Registered Nurse Observation Unit

Intermountain Health

1d•$38 - $57•Onsite

About The Position

The Registered Nurse (RN) is a professional caregiver accountable for assessing, planning, implementing, and evaluating patient care. The staff RN uses the nursing process, technology, therapeutic interventions, evidence-based practice, and coordination with other health team members to deliver care. This role assesses patients’ physical, social, and psychological status; collaborates with patients, families, physicians, and the interdisciplinary team to develop individualized care plans; coordinates and provides or delegates care; and evaluates patient responses and outcomes, revising care plans as needed. The RN also promotes the nursing profession and the development of others, follows legal, ethical, and regulatory standards, practices within licensure, and documents care accurately and promptly. The position is based at Intermountain Health St Vincent Regional Hospital in Billings, Montana, and is scheduled for 36 hours per week on night shifts.

Requirements

Current license to practice as a Registered Nurse in the state of practice.
Valid compact licenses must be transferred to the state of practice within 60 days of the start of employment.
RNs with less than 12 months of experience must obtain a Bachelor of Science in Nursing (BSN) within four years of their hire date.
Basic Life Support (BLS) certification for healthcare providers.
As of the job description’s last update on 04/27/2025, a Bachelor of Science in Nursing (BSN) is required; employees hired or promoted before that date are held to the minimum requirements in effect at that time.
Ability to see and read information, labels, and patient needs, and to operate monitors and identify equipment and supplies.
Ability to verbally communicate and to hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergencies.
Manual dexterity to manipulate complex and delicate equipment precisely, including frequent computer use and typing.
Ability to lift and move patients, bend to retrieve, lift, and carry supplies and equipment, and handle items up to heavy weights.
Ability to walk, assist with patient transport and ambulation, obtain and distribute supplies and equipment, and push or pull gurneys and portable equipment.
Ability to stand in a stationary position for an extended period.

Nice To Haves

Bachelor’s degree in nursing (BSN) from an accredited institution; degree will be verified.

Responsibilities

Assess patients’ physical, social, and psychological status, including cognitive, communicative, and developmental skills as appropriate.
Seek and evaluate information from patients, families, physicians, and other interdisciplinary team members.
Use assessment information and critical thinking to collaboratively develop individualized plans of care.
Involve patients, families, the care team, and physicians in care planning and identify needed education.
Plan and prepare patients for support after the current episode of care, including teaching, referrals, and follow-up.
Direct the interdisciplinary care team through delegation, coordination, and collaboration as appropriate.
Provide or delegate care consistent with the plan of care, care guidelines, and professional licensure provisions.
Prioritize, coordinate, and organize patient care while managing time, supplies, and resources.
Evaluate patient responses to interventions, goal achievement, clinical outcomes, and patient and family satisfaction.
Revise and reassess the plan of care as indicated.
Promote the nursing profession and participate in the development of others.
Integrate legal and ethical standards into practice, comply with regulatory standards, practice within scope of licensure, and provide accurate, timely documentation.