Registered Nurse

Douglas County•Ne, NE

2d•Onsite

About The Position

The Registered Nurse works under the direction of the Chief Nursing Officer or designee, overseeing nursing care, supervising nursing staff, and ensuring resident care needs are met in accordance with physician orders, nursing scope of practice, standards of care, and applicable policies and procedures. The role provides direct nursing care in a healthcare facility, coordinates resident care and admissions, supports staff and residents, and contributes to quality improvement and a safe, respectful care environment. Work is generally performed indoors in a healthcare facility. The noise level is usually moderate to loud. Hours are typically standard day-shift hours, but schedules may vary and include different days and shifts, weekends, overtime or extra hours, holidays, and emergency call-ins. The work may involve exposure to biohazards, risk of injury from distraught individuals, and stressful situations involving time constraints, changing priorities, limited resources, emergencies, or uncooperative individuals.

Requirements

Associate’s degree or diploma in nursing from an accredited college or university.
Current Registered Nurse license from a compact state recognized by the Nebraska Board of Nursing upon hire, maintained in good standing throughout employment.
Basic life support/cardiopulmonary resuscitation (CPR) certification within three months of hire, maintained throughout employment.
Valid driver’s license upon hire, maintained throughout employment.
Completion of a pre-employment criminal record check, conditional drug screen, and physical assessment.
Ability to meet the position’s physical requirements, including extended periods of standing and walking; bending and frequent reaching; occasional sitting, kneeling, climbing, stooping, crouching, and balancing; frequently lifting or carrying up to 50 pounds; pushing or pulling up to 50 pounds of force; and grip strength of 65 pounds.
Sensory abilities including vision, hearing, and touch; visual abilities correctable to normal ranges, including close, distance, color, and peripheral vision, depth perception, and focus adjustment; communication abilities to talk and hear within normal ranges; and eye-hand coordination and manual dexterity to operate computers and other equipment.
Ability to work a schedule that may vary and include weekends, overtime or extra hours, holidays, and emergency call-ins.

Nice To Haves

Bachelor’s degree in nursing (BSN).
Experience with Electronic Health Care Records.
Experience in a healthcare environment, including acute care, skilled rehabilitation, skilled nursing, or long-term care.

Responsibilities

Assess patients and residents; initiate physician orders; administer medications; perform procedures; and provide treatments.
Plan, coordinate, and supervise nursing care in accordance with standards of care and applicable policies and procedures.
Monitor medication effects, side effects, interactions, and contraindications, and take appropriate action.
Provide hands-on care and patient or resident education.
Develop, document, and implement individualized interdisciplinary care plans; complete applicable sections of the Minimum Data Set (MDS) assessment; and review and update care and discharge plans.
Document assessments, care, education, and observations in the medical record.
Assist in supervising assigned staff, including orienting, training, directing, and evaluating them.
Conduct nursing rounds, provide follow-up supervision, consult with staff, and consult with attending physicians about treatments, medications, rehabilitation, and other care.
Coordinate resident information exchange among staff and conduct change-of-shift reports; assign staff according to training and scope of practice.
Serve as a resource, promote a positive work environment, and assist with resolving complaints and conflicts.
Provide facility orientation to new residents and their families.
Maintain confidentiality of department, resident, and employee information and comply with privacy laws and regulations.
Inform appropriate staff, the resident’s guardian, and the physician of changes in condition; continue communication; and immediately report suspected or alleged abuse, neglect, or misappropriation of property to a supervisor.
Assist with resident admissions, transfers, and dismissals, including related documentation.
Mentor and precept coworkers, students, and outside personnel; ensure they work within their scope of practice and support their learning.
Support residents in maintaining or regaining independence, accommodating their choices, assisting them in directing daily life, and helping them maintain personal belongings.
Investigate complaints or suggestions from residents, coworkers, or the public and take steps to remedy problems.
Respond to and assist with medical and psychiatric emergencies and codes.
Observe, follow, and promote emergency and safety protocols for hazards and emergencies, including biohazards, chemicals, fire, weather, internal and community disasters, and wandering residents.
Participate in Quality Assurance and Performance Improvement (QAPI) activities.
Represent DCHC positively with community agencies, nursing schools, and the public; promote companionship and residents’ self-worth; and treat residents, coworkers, and the public with dignity and respect.
Complete resident pre-admission assessments at other hospitals and review medical records to match resident needs to admission criteria.
Gather referral information and coordinate communications among departments and caregivers to support a smooth admission process; monitor, evaluate, and improve the admission and referral process.
Promote and maintain a clean and safe work environment, ensuring malfunctioning equipment is tagged for repair and removal.
Maintain job knowledge and skills through journals, meetings, workshops, webinars, seminars, and continuing education.
Safely operate a motor vehicle when required for County business.
Report to the assigned location with regular, consistent attendance and perform other duties as assigned and directed.