Nebraska Methodist Health System Registered Nurse in Omaha, Nebraska
Purpose of Job
Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.
Bachelors of Science in Nursing (BSN) from an accredited school of nursing required by December 31, 2020 if hired after 2012 or five years from hire date for nurses hired after 2015.
Successful completion of annual mandatory education requirements.
Graduate of an accredited school of nursing required.
Experience in surgical environment preferred.
Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license to work in Nebraska, or a temporary permit while awaiting licensure required.
Current American Heart Association Basic Life Support (BLS) Certification required.
Certification(s) in area of specialty preferred.
From National Certification Corporation (NCC) within 1 year of eligibility.
Current American Heart Association Advanced Cardiac Life Support (ACLS) Certification required.
Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
Ability to multi-task and prioritize work assignments.
Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
Position requires flexibility to accommodate fluctuation in daily schedule, including but not limited to overtime, irregular hours and on-call responsibilities.
Medium Work - Exerting up to 50 pounds of force.
Occasionally Performed (1%-33%):
Frequently Performed (34%-66%):
Constantly Performed (67%-100%):
Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
Explosives (pressurized gas)
Hazardous Drugs (exposure risks, personal protective equipment required)
Chemical agents (Toxic, Corrosive, Flammable, Latex)
Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
Mechanical moving parts/vibrations
Note: Safety Officer can assist with identification of job hazards.
Essential Job Functions
Essential Functions I
Provide appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
Demonstrate ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
Provides appropriate patient care.
Shows confidence and competency in all age specific categories.
Ensures patient comfort and understanding of ordered exam.
Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
Include data from the patient/significant other(s) in the assessment as appropriate.
Prioritize data collection according to patient's immediate needs.
Use assessment findings in discharge planning.
Quality & Safety-Patient assessment.
Performs and documents Medication Reconciliation.
Verifies patient identification.
Perform initial and on-going assessment of patient during procedure.
Report accurate/appropriate information to pertinent departments/personnel
Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers.)
Collaborate with providers and other clinical disciplines as appropriate.
Provide teaching specific to the patient's health care problem.
Care plan reflects continuing care needs and/or referrals for discharge/transfer.
Smart Growth-Provides care for the optimal patient experience.
Service oriented – Actively looking for ways to help people to optimize the customer experience.
Speaking – Talking to others to convey information effectively with empathy, compassion, and respect.
Active Listening – Gives full attention to what other people are saying, asking questions as appropriate to understand any points being made.
Implement interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care).
Is familiar with, and follows, nursing protocols and standards of care for their unit.
Use current knowledge in nursing practice based on standards and research literature.
Quality & Safety-Policy and Procedures: Demonstrates knowledge by following department, division and nursing policy and procedure.
Evaluate patient care to determine response to care/interventions for optimal patient outcome.
Monitor outcomes and documents patient response to interventions.
Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
Give a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR (situation, background, assessment and recommendation) content, and is familiar with the overall plan of care.
Recognize and address patient and family capabilities and limitations (physical and mental).
Heightened Focus on Efficiency -Cerner/Navicare/Outlook/mhsintranet
Dismiss appropriate patients.
Retrieve blood work results.
Ensures Powerchart is available to the performing physician prior to start of case.
View/modify IR schedule.
Retrieves various pieces of information necessary to provide safe patient care.
Ensures proper documentation during procedure to include Surginet and Sedation Flow Sheet.
Perform technical skills competently and independently to assure patient safety (autonomy).
Able to competently perform technical skills independently.
Is accountable to learn new skills and equipment within areas' specifications and time frame.
Demonstrate correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
Quality & Safety-Exam performance.
Perform scrub duties while assisting physicians.
Time Out/History and Physical (H&P)/ASA/Site marking performed to ensure safety to the patient.
Perform circulating duties.
Performs local/sedation duties.
Maintains sterile field and utilizes sterile technique during the procedure.
Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.)
Communicate effectively to solve problems at the personal and unit level.
Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
Take pride in the unit by active participation in restocking and maintaining a clean environment.
Maintain a professional appearance, behavior, and work environment.
Maintain competence in area of experience.
Participate in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
Partnerships & Collaboration-Department teamwork.
Maintains a positive relationship with team members.
Relieves coworkers during cases as needed.
Performs job duties as assigned.
Maintains communication/coordination w/pertinent areas.
Assists coverage in unassigned areas when available.
Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns). (Quality of Care)
Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request).
Communicate to appropriate personnel regarding unresolved issues.
Work within the scope of practice as defined by State Nurse Practice Act.
Observes appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
Demonstrates knowledge of the Environment of Care competencies in accordance with the EOC checklist.
Quality & Safety-Quality Assurance.
Performs daily checks on Automated External Defibrillator (AED) N/A.
Records refrigerator temps in daily log N/AX.
Ensures cleaning of equipment and room prior to the start of the case.
Assists in maintaining appropriate par levels of supplies and communicates to appropriate ordering personnel.
Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
Right communication (clear, concise, correct, complete).
Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
Act professionally responsible for human and other resources.
Charge accurately for use of supplies and equipment according to policy.
Essential Functions II
Participate in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
Follow and understand the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.
Other duties as assigned.