Clinic / OR Float RN - Part-time

Position Summary:

Renders professional nursing services in the treatment and care of assigned patients in accordance with physicians' orders. Provides for the comfort and well-being of patients by assessing condition, providing treatments and administering prescribed drugs and documenting progress and other observations. Coordinates nursing care for patients and participates in patient and family teaching.

Hours:

Average 24 hours per week

Responsibilities:

Follows all scope and standards of professional nursing practice guidelines.

• Administers oral and IM medications correctly and have knowledge of drug use.
• Administers IV medications and maintains proper insertion sites according to HCMC policies and procedures.
• Utilizes the nursing process to initiate an admission process; and individualize and implement a nursing care plan, including patient/family education and discharge planning.
• Demonstrates expertise in systems assessments, recognition of significant changes in patient condition, establishment of priorities, and nursing interventions.
• Ensures complete documentation of all aspects of assigned patients.
• Assists the medical staff when necessary with procedures.
• Performs treatments and maintains sterile procedures.
• Directs admissions, dismissals and transfers of patients.
• Maintains working knowledge of Obstetrics, Nursery, Emergency Room, Cardiac, Geriatrics, Pediatrics and Medical-Surgical areas.

Demonstrates key behavioral skills related to the provision of patient care.

• Demonstrates initiative and flexibility in provision of patient care.
• Serves as a positive role model.
• Employs strategies to promote a healthy and safe environment.
• Utilizes effective, appropriate, timely communication skills.
• Supports medical center goals and management decisions.

Performs comprehensive nursing assessments in an efficient and effective manner.

• Conducts full body system analysis.
• Performs and completes the established steps of the initial admissions process.
• Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities and takes appropriate action.
• Administers and performs nursing assessment in accordance with the applicable patient type which may include; Medical, Surgical, Obstetrical, Newborn, Pediatric, and or Telemetry/Cardiac patients.

Ensures patient records are properly maintained.

• Documents according to nursing standards.
• All patient contacts are recorded.
• Documentation is legible.
• Referrals are documented with date, time, name and records sent.
• Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge.
• Completes shift end check prior to leaving duty.

Collaborates with Medical Staff management and other health care providers to coordinate medical and nursing management of patient care.

• Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patients care.
• Works effectively with ancillary areas as part of the team approach to patient care.
• Directs patient support team members effectively and appropriately.
• Demonstrates initiative and flexibility in the provision of patient care.
• Informs and involves supervisors, coordinators and directors regarding patient care issues in a timely and appropriately manner.
• Assists in coordinating admissions, and meeting staffing needs for department.
• Performs hourly rounds per established process.
• Collaborates with Social Services and Utilization Management.
• Completes patient and family education throughout the patients stay and at discharge. (clinic exempt)

Performs emergency treatment as required.

• Initiates patient care in an effective and responsive manner as each situation requires.
• Triages each Emergency situation appropriately and involves other resources as appropriate.
• Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics.
• Follows standards of BLS, ACLS, and PALS interventions as needed.
• Follows emergency policies, procedures and protocols in an effective manner.

Participates in and promotes Continuous Quality Improvement (CQI).

• Ensures service levels are achieved and maintained, and makes adjustments where necessary
• Is aware of HCAHPS scores and suggests areas for growth and change.
• Follows departmental & facility wide initiatives aimed at HCAHPS improvement & patient satisfaction.

Communicates effectively

• Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes.
• Follows approved shift report format when communicating patient information.
• Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider.

Promotes and ensures patient and staff safety in all aspects of responsibilities.

• Administers medications, treatments and procedures in a timely and safe manner according to physician orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift.
• Participates in code/trauma drills demonstrating knowledge of department specific requirements.
• Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self.
• Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves.
• Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials.

Follows all scope and standards of professional nursing practice.

• Promotes self and professional growth via workshop and conference attendance.
• Maintains all HCMC required certifications (ACLS, PALS, etc).
• Maintains on-going minimum education requirements for NE nursing license.
• Renews RN license prior to October 31st deadline.
• Follows all NE reporting requirements for continued licensure.

Performs and adheres to all duties and responsibilities within the rural health care clinic policy and procedure manual.

Performs and adheres to all surgical, pre and post-operative guidelines listed within the department.

Performs other duties as assigned.

Qualifications:

• Graduate of accredited school of nursing
• Current Nebraska Registered Nurse licensure
• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS) preferred
• Pediatric Advanced Life Support (PALS) preferred