Registered Nurse - MedSurg, ER & OB (Full-time or Part-time)

Lexington Regional Health Center•Lexington, NE

37d•Onsite

About The Position

Lexington Regional Health Center Title: Registered Nurse Effective Date: September 11, 2020 Supervisor: Director of Nursing Department: Nursing FLSA Status: Non-Exempt Principle duties and responsibilities Administers patient centered nursing care as outlined in scope of practice including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, completion of patient call backs, etc. Delegates through the appropriate scope of practice. Communicates with providers in regard to patient status, results of diagnostic tests, changes in assessments, etc. Prepares patients for and assists with exams and treatments. Maintains medical record documentation to accurately reflect care administered and patient's condition. Records all care information concisely, accurately, and completely in a timely manner in the appropriate format and on the appropriate forms. Provides holistic support to patients and patient designated support system. Educates patients and designated support system on preventive measures, disease management, health care management while at home, etc. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.) Responsible for safe bagging and disposal of biohazardous waste. Responsible for following safe-injection practices. Responsible for ensuring the environment meets appropriate governing body standards. Responsible for proper collection, storage and labeling of biological specimens. Ensure patients and visitors follow current infection control guidelines. Supervises less skilled nursing healthcare personnel. Evaluates and implements patient care plans. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc). Participates in shared governance committee. Communicates with multidisciplinary team to ensure patient centered holistic care. Regular attendance at the assigned work location is required Performs all other duties as assigned ________________________________________________________________________________________________________________________________ Lexington Regional Health Center Title: Emergency Room Registered Nurse Effective Date: August 6, 2020 Supervisor: Director of Nursing Department: Nursing FLSA Status: Non-Exempt Principle duties and responsibilities 1. Administers patient-centered nursing care as outlined in the scope of practice for emergency department patients including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, assists with patient call backs as needed, etc. 2. Activates emergency support teams as needed. 3. Manages advanced and basic life support needs and stabilizes patients until the attending physician is available based upon nursing standards and protocols. 4. Initiates triage process as outlined per hospital policy. 5. Maintains medical record documentation to accurately reflect care administered and patient condition. Records all care information concisely, accurately, and completely in a timely manner in the appropriate format and on the appropriate forms. 6. Educates patient and designated support system on preventive measures, disease management, health care management while at home, etc. 7. Floats among various nursing areas where qualified and competent. 8. Delegates duties through the appropriate scope of practice. 9. Communicates with providers in regard to patient's status, results of diagnostic tests, changes in assessments, etc. 10. Prepares patients for and assists with exams and treatments. 11. Supervises less skilled nursing healthcare personnel. 12. Evaluates and implements patient care plans. 13. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.) 14. Responsible for safe bagging and disposal of biohazardous waste. 15. Responsible for following safe-injection practices. 16. Responsible for ensuring the environment meets appropriate governing body standards. 17. Responsible for proper collection, storage and labeling of biological specimens. 18. Ensure patients and visitors follow current infection control guidelines. 19. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc). 20. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care. 21. Participates in shared governance committee. 22. Communicates with a multidisciplinary team to ensure patient-centered holistic care. 23. Regular attendance at the assigned work location is required. 24. Performs all other duties as assigned. ________________________________________________________________________________________________________________________________ Lexington Regional Health Center Title: Registered Nurse-OB Effective Date: September 10, 2020 Supervisor: Director of Nursing Department: Nursing FLSA Status: Non-Exempt Principle duties and responsibilities 1. Administers patient-centered nursing care as outlined in the scope of practice for obstetric and neonate patients including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, completion of patient call backs, etc. 2. Evaluates and manages the labor, postpartum and neonate period including preparation and coordination of delivery. 3. Evaluates and interprets the labor strip and recognizes the non-reassuring fetal and maternal assessments. 4. Maintains medical record documentation to accurately reflect care administered and patient's condition. Records all care information concisely, accurately and completely in a timely manner in the appropriate format and on the appropriate forms. 5. Provides holistic support to patients and patient designated support system. 6. Educates patient and designated support system, and/or persons caring for neonate post-discharge while ensuring appropriate bonding to include health care management while at home, care of the neonate, etc. 7. Manages basic life support needs and stabilizes patients until the attending physician is available based upon nursing standards and protocols. 8. Floats among various nursing areas where qualified and competent. 9. Delegates duties through the appropriate scope of practice. 10. Communicates with providers in regard to patient's status, results of diagnostic tests, changes in assessments, etc. 11. Prepares patients for and assists with exams and treatments. 12. Supervises less skilled nursing healthcare personnel. 13. Evaluates and implements patient care plans. 14. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.) 15. Responsible for safe bagging and disposal of biohazardous waste. 16. Responsible for following safe-injection practices. 17. Responsible for ensuring the environment meets appropriate governing body standards. 18. Responsible for proper collection, storage and labeling of biological specimens. 19. Ensure patients and visitors follow current infection control guidelines. 20. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.) 21. Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care. 22. Participates in shared governance committee. 23. Communicates with a multidisciplinary team to ensure patient-centered holistic care. 24. Regular attendance at the assigned work location is required. 25. Performs all other duties as assigned.

Requirements

Knowledge and understanding of nursing theory and practice and the growth and development of a variety of patients in order to meet the patients' health care needs as is typically acquired through the completion of an Associate's or Bachelor's degree in Nursing from an accredited school. Bachelor's degree preferred.
Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
Basic Life Support certification via American Heart Association required within six months of hire. BLS, ACLS, and PALS required within six months of hire and/or orientation.
Ability to maintain strict confidentiality with regard to protected and sensitive information.
Ability to complete reports and correspondence at a professional level.
Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
Ability to effectively communicate with individuals from diverse backgrounds.
Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.
BLS, ACLS, PALS and TNCC required within six months of hire and/or orientation.

Responsibilities

Administers patient centered nursing care as outlined in scope of practice including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, completion of patient call backs, etc.
Delegates through the appropriate scope of practice.
Communicates with providers in regard to patient status, results of diagnostic tests, changes in assessments, etc.
Prepares patients for and assists with exams and treatments.
Maintains medical record documentation to accurately reflect care administered and patient's condition. Records all care information concisely, accurately, and completely in a timely manner in the appropriate format and on the appropriate forms.
Provides holistic support to patients and patient designated support system.
Educates patients and designated support system on preventive measures, disease management, health care management while at home, etc.
Provides accurate and detailed bedside shift report to oncoming staff to ensure consistency and continuity of care.
Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
Responsible for safe bagging and disposal of biohazardous waste.
Responsible for following safe-injection practices.
Responsible for ensuring the environment meets appropriate governing body standards.
Responsible for proper collection, storage and labeling of biological specimens.
Ensure patients and visitors follow current infection control guidelines.
Supervises less skilled nursing healthcare personnel.
Evaluates and implements patient care plans.
Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
Participates in shared governance committee.
Communicates with multidisciplinary team to ensure patient centered holistic care.
Regular attendance at the assigned work location is required
Performs all other duties as assigned
Administers patient-centered nursing care as outlined in the scope of practice for emergency department patients including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, assists with patient call backs as needed, etc.
Activates emergency support teams as needed.
Manages advanced and basic life support needs and stabilizes patients until the attending physician is available based upon nursing standards and protocols.
Initiates triage process as outlined per hospital policy.
Floats among various nursing areas where qualified and competent.
Administers patient-centered nursing care as outlined in the scope of practice for obstetric and neonate patients including assessments, reassessments, medication administration, initiating provider orders, observing and monitoring patient conditions, pain management, completion of patient call backs, etc.
Evaluates and manages the labor, postpartum and neonate period including preparation and coordination of delivery.
Evaluates and interprets the labor strip and recognizes the non-reassuring fetal and maternal assessments.
Provides holistic support to patients and patient designated support system.
Educates patient and designated support system, and/or persons caring for neonate post-discharge while ensuring appropriate bonding to include health care management while at home, care of the neonate, etc.
Manages basic life support needs and stabilizes patients until the attending physician is available based upon nursing standards and protocols.