and with consideration given to risk management and infection control practices. 5. Assembles, operates and troubleshoots equipment needed for various procedures in the Invasive Cardiology Lab and Interventional Radiology Lab; takes appropriate action where needed. 6. Assists in performance of procedures under instruction of the physician. 7. Administers medication according to policy and procedure and/or direct orders of physician. 8. *Documents care based on standards of care and practice and/or clinical priorities for documentation including: assessment and ongoing assessment findings; updated clinical priorities for documentation; and therapeutic nursing interventions with specific attention to patient teaching and patient’s response to interventions and progress towards outcomes noted. 9. *Initiates communication with peers and other members of the health care team about clinical priorities for care. 10. *Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers. 11. Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity and caring. 12. Delegates work to other staff members as needed. 13. *Determines the impact of Cath Lab and Interventional Radiology lab and nursing interventions on the patient’s condition and recognizes the patient’s progress towards meeting desires outcomes. 14. Places intravenous catheters, midlines and peripherally inserted central catheters as assigned; maintains training and competency validation. 15. *Provides direct care to patients as assigned based on caseload acuity, needs and the qualifications and competencies of self and of other staff members. 16. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 17. Participates in meetings, committees and department projects as assigned. 18. 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 computer hardware equipment and software applications relevant to work functions. 3. Knowledge of federal and state regulations related to nursing applications and relative practice area. 4. Knowledge of radiology procedures, equipment and safety protocols. 5. Ability to delegate work, provide instruction and mentor other patient care staff and students. 6. 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. 7. Ability to communicate effectively both verbally and in writing. 8. Ability to perform crucial conversations with desired outcomes. 9. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 10. Ability to problem solve and engage independent critical thinking skills. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to prioritize work demands and work with minimal supervision. 13. 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. Minimum of one (1) year experience as a Critical Care or Medical/Surgical nurse or equivalent required. Previous experience in hemodynamic monitoring skills and ECG interpretative skills preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) certification or certification within six (6) months of hire required.
RN Outpatient Part-time
Bryan Health

Clinic RN-Family Medicine of Lincoln

apartment Bryan Health location_onLincoln, NE
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.
RN Full-time
Bryan Health

Staff RN-Float

apartment Bryan Health location_onKearney, NE
Summary Responsible for all aspects of direct patient care while maintaining high performance level in quality, service, critical nursing skills and critical thinking. Provides leadership by delegating and working cooperatively and collaboratively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice and professional nursing performance in the clinical setting. 1. *Commits to the KRMC mission, vision, values and goals and consistently demonstrates our core values. 2. *Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. 3. *Follows the five (5) medication rights and reduces the potential for medication errors. 4. *Monitors the hemodynamic status of patient and correctly interpret the results. 5. *Performs a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, geriatric and the general patient population. 6. *Adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. 7. *Formulates an individualized plan of care, revises plan as indicated quickly and accurately by the patient’s response to treatment and evaluates overall plan daily for effectiveness. 8. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. 9. Identifies the need to involve other disciplines in the patients care. 10. Abilit to perform at maximum efficiency without compromising quality care. 11. Participates in guidance and educational programs. 12. Maintains an awareness of legal aspects of nursing, including accurate and timely documentation according to standards. 13. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. 14. Assists physicians with procedures as appropriate. 15. Monitors coworkers and voices concerns in a constructive manner to minimize errors. 16. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as a liaison between administration, patients, physicians, and other healthcare providers. 17. Maintains a good working relationship with all departments. 18. Meets current standards and policies for documentation. 19. Participates in performance improvement activities and/or committees. 20. Assists in orientation and/or acts as a preceptor for new personnel. 21. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 22. Participates in meetings, committees and department projects as assigned. 23. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Graduate of an accredited school of nursing required. BSN or current enrollment in BSN program preferred. Minimum of two (2) years of recent experience in a clinical care, acute care setting preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) certification required within six (6) months of hire. Pediatric Advanced Life Support (PALS) certification required within six (6) months of hire. National Institutes of Health (NIH) Stroke Scale certification required within 6 months of hire.
CNA Part-time
Bryan Health

Certified Nursing Assistant

apartment Bryan Health location_onKearney, NE
Summary Provides direct and indirect patient care under the direction of a Registered Nurse (RN) or physician. Assists patients with activities of daily living (ADLs), provides for personal care and emotional support and performs more complex clinical skills under the direction of an RN. Provides secretarial functions as needed for unit to function. 1. *Commits to the KRMC mission, vision, values and goals and consistently demonstrates our core values. 2. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. 3. *Recognizes and reacts to emergency procedures per role and policies/procedures. 4. *Performs and documents routine direct nursing care tasks according to identified age-specific needs. 5. *Provides care appropriate to condition and age of patient, including pediatric, geriatric, and the general patient population. 6. *Provides patient care that meets the psychosocial and physical needs of the patient within the CNA's scope of practice. 7. Assists with patient admissions, discharge, and transfers. 8. *Assists with patient care that is consistent with standards of care and clinical priorities determined by the nurse with the nature of the area/unit, patient care division policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices. 9. *Performs Activities of Daily Living (ADLs) for assigned patients and documents in the Electronic Medical Record (EMR). 10. *Responsible for labeling and securing patient care belongings and ensuring that the patient room is safe and uncluttered. 11. Provides surgical prep of patient with bath/shower then CHG, linen changes and other surgical prep requirements when necessary. 12. Performs EKGs as ordered. 13. Applies telemetry to patients under the direction of the nurse. 14. *Distributes patient’s meals/water and assists with feeding of patients as needed. 15. Answers patients’ call lights, anticipates patients’ needs and makes rounds of assigned patients. 16. Assists with ambulation, lifting and positioning according to procedure, including the appropriate use of patient lift devices and use of good body mechanics. 17. Assists with transporting patients, including at time of transfer and/or dismissal. 18. *Assists patients with elimination needs and measures/records bodily elimination in medical record. 19. Observes patient and reports complaints of pain or changes in mental and physical conditions to supervising nurse. 20. Participates in patient care conferences. 21. Documentation meets current standards and policies. 22. Manages and operates equipment safely and correctly. 23. *Cleans, stocks and cares for supplies and equipment in assigned work area. 24. For inpatient areas: Provides morning care which may include bed bath, shower, provides foley peri care on patients with a foley Q shift. 25. For inpatient areas: Performs general CNA care and tasks: oral hygiene, combing hair, back care, dressing patients, changing bed linen, cleaning over-bed table and bedside stand, straightening room, and other general care as necessary throughout the shift. 26. For inpatient areas: Provides evening care which includes hands/face washing as needed, oral hygiene, back rubs, peri-care, freshening linen, cleaning over-bed tables, straightening room, and other general care needed. 27. For inpatient areas: Performs purposeful hourly rounding. 28. For inpatient areas: Completes shift report at the bedside. 29. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 30. Participates in meetings, committees and department projects as assigned. 31. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Active Nebraska Certified Nursing Assistant (CNA) credential 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.
LPN Part-time
Bryan Health

LPN-Acute Care

apartment Bryan Health location_onKearney, NE
Summary GENERAL SUMMARY: At the direction of a Registered Nurse (RN) and/or Licensed Practitioner, contributes to meeting patient's priority needs by assessing and participating in interdisciplinary care planning, providing delegated care and timely communication of the patient's response. Contributes to an efficient and effective work environment through activities including professional communication and documentation. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the KRMC mission, vision, values and goals and consistently demonstrates our core values. 2. *Contributes to the patient assessment and reassessment based on the presenting problems/needs in accordance with Kearney Regional Medical Center's (KRMC) procedures and policies. 3. Follows the eight (8) medication rights and reduces the potential for medication errors. 4. *Performs vital signs including heart rate, respirations, blood pressure, oxygen saturation, and temperature. 5. *Performs EKGs. 6. Interprets and analyzes heart rhythms. 7. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. 8. *Utilizes appropriate pain management techniques. Educate the patient and family regarding pain management. 9. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. 10. Executes therapeutic and/or supportive interventions under the direction of the RN. 11. As directed by the RN, provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences, and readiness to learn. 12. Incorporates cultural considerations into the plan/delivery of care. 13. Includes family or significant others in the care of the patient as appropriate. 14. Documents patient care and related information according to facility procedures for documentation. 15. *Provides care in conjunction with other members of the interdisciplinary team. 16. Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 17. *Performs purposeful hourly rounding on all patients assigned. 18. Performs bedside report on patients at shift change in the room; this includes any handoff of patient care. 19. Contributes to the 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, acts in a composed and professional manner, especially under pressure 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 by manager. (Essential Job functions are marked with an asterisk *) 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. Ability to adequately assess and reassess pain. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to perform crucial conversations with desired outcomes. 6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 7. Ability to problem solve and engage independent critical thinking skills. 8. Ability to maintain HIPAA 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: Graduation from a School of Practical Nursing with current licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. 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. 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 10 to 25 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.
RN PCU Full-time
Bryan Health

Staff RN-Observation/PCU

apartment Bryan Health location_onLincoln, NE
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. *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 Hospice Part-time
Bryan Health

Staff RN - Hospice

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

Staff RN-Mother/Baby

apartment Bryan Health location_onLincoln, NE
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 Postpartum experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. STABLE certification obtained within one year of employment.
RN Part-time
Bryan Health

Radiology RN

apartment Bryan Health location_onLincoln, NE
Summary GENERAL SUMMARY: The Radiology RN provides quality nursing care to patients in Radiology through the use of assessment, communication, teaching, leadership and management skills. Ensures patient privacy and dignity. May function in any of the following areas within the radiology department: interventional radiology, general diagnostic, computerized tomography, nuclear medicine, ultrasound, mammography, MRI and medical radiography. 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; monitors and records patient's condition before, during and after procedure. *Administers appropriate medications during patient's stay in radiology with proper documentation. *Executes therapeutic and/or supportive interventions; assists Radiologist in performing interventional radiology procedures. *Properly utilizes monitors, infusion pumps and other non-ionizing radiologic equipment during patient procedures; ensures departmental/facility safety policies and procedures are followed. *Evaluates the patient's response to and effectiveness of nursing interventions; identifies life-threatening arrhythmias and takes appropriate action. *Maintains a sterile field. *Monitors patients during MRI procedures involving sedation, pacemakers or other needs. Maintains MRI safety. *Reinforces instructions to family and patient of post-procedure precautions. *Keeps blood and body fluids in check in accordance to OSHA and Medical Center guidelines. *Assists radiologists and technologists in procedures involving instruments, wire, catheter insertion, biopsy needles and the insertion of drainage units. *Incorporates cultural considerations into the plan/delivery of care. *Accesses and administers drugs and biologicals that are pertinent to essential job functions in accordance with Medical Center procedures. *Serves as a liaison between ordering/referring physician, scheduling center, specialty clinic, and IR physicians. *Obtains pertinent prior imaging studies for patients for IR physician review before clinic visits and/or procedures. *Ensures follow-up imaging and/or clinic visits are scheduled. *Communicates with physicians and staff to maintain exam schedules and facilitate patient flow. *Accompanies physician to specialty clinic when seeing patients. *Builds trusting relationships with patients, families and caregivers through effective communication and listening skills. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum one (1) year bedside patient care experience required. Membership with the Infusion Nurses Society (INS) preferred. 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. ACLS certification required. Pediatric Advanced Life Support (PALS) or Pediatric, Emergency, Assessment, Recognition and Stabilization (PEARS) certification preferred.
Student Nurse Per Diem
Bryan Health

GIRMC Student Nurse Technician

apartment Bryan Health location_onGrand Island, NE
Summary GENERAL SUMMARY: Responsible for serving on the patient care team for an assigned area including direct patient care as an unlicensed professional and under the direct supervision of a Registered Nurse (RN). Incorporates the primary job functions of a certified nursing assistant (CNA) and other duties related to the care of patients, dependent upon the work area and/or patient populations to which they are assigned. Reports to Nurse Manager, Charge Nurse, House Supervisor or Staff RN. Incumbents holding nursing licensure will be held accountable to Nebraska nursing licensure requirements and must maintain licensure or an active Nebraska CNA. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. . 2. *Recognizes and reacts to emergency procedures per role and policies/procedures. 3. *Answers telephones and assigned communication devices as appropriate and relays information as necessary. Refers all physician telephone orders to a licensed professional. 4. *Assists with patient care that is consistent with standards of care and clinical priorities determined by the RN with the nature of the area/unit, patient care division policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices. 5. *Performs and documents routine direct nursing care tasks according to identified age-specific needs. 6. Obtains and records vitals, height, weight, and bedside glucose results; reports results to appropriate personnel. 7. *Performs Activities of Daily Living (ADLs) for assigned patients and documents in the EMR. 8. *Responsible for labeling and securing patient care belongings and ensuring that the patient room is safe and uncluttered. 9. *Distributes patient’s meals/water and assists with feeding of patients as needed. 10. Assists with ambulation, lifting and positioning according to procedure, including the appropriate use of patient lift devices and use of good body mechanics. 11. Assists with transporting patients, including at time of transfer and/or dismissal. 12. *Assists patients with elimination needs and measures/records bodily elimination in medical record. 13. Bathes patients as directed by the RN and documents in EHR. 14. Participates as a member of the team in Hourly Patient Rounds to proactively address patient needs. 15. Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 16. Collects, accurately labels and transports specimens to lab as required. 17. Assists with dressing changes, applying splints, setting up suturing and procedures, and wound care on closed wounds as directed by RN. 18. *Cleans, stocks and cares for supplies and equipment in assigned work area. 19. Collaborates with other departments to coordinate exams and treatments, minimizing fragmentation and enhancing patient satisfaction. 20. Assists in collecting specific information from patients and contributes to admission, transfer and dismissal processes when delegated by a RN, and with responsibility for patient assessment being performed by a RN; assures timely reporting and recording of patient's Electronic Medical Record (EMR). 21. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 22. Participates in meetings, committees and department projects as assigned. 23. Performs other related projects and duties as assigned. 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 general hospital processes and procedures. 4. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic and complex disease processes, and those who are dying. 5. Ability to practice proper body mechanics to ensure personal and customer/patient safety. 6. Ability to recognize and react to emergency procedures per role and policies/procedures. 7. Ability to communicate effectively both verbally and in writing. 8. Ability to perform crucial conversations with desired outcomes. 9. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 10. Ability to problem solve and engage independent critical thinking skills. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to prioritize work demands and work with minimal supervision. 13. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current enrollment and in good standing in a Nursing Program such as an accredited Baccalaureate Nursing Program or RN Associate Degree program required. Active Nebraska Certified Nursing Assistant (CNA) credential required. Six (6) months CNA experience preferred. Patient Care Technicians working primarily in the Emergency Department may have additional competencies specific to their population. 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

GIRMC Cath Lab/IR RN

apartment Bryan Health location_on
Summary GENERAL SUMMARY: Responsible for identifying patient needs and priorities for care through assessment and planning based on patient needs, and consistent with the patient’s expectation of treatment. Executes therapeutic physician or nursing-initiated interventions and evaluates the patient’s response to care and the attainment progress toward patient outcomes. Assists in all procedures performed in the Invasive Cardiology and Interventional Radiology Labs. Through documentation and verbal communication, coordinates care between other professional disciplines as needed. Performs unit-based activities which contribute to a positive work and professional environment. 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 and the physician’s medical diagnosis including collecting key information from patient, laboratory and other medical reports, determining which standards of care and practice apply to the patients situation and documenting assessment and 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; re-prioritizes care based on new information. 4. *Performs therapeutic interventions as ordered by the physician with consideration given to knowledge gained from the initial and ongoing assessment of the patient and consistent with population specific standards of care and practice, Invasive Cardiology procedures, Interventional Radiology procedures, demonstrated competencies and with consideration given to risk management and infection control practices. 5. Assembles, operates and troubleshoots equipment needed for various procedures in the Invasive Cardiology Lab and Interventional Radiology Lab; takes appropriate action where needed. 6. Assists in performance of procedures under instruction of the physician. 7. Administers medication according to policy and procedure and/or direct orders of physician. 8. *Documents care based on standards of care and practice and/or clinical priorities for documentation including: assessment and ongoing assessment findings; updated clinical priorities for documentation; and therapeutic nursing interventions with specific attention to patient teaching and patient’s response to interventions and progress towards outcomes noted. 9. *Initiates communication with peers and other members of the health care team about clinical priorities for care. 10. *Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers. 11. Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity and caring. 12. Delegates work to other staff members as needed. 13. *Determines the impact of Cath Lab and Interventional Radiology lab and nursing interventions on the patient’s condition and recognizes the patient’s progress towards meeting desires outcomes. 14. Places intravenous catheters, midlines and peripherally inserted central catheters as assigned; maintains training and competency validation. 15. *Provides direct care to patients as assigned based on caseload acuity, needs and the qualifications and competencies of self and of other staff members. 16. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 17. Participates in meetings, committees and department projects as assigned. 18. 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 computer hardware equipment and software applications relevant to work functions. 3. Knowledge of federal and state regulations related to nursing applications and relative practice area. 4. Knowledge of radiology procedures, equipment and safety protocols. 5. Ability to delegate work, provide instruction and mentor other patient care staff and students. 6. 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. 7. Ability to communicate effectively both verbally and in writing. 8. Ability to perform crucial conversations with desired outcomes. 9. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 10. Ability to problem solve and engage independent critical thinking skills. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to prioritize work demands and work with minimal supervision. 13. 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. Minimum of one (1) year experience as a Critical Care or Medical/Surgical nurse or equivalent required. Previous experience in hemodynamic monitoring skills and ECG interpretative skills preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) certification or certification within six (6) months of hire required.