Summary

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and /or ability required.

Provide professional nursing care to patients as ordered by the Medical Staff and as outlined by the policies and procedures of Health Services.  Assist in maintaining continuity of nursing care given to the patients.

• Report to work on time.
• Responsible for comprehensive ongoing patient assessment to determine nursing care needs.
• Formulates nursing diagnosis on the basis of assessment. 
• Establish and maintain a plan of care that: identifies patient needs, prioritizes nursing diagnosis, establishes goals and expected outcomes, and identifies appropriate nursing interventions. 
• Implements nursing plan of care. Delegates appropriate non-complex interventions to support staff. 
• Evaluates and determines effectiveness of nursing interventions and outcomes. Revise plan of care as needed. 
• Collaborates with other healthcare professionals and participates in interdisciplinary decision-making. 
• Keep accurate and complete records.
• Observe, record, and report to physician/advanced practice provider or immediate supervisor any significant change in the patient's condition associated with drugs, treatments, or any other disease process.
• Acquire knowledge of each patient’s background and history. Assist in planning and documentation of the total care for each patient.
• Assist in directing, supervising, assigning, orientating, and teaching, of assigned personnel.
• Use all opportunities for teaching both patients and their families.
• Be mindful of community resources that are available for the patient's continued nursing care after his/her dismissal. Assist in arranging resources for those that need them.Work with Social Worker and Healthcare Team in discharge planning.
• Interpret hospital policies for the patient, his/her family, and the community.
• Administer medications, treatments, IV's and blood as outlined in the procedure manual and as indicated by providers orders.  Attend in-services as scheduled including annual competency day.
• Assist with ordering, receiving, and handling supplies as needed.
• Assist with EMR checks of orders and charting before the end of the shift.
• Assist with Quality Assessment and Quality Improvement as assigned.
• Practice proper fire, safety and disaster procedures as set forth by SMC.
• Be able to provide care to a variety of patients including, inpatient, emergency department, and treatment room.  
• Maintain barcode medication scanning compliance and medication administration practices.
• Practice the proper fire, safety and disaster procedures as set forth by SMC.
• Participate in all quality, safety, security and infection control programs that are mandatory as well as those required and provided by the department.
• Uphold confidentiality and HIPAA compliance at all times and report violations to the Privacy Officer.
• Understand and comply with the requirements of the Saunders Medical Center’s Compliance Program, including, but not limited to the Code of Conduct, the Compliance Policy, all Saunders Medical Center-wide policies for compliance, and compliance plans affecting specific duties and responsibilities.
• Participate in all education and training programs regarding compliance as required by Saunders Medical Center policy and as requested by the Supervisor.
• Demonstrate personal traits of a high-level commitment, motivation and energy; team orientation; professionalism; trust; personal honesty and integrity; and a demonstration of placing others in a place of high value and treating them with dignity and respect.
• Other duties as assigned.
• Will attend 10 out 12 monthly staff meetings.
• Able to plan for inclement weather and make arrangements as needed.

 Supervisory Responsibilities

Supervise Licenced Practical Nurses and Certified Nurse Aides in the absence of the ADON and DON.

Disclosure Statement

The above statements reflect the general details considered necessary to describe the essential functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

The above statements reflect the general details considered necessary to describe the essential functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

Education and/or Experience

Graduate of an accredited associate degree of nursing, diploma, or Bachelor of Science Degree in nursing program.

Prefer one or more years of experience in acute care nursing.

Certificates Licenses, Registrations

Current Nebraska RN license.

BLS training mandatory within 1 month of hire. 

ACLS training desirable and mandatory within one year of hire .

PALS training desireable and madatory within one year of hire. 

TNCC desirable and mandatory within one year of hire.

Language Skills

Must be able to read, write and follow written and oral instructions and possess positive skills in communication.  Ability to deal tactfully with personnel, patients, visitors, and the general public.

Mathematical Skills

Ability to calculate at the level necessary to perform essential duties of the position.

Reasoning Ability

Ability to make independent decisions when circumstances warrant such action.  Ability to interpret a variety of instructions furnished in oral, written, diagram or schedule form.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee must stand frequently.  The employee must sit, reach with arms and hands and occasionally lift 50 pounds.  The employee must occasionally walk and climb or balance as well as bend, squat, or kneel

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.  Attendance is essential and required for a successful working environment.

Typical office environment with periods of time spent in patient care areas.