Registered Nurse - Bridge to Higher Acuity II - PCU to ICU

About the role

Nebraska Methodist Health System focuses on providing exceptional care to the communities they serve and the people they employ. They emphasize the importance of 'The Meaning of Care', which involves helping families grow through deliveries, dealing with difficult diagnoses, and supporting patients in overcoming challenges.

Responsibilities

• Provide appropriate care specific to the age of the customer/patient, ensuring understanding and comfort level of treatment as outlined in the Population Specific Criteria.
• Demonstrate ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
• Incorporate data from the patient/significant other(s) in the assessment as appropriate.
• Prioritize data collection according to patient's immediate needs.
• Use assessment findings in discharge planning.
• Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes.
• Collaborate with providers and other clinical disciplines as appropriate.
• Provide teaching specific to the patient's health care problem.
• Care plan reflects continuing care needs and/or referrals for discharge/transfer.
• Implement interventions that are consistent with the established plan of care in a safe and appropriate manner.
• Use current knowledge in nursing practice based on standards and research literature.
• Evaluate patient care to determine response to care/interventions for optimal patient outcome.
• Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission.
• Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees.
• Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request).
• Communicate to appropriate personnel regarding unresolved issues.
• Work within the scope of practice as defined by State Nurse Practice Act.
• Observe appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
• Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
• Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
• Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
• Right communication (clear, concise, correct, complete).
• Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
• Fiscally accountable.
• Act professionally responsible for human and other resources.
• Charge accurately for use of supplies and equipment according to policy.

  Requirements

  • Education: BSN or MSN from an accredited college of nursing required OR obtained within 5 years from date of hire for nurses with an ADN. For MJE Progressive Care: BSN preferred, graduate of an accredited school of nursing required. Successful completion of annual mandatory education requirements.
  • License/Certifications: Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license, or a temporary permit while awaiting licensure. Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire. Current American Heart Association Advanced Cardio Life Support (ACLS).
  • Experience: NMH CT Scan: 1 to 3 years’ experience in direct patient care and proficient in intravenous (IV) start skills. NMH MRI: 1 to 3 years’ experience in direct patient care and proficient in intravenous (IV) start skills. NMH Nuclear Medicine: 5 years’ experience in nursing clinical settings and general experience in all areas of nursing practice. MJE Neurodiagnostics: Minimum 2 years of nursing experience in cardiac/ICU. NMH PACU: Critical Care or Post Anesthesia Care Unit (PACU) experience. NMH Surgery GI Lab: 1 to 2 years nursing experience. NMH Surgery Pre Op Services: 1 to 2 years nursing experience. Surgery OP Support HW: Minimum 2 years related experience in RN role. MFH Radiology Diagnostics: 3 years experience in direct patient care and proficient in IV start skills. Experience preferred: NMH Radiology Surgical: Experience in surgical environment. MWH Repro Endo Infert: Pre/post operative and circulating experience. MPC Colon & Rectal Surgery ASC: Acute care or surgical nursing experience. MJE Cardiopulmonary Rehab: 1 year of telemetry experience. MFH Radiology Diagnostics: Pre/post operative and circulating experience.
  • Skills/Knowledge/Abilities: Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers. Ability to multi-task and prioritize work assignments. Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
  • Physical Requirements: Weight Demands Medium Work - Exerting up to 50 pounds of force. Physical Activity Occasionally Performed (1%-33%): Climbing, Crawling, Kneeling, Sitting, Frequently Performed (34%-66%): Balancing, Carrying, Crouching, Distinguishing colors, Keyboarding/typing, Lifting, Pulling/Pushing, Repetitive Motions, Stooping/bending, Twisting, Constantly Performed (67%-100%): Grasping, Hearing, Reaching, Seeing/Visual, Speaking/talking, Standing, Walking.
  • Job Hazards: Not Related: Electrical Shock/Static, Rare (1-33%): Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc), Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only, Occasionally (34%-66%): Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment), Equipment/Machinery/Tools, Explosives (pressurized gas), Hazardous Drugs (exposure risks, personal protective equipment required), Frequent (67%-100%): Chemical agents (Toxic, Corrosive, Flammable, Latex), Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF), Mechanical moving parts/vibrations.